Paediatric Surgery & Urology · Belagavi

Gentle Hands,
Tiny Patients.

Dr. Swapnil Annasaheb Pattanshetti MS · MCh (PGIMER) · FPESI

Senior Paediatric Surgery & Paediatric Urology consultant — dedicated to the surgical care of newborns, infants, children and adolescents with warmth, expertise, and a child-first approach.

10Years experience 5Languages spoken 500Children treated
Dr. Swapnil A. Pattanshetti, Paediatric Surgeon
Kannada Telugu English Hindi Marathi Paediatric Surgery Paediatric Urology Neonatal Care Kannada Telugu English Hindi Marathi Paediatric Surgery Paediatric Urology Neonatal Care
01 — The Philosophy

A surgeon's hands are guided by training — but the outcome is shaped by the principles behind them.

Every child who is carried through our door brings with them a whole family's hopes. Our job is to listen gently, explain honestly, and heal with the smallest possible intervention — so they can go back to being a kid.

Dr. Swapnil A. Pattanshetti Senior Consultant · Paediatric Surgery & Urology
Children are not small adults. Their bodies, fears, and futures are entirely their own — and the surgery they receive should be too.
— Our guiding principle
01

PGIMER Super-Specialist

MCh Paediatric Surgery from the Postgraduate Institute of Medical Education & Research, Chandigarh — India's top institute for paediatric surgical training.

02

10+ Years of Dedicated Practice

Hundreds of paediatric surgical procedures performed — from delicate neonatal repairs to complex urological reconstructions and minimal-access surgery.

03

Full-Spectrum Paediatric Surgery

Neonatal anomalies, paediatric urology, GI, thoracic, and solid tumour surgery — a complete scope of children's surgical care.

04

Minimal-Access Surgery

Advanced paediatric laparoscopy and thoracoscopy — tiny incisions, less pain, faster return to school and play.

05

Child-First Approach

Specialises in making children feel comfortable and explaining procedures in ways they — and their parents — can understand.

06

Antenatal Counselling

Guidance for expectant parents when congenital anomalies are detected on scans — clarity, planning, and reassurance from before birth.

02 — A Different Kind of Surgery

Why Paediatric Surgery?

Children are not small adults. Their bodies, emotions, and surgical needs are fundamentally different — and that is why paediatric surgery exists as a dedicated super-specialty.

01

Tiny Anatomy, Tiny Instruments

A newborn's blood vessels are thinner than a strand of thread; an infant's intestine is fragile as tissue paper. Paediatric surgeons use miniature instruments and magnification techniques designed exclusively for children.

02

Growing Bodies, Different Physiology

A child's metabolism, fluid balance, drug dosing, and healing response are all unique. Paediatric surgery is calibrated for bodies that are still developing — not scaled-down adult surgery.

03

Emotional & Developmental Needs

A child fears the unknown, and a parent fears for their child. A paediatric surgeon is trained to communicate with both — gently, clearly, and in ways that respect the child's dignity at every age.

04

Congenital & Lifelong Conditions

Many paediatric conditions — hypospadias, hernias, undescended testis, Hirschsprung's, congenital malformations — simply do not occur in adults. They require specific training a general surgeon cannot substitute.

05

Recovery That Protects Growth

Surgery in a child must protect not just today's outcome but years of future growth — bones, organs, continence, fertility. Every decision is made with the adult they will become in mind.

06

Why Not a General Surgeon?

A general surgeon's training is centred on adult disease. Paediatric surgery is an entirely separate super-specialty — with its own exams, instruments, protocols, and years of dedicated training (MCh & fellowship) beyond general surgery.

03 — Why Dr. Swapnil

Care built around your child.

Every child deserves warmth, clear explanations, and world-class surgical care. These are the principles that guide our practice.

01

Transparency

Clear communication with parents about the diagnosis, options, risks, and expected outcomes — in Kannada, English, Hindi, Marathi or Telugu.

