Care at NUH

Paediatric Surgery

2024/07/17

Paediatric Surgery

The mission of Department of Paediatric Surgery is to deliver and promote high-quality surgical care for children. The department manages surgical problems in newborns, infants, toddlers, children and teenagers up to the age of 18 years.  The department’s surgical spectrum includes: 

  • Congenital abnormalities due to abnormal foetal development during pregnancy, which may be detected prenatally or diagnosed post-birth. Corrective surgery on newborns is performed when crucial for survival. 
  • Congenital abnormalities identified later in childhood, with consultations provided on management options and surgical timing if required. 
  • Lumps and bumps on various body parts, along with genitalia and groin issues in both sexes, such as phimosis, undescended testes and scrotal swellings like hernia and hydrocele, often identified by general practitioners (GP). 

Surgical issues involving: 

  • Digestive tract (oesophagus, stomach, small and large intestines) 
  • Hepatobiliary and pancreas (liver, bile ducts, gall bladder and pancreas) 
  • Chest (lung, airway and thoracic cage) 
  • Genitourinary tract (kidneys, ureters, bladder, urethra and external genitalia) 
Our Team

We work closely with paediatricians and surgeons from affiliated surgical services, including Opthalmology, Ear Nose Throat, Neurosurgery, Cardiothoracic and Vascular, Orthopaedics, Obstetrics and Gynaecology, and Plastic Surgery, ensuring optimal care for paediatric patients. 

Head of Department and Senior Consultant 
Dr Dale Lincoln Loh 

Emeritus Consultant 
Emeritus Professor K Prabhakaran 

Senior Consultant 
Adj Associate Professor Vidyadhar Mali 
Dr Nyo Yoke Lin 

Consultant 
Dr Lee Yang Yang 

Principal Resident Physician 
Dr Mohamed Abubacker Ahamed Faiz Ali 

Specialty Nurse 
Nurse Clinician Junaidah Binte Abu Bakar 

Our Services

Paediatric Urology 

Children experiencing urological problems are managed by paediatricians experienced in these specific issues. This includes: 

Obstruction in the urinary tract: Often identified during prenatal screenings or post-birth investigations, obstruction at various levels of the urinary tract require a nuanced approach. We work closely with paediatric nephrologists to devise both short-term and long-term management plans tailored to each child’s needs. 

Intersex disorders: This complex area involves disorders of sexual differentiation leading to ambiguous sexual characteristics. Our approach encompasses identifying the appropriate gender, ensuring internal organ consistency with external genitalia, deciding on gender rearing, assessing future fertility potential and offering counselling and informed choices regarding surgical procedures. We work closely with paediatricians specialising in endocrinology to ensure holistic care for the child and their family. 

Lower urinary tract symptoms: For children experiencing lower urinary tract symptoms, wetting and neurologically affected bladders, we provide specialised diagnostic and individualised care. Our team offers bladder dynamic evaluations in a child-friendly setting and devices management plans, which may include urotherapy or surgical interventions, based on the diagnostic results. 

Paediatric Neurosurgery 

The Paediatric Neurosurgical Service, part of the Division of Neurosurgery, delivers care for paediatric neurosurgical patients. Our clinical management and outcomes align with global benchmarks set by academic paediatric neurosurgical units. 

We work closely with paediatricians and surgeons from other affiliated medical and surgical services such as Paediatric Neurology, Paediatric Haematology and Oncology, Paediatric General Surgery, Plastic, Reconstructive & Aesthetic Surgery, Ophthalmology, Orthopaedic Surgery, Obstetrics & Gynaecology and Diagnostic Imaging (Neuroradiology) to provide care for paediatric patients. 

For more information about Paediatric Neurosurgery, click here. 

Prenatal Counselling 

We provide counselling sessions with obstetricians for parents facing abnormal prenatal scans. The aim is to address concerns, reduce anxiety and assist in informed decision-making. 

Laparoscopy (Keyhole Surgery) 

Emphasising minimally invasive surgeries, laparoscopy is becoming increasingly significant. This approach allows children to experience reduced pain, shorter hospital stays and quicker recovery.  

We offer minimally invasive surgeries for a range of conditions related to the lungs, appendix, stomach, kidneys, internal reproductive organs, and developmental malformations of the rectum and anus. These include gastro-oesophageal reflux, anorectal malformations, intersex disorder, non-functioning kidneys, undescended testis, appendicitis, varicoceles and thoracic lesions. 

Day Case Surgery 

Patients are admitted, undergo surgery and are discharged on the same day. 

Paediatric Oncology 

Our paediatric oncology team, comprising dedicated oncologists, surgeons and nursing staff, provides specialised care. We operate a separate oncology ward, equipped with isolation rooms when necessary. 

The surgical team focuses on biopsies, central line insertions for chemotherapy and tumour resections. The tumours commonly operated on are Wilms' tumour, neuroblastoma and hepatoblastoma. 

Click here for more information on the 11th St Jude-VIVA Forum in Paediatric Oncology, held from 4 to 5 March 2017. 

Transplantation 

Paediatric organ (liver and kidney) transplantation has developed as a specialised treatment for children suffering from irreversible organ failure. The National University Centre for Organ Transplantation (NUCOT) features a paediatric solid organ transplant unit, where children suffering from irreversible organ failure receive specialised care from our paediatric transplant team. 

Specialised Outpatient Nursing Services 

We provide a range of services, including chronic wound care, stoma care, stoma siting or planning, and instructions for clean intermittent catheterisation (CIC). 

