Paediatric Surgery

The Department of Paediatric Surgery works closely with the Department of Paediatrics and the Department of Neonatology.

Both emergency and elective cases are seen, the referrals being from private practitioners, school health clinics, outpatient clinics and from the Departments of Paediatrics and Neonatology. Regional patients from Malaysia, Brunei, Indonesia, Bangladesh, Sri Lanka and India are also treated here.

Clinics
All clinics are located in Specialist Clinic A.

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General Paediatric Surgery
This includes problems such as hernias, uro-genital lesions, lumps and bumps, head and neck lesions, haemangioma, lymphangioma, cystic hygroma and perianal conditions.

Urology
Paediatric urology makes up about 30% of the work of the department. Nephrectomies, nephro ureterectomies and partial nephrectomies are carried out laparoscopically.
Pyeloplasties, hypospadias repair, undescended testis, neurogenic bladder and vesico-ureteric reflux are common urological conditions seen. Urodynamic services are also run by the department.

Neonatal Surgery
Expectant mothers with babies with congenital anomalies are seen together with the obstetrician doing the ultrasound assessments and their management planned.
Gastro-intestinal, abdominal wall defects, diaphragmatic hernias, lungs cystic and malformations, teratomas (sacrococcygeal, mediastinal, phargeal and cervical) and renal anomalies are among conditions diagnosed and managed.

Laparoscopic Surgery
Laparoscopic surgery is a well established modality in the department. It is the preferred surgical approach in many diagnostic and therapeutic procedures.

It is part of the work out for non-specific abdominal pain and unpalpable testis.

Laparoscopic appendicectomy, fundoplication, partial or complete nephrectomies, Ladd’s procedure and pyloro-mytotomy are routinely carried out.

Thoracic Surgery
All extra cardiac thoracic lesions in the neonate are followed up from ante-natal diagnosis to post-natal surgery by the department. The commonest of the conditions managed are lung cyst, cystic adenomatoid malformation of the lungs, pulmonary sequestration and congenital lobar emphysema.

Intra thoracic tumours, lung bulae with recurrent pneumothorax, esophageal atresia and fistula are also dealt with. Many of these conditions are operated on thoracoscopically.

Hepato-biliary
Biliary atresia and choledochal cyst are common hepato-biliary conditions seen in the department. Liver tumours, though uncommon, are managed together with Paediatric oncologist

Surgical oncology
Wilm’s tumours, neuroblastoma, hepatoblastoma, lung secondaries and mediastinal tumours are managed jointly with medical Paediatric oncology.

Transplantation
Liver and renal transplantation are well established in the department. It is carried out as a joint team effort with the Liver Transplant Programme team. Both living related and cadaveric transplants are done. An average of eight paediatric liver transplants are done a year.

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