Dr. Mohamed Farghaly

Dr. Mohamed Farghaly – Consultant Pediatric, Neonatal and Laparoscopic Surgeon

Dr. Mohamed Farghaly is a Lecturer and Consultant specializing in Pediatric Surgery, Neonatal Surgery, Pediatric Laparoscopic Surgery, and Congenital Anomalies, with experience in diagnosing and treating a wide range of surgical conditions affecting newborns, infants, children, and adolescents.

The practice of Dr. Mohamed Farghaly includes conditions such as inguinal hernia, undescended testis, hydrocele, hypospadias, buried penis, vesicoureteral reflux, congenital anomalies, neonatal surgical conditions, appendicitis, intestinal obstruction, and pediatric abdominal surgery.

Dr. Mohamed Farghaly works in pediatric surgery at Abu El-Reesh University Hospital, Kasr Al Ainy, Cairo University, and has particular expertise in minimally invasive and laparoscopic techniques when clinically appropriate.

Through Macrocare, parents can submit their child’s medical reports, imaging, and investigations for case review and appointment coordination with Dr. Mohamed Farghaly.

Dr. Mohamed Farghaly’s Specialties

The expertise of Dr. Mohamed Farghaly in pediatric and neonatal surgery includes:

• Pediatric surgery.
• Neonatal surgery.
• Pediatric laparoscopic surgery.
• Congenital anomaly surgery.
• Inguinal hernia in children.
• Umbilical hernia.
• Undescended testis.
• Hydrocele.
• Hypospadias.
• Buried penis.
• Vesicoureteral reflux.
• Pediatric urologic surgery.
• Pediatric abdominal surgery.
• Laparoscopic appendectomy.
• Intestinal obstruction in children.
• Congenital gastrointestinal abnormalities.
• Congenital diaphragmatic hernia.
• Surgical treatment of severe gastroesophageal reflux in selected children.
• Pediatric colorectal surgery.
• Anorectal malformations.
• Hemangioma evaluation and treatment.
• Selected laser procedures for vascular birthmarks.
• Pediatric emergency surgery.
• Evaluation of selected pediatric surgical masses and tumors.

Pediatric Surgery with Dr. Mohamed Farghaly

Pediatric Surgery differs significantly from adult general surgery because anatomy, physiology, anesthesia requirements, and surgical decision-making change according to the child’s age, weight, and developmental stage.

Newborns and infants may also present with congenital conditions that require specialized evaluation and carefully planned timing of surgery.

Dr. Mohamed Farghaly assesses whether a child requires:

• Observation.
• Medical treatment.
• Surgical treatment.
• Laparoscopic surgery.
• Emergency intervention.
• Or delayed surgery at the appropriate age.

Neonatal Surgery with Dr. Mohamed Farghaly

Neonatal Surgery focuses on surgical conditions presenting at birth or during the first weeks of life.

These may include:

• Intestinal obstruction.
• Congenital gastrointestinal abnormalities.
• Congenital diaphragmatic hernia.
• Selected esophageal abnormalities.
• Anorectal malformations.
• Acute neonatal abdominal conditions.
• Selected congenital urinary tract abnormalities.

These cases often require coordinated care between pediatric surgery, neonatology, NICU teams, anesthesia, radiology, and other specialties.

Congenital Anomalies in Children

Congenital Anomalies develop during fetal formation and may be detected before birth, immediately after delivery, or later in childhood.

Some abnormalities require only observation, while others need early or staged surgery.

Conditions within pediatric surgical care may include:

• Hypospadias.
• Undescended testis.
• Intestinal malformations.
• Congenital diaphragmatic hernia.
• Anorectal malformations.
• Urinary tract abnormalities.
• Selected abdominal wall defects.

Undescended Testis with Dr. Mohamed Farghaly

Undescended Testis, or Cryptorchidism, occurs when one or both testicles are not located within the scrotum.

In some infants, the testicle may descend naturally during the first months of life. If it remains outside the scrotum, pediatric surgical evaluation is important.

Parents may notice:

• An empty side of the scrotum.
• Asymmetry of the scrotum.
• Inability to feel the testicle.
• A testicle located in the groin.

