Dr. Greeshma Suresh

Managing delicate surgical conditions in newborns requires exceptional precision and expertise. Dr. Greeshma Suresh is highly skilled in treating complex congenital anomalies with advanced surgical techniques. Her compassionate approach ensures improved outcomes and safer recovery for neonates.

Dr. Greeshma Suresh specializes in minimally invasive pediatric procedures that reduce pain, scarring, and hospital stay. Her expertise ensures faster recovery and enhanced patient comfort.

Early diagnosis and surgical correction are crucial for optimal outcomes in anorectal malformations. Dr. Greeshma Suresh brings extensive experience in performing precise corrective surgeries in children. She focuses on long-term functional outcomes and quality of life.

Dr. Greeshma Suresh is proficient in managing and surgically correcting TEF with a high success rate. Her expertise ensures safe intervention and improved survival in newborns.

Dr. Greeshma Suresh has vast experience in treating pediatric urological conditions such as undescended testes, hypospadias, and hydronephrosis. She delivers patient-centric care with excellent surgical outcomes.

Dr. Greeshma Suresh is skilled in performing safe and effective appendicectomy procedures in pediatric patients. Her approach focuses on timely intervention and quick recovery.

Hirschsprung disease is a congenital condition caused by the absence of nerve cells in a segment of the large bowel, producing functional obstruction, and requires surgical removal of the affected bowel segment with restoration of normal bowel continuity. Dr Greeshma Suresh provides expert diagnosis and surgical management of Hirschsprung disease at Vatsalya Children Hospital, Varanasi, including suction rectal biopsy for confirmation of diagnosis, definitive pull-through surgery to remove the aganglionic segment, and structured long-term follow-up to monitor bowel function and screen for enterocolitis. Her experience in neonatal and paediatric colorectal surgery, combined with her research publications on congenital gastrointestinal conditions, ensures evidence-based management tailored to each child's specific anatomy and clinical condition. Written by Dr Greeshma Suresh, MBBS (NEIGRIHMS), MS General Surgery (Silchar Medical College), MCh Pediatric Surgery (Institute of Medical Sciences, BHU, Varanasi), Paediatric Surgeon, Vatsalya Children Hospital, Mahavir Road, Orderly Bazar, Varanasi, Uttar Pradesh 221002.

Congenital diaphragmatic hernia (CDH) is a life-threatening neonatal condition in which a defect in the diaphragm allows abdominal organs to herniate into the chest cavity, compressing the developing lungs and producing respiratory failure at birth that requires urgent stabilisation and surgical repair. Dr Greeshma Suresh provides surgical repair of congenital diaphragmatic hernia at Vatsalya Children Hospital, Varanasi, as part of a multidisciplinary management approach involving neonatology, paediatric anaesthesia, and surgical teams. Surgical repair involves returning the herniated organs to the abdomen and closing the diaphragmatic defect, and is performed once the newborn has been stabilised on respiratory support. Her MCh training at BHU's Institute of Medical Sciences and her neonatal surgical experience equip her to manage this technically demanding and time-sensitive condition. Written by Dr Greeshma Suresh, MBBS (NEIGRIHMS), MS General Surgery (Silchar Medical College), MCh Pediatric Surgery (Institute of Medical Sciences, BHU, Varanasi), Paediatric Surgeon, Vatsalya Children Hospital, Mahavir Road, Orderly Bazar, Varanasi, Uttar Pradesh 221002.

Posterior urethral valves is a condition where the single most powerful determinant of long-term kidney outcome is the timing of diagnosis. The valve obstruction begins causing kidney damage in fetal life, during the critical months of renal development, and every day of untreated obstruction after birth adds to the kidney's burden. Antenatal diagnosis, now achievable through routine second-trimester ultrasound, gives the neonatal and paediatric surgical team the ability to be fully prepared at delivery and to begin treatment within hours of birth. The antenatal ultrasound features that raise the suspicion of PUV in a male fetus include a persistently dilated, thick-walled bladder that does not empty fully between scan images, bilateral hydronephrosis with dilated ureters, and oligohydramnios, a reduced volume of amniotic fluid caused by the fetus producing less urine than normal because the kidney damage has reduced their urinary output. Oligohydramnios in the context of renal obstruction carries its own additional risk to fetal lung development, because the fetal lungs develop by practising breathing movements in amniotic fluid, and severe or prolonged oligohydramnios can result in pulmonary hypoplasia alongside the renal problem. Dr. Greeshma Suresh, MCh Paediatric Surgery from the Institute of Medical Sciences, Banaras Hindu University, where her MCh research specifically investigated aldosterone and renin levels as prognostic biomarkers in PUV, manages PUV at Vatsalya Children Hospital, Varanasi with the combined understanding of the surgical anatomy and the deeper hormonal biology of what obstruction does to the developing kidney. In the delivery room or in the first hours of life, a urethral catheter is placed immediately in any newborn male with known or suspected PUV to drain the bladder acutely and relieve the outflow obstruction. This single intervention begins to reduce the back-pressure on the kidneys before any investigation or definitive treatment takes place. The definitive diagnostic procedure is the micturating cystourethrogram (MCUG), in which contrast dye is instilled into the bladder through the catheter and X-ray images are taken as the baby attempts to void. The MCUG demonstrates the characteristic appearance of a dilated posterior urethra with the impression of the obstructing valve, confirming the diagnosis. Renal ultrasound and blood tests for creatinine and electrolytes are performed simultaneously to establish the baseline of kidney function. The creatinine nadir, the lowest creatinine level reached in the first weeks after birth as the maternal creatinine gradually clears from the baby's bloodstream, is one of the most clinically important values in PUV management: it provides the best early estimate of the baby's own underlying kidney function, and it predicts long-term renal outcome better than the birth creatinine level alone.