General Surgery Overview

Minimally Invasive Surgery

• Management of gallstone disease
• Laparoscopic Bariatric Surgery for obesity
• Management of gastroesophageal reflux disease requiring fundoplication, paraoesophageal hernias, achalasia, gastric tumours, groin hernias, hyperhidrosis, enlarged spleen where minimal access surgery may be useful
• Diagnostic and staging laparoscopy for evaluation of tumours

Upper Gastrointestinal Surgery & Endoscopy Service

• Comprehensive management of oesophagus, stomach and other upper GI cancers
• Management of obesity
• Management of upper GI motility disorders 
• Fiberoptic endoscopic service provides screening, diagnosis of upper gastrointestinal tract disease (peptic ulcer disease, gastric and oesophageal cancer, etc)
• Therapeutic endoscopy in the treatment of bile duct stones, achalasia, stricture, advanced gastrointestinal cancers and intragastric balloon for obesity. 

Hepatobiliary and Pancreatic Surgery

• Management of problems of stones disease of the gallbladder and biliary tree (including recurrent pyogenic cholangitis)
• Management of benign conditions of the liver (including benign tumours, abscesses, cysts)
• Management of benign conditions of the bile duct (including benign tumours, choledochal cysts, injuries, stricutre)
• Management of benign conditions of the pancreas (including stones, pancreatitis)
• Management of malignant tumours of the liver (including HCC, cholangiocarcinoma and liver metastases), gallbladder and bile duct cancers, and pancreatic tumours (including adenocarcinoma and cystic tumours)
• Functional evaluation of liver reserve

Breast & Trauma Surgery

• Breast screening programme and mammogram localisation service
• Breast Counseling and Support Service for breast cancer and post-surgical patients
• Multi-disciplinary approach to breast cancer management including assessment of breast lesions seen on mammogram/ultrasound, diagnosis using minimally invasive techniques and surgery for the breast and axilla
• Ultrasound-guided mammotome biopsy
• Mammographic-guided mammotome biopsy
• Assessment, diagnosis, surgery and sentinel lymph node biopsy for malignant melanoma
• Trauma Service
  • Integrating multi-disciplinary care of the multiply injured patient
  • Trauma Registry
  • Quality Assurance activities
  • Educational lectures for doctors and nurses

Head and Neck Service

• Head and Neck Oncology, eg. cancers of the oral cavity, hypopharynx, cervical, oesophagus etc
• Thyroid nodule evaluation and treatment of thyroid malignancies and associated disease
• Salivary gland disease especially malignancies
• Multi-disciplinary participation from Oral Surgery, Neurosurgery, Plastic & Reconstructive Surgery and Radiotherapy

Vascular Surgery

• Chronic leg ischemia-claudication, rest pain, gangrene and ulcers
• Acute leg ishcemia-sudden pain, coldness, numbness
• Vascular shunts for renal dialysis
• Periotoneal dialysis procedures
• Vericose veins, venous ulcers, spider veins
• Swollen legs
• Abdominal and peripheral aneurysm
• Visceral ischemia - pain on eating
• Ischemic hands - cold, blue, painful, numb hands
• Vascular trauma
• Renal artery disease - hypertension, renal salvage
• Carotid artery disease - transient ischemic attacks
• Endovascular procedures - aneurysm stents
• Vascular malformations - hemangiomas
• Vascular ultrasound/Duplex
  • Carotid/Vertebral artery assessment
  • Abdominal aorta (Endograft)/Renal artery/Mesenteric artery assessment
  • Arterial system of the upper and lower limbs
  • Vascular graft surveillance/AV Fistulae
  • Venous scan to assess venous thrombosis and venous insufficiency
  • Ultrasound guide compression maneurver as an alternative treatment for pseudoaneurysm
• Non-invasive vascular assessment
  • ABPI/Toe (Finger) pressure/Walk Test
  • Laser doppler flowmetry

Nutritional Support Services

• Dedicated Surgeons, Physicians, Nursing Officers, Dieticians and Pharmacists provide multi-disciplinary Nutritional Support Service for patients requiring enteral or parenteral nutritional support

Surgical UGI Clinic

Referral criteria:

• Upper abdominal pain in patient with any of the "alarm" features
  • above 40 years old
  • associated weight loss
  • haematermesis, malena
  • abdominal mass
• All patients with dysphagia
• Patients who require therapeutic or diagnostic endoscopy

Clinic schedule: Every Monday

Vascular Clinic

Referral criteria:

• Intermittent claudication
• Aortic and peripheral aneurysms
• Varicose veins and ulcers
• Arterio-venous malformations
• Ischaemic gangrene and ulcers of the foot
• Cold painful digits
• Chronic limb edema
• Transient ischaemic attacks
• Dialysis vascular access

Clinic schedule: Every Tuesday

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Hepato-Pancreato-Biliary Clinic

Referral criteria:

• Obstructive jaundice
• Gallbladder and biliary tract stones
• Laparoscopic surgery
• Space occupying lesion of the liver
• Space occupying lesion of the pancreas
• Assessment of functional reserves of the liver
• Surgical complications of liver cirrhosis

Clinic schedule: Every Wednesday

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Head & Neck Clinic

Referral criteria:

• Thyroid nodules
• Cervical lymph node
• Salivary Gland Tumour
• Cancers of the upper aerodigestive tract

Clinic schedule: Every Thursday

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Breast Clinic

Referral criteria:

• Patients with breast complaints:
  • pain
  • lump
  • nipple discharge
• Patients with suspicious or confirmed diagnosis of breast cancers
• Abnormal mammographic or ultrasound findings, BIRADS 4 or 5

Clinic schedule: Every Friday

 Read more about  Breast Cancer