02

Kid-Friendly Approach

Gentle explanations, playful distractions, and calm reassurance — making the hospital visit feel as un-scary as possible.

03

Surgical Excellence

A commitment to precision and clinical rigour refined over 10+ years of dedicated paediatric surgical practice.

04

Advanced Techniques

Minimal-access laparoscopy and thoracoscopy, paediatric urology reconstruction, and complex neonatal surgery.

04 — Qualifications

Academic foundation.

A distinguished medical education at India's premier institutions, building expertise layer by layer.

MBBS

Bachelor of Medicine, Bachelor of Surgery

Foundation in medicine & surgery.

MS

Master of Surgery — General Surgery

Broad-based training in general surgical principles.

MCh

MCh Paediatric Surgery — PGIMER

India's premier paediatric surgical training programme. Senior Resident.

FPESI

Fellowship — Paediatric Endoscopic Surgeons of India

Advanced training in paediatric minimal-access surgery.

05 — Honors & Awards

Recognition & fellowships.

Awards and honours received from India's leading paediatric surgical associations and international society meetings.

  • MCh Paediatric Surgery — PGIMER, Chandigarh

    Super-specialty qualification from India's premier paediatric surgical training institute.

  • Dr. U.C. Chakraborty Award

    Presented at IAPSCON 2020 by the Indian Association of Paediatric Surgeons.

  • Dr. Purushottam Upadhyay Award

    Presented at IAPSCON 2023 by the Indian Association of Paediatric Surgeons.

  • FPESI — Fellow of Paediatric Endoscopy Surgeons of India

    Conferred at PESICON, Kochi 2025.

  • FIAPS — Fellow of the Indian Association of Paediatric Surgeons

    Conferred at IAPSCON, Puri 2025.

  • Invited Faculty Speaker — Paediatric Urology

    43rd Congress of the Société Internationale d'Urologie (SIU), Istanbul 2023.

Worried about your child?

A detailed consultation can bring clarity and reassurance. Every child is seen personally — in a calm, kid-friendly setting, with parents as partners in care.

Conditions We Treat

A comprehensive range of paediatric surgical conditions — from neonatal anomalies to adolescent urology — managed with clinical precision and gentle care.

Conditions Seen by a Paediatric Surgeon

Each child is approached with a thorough diagnostic workup, personalised treatment planning, and compassionate post-operative follow-through for the whole family.

Hypospadias

Reconstruction of the urethral opening in newborn boys. Corrective surgery typically performed between 6–18 months for optimal outcomes.

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Inguinal & Umbilical Hernia

Laparoscopic and open hernia repair in infants and children — one of the most common and rewarding paediatric surgeries.

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Undescended Testis

Orchidopexy — laparoscopic or open surgical placement of the testis into the scrotum to protect fertility and reduce cancer risk.

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Circumcision & Tongue-Tie Release

Routine paediatric day-care procedures performed under safe anaesthesia, with focus on comfort and quick recovery.

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Neonatal Congenital Anomalies

Complex surgery for oesophageal atresia, anorectal malformations, Hirschsprung's disease, diaphragmatic hernia and more — in newborns within days of life.

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Paediatric Urology

Pyeloplasty for PUJ obstruction, ureteric re-implantation for reflux, cystoscopy, and neurogenic bladder management.

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Hydrocephalus & Spina Bifida

V-P shunt placement for hydrocephalus and repair of meningomyelocele — protecting the developing brain and spinal cord.

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Appendicitis & Acute Abdomen

Laparoscopic appendicectomy and management of intussusception, volvulus, and other paediatric surgical emergencies.

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Gall Bladder & Liver Disease

Laparoscopic cholecystectomy, choledochal cyst excision, and liver surgery for children — using minimal access techniques.

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Paediatric Solid Tumours

Surgical management of Wilms' tumour, neuroblastoma, hepatoblastoma, and other childhood malignancies in coordination with oncology.

