Dr. Gursev Sandlas

AREA(S) OF INTEREST:

Pediatric Urology, Pediatric Hepatobiliary Surgery, Pediatric Minimal Access Surgery & Pediatric Robotic Surgery, Paediatric Minimal Access Surgery, Reconstructive Paediatric Urology, Robotic Paediatric Surgery, Stentless Hypospadias, Robotic Vesicoscopic Reimplantation for Vesico-Uretric reflux

PROCEDURES PERFORMED:

Bed Wetting Clinic, Antenatal Counselling Clinic, Hypospadias and Complex Urology Clinic, Minimal Access Pediatric Surgery [Key Hole Surgery]

FELLOWSHIPS:

• Stecker Fellowship in Paediatric Urology, Nationwide Children’s Hospital, Columbus, Ohio, USA
• Fellowship in Robotic Paediatric Urology, Comer Children’s Hospital, Chicago, USA

• Only surgeon in India doing Stent less Hypospadias Repair.
• Leading practitioner of Single Incision Laparoscopic Surgery in Children.
• Awarded the Stecker Scholarship to pursue a Fellowship in Reconstructive Pediatric Urology at Nationwide Children's Hospital at Columbus, Ohio, USA.
• Trained in Robotic Paediatric Urology at Nationwide Children's Hospital.

9 years at LTM Medical College

4 years as Teaching Faculty at TN Medical College, Dept. Of Paediatric Surgery

KDAH Experience

In four years the Department of Pediatric Surgery & Pediatric Urology at KDAH has become a Quarternary Referral centre for Complex Urogenital Malformations and as well a Leading Department in India for Pediatric Laparoscopic Surgery.

We are still the only Comprehensive Robotic Pediatric Surgery centre in India and the only Robotic Pediatric Surgery centre in Western India.

• India’s First Robotic Liver Resection
• India’s First Robotic Transvesical Ureteric Reimplantation
• India’s First Robotic Pancreatic Reconstructive Surgery

Publications

• 500+ Major interventions / year
• 40+ International Publications on Pediatric surgery
• 30+ Paper’s presentations at National Level
• Only Comprehensive Robotic Paediatric Surgery Centre in India
• India’s 1st  Robotic Intra-vesical Bilateral Ureteric

Over two dozen research papers published in various National and International Journals. Over a dozen paper presentations at National Level.

Paper Presentations

• Presented a paper on "Stentless Hypospadias Repair-An Initial Study in Feasibility" at "PEDUROCON 2014" in August 2014.
• Presented a paper on "Our experience with Stentless Hypospadias Repair" at International Pediatric Urology Update & Workshop at SGPGI, Lucknow in February 2015.

