SPECIALTIES & SERVICES

BREAST SURGERY

We believe in doing the best for our patients be it benign or breast cancer related issues.

Holistic care is at the forefront of our minds. Our dedicated and experienced staffs are always at your service to walk this journey with you. 

BARIATRIC SURGERY

Integrated Bariatric Programme Members

a) Specialist Bariatric Surgeons

b) Endocrinologist with specialty interest in Bariatric Programme

c) Bariatric Specialty Nurse Coordinator

d) Bariatric Research Coordinator

e) Health for Life Weight Management Programme

f) Dedicated Bariatric Dietician

g) Physiotherapist

Conditions we see

a) Metabolic Syndrome

b) Surgical Management for Diabetes Mellitus Type 2

c) Morbid Obesity

Operations we perform

a) Laparoscopic Roux-en-Y Gastric Bypass

b) Laparoscopic Sleeve Gastrectomy

c) Laparoscopic Adjustable Gastric Band

d) Laparoscopic Bilio-Pancreatic bypass

UPPER GASTROINTESTINAL SURGERY

Management of Stomach Cancer / Gastrointestinal Stromal Tumor (GIST) / Duodenal Tumours

a) Minimally invasive (Laparoscopic) or Open Stomach Resection with radical lymph node dissection

b) Endoscopic Submucosal Resection

Oesophageal Cancer Management  

a) Minimally invasive or Open Oesophagectomies

Surgery for Gastro-oesophageal Reflux Management (GERD)

a) Laparoscopic fundoplication

Treatment for Achalasia

a) Laparoscopic Heller’s cardiomyotomy with Dor Fundoplication

b) Per-oral Endoscopic Myotomy (POEMs)

Surgery for Abdominal Hernias

a) Laparoscopic or Open Inguinal hernia repairs

c) Laparoscopic or Open Paraumbilical hernia repairs

b) Laparoscopic or Open Incisional hernia repairs

Endoscopy

a) Diagnostic and Therapeutic Gastroscopy and Colonoscopy

b) Therapeutic Endoscopy

     i.   Control of Upper GI haemorrhage

     ii.   Banding of Variceal Bleeding

     iii.  Balloon dilatation of strictures

     iv.  Oesophageal, Duodenal stenting

      v.  Insertion of PEG tubes

     vi.  Endoscopic guided insertion of feeding jejenostomy

c) Endoscopic Ultrasound for Staging of Duodenal tumours

COLORECTAL SURGERY

Colorectal services at KTPH are provided at a one-stop “Colorectal Centre” that offers comprehensive care in the diagnosis, treatment and support for patients with both benign and malignant (cancer) conditions relating to the bowel (colon, rectum and anal canal).

Our team offers a full range of diagnostic services including Colonoscopy, CT colonography, MRI scanning, Endorectal / endoanal ultrasonography and Anorectal Manometry. All Consultant Surgeons in our team are accredited bowel cancer screening colonoscopists for early detection and treatment.

KTPH Colorectal team uses innovative techniques and collaborative care to make surgery safe and to shorten the length of stay. All the surgeons are trained in advanced laparoscopic (keyhole) surgery, and two-thirds of all elective operations for bowel cancer are completed laparoscopically.

A successful Geriatric Surgical Service (GSS) for elderly patients since 2007 has resulted in improved surgical outcomes. The team has an established and effective enhanced recovery (ERAS) care program with a median length of stay of 5 days after major colorectal operations. The team has also introduced pelvic floor service for disorders like fecal incontinence, prolapse disorders and other functional bowel conditions.

Our close working relationship with medical and radiation oncologists from National Cancer Centre allows us to adopt a multidisciplinary approach for treatment of colorectal cancers. A bi-monthly multidisciplinary meeting discusses all cancer patients and also reviews outcome data.

Our team is dedicated to provide evidence based and compassionate care to all our patients.

Services

• Diagnostic and therapeutic endoscopic procedures, including colonoscopy, the insertion of colonic stents and transrectal ultrasound scans
• Colonic, low anterior and abdomino-perineal resections, via both open and laparoscopic approaches
• Trans-anal resection of various ano-rectal pathologies, including Trans-anal Endoscopic Microsurgery (TEMS)
• Complex anal fistula repair
• Surgery for inflammatory bowel disease and its complications
• Surgery for Rectal Prolapse Disorders
• Assessment and Management of Functional Bowel Disorders like Fecal Incontinence, Chronic Constipation, Defecatory Disorders
• Multiple options for Hemorrhoidal Disorders
• Endoscopic Submucosal Dissection (ESD) of colonic lesions

Conditions and Treatment

Colorectal Cancer

Perianal Fistula

Wound Care after Perianal Surgery

Treatment for Haemorrhoids

ENDOCRINE SURGERY

The Endocrine Surgical Service within the Department of Surgery is headed by Adