Paediatrics

Paediatric Cardiac Surgery

Diagnosis and Treatment of:

Atrial Septal Defect (ASD)

Patent Ductus Arteriosus (PDA)

Ventricular Septal Defect (VSD)

Doctors:

Dr. Einat Birk (Schneider Hospital, Israel)

Dr. Elchanan Bruchaimer (Schneider Hospital, Israel)

Dr. Elena Zeitlin (Schneider Hospital, Israel)

Dr. Georgy Frenkel (Schneider Hospital, Israel)

Dr. Rami Fogelman (Schneider Hospital, Israel)

Paediatric Cardiology

Diagnosis and Treatment of:

Chest Pain

Palpitations

Heart Murmur

Syncope/Faint

Test and Procedures:

-24-hour Ambulatory Electrocardiogram (Holter) MonitoringTransthoracic Echocardiogram (TTE)

-Exercise Tolerance Test (Stress Test)

-Electrocardiogram (ECG)

Doctors:

Dr. Einat Birk (Schneider Hospital, Israel)

Dr. Elchanan Bruchaimer (Schneider Hospital, Israel)

Dr. Elena Zeitlin (Schneider Hospital, Israel)

Dr. Georgy Frenkel (Schneider Hospital, Israel)

Dr. Rami Fogelman (Schneider Hospital, Israel)

Paediatric Electrophysiology

Diagnosis and Treatment of:

Arrhythmias in Congenital Heart Disease

Supraventricular Tachycardia (SVT)

Wolff – Parkinson – White Syndrome (WPW)

Doctors:

Einat Birk (Schneider Hospital, Israel)

Elchanan Bruchaimer (Schneider Hospital, Israel)

Elena Zeitlin (Schneider Hospital, Israel)

Georgy Frenkel (Schneider Hospital, Israel)

Rami Fogelman (Schneider Hospital, Israel)

Paediatric Endocrinology

It deals with disorders of the endocrine glands, such as variations of physical growth and sexual development in childhood, diabetes and many more.

Diagnosis and Treatment of:

Disorders of growth and puberty

Short stature

Growth Hormone Deficiency

Hypopituitarism

Precocious Puberty – Adrebarche – Thelarche

Gynaecomastia

Disorders of Sex Development

Gender Identity Disorders

Thyroid Diseases

Hypo/hyperthyroidism

Thyroid nodules

Cancer

Disorders of calcium metabolism

Hypo/hyperparathyroidism, rickets

Disorders of the adrenal function

Adrenal insufficiency

Cunshing’s syndrome

Disorders of the Gonads

Ambiguous genitalia

Cryptorchidism – micropenis

Gonadal failure – Turner syndrome

Endocrine tumors

Hypertension

Endocrinological investigation

Hypoglycemia

Endocrinological and metabolic investigation

Syndromic conditions and rare diseases

Disorders of the menses

cycle disturbances

hirsutism

polycystic ovary syndrome

obesity, overweight, dyslipidemias

metabolic syndrome

dietary interventions

Diabetes Mellitus

diabetic ketoacidosis

training and follow-up

insulin pumps

Continuous glucose monitoring systems

HbA1c measurement at the outpatient clinic with BAYER A1CNow+

We have developed a holistic training system based on written directions for every possible situation in the child’s everyday life with diabetes. Parents are trained to adjust insulin doses, allowing them to accurately monitor their child’s diabetes without needing to consult their physician every time. We use the hyper-intensified system with 1 dose of 24-hr insulin analog and 3-5 doses of rapid analogues before lunches and snacks. We use carbohydrate counting only for everything that is beyond everyday, quality homemade food. The training we provide and the system we implement are such that we are proud that almost all children we follow have an HbA1c<7%, with the least variation.

Paediatric General Surgery

Focus on the diseases and conditions affecting fetuses, infants, children, adolescents, and young adults.