It is also important to distinguish a true undescended testis from a retractile testis.

Undescended Testis Surgery – Orchiopexy

The operation used to bring an undescended testicle into the scrotum is called Orchiopexy.

During surgery, the testicle is carefully mobilized and positioned within the scrotum.

The procedure may be performed through:

• A small groin incision.
• Laparoscopy for selected non-palpable intra-abdominal testes.

When Should an Undescended Testis Be Treated?

The appropriate timing depends on the child’s age and the location and condition of the testicle.

An undescended testis should not simply be left untreated for many years because prolonged abnormal positioning may affect future testicular function.

Inguinal Hernia in Children with Dr. Mohamed Farghaly

Inguinal Hernia is one of the most common surgical conditions in children.

It usually results from persistence of a connection between the abdominal cavity and the groin that normally closes around birth.

Parents may notice:

• A groin bulge.
• Swelling that becomes more visible when the child cries.
• Swelling extending into the scrotum in boys.
• A lump that disappears when the child relaxes.

Does an Inguinal Hernia in a Child Need Surgery?

Unlike many umbilical hernias, pediatric inguinal hernias generally do not close spontaneously.

Surgical repair is commonly recommended because of the risk of bowel or other tissue becoming trapped within the hernia.

Timing depends on:

• Child’s age.
• Symptoms.
• Previous incarceration.
• Prematurity.
• General health.

When Is a Pediatric Inguinal Hernia an Emergency?

Urgent evaluation is required if the swelling becomes:

• Severely painful.
• Firm.
• Non-reducible.
• Associated with vomiting.
• Associated with abdominal distension.
• Associated with persistent crying or clinical deterioration.

These symptoms may indicate an incarcerated or strangulated hernia.

Umbilical Hernia in Children

Umbilical Hernia appears as a bulge around the belly button.

Many pediatric umbilical hernias close naturally as the child grows and do not need immediate surgery.

Surgery may be considered depending on:

• Hernia size.
• Child’s age.
• Persistence over time.
• Symptoms.
• Complications.

Hydrocele with Dr. Mohamed Farghaly

Hydrocele is a collection of fluid around the testicle that causes scrotal swelling.

The swelling may be:

• Constant.
• Or may change in size during the day if there is communication with the abdominal cavity.

Does a Hydrocele Need Surgery?

Some hydroceles in infants resolve naturally.

Surgery may be considered when:

• The hydrocele persists beyond the expected age.
• It becomes larger.
• There is communication with the abdomen.
• It is associated with an inguinal hernia.
• There is uncertainty about the diagnosis.

Hypospadias with Dr. Mohamed Farghaly

Hypospadias is a congenital condition in which the urinary opening is located below its usual position at the tip of the penis.

It may be associated with:

• Penile curvature.
• Abnormal foreskin formation.
• Abnormal direction of the urinary stream.

Hypospadias Surgery

The objectives of hypospadias repair may include:

• Creating a functional urinary opening in an appropriate position.
• Correcting penile curvature when present.
• Improving urinary function.
• Achieving an appropriate cosmetic result whenever possible.

The exact operation depends on the severity and location of the hypospadias.

Should Circumcision Be Done Before Hypospadias Repair?

If hypospadias is suspected, the child should ideally be assessed by a pediatric surgeon or pediatric urologic specialist before circumcision.

Foreskin tissue may be useful in certain reconstructive procedures.

Buried Penis in Children

Buried Penis is a condition in which the penis appears partially hidden by surrounding skin, tissue, or fat.

Possible contributing factors include:

• Increased suprapubic fat.
• Congenital skin attachment abnormalities.
• Scar-related changes after circumcision in some cases.

Treatment of Buried Penis

Not every case requires surgery.

Treatment depends on:

• Child’s age.
• Severity.
• Hygiene problems.
• Recurrent inflammation.
• Urinary difficulty.
• Physical examination findings.

Circumcision in Children

Circumcision is a common pediatric procedure.

Before circumcision, the child should be examined to exclude congenital abnormalities such as:

• Hypospadias.
• Buried penis.
• Significant penile curvature.
• Other penile abnormalities requiring specialist evaluation.