Research And Publications

• Double dumbbell calculus in a child [Published in the June 2009 issue of The African Journal of Pediatric surgery]
• Cystic Nephroma in childhood: An uncommon presentation [Published in January2009 issue of AJPS]
• Tail gut cyst in a newborn [Accepted for publication in The Journal of Pediatric Neurosciences in November 2009]
• Distal appendicular resorption: An uncommon complication of Mitrofanoff procedure. [Published in the December 2009 issue of Urology Annals]
• Clinical outcome of Shunt surgeries in Children. [Original article published in the December 2009 issue of Journal of Indian Association of Pediatric Surgeons]
• High variety ARM with sigmoid perforation in a neonate: A rare presentation. [Case report published in the Saudi Journal of Gastroenterology in January 2011]
• Bleomycin: A worthy alternative! [Original article published in April 2011 issue of Indian Journal of Plastic Surgery]
• Role of DMSA scan in predicting renal function in UTI in children.[Original research article accepted for publication at Surgical Science Journal]
• Acute AcalculousCholecystitis associated with Gall Bladder Perforation in children. [Case report published in December 2010 issue of Journal of Indian association of Pediatric Surgeons]
• Fulminant Necrotising Enterocolitis in older children. [Case series report accepted for publication in Surgical Science Journal in April 2011]
• Our Experience with Primary Modified Duhamel's Procedure. [Case series accepted for Publication in African Journal of Pediatric Surgery in October 2011]
• Post Meningocoele urinary ascites in a neonate. [Case report accepted for publication in Journal of Pediatric Surgery in January 2012]
• Transverse Testicular Ectopia: An interesting variation of testicular maldescent. [Case Report published in Journal of Pediatrics& Neonatal Care in July 2014]
• AskinRosai Tumour: A rare childhood tumour. [Case report published in Bombay Hospital Journal, Vol. 52, No. 2, in 2010]
• "Synovial sarcoma of the abdominal wall: An unusual presentation" case report published in "Clinical Cancer Investigation Journal" in the January-March 2013 issue.
• "Intra-abdominal Cystic Lymphangiomas in children: A case series" case series published in "Archives of International Surgery" in the July-December 2012 issue.
• "Coverage of large skin defects in Meningo-myelocoele repair using V-Y flaps". Original article accepted for Publication in European Journal of Pediatric Surgeryin March 2014.
• "Pediatric Venous Thrombosis" Case report accepted for publication in Journal of Vascular Medicine and Surgery in August 2014.
• "Extensive Worm Infestation" Case Report published in the Journal of Immunology and Infectious Diseases in October 2014
• "Hydrocephalus in Congenital Rubella Syndrome" Case Report accepted for Publicationin the Journal of Immunology and Infectious Diseases in October 2014.
• "Unique presentation of Hydrocolpos as a Perineal Hernia in an infant with Cloaca" Case report accepted for publication in Journal of Paediatrics & Neonatal Care in December 2014
• "Tracheo-Esophageal Fistula with Anorectal Malformation with Colonic Agenesis: A Case report" Case report accepted for publication in Journal of Paediatrics & Neonatal Care in December 2014.
• "Spontaneous Intestinal Perforation in Neonates: A Series of four neonates & review of literature. A review article accepted for publication in Journal of Neonatal Surgery in December 2014.
• "Posterior Urethral Valves with Urethral Calculus: A rare association". Case report accepted for publication in the Urology & Nephrology Open Access Journal in January 2015.
• "Acquired Broncho-oesophageal Fistula in a Haemophiliac child". Case report accepted for publication in Journal of Pediatric Surgery Case Reports in February 2015.
• "Idiopathic Pancreatitis with Splenic Artery Pseudoaneurysm In A Child: A RarePresentation."Accepted For Publication in International Surgery Journal in July 2015
• "Outcome analysis of intussusception in fifty children at a tertiary centre in Mumbai". Case Series accepted for publication in the July-September 2015 issue of Pediatric Review: International Journal of Pediatric Research.
• "Traumatic Renal Artery Thrombosis in a Child." is accepted for publicationin the Southeast Asian Journal of Case Report and Review in October 2015
• "Post traumatic urinary extravasation in occult urinary obstruction: Report of three cases". Case report Published in Paediatric Urology Case Reports in January 2016
• "Outcome analysis of acute abdominal pain and correlation of Alvarado score with diagnosis". Original Research Article published in the Saudi Surgical Journal in August 2015.
• Firearm Injuries in Children: Innocent victims of Adult Negligence.Case report published in International Journal of Medical Sciences in October 2015

Professional Memberships

• Committee Member on Urinary Tract Infections of the Society for Pediatric Urology [USA]
• Maharashtra Medical council
• Indian Association of Paediatric Surgeons
• Association of Surgeons of India
• Association of Minimal Access Surgeons of India
• British Association of Paediatric Surgeons
• Society for Paediatric Urology

Dr. Gursev Sandlas: India’s 1st Robotic Intravesical Bilateral Ureteric Reimplantation

A 12 year old boy from Jalgaon was brought by parents with complaints of frequent stomach aches. He was investigated in Jalgaon and found to have a unique and rare problem. He had a duplex system on the Right Kidney and a bilateral Vesico-Ureteric Reflux.

In simple terms this means that he had two tubes draining his right kidney in to the bladder and the valves of the tubes on both sides was defective leading to backflow of urine from the bladder back towards the kidneys. This kind of REFLUX can cause kidney damage in long run. He was advised open surgery and even removal of the anomalous kidney. He researched on the internet and decided to seek a second opinion at KDAH with me. Given the complex nature of malformation we counselled the parents that an intravesical Robotic repair would be best suited to the child. In this repair the robotic arms were inserted inside his bladder and the entire surgery was carried out inside his bladder.

The surgery was all the more challenging considering he had two ureters on the right side.

He underwent the surgery on 7 Feb and is doing extremely well and on road to full uneventful recovery and has been discharged.

This surgery is the first of its kind in India. Even around the world there are only a handful of centres who have even attempted this kind of procedure.

Dr. Gursev Sandlas: First Robotic Paediatric Surgery

9 year old boy hailing from Oman complained of intermittent pain in stomach for about 6 months.

He was investigated in Oman and found to a PU Junction Obstruction. This is essentially means that there was a blockage in the tube connecting his Left Kidney to his urinary bladder. This resulted in massive swelling of his left kidney. Since this type of surgery was not possible in Oman the child was referred to KDAH. On arrival he was admitted under Dr Gursev Sandlas, Consultant Paediatric Surgeon and Paeidatric Urologist at KDAH.

On reviewing his reports, it was inferred that the best course of action would be to do a Key Hole Surgery using the Robot to ensure an impeccable repair given the complexity of his condition. The child underwent the surgery on 27 January 2017.

The surgery was uneventful and he was walking around the very next day. He was discharged from the hospital within 2 days and spent a couple of days sightseeing the city and flew back to Oman 6 days after the surgery.