Department of Pediatric Urology & Pediatric Surgery in Indraprastha Apollo Hospitals Delhi, India

Pediatric Urology & Pediatric Surgery (PUPS) surgical specialty, is the youngest, the most challenging and intensive surgical subspecialty. Patients are often high risk premature babies, and have rarest complex surgical conditions. The existing premier hospitals in the country in the public sector have failed to get more than 65-70% successful outcome in newborn surgery. In order to produce surgical outcomes comparable to the western countries i.e. greater than 97% successful outcomes, it requires convergence of team members at different levels of seniority and expertise within the surgical team and horizontal seamless integration with other subspecialties. This is available at Indraprastha Apollo hospital, New Delhi. We have used the latest technology in diagnostic imaging i.e. PET MR, intensive care facilities like invasive monitoring in premature newborns, high frequency oscillating ventilation, extra corporeal membrane oxygenation, minimally invasive surgery including robotic surgery technology, at the doorsteps of every south Asian family. This has been achieved with success in 99% cases in over 5000 consecutive surgeries over last ten years delivered on fixed packages. Our work has been supported & witnessed by more than 300 referring paediatricians from South Asian region. Indian Association of Pediatric Surgeons (IAPS) had selected our surgical team performance for the First Prize consecutively in 2014 and 2015. The University of Chicago have offered a collaborative programme with us, the first time anywhere in Asia. Our team has performed innovative surgeries in a series of patients not performed anywhere in the region i.e. artificial urinary sphincter implantation, endoscopic esophageal substitution, robotic reconstruction for complex urological anomalies even in infants, with less than 0.5% mortality or re-exploration rate over the last ten years. In addition to the patients from our region more than 500 children have had successful redo operation after multiple failed surgeries from 20 countries in Asia and Africa. Forty percent of the population of South Asia is children; our team work is a glowing example of what can be achieved within the inherent problems of our region.