Vesicoureteral Reflux in Children

Vesicoureteral Reflux, VUR, occurs when urine flows backward from the bladder toward the ureter and sometimes the kidney.

It may be associated with:

• Recurrent urinary tract infections.
• Fever associated with urinary infection.
• Dilatation of the kidney or ureter.
• Kidney damage in selected cases.

Treatment of Vesicoureteral Reflux

Management depends on:

• Grade of reflux.
• Child’s age.
• Frequency of urinary infections.
• Kidney function.
• Renal scarring.
• Associated urinary abnormalities.

Treatment may include:

• Observation.
• Preventive antibiotics in selected cases.
• Kidney monitoring.
• Endoscopic intervention in selected patients.
• Surgery when indicated.

Recurrent Urinary Tract Infections in Children

Repeated Urinary Tract Infections, UTI, may require further investigation to identify an underlying problem such as:

• Vesicoureteral reflux.
• Urinary obstruction.
• Congenital urinary abnormalities.
• Bladder emptying problems.
• Kidney or ureter abnormalities.

This is particularly important when infections are associated with fever.

Congenital Diaphragmatic Hernia

Congenital Diaphragmatic Hernia, CDH, occurs when an opening in the diaphragm allows abdominal organs to move into the chest.

In newborns, this can interfere with lung development and breathing.

Treatment typically involves:

• Initial respiratory stabilization.
• NICU care.
• Cardiorespiratory assessment.
• Surgical repair when the baby is stable enough.

Gastroesophageal Reflux in Children

Gastroesophageal Reflux, GERD, is common in infants and does not usually require surgery.

However, selected children with severe reflux may develop:

• Poor weight gain.
• Recurrent respiratory problems.
• Feeding difficulties.
• Esophageal complications.
• Persistent symptoms despite appropriate treatment.

Surgery for Pediatric GERD

In selected cases, an anti-reflux operation such as Fundoplication may be considered.

Surgery is not the first-line treatment for most children with reflux.

Pediatric Laparoscopic Surgery with Dr. Mohamed Farghaly

Pediatric Laparoscopic Surgery allows many abdominal operations to be performed through small incisions using a camera and specialized instruments.

The expertise of Dr. Mohamed Farghaly includes pediatric, neonatal, and laparoscopic surgery.

Benefits of Laparoscopic Surgery in Children

For appropriately selected patients, laparoscopy may provide:

• Smaller incisions.
• Better visualization of internal anatomy.
• Less postoperative pain in some procedures.
• Earlier mobilization.
• Faster recovery in selected cases.
• Smaller surgical scars.

However, laparoscopy is not necessarily the best option for every child or every condition.

Appendicitis in Children

Acute Appendicitis is one of the most common causes of abdominal pain requiring surgery in children.

Symptoms may include:

• Pain beginning around the navel and moving to the lower right abdomen.
• Loss of appetite.
• Nausea or vomiting.
• Fever.
• Increasing pain with movement.

Laparoscopic Appendectomy

Laparoscopic Appendectomy is commonly used to remove an inflamed appendix through small abdominal incisions.

The surgical approach depends on the child’s condition and whether complications such as perforation or abscess are present.

Intestinal Obstruction in Children

Intestinal Obstruction can occur for several reasons, and the possible causes vary significantly according to age.

Symptoms may include:

• Repeated vomiting.
• Abdominal distension.
• Failure to pass stool or gas.
• Severe abdominal pain.
• Green or bilious vomiting.

Bilious vomiting in a newborn or young infant requires urgent medical assessment because intestinal obstruction must be excluded.

Intussusception in Children

Intussusception occurs when one segment of the intestine slides into another.

It commonly affects young children and may cause:

• Sudden intermittent severe abdominal pain.
• Episodes of intense crying.
• Vomiting.
• Lethargy.
• Blood or mucus in the stool in some cases.

Some cases can be treated using an air or contrast enema, while others require surgery.

Anorectal Malformations

Anorectal Malformations are congenital abnormalities affecting the anus and rectum.