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Foreign Body Removal

Urgent endoscopic removal of foreign bodies (coins, batteries, toys) from the windpipe and food pipe — a true paediatric emergency.

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Antenatal Counselling

Guidance for expectant parents when prenatal scans suggest a congenital anomaly — what it means, what to expect, and how surgery will help.

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Procedures Performed

Paediatric Laparoscopy

Appendicectomy, cholecystectomy, pyeloplasty, nephrectomy, orchidopexy — minimal-access surgery for children.

Neonatal Surgery

Complex surgical correction of congenital anomalies in newborns — oesophageal, anorectal, abdominal wall and intestinal.

Paediatric Urology

Hypospadias repair, pyeloplasty, ureteric re-implantation, cystoscopy, and neurogenic bladder management.

VATS & Thoracoscopy

Video-assisted thoracic surgery for empyema, lung and chest wall conditions — small scars, fast recovery.

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Paediatric Child Surgeon Clinic

Paediatric Child Surgeon Clinic

Paediatric Surgery · Paediatric Urology · Neonatal Surgery
Address · Open in Google Maps
Classique Heights Building, Kolhapur Circle,
opposite Shiva Hotel, Ayodhya Nagar,
Sadashiv Nagar, Belagavi, Karnataka — 590016
Monday – Saturday 9:00 AM – 5:00 PM
Sunday By Appointment
Open Daily 9 AM – 5 PM
Languages: Kannada, Telugu, English, Hindi, Marathi
Credentials & Registration
MCI Registered — Verified Specialist
MCh Paediatric Surgery — PGIMER Chandigarh
FPESI — Paediatric Endoscopic Surgeons of India

Understanding Paediatric Surgery

A warm, visual guide to the conditions we see most often in a paediatric surgery practice — what they are, how they present, how they're diagnosed, and the gentle modern techniques we use to treat them.

Head & Neural Hydrocephalus · Meningomyelocele
Abdomen Hernia · Appendicitis · GI anomalies
Paediatric Urology Hypospadias · UDT · PUJ
Neonatal TEF · ARM · Diaphragm hernia
Thoracic & Oncology VATS · Solid tumours
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Condition Guides
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Years of Practice
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Children Treated
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Languages Spoken

Common Paediatric Surgical Conditions

Tap any card to explore what the condition is, how it shows up, how it's diagnosed, and the step-by-step surgical approach. Use the filters below to narrow by body region.

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Hypospadias is one of the most common birth defects in boys — occurring in roughly 1 in 200–300 male births. The urethral opening is located on the underside of the penis, ranging from mild (just below the tip) to severe (near the scrotum).

1:250
Incidence
6–18 m
Ideal Age
Day-case
In most cases
Complexity
At A Glance
1.Ideal timing for surgery is between 6 and 18 months of age.
2.Do NOT circumcise before consulting a paediatric surgeon — the foreskin is used for reconstruction.
3.Most boys void standing and have normal function after surgery.
Urinary opening not at the tip
Downward curve (chordee)
Abnormal foreskin (hooded)
Abnormal urine stream direction
Clinical Examination

Usually diagnosed at birth or at the first paediatric check-up. No other tests needed for routine cases.

Ultrasound (if needed)

In severe cases, KUB ultrasound to check kidneys and associated anomalies.

Surgical
Urethroplasty

Single-stage reconstruction using the foreskin to create a new urethra with the opening at the tip. Done under general anaesthesia as a day-case or 1-night stay.

Follow-up
Recovery

A small catheter is kept for a few days. Most children return to normal activity in 1–2 weeks.

An inguinal hernia in children is caused by a persistent processus vaginalis — a sac of peritoneum that normally closes before birth. When it stays open, abdominal contents can slip through into the groin.

