Improving the health of children by modelling the practice of Paediatric Surgery in rural and low resourced communities

Within the division of Neonatal and Paediatric Surgery our experienced and knowledgeable paediatric surgeons provide a variety of services for infants, children and adolescents. In order to care for your child’s every surgical needs.

Scheduling routine checkup with your local clinic or GP is an important part of helping us keep your child healthy.

Minimally invasive surgical techniques for swift surgery and recovery

It is of paramount importance that we utilise techniques to minimise trauma and hasten recovery. We are lucky in that working with children means that recovery time is generally faster than in adults and even more so using Endoscopic or “Key Hole” surgical techniques.

What is Endoscopic Surgery?

This type of surgery is often called “Key Hole” surgery because the incision is often no bigger than that of a key hole in your door at home

The procedure involves the insertion of a small camera (endoscope) into various body cavities, usually the abdomen or chest, creating a well illuminated environment which transfers a highly magnified High Definition real time Image onto an adjacent screen

Using fine instruments, also inserted through small incisions, allows surgeons to complete many operations in this manner

The benefits
  • Less pain
  • Quicker recovery
  • Shorter hospital admission.
In some circumstances, there is no doubt that laparoscopic surgery is superior to the conventional “open” approach. Despite, these advantages, it must be stressed that endoscopic surgery is NOT less invasive than the traditional approach, and that the potential for complications is identical in both approaches. If you decide to consent to an endoscopic approach to your child’s surgery, you will always be consented for conversion to the traditional open operation should this be necessary

How do we do it?

Laparoscopic surgery is performed under general anaesthetic. A 1-2cm incision is made in the umbilicus (belly button) for the camera insertion; some gas is then injected into the surgical area to elevate tissue for better visibility within the operative field

The Surgeon then performs the surgery by viewing the monitor playing live images from the camera. Once the surgery is complete the instruments are removed, so too the camera and the tiny incisions are stitched closed and dressings are applied

This means only minor wounds and less complication for infection. Laparoscopy may have been invented for other surgeries but it is perfect for Paediatric applications

We employ Endoscopic surgery for:

  • Paediatric Urology
  • Neonatal Surgery
  • General Paediatric Surgery
  • Thoracic Surgery
  • Where possible Paediatric Trauma Surgery

Advantages of Laparoscopic Surgery

The advantages are numerous and today most surgeries can be performed using this technique:
  • Reduced recovery time
  • Smaller scar
  • Less post procedure pain
  • Less internal scarring
Each element of Laparoscopic surgery can be fully explained during the consultation process by the team of our doctors.

Your Critically ill infant is in the best hands

Neonatal surgery is a very specific speciality of paediatric surgery. In essence, a neonatal surgeon is a highly trained paediatric surgeon who performs corrective surgery on new-borns and infants. Neonatal surgeons will be responsible for surgical planning prior to birth, corrective surgery and post-operative surgical care

The more common procedures seen by neonatal surgeons include:
  • Chest surgery
  • Abdominal surgery
  • Urologic birth defects

What can you expect from Neonatal Surgery?

First and foremost, with today’s technology we are normally aware and forewarned of the possibility of your infant requiring neonatal surgery and can make appropriate arrangements. This means we are aware of your child’s situation and are prepared to deal with it. Remember that if an antenatal diagnosis is made, the most appropriate time to see you is PRIOR to delivery! This cannot be stressed enough – transport of the neonate is a very risky procedure, and if recognised antenatally, the child should be referred antenatally whilst still in the comfort of the mother’s uterus, rather than after birth, which significantly increases the risk.

That said this process will still be difficult to deal with as parents. Obviously, we provide appropriate antenatal counselling in this regard, from both the surgical and medical staff, and highly recommend early consultation and education. Immediately after delivery, your child will be admitted to Neonatal ICU by a Paediatrician for stabilisation and investigation prior to surgery being scheduled. Surgical techniques and approach will depend largely on your infant’s specific condition.

What happens after Neonatal Surgery?

Once your child has recovered, he/she will be discharged by the Paediatrician from NICU and transferred to the neonatal or paediatric ward. Although less “intensive” you will still be under the care of both the Surgeons and the Paediatricians. Obviously depending on the condition, other members of the team may continue to consult your child
Improving the health of children by modelling the practice of Paediatric Surgery in rural and low resourced communities

Within the division of Neonatal and Paediatric Surgery our experienced and knowledgeable paediatric surgeons provide a variety of services for infants, children and adolescents. In order to care for your child’s every surgical needs.

Scheduling routine checkup with your local clinic or GP is an important part of helping us keep your child healthy.
Improving the health of children by modelling the practice of Paediatric Surgery in rural and low resourced communities

Within the division of Neonatal and Paediatric Surgery our experienced and knowledgeable paediatric surgeons provide a variety of services for infants, children and adolescents. In order to care for your child’s every surgical needs.

Scheduling routine checkup with your local clinic or GP is an important part of helping us keep your child healthy.
Improving the health of children by modelling the practice of Paediatric Surgery in rural and low resourced communities

Within the division of Neonatal and Paediatric Surgery our experienced and knowledgeable paediatric surgeons provide a variety of services for infants, children and adolescents. In order to care for your child’s every surgical needs.

Scheduling routine checkup with your local clinic or GP is an important part of helping us keep your child healthy.

Meet Our Paediatric Surgery Team

We have a competent team of Paediatric surgery specialists and trainees, headed by Dr. Elliot Motloung. Click on each doctor to view their Profile

Dr. Elliot Motloung HOD: Paediatric Surgery Mankweng/Polokwane Academic Hospitals
Dr Kagiso Batka-Makwinja Specialist Paediatric Surgeon
Dr Tebogo Thelele Medical Officer