Diagnosis and Treatment of:

Abdominal Cavity

Appendicitis (Laparoscopic approach)

Bowel malrotations

Chronic abdominal pain

Diseases of the navel (i.e. wet navel)

Congenital tumors

– Mesenteric cysts

– Omental cysts

– Bowel duplicatures

Meckel’s diverticulum (Laparoscopic approach)

Spleen resection / partial resection(Laparoscopy)

Adrenal

Various adrenal tumors

Insulinoma

Anal diseases

Polyps

Hemorrhoids

Rectal prolapse

Anal Fissure

Anal Fistula

Biliary Tract

Cholelithiasis (Laparoscopic stone extraction or gallbladder extraction)

Biliary atresia

Breast

Gynaecomastia in boys

Colon (large bowel)

Inflammatory Disease

-Ulcerative Colitis

-Crohn’s Colitis

Hirschsprungs Disease, Megacolon (Trans-anal approach)

Esophagus

Achalasia of the esophagus

Gastro-Esophageal Reflux Disease (GERD) (laparoscopic approach)

Hiatal Hernia

Para-Esophageal Hernia

Gynaecology in adolescent girls

Ovarian cysts

Labia synechia

Hymenal Atresia

Hernia

Inguinal (laparoscopic Approach)

Umbilical

Epigastric

Incisional

Liver

Tumors

– Metastatic

– Primary

Malformations

Prominent Ears

Polydactyly

Syndactyly

Scar correction

Neck-Nose-Ear

Preauricular defects

Ear skin tags

Thyroglossal cyst

Tongue Tie

Pancreas

Cysts

Tumors

Skin and Soft tissue diseases

Pilonidal Cyst (ingrowing hair)

Hemangiomas

Lymphangiomas

Mother marks

Benign soft-tissue tumors (Dermoids, Lipoma, etc.)

Congenital torticollis

Small Bowel

Inflammatory Bowel Disease (Crohn’s disease)

Intestinal Fistulas

Bowel stenosis

Stoma closure

Spleen

Splenic Disorders

Stomach

Pyloric stenosis

Thoracic

Pigeon breast

Funnel chest

Breast enlargement in boys (Gynecomastia)

Spontaneous pneumothorax

Mediastinal masses

Thymomas

Trauma

Simple upper and lower limp fractures

Soft tissue injuries

Burns

Tumours in children

Kidney tumours (Wilms tumour)

Neuroblastoma

Sacrococcygeal teratoma

Urology

Kidney malformations

Bladder malformations

Ureter malformations

Urethral malformations

Hypospadias

Undescended testis

Hydrocele

Phimosis

Circumcisions on request

Varicocele (Laparoscopy)

Urethral valves (Cystoscopy with Laser)

Vesico-urinary reflux ( Deflux injection)

Tests and Procedures:

Abdominal Surgery

Laparoscopic adhesiolysis

Biliary Surgery

Laparoscopic Cholecystectomy

Kasai Procedure (for Biliary atresia)

Bowel (small) Surgery

Laparoscopic/open Resection of small bowel

Colon Surgery

Laparoscopic/open colectomies

Laparoscopic/open anterior resection of the rectum

Laparoscopic/open abdominoperineal resection of the rectum

Transanal excision of rectal tumors

Trnasanal colon resection (Hirschsprungs Disease)

Total colectomy & ileoanal anastomosis with J-pouch formation

Laparoscopic/open rectopexy (for rectal prolapse)

Open/stapled hemorrhoidectomy

Lateral internal sphincterotomy/botox injection

Laparoscopic Appendectomy

Endocrine Surgery

Total thymectomy

Laparoscopic/open adrenalectomy

75% Pancreas resection (for insulinoma)

Fracture surgery for children

Flexible nailing

-Femur

-Forearm

Bone cysts

Gastrointestinal (upper) Surgery

Laparoscopic Heller’s myotomy (for achalasia)

