Cloacal malformations, which commonly refer to the anomaly of merging of the rectum, vagina and urethra into a single channel instead of three separate channels, needed holistic treatment procedures, Abraham Cherian, Consultant Pediatric Urologist, Great Ormond Street Hospital for Children (GOSH), NHS Foundation Trust, UK.
Delivering the 29th Prof. MS Ramakrishnan Memorial Endowment Lecture here on Monday, Dr. Cherian shared how the Cloacal Malformation Multidisciplinary Service functioning at GOSH involved not just the surgeons but experts from other areas, including psychologists and occupational therapists. He stressed the importance of working closely with the parents of the child diagnosed with cloacal malformation, particular during the first year of birth when they find it most difficult. “We inform, equip and empower them to look after ‘our’ child and not ‘their’ child,” he said.
Highlighting some of the benefits of the approach followed at GOSH, he said that while historical data showed that 50% of the children with cloacal malformation developed Chronic Kidney Disease within five years, this has significantly reduced with the children under the care of the hospital.
V.R. Ravi Kumar, a student of Dr. Ramakrishnan, presently a consultatnt paediatric surgeon with G. Kuppuswamy Naidu Memorial Hospital, Coimbatore, recollected how the late doctor was a pioneer in paediatric surgery, who mentored a generation of doctors.
A bust of Dr. Ramakrishnan to be installed at Institute of Child Health and Hospital for Children was inaugurated. The updated edition of the book “MS Ramakrishnan’s Essentials of Paediatric Surgery” was released by S. Rajasekaran, Clinical Director, Ganga Hospital.