Conditions We See

We treat a broad range of conditions involving the abdomen, chest, conjoined twins, genitourinary, head and neck, hepatobiliary, and various types of tumours: 

  • Abdomen 

  • Abdominal Wall Defects – Gastroschisis, Exomphalos, Umbilical Hernia, Inguinal Hernia, Epigastric Hernia etc. 

  • Anorectal Malformation – Imperforate Anus 

  • Appendicitis 

  • Cloaca 

  • Duodenal Atresia 

  • Hirschsprung's Disease 

  • Inflammatory Bowel Disease 

  • Intestinal Duplication 

  • Intussusception 

  • Jejunal or Intestinal Atresia 

  • Malrotation with Volvulus 

  • Meckel's Diverticulum or Band 

  • Meconium Disease of the Newborn 

  • Necrotizing Enterocolitis 

  • Patent Vitelointestinal Duct 

  • Pyloric Stenosis 

  • Chest 

  • Bronchogenic Cyst 

  • Bronchopulmonary Sequestration 

  • Chest Wall Deformities 

  • Congenital Cystic Adenomatoid Malformations (CCAM) 

  • Congenital Lobar Emphysema (CLE) 

  • Diaphragmatic Hernia or Eventration 

  • Empyema 

  • Hiatus Hernia 

  • Oesophageal Duplication 

  • Oesophagus – Oesophageal Stresia with Tracheo-oesophageal Fistula 

  • Palmar Hyperhidrosis 

  • Spontaneous Pneumothorax 

  • Conjoined Twins 

  • Genitourinary 

  • Acute Scrotum, Testicular Torsion, Torsion of the Hydatid of Morgagni 

  • Bladder Extrophy and Epispadias 

  • Disorders of Sex Development (DSD) or Ambiguous Genitalia or Intersex 

  • Duplex Systems with Complications 

  • Dysfunctional Voiding or Enuresis 

  • Hypospadias 

  • Maldescent of the Testes 

  • Megaureters 

  • Neurogenic Bladder (Spina Bifida, Spinal Cord Injury) 

  • Overactive Bladder 

  • Patent Urachus, Urachal Cyst 

  • Phimosis 

  • Posterior Urethral Valves (PUV), Valve Bladder 

  • Pelviureteric Junction Obstruction 

  • Ureterocele 

  • Vesicoureteric Junction Obstruction 

  • Vesicoureteric Reflux and Urinary Tract Infections 

  • Head and Neck 

  • Branchial Arch or Cleft Remnants 

  • Dermoid Cyst 

  • Preauricular Sinus 

  • Thyroglossal Cyst 

  • Vascular Malformations (AV, Lymphatic), e.g. Cystic Hygroma 

  • Hepatobiliary 

  • Acute or Chronic Pancreatitis 

  • Biliary Atresia 

  • Choledochal Cyst 

  • Gall Stone Disease 

  • Liver Transplant 

  • Portal Vein Thrombosis 

  • Tumours 

  • Gonadal Tumours 

  • Hepatoblastoma 

  • Neuroblastoma 

  • Sacrococcygeal Teratoma 

  • Wilms' Tumour 

 

What To Expect At Your First Appointment

During the first appointment, a paediatrician specialising in surgery will conduct a comprehensive review of your child’s surgical condition. Depending on the specific situation, additional tests such as blood investigations or diagnostic imaging may be necessary. 

We also provide a 24-hour emergency surgical service. The Children's Emergency department is staffed by paediatricians across different specialties. For after-hours assistance, the paediatric surgical registrar and surgeons can be reached through the Hospital switchboard (65) 6908 2222. 

Admission

​If your child is admitted to the hospital for a planned surgery, you will receive detailed guidelines, such as specific feeding instructions prior to the surgery. 

Frequently Asked Questions About Paediatric Surgery
1. What does paediatric surgery involve?

2. How do we decide whether to operate or when to operate? 

3. What are the common conditions requiring surgical treatment in children? 

4. How can we make the hospitalisation for operation easier for your child and family? 

1. What does paediatric surgery involve? 

Paediatric surgery encompasses the diagnosis, preoperative, operative and postoperative management of surgical issues in children. 

Our team, including surgeons, anaesthetists and support staff, is prepared to undertake common procedures, focusing on managing risk and minimising emotional trauma for the child. 

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2. How do we decide whether to operate or when to operate? 

The decision to operate is based on: 

  • Your child’s symptoms 
  • Findings from the physical examination 
  • Objective evidence obtained from various tests (blood tests, X-rays and scans) 

The timing of the operation is carefully planned to align with your child's age and the progression of the condition, aiming to maximise the benefits of the surgery. 

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3. What are the common conditions requiring surgical treatment in children? 

Common conditions include congenital abnormalities detected during foetal development and identified in pregnancy scans by obstetricians. Other issues such as lumps and bumps on various body parts, phimosis, undescended testes and scrotal swellings like hernia and hydrocele are often identified by GPs. Additionally, issues with major body system like the intestines, liver and kidneys might require a surgical intervention. 

 

4. How can we make the hospitalisation for operation easier for your child and family? 

As a parent, you can better prepare by gathering information about your child's condition. Speaking with the surgeon can help you: 

  • Understand your child's diagnosis or condition in more detail 
  • Learn about the tests or treatments your child will undergo 
  • Learn more about caring for your child at home before and after the surgery 


Contact Us

Email: [email protected]

Click here to make an appointment online.

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