Laparoscopic Nissen fundoplication

Laparoscopic Hiatal/Intra-thoracic hernia repair

Laparoscopic Gastrostomy

General Surgery

– Laparoscopic splenectomy

– Laparoscopic lysis of adhesions

– Diagnostic laparoscopy

– Laparoscopic oncologic staging surgery

Hernia Surgery

Laparoscopic Hernia repair (any hernia)

Liver Surgery

Right/Left hepatectomy

Laparoscopic/open wedge liver resections

Skin and Soft tissue Surgery

Intestitial/transcutaneous Laser

Excisions of Hemangiomas

Excisions of benign subcutaneous tumors

Thoracic Surgery

Nuss procedure (for funnel chest)

External Brace (for pigeon chest)

Laparoscopic thymectomy

Tumor Surgery

Tumor excisions or partial excisions

Urologic Surgery

Laparoscopic/open Nephrectomy

Bladder reconstruction

Ureter reconstruction

Urethral reconstruction

Hypospadias surgery

Undescended testis

Hydrocelectomy

Circumcisions (medically indicated and on request)

Varicocelectomy (Laparoscopic approach)

Urethral valve resection (Cystoscopy with Laser)

Deflux injection (Vesico-urinary reflux)

Paediatric Interventional Cardiology

Tests and Procedures:

Atrial Septal Defect (ASD) Device Closure

Patent Ductus Arteriosus (PDA) Device Closure

Pulmonary Valve Balloon Dilatation

Doctors:

Einat Birk (Schneider Hospital, Israel)

Elchanan Bruchaimer (Schneider Hospital, Israel)

Elena Zeitlin (Schneider Hospital, Israel)

Georgy Frenkel (Schneider Hospital, Israel)

Rami Fogelman (Schneider Hospital, Israel)

Paediatric Neurology

Pediatric Neurology deals with a broad spectrum of neurological disorders in children, including developmental disorders, epilepsy, brain tumours, movement disorders, neurodegenerative conditions, neuromuscular diseases, cerebral palsy and more.

Diagnosis and Treatment of:

Attention Deficit Hyperactivity Disorder (ADHD)

Autism (ASD)

Cerebral Palsy

Developmental Delay

Epilepsy

Headaches/Migraine

Learning/Cognitive issues

Motor Disorders

Neonatal Neuro Disorders

Neurometabolic Conditions

Neuromuscular Disorders

Tics

Botulinum Injections are offered for a range of disorders including spasticity.

Paediatric Orthopedic Surgery

Pediatric Orthopedic Surgery is the part of Orthopedic Surgery dealing with the Diagnosis and Treatment of problems of the Musculoskeletal system of Children.

Typically, those problems are a result of an injury, infection or other medical conditions like Cerebral Palsy, Osteogenesis Imperfecta, Mucoplysaccharidosis, Hereditary Multiple Exostoses and any other syndrome or medical condition.

Some of the Conditions we see and Treat

-Trauma: Fractures, ligament and muscle injuries, joint dislocations etc

-Infections of the muscles, bones and joints

-Congenital and Acquired Deformities of the bones, tendons, muscles, joints

-Arthrogryposis

-Fibular or Tibial Hemimelia

-Femoral Deficiencies

-Development Dysplasia and Dislocation of the Hip

-Varus / Valgus Knees

-Flat Foot

-Club Foot Deformity

-Intoeing

-Tiptoeing

-Congenital Dislocation of the Radial Head of the elbow

-Spine deformities like Scoliosis and Kyphosis

Treatment/Procedures:

-Conservative Treatment, physiotherapy and activity modifications.

-Treatment of fractures with Intramedullary Elastic Nails fixation and other methods.

-Serial Casting (Ponseti method).

-Surgical Correction of Deformities using Growth Plate Regulation Devices (“8-plates”).

-Lengthening of bones and Correction of Congenital and Acquired Deformities using External Fixation Devices like Taylor Spatial Frame, Ilizarov and fully implanted Magnetic Nails (“Precice Nail”).

-Conservative and Surgical Treatment for Spine Deformities like Scoliosis, kyphosis etc.