They vary considerably in severity and may require assessment of:

• Level of the abnormality.
• Presence of a fistula.
• Associated congenital abnormalities.
• Appropriate reconstructive surgical plan.

Some children require staged surgical treatment.

Neonatal Abdominal Surgery

Newborns may require abdominal surgery for conditions such as:

• Intestinal obstruction.
• Congenital gastrointestinal abnormalities.
• Intestinal perforation.
• Selected colorectal conditions.
• Congenital diaphragmatic hernia.

These procedures require specialized neonatal surgical and intensive care because of the infant’s small size and physiological vulnerability.

Hemangiomas in Children

Infantile Hemangiomas are benign vascular tumors that often appear during the first months of life.

Many do not require surgery and may regress naturally.

Treatment may be considered when a hemangioma:

• Threatens vision.
• Affects breathing.
• Develops ulceration or bleeding.
• Is located in a functionally sensitive area.
• Does not follow the expected course.

Treatment of Hemangiomas

Depending on the individual case, treatment may include:

• Observation.
• Medication.
• Laser treatment in selected cases.
• Surgery in selected cases.

The appropriate approach depends on the child’s age and the lesion’s type, size, location, and behavior.

Pediatric Surgical Emergencies

Urgent pediatric surgical conditions may include:

• Acute appendicitis.
• Incarcerated hernia.
• Testicular torsion.
• Intestinal obstruction.
• Abdominal trauma.
• Selected bleeding conditions.
• Bilious vomiting in newborns.
• Sudden severe testicular pain.

Testicular Torsion in Children

Testicular Torsion occurs when the testicle twists around the spermatic cord and blood supply is reduced or interrupted.

Possible symptoms include:

• Sudden severe testicular pain.
• Scrotal swelling.
• Vomiting.
• Abnormally elevated testicular position.

Testicular torsion is a surgical emergency, and rapid treatment is important for the best chance of preserving the testicle.

Does Every Pediatric Surgical Condition Need an Operation?

No.

Some conditions require only observation, some respond to medical treatment, and others require surgery.

The role of Dr. Mohamed Farghaly is to establish the correct diagnosis and determine whether intervention is necessary and, if so, when it should be performed.

Preparing a Child for Surgery

Preoperative assessment may include:

• Clinical examination.
• Blood tests.
• Ultrasound or other imaging.
• Anesthesia assessment.
• Review of chronic medical conditions.
• Fasting instructions.
• Review of current medications.

Requirements vary according to the child’s age and the procedure.

Anesthesia in Pediatric Surgery

Most pediatric operations are performed under anesthesia appropriate for the child and procedure.

Planning depends on:

• Age.
• Weight.
• Type of surgery.
• Expected duration.
• Medical history.
• Heart or respiratory conditions.

Follow-Up After Pediatric Surgery

Postoperative follow-up may assess:

• Wound healing.
• Pain control.
• Feeding.
• Urination and bowel movements.
• Return to normal activity.
• Development of any unexpected symptoms.

Recovery time varies according to the operation and the child’s overall condition.

Dr. Mohamed Farghaly’s Treatment Approach

Dr. Mohamed Farghaly evaluates each child individually before making a surgical decision.

His approach includes:

• Establishing an accurate diagnosis.
• Considering the child’s age and weight.
• Reviewing imaging and investigations.
• Selecting the appropriate timing of surgery.
• Avoiding unnecessary intervention.
• Using laparoscopy when suitable.
• Structured postoperative follow-up.
• Explaining the diagnosis and treatment options clearly to the family.

Dr. Mohamed Farghaly’s Qualifications and Clinical Experience

Dr. Mohamed Farghaly is a Lecturer and Consultant of Pediatric Surgery, Neonatal Surgery, Laparoscopic Surgery, and Congenital Anomalies at Abu El-Reesh University Hospital, Kasr Al Ainy, Cairo University.

He holds a Doctorate in Pediatric, Neonatal, and Laparoscopic Surgery from the Faculty of Medicine, Cairo University, and is a member of the Egyptian Pediatric Surgical Association.

Why Do Parents Consult Dr. Mohamed Farghaly?

