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Paediatric General Surgery

Our Department of Paediatric General Surgery's mission is to provide and promote excellence in surgical care for children.

 

We manage surgical problems in newborns, infants, toddlers, children and teenagers, up to the age of 18 years. Our surgical spectrum includes:

  • Congenital abnormalities that occur due to abnormal development in the foetus during pregnancy. These abnormalities may be picked up by the obstetrician during prenatal scans or diagnosed soon after birth. We perform delicate corrective surgery on your newborn which is crucial for his or her survival.
  • Some congenital abnormalities which are not discovered till your child is older. We consult on these conditions and advise on the management options and the timing of surgery if required.
  • Lumps and bumps on various parts of the body and problems with the genitalia and groin in both sexes such as phimosis, undescended testes and scrotal swellings like hernia and hydrocele. These are commonly picked up by the General Practitioner (GP).
  • Surgical problems involving:
    • Digestive tract intestines (oesophagus, stomach, small and large intestines)
    • Hepatobiliary and pancreas (liver, bile ducts, gall bladder and pancreas)
    • Chest (lung, airway, thoracic cage)
    • Genitourinary tract (kidneys, ureters, bladder, urethra, external genitalia)

 

We also work with affiliated departments such as:

 

Our Team

We work closely with our paediatricians and surgeons from other affiliated surgical services such as Opthalmology, Ear Nose Throat, Neurosurgery, Cardiothoracic and Vascular, Orthopaedics, Obstetrics and Gynaecology and Plastic Surgery to provide optimum care for our young patients.

 

Head & Senior Consultant

:  Dr Dale Lincoln Loh

Senior Consultant

:  Prof K Prabhakaran

Senior Consultant

:  Dr Vidyadhar Mali

Consultant

:  Dr Nyo Yoke Lin

Specialist Nurse

:  Junaidah Binte Abu Bakar

 

Our Services

Paediatric Urology

Children with urological problems need to be managed by paediatricians who routinely see and treat these problems.

  • A common area in paediatric urology is obstruction at various levels of the urinary tract. These conditions may be picked up during prenatal screening and investigations soon after birth. We work closely with our paediatricians specialising in nephrology to consult on the different conditions and tailor a short and long term management plan for each individual.
  • Intersex is a complex and poorly understood area. Disorders of sexual differentiation result in ambiguous sexual appearances. Management issues centre around the identification of the correct gender, confirmation that the internal organs are consistent with the external genitalia, gender of rearing, potential for future fertility and offering appropriate counselling and informed decisions on surgical procedures. We work closely with our paediatricians specialising in endocrinology to provide holistic care for your child and family.
  • We see children with lower urinary tract symptoms, wetting and neurologically affected bladders that need specialised diagnostication and individualised care. Our team offers the evaluation of bladder dynamics in a child-friendly environment. We tailor the management plan which may include urotherapy or surgical procedures depending on the results.

 

Prenatal Counselling

We offer counselling with our obstetricians to parents of an unborn child with abnormal prenatal scans to address the parents’ questions with the aims of allaying their anxiety and helping them to make informed decisions.

 

Laparoscopy (Keyhole Surgery)

With the current emphasis on minimally invasive surgeries, there has been a changing trend with laparoscopy gaining importance. This helps your child to experience less pain, go home earlier and recover faster.

 

We currently offer minimally invasive surgeries related to the lungs, appendix, stomach, kidneys, internal reproductive organs, developmental malformations of the rectum and anus (namely gastro-oesophageal reflux, anorectal malformations, intersex disorder, non-functioning kidneys, undescended testis, appendicitis, varicoceles and thoracic lesions).

 

Day Case Surgery

Your child will be admitted, operated and discharged on the same day.

 

Paediatric Oncology

Our paediatric oncology team consists of dedicated oncologists, surgeons and nursing staff. Your child will receive treatment in a separate oncology ward with isolation rooms if necessary.

 

The surgeon's role is to provide a biopsy, insert central lines for chemotherapy and resect the tumours as feasible.

 

The tumours commonly operated on are Wilms’ tumour, neuroblastoma and hepatoblastoma.

 

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) hosts a paediatric solid organ transplant unit, where your child will be taken care of by our paediatric transplant team.

 

Conditions We See:

  • 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

 

Specialised Outpatient Nursing Services

We provide services such as chronic wound care, stoma care, stoma siting or planning and clean intermittent catherisation (CIC) instructions.

 

What To Expect On Your First Appointment?

At your first appointment, your child will be seen by one of our paediatric surgeons who will conduct a comprehensive review of his or her surgical condition or problem. Thereafter, subsequent tests like blood investigations or diagnostic imaging may be arranged depending on the condition or problem.

 

We also provide a 24 hour emergency surgical service. The Children’s Emergency department is manned by specialist Paediatricians. Paediatric Surgeons and the Paediatric Surgical Registrar may be contacted after hours through the Hospital switchboard (0065) 67795555.

 

Admission

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

 

Frequently Asked Questions

Click here to read our frequently asked questions.

 

Contact Us

Email

:  paediatricsurgery@nuhs.edu.sg

Make/Change Appointment

:  +65 6772 2002
   Click here to make an appointment online

 

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