Mr Devesh Misra Consultant Paediatric Surgeon, London, Uk

Chapter on Urethral Prolapse C Holbrooke, Devesh Misra
Textbook of Adult and Pediatric Urology, ed by Prof Gundeti, Chicago -being launched by AUA this week at the international meeting.
... A very rare and ill understood condition, Urethral Prolapse is predominantly seen in Afro-Caribbean girls and many are unnecessarily subject to Child Protection procedures.
I saw my first case only after I became a Consultant then published a paper in 2012 in BJU Internat .
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CHALLENGING HYPOSPADIAS SURGERY
It is nice to get feedback from patients. I think I remember this one- had been operated by the best centers in Europe. But then hypospadias surgery is like that- humbles the best of us at times.
... https://www.iwantgreatcare.org/doctors/mr -devesh-misra
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Surgeon talking neurology --------------------------------- Last year a student joined me to do her Master’s thesis. We followed up patients treated 10 years ago for NEC necrotising entero-colitis at our centre, with the aim of assessing their neuro development.
Overall mortality was 31%. 61% had neurological impairment at 10-22 years age. Very few studies have ever published such a long term followup. We saw cerebral palsy, blindness, learning diff, autism....
... As a surgeon, I am a GI plumber- I join bits of tubing. Often at age 5, I have discharged the patient. But as is clear here, someone somewhere is picking up the pieces. I called it the hidden burden we bequeath to the community !
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see page 39- Presenting a paper on Mega-rectums in Paris June 2018
http://www.eupsa.info/…/CONGRESS-Progra m-Short_website-fina…

A very important paper written by me which confirmed my long standing view that the Internal sphincter sparing approach was not a good operation to treat Ano-rectal malformations.
Pediatr Surg Int. 2017 Aug;33(8):869-873. doi: 10.1007/s00383-017-4111-6. Epub 2017 Jun 14. Post-operative strictures in anorectal malformation: trends over 15 years. Holbrook C1, Misra D2, Zaparackaite I1, Cleeve S1....
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Talk on UTI and VUR- given at AOA Florida Aug 2016.
From a shy kid at med school who had stage fright, to someone who loves teaching now, it has been a journey. Excellent opportunity to get some CME for myself and update my slides on this topic- last done for the World Congress in 2012

Editorial by Dr Devesh Misra, Consultant Paediatric Surgeon and Paediatric Urologist, London
Acta Paediatr. 2001 Apr;90(4):370-1. Inguinal hernias in premature babies: wait or operate? Misra D.
... Abstract There are several contentious issues in the management of inguinal hernias in premature neonates. They include the timing of surgery, the management of incarceration, the role of routine contralateral groin exploration and the type of anaesthesia. In this article we re-emphasize the importance of delaying surgery until the baby is ready for discharge from the neonatal unit. Regular examinations and manual reduction of these hernias should be performed in order to detect incarcerations early. CONCLUSION: With this approach, it may be possible to minimize the morbidity resulting from incarceration, and at the same time avoid the respiratory and testicular complications resulting from an early surgical/anaesthetic intervention.
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Chairing a session at the World Congress of Paediatric Surgery in 2010- with my paediatric surgical and urology trainees. It is the world's largest gathering of paediatric surgeons and paediatric urologists held every 3 years.
Presented this paper as well- Surgical management of urethral prolapse in girls: 13 years’ experience C Holbrook, D Misra... Dr Devesh Misra, Consultant Paediatric Surgeon and Paediatric Urologist, London
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