Parents may seek an evaluation with Dr. Mohamed Farghaly for specialized management of:

Pediatric surgery – neonatal surgery – pediatric laparoscopy – undescended testis – pediatric inguinal hernia – hydrocele – hypospadias – buried penis – vesicoureteral reflux – pediatric urologic surgery – congenital diaphragmatic hernia – congenital anomalies – pediatric appendectomy – intestinal obstruction – anorectal malformations – hemangiomas.

Book an Appointment with Dr. Mohamed Farghaly Through Macrocare

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or your child needs a specialist opinion regarding a congenital abnormality, inguinal hernia, undescended testis, scrotal swelling, urinary tract abnormality, surgical abdominal condition, or a problem identified at birth, you can submit the case to Macrocare.

For an initial case review, parents should preferably provide:

• Medical reports.
• Child’s age.
• Current weight.
• History and duration of the problem.
• Ultrasound reports.
• Available imaging.
• Urine tests for urinary conditions.
• NICU records for neonatal cases.
• Previous operative reports.
• Relevant clinical photographs if specifically requested by the medical team and appropriate for the condition.
• Current medication list.

The Macrocare team can help organize the medical file and coordinate the appropriate consultation or appointment with Dr. Mohamed Farghaly.

Frequently Asked Questions About Dr. Mohamed Farghaly

What Is Dr. Mohamed Farghaly’s Specialty?

Dr. Mohamed Farghaly is a Lecturer and Consultant specializing in Pediatric Surgery, Neonatal Surgery, Pediatric Laparoscopic Surgery, and Congenital Anomalies.

Does Dr. Mohamed Farghaly Work at Abu El-Reesh Hospital?

Yes. Dr. Mohamed Farghaly is affiliated with pediatric surgery at Abu El-Reesh University Hospital, Kasr Al Ainy, Cairo University.

Does Dr. Mohamed Farghaly Treat Undescended Testis?

Yes. Undescended testis is one of the common pediatric surgical conditions evaluated and treated within his practice.

Does Dr. Mohamed Farghaly Perform Pediatric Inguinal Hernia Surgery?

Yes. Pediatric inguinal hernia is a common condition treated surgically when indicated.

Does Dr. Mohamed Farghaly Treat Hypospadias?

Yes. His pediatric surgical practice includes evaluation and surgical treatment of Hypospadias.

Does Dr. Mohamed Farghaly Treat Hydrocele?

Yes. Hydrocele is among the pediatric scrotal conditions evaluated and treated within his practice.

Does Dr. Mohamed Farghaly Treat Vesicoureteral Reflux?

Yes. His practice includes assessment of Vesicoureteral Reflux, VUR, and associated pediatric urinary tract conditions.

Is Dr. Mohamed Farghaly a Neonatal Surgeon?

Yes. His training and clinical practice include Neonatal Surgery and congenital surgical conditions presenting in newborns.

Does Dr. Mohamed Farghaly Perform Pediatric Laparoscopic Surgery?

Yes. Pediatric laparoscopic surgery is one of his areas of specialization, with laparoscopy used when appropriate for the child and condition.

Does Dr. Mohamed Farghaly Treat Hemangiomas?

His pediatric surgical practice includes the assessment of hemangiomas and vascular birthmarks, with treatment selected according to lesion type, location, size, and clinical impact.

When Should a Child Be Taken Urgently to a Pediatric Surgeon?

Urgent evaluation is important for symptoms such as sudden severe testicular pain, a painful non-reducible hernia, green or bilious vomiting in a newborn, severe worsening abdominal pain, marked abdominal distension, or sudden clinical deterioration.

What Investigations Should I Send for a Pediatric Surgery Review?

This depends on the condition. It is generally useful to provide previous reports, ultrasound or other imaging, laboratory results, the child’s age and weight, and records of previous surgery or hospitalization.

How Can I Book an Appointment with Dr. Mohamed Farghaly?

You can contact Macrocare and submit the child’s medical reports and available investigations. The Macrocare team can help organize the medical file and coordinate the appropriate consultation or appointment with Dr. Mohamed Farghaly.