3–5%
Term babies
30%
Preterm
Day-case
Same-day home
Why Early Surgery?
!An incarcerated hernia (stuck) is a surgical emergency — it can cut off blood supply to bowel or testis.
Elective laparoscopic repair is quick, safe, and prevents emergency complications.
Intermittent groin swelling
Bulge that appears with crying
Belly-button bulge (umbilical)
Painful, non-reducible lump (EMERGENCY)
Surgical
Laparoscopic Hernia Repair

Key-hole surgery with 3mm instruments — the hernial sac is closed internally. Both sides can be checked at once. Child goes home the same day.

The testes develop in the abdomen and normally descend into the scrotum before birth. When descent fails, surgery (orchidopexy) is needed — ideally between 9 and 18 months — to protect fertility and reduce the lifetime risk of testicular cancer.

3%
Term babies
9–18 m
Ideal Age
Day-case
Surgery
Why it Matters
1.An undescended testis is warmer than body temperature — this harms sperm-producing cells.
2.Early surgery preserves fertility and simplifies future cancer screening.
Surgical
Orchidopexy

Open or laparoscopic technique to bring the testis down into the scrotum and fix it. Performed as a day-case under general anaesthesia.

Some babies are born with anomalies that need urgent surgery in the first days of life. These include tracheo-oesophageal fistula (TEF), anorectal malformations, Hirschsprung's disease, congenital diaphragmatic hernia, and abdominal wall defects.

Urgency
Why Specialised Care?
A newborn's anatomy is millimetre-scale; anaesthesia, fluid balance and temperature control are all delicate.
A general surgeon is not trained for these conditions — they demand paediatric super-specialty expertise.
1
Rapid Stabilisation

Temperature, airway, IV fluids, and antibiotics secured in the NICU before surgery.

2
Imaging & Diagnosis

X-ray, ultrasound, or contrast study to confirm the anomaly and plan the approach.

3
Gentle Surgery

Miniature instruments, magnification, and minimal tissue handling — open or thoracoscopic/laparoscopic.

4
NICU Recovery

Close monitoring, gradual feeding, and parent involvement in care.

Antenatal counselling is available when anomalies are detected on scans before birth — so parents know what to expect.
Belly pain moving to right lower side
Loss of appetite
Fever and vomiting
Refusal to walk / hopping
Surgical
Laparoscopic Appendicectomy

Three tiny (5mm) incisions, minimal pain, quick return to school. Typical hospital stay is 1–2 days.

Toddlers explore their world with their mouths. Swallowed coins, button batteries (very dangerous!), magnets, and small toys can lodge in the food pipe or windpipe, causing serious injury if not removed promptly.

Urgency
Red Flags
!Sudden choking, drooling, refusing feeds, noisy breathing, persistent cough.
!Button batteries must be removed within hours — they burn tissue.
Emergency
Endoscopic Removal

Bronchoscopy or oesophagoscopy under general anaesthesia — the object is grasped and gently removed without an incision.

Hydrocephalus is a build-up of cerebrospinal fluid in the brain's ventricles, causing an enlarged head and raised pressure. Meningomyelocele is a birth defect where the spinal cord and membranes protrude through an opening in the back — often associated with hydrocephalus.

Key Points
Both conditions are often diagnosed on antenatal scans.
Early surgery protects neurological development and quality of life.
Surgical
V-P Shunt Placement

A small tube is placed to divert excess fluid from the brain into the abdomen, relieving pressure.

Surgical
Meningomyelocele Repair

Closure of the spinal defect within 48–72 hours of birth to prevent infection and further neural damage.

Childhood solid tumours require a delicate balance of chemotherapy, surgery, and sometimes radiation. With modern protocols and experienced paediatric surgical care, outcomes are excellent for most tumours.

Approach
Multi-disciplinary team: paediatric oncologist, surgeon, radiologist, pathologist.
Organ-preserving surgery wherever possible.

Worried About Your Child?

A detailed consultation with Dr. Swapnil can bring clarity and reassurance. Every child is seen personally — in a calm, kid-friendly setting, with parents as partners in care.

Book a Consultation