Dr Ruankha Bilommi

Spesialis Bedah Anak

CONGENITAL ANOMALIES;
Gastrointestinal &
Urology Genital
(PEDIATRIC SURGERY)
To identify different congenital anomalies that
are present at birth.
 Common congenital anomalies
in the newborn
• Anomalies of the stomach
• Respiratory system: and duodenum:
- Laryngeal stridor - pyloric stenosis
- Choanal atresia - duodenal obstruction
- hiatus hernia
• Anomalies of the mouth
(cleft lip & cleft palate). • Anomalies of the intestine:
- Imperforated anus.
• Anomalies of the - Omphalocele.
esophagus (esophageal - Intestinal atresia.
atresia & chalasia of the - Diaphragmatic hernia.
esophagus).
- Hirschsprung’s disease
(congenital aganglionic
megacolon)
PHYMOSIS

4
 Sirkumsisi bayi baru lahir
• Keuntungan dibidang kesehatan bila bayi di
sirkumsisi sejak awal maka dapat terhindar
dari infeksi saluran kemih.
• Sirkumsisi secara dini ini juga mencegah
terjadinya kanker penis, walau angka
kejadiannya sangatlah kecil.
 Tidak boleh disunat ?

• Penis kecil (mikropenis)

• Hipospadia
Hipospadia
 Klasifikasi

Different classifications of hypospadias, according to location of meatus

(modified from Sheldon and Ducket ).
 APPENDICITIS / USUS BUNTU
• Acute appendicitis is acute inflammation and
infection of the vermiform appendix, which is
most commonly referred to simply as the
appendix.
• nausea
• vomiting / constipation / diarrhea
• abdominal discomfort
• pain right lower abdomen
• fever
One hole laparoscopy
appendectomy
INGUINAL HERNIA
Hidrokel
• Akan dilakukan penyayatan
kulit sekitar 2 cm pada lipatan
kulit perut terbawah
• Kemuadian akan dilakukan
pemotongan kantung dan
penutupan celah hernia.
Post OPERATION SCARS
herniotomy
Undescenden testiculorum
 Testis yang tidak turun
 Timing operasi usia
6bulan.
 Diatas 2thn
Menyebabkan
penurunan jumlah
sprema
Laparoscopy orchidopexy
Bayi anda konstipasi / Sulit Bab?
• Perhatikan pola bab
• Jumlah setiap kali bab
• Konsitensi saat bab
Hirschsprung disease
 Clinical diagnosis
• Children who do not have early symptoms
may present with the following:
• Constipation that worsens over time
• Small, watery stool
• Loss of appetite
• Delayed growth
• The amount of stool depends on many
factors, such as the amount and quality
of food, velocity of its intestinal
passage, resorption, bacterial flora,
intestinal excretion etc.
LAPAROSCOPY HIRSCHSPRUNG
Post operation scar hirschsprung
laparoscopy
POST OPERATION
LAPAROSCOPY

• LESS PAIN
• LESS HOSPOTAL TIME
• MORE COMFORTABLE
• LESS SCAR
• BETTER COSMETIC
UMBILICAL HERNIA
Benjolan di umbilicus
Bladder extrophy-epispadia complex
Abdominal wall defect;
Gastroschizis
Abdominal wall defect;
OMPHALOCELE
LAPAROSCOPIC
DIAGNOSTIC
Kuning pada bayi anda normal ?
• Berbagai faktor penyebab
• Usia mulai terlihat kuning
• Lama nya kuning
• Apa warna bab
TINJA SEPERTI DEMPUL
 Biliary Atresia
• What is it?
• What do we know about it?
• Cause ?
• – Recent research ??
• Has treatment improved?
 Baby with no anus

Anovestibular fistula Meconium Stained Urine

 HERNIA DIFRAGMATICA
• BAYI BARU LAHIR
/NEWBORN
• SESAK NAFAS
TUMOURS / BENJOLAN
HIGROMA COLLI
www.kiddsurgery.net
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