Department of Paedicatric surgery was started at Government General
Hospital, Guntur on 5-1-1976 under the guidence of Dr. Y.R.Reddy, the then
chief Paediatrician and superintendent of the Hospital, with Dr. R.B.Krishna
Murthy, as incharge Paediatric on 15-9-1976 by Prof. Balayya, the then vice
–Chancellor of Nagarjuna University. It had an intial bed strength of 16.
THE PERINATAL PERIOD :
Dr.T.V. Madhu sudhana Murthy was the first Professor of Paediatric
Surgery and the took charge in January, 1978. He alongwith Dr. R.B. Krishna
Murthy took keen interest to organise the unit.
THE INFANCY CURRENT GROWTH :
Dr. Y. Nayudamma joined the Department in Sept. 1978 as Assitant
Professor of Paediatric Surgery and was incharge of the Department for over 2
½ years, till Dr. N.Nagaraja Rao, joined the Department as Prof. Of
Paediatricsurgery and Paediatric
Surgeon. They are instruments to get recognition to the Department as a
speciality centre.
Dr. K.Radha Krishna Murthy and Dr. G.Raghvendra Prasad, joined the
Department as Asst. Professors and Asst. Paediatric surgeons, in 1982 and 1983
respectively and it has by then become a full pledged unit.
Dr.Y.Nayudamma took charge in 1984 as Prog. Of Paediatric surgery and
the post he continues to hold for the past 12 years. At present the unit has a
bed strength of 18, and caters surgical services to children from 4 to 5
thickly populated coastal districts of Andhra Pradesh. All the Elective and
Emergency surgical problems pertaining to Gastro-intestinal, Genito urinry,
Neuro and Chest are being looked after by the Department, But the main
emphasis is towards Neonatal surgery. It is planned to organise a Neonatal
Surgical intensive care unit shortly.
The neonatal problems manged include mainly surgical emergencies like
Neonatal intestinal obsstruction of all varieties and Ano-rectal
malformations. Hither to high mortality is now reduced to acceptable
proportions. Anterior abdominal wall defects and congenital defects of the
genito urinary systems are being managed efficently. Neonatal surgical
problems producing respiraory embarassment like congential diaphragmatic
hernias and oesophageal atresia with Tracheo Oesophageal fistula are manged.
Congential Neural tube defects and abnormalities of centralnerous system are also attended to. In older children special
procedures like Abdomino-perineal pull through, near corrective surgery in
Portal hypertension. Reconstructive surgery in upper urinary tract and
tropical surgical problems like round worm obstruction are eficiently managed.
Oncological surgery is taken up with special interest. Special procedures like
exchanges transfusion and phototherapy for medical conditions associated with
surgical problems are also being done. Results of late have been quite
satisfactory, both morphologically and functionally.
The department got national and International acclaim because of
successful surgery on rere conditions like conjoined twins and double mouth
(duplication of stomodium).
Craniophagas, a rare variety of conjoined twins was successfully
separated after 2 yearsof stay
and study in the Department which is the first and the only successful attempt
in the sucontinent and one of the handful in the world.
PROPOSAL FOR ENHANCED FUTURE :
We however, feel that much progress needs to be acheved in Paediatric
endoscopy and neonatal surgical intensive care. Availability of trained
nursing staff and better awareness regarding early detection of the surgical
problems by the General Practitioners, Paediatricians, Obstrtricians will go a
long way in improving our results.
Scope and achievements in the mangement of various children surgical
problems treated in this department were projected at various world,
Nationality and International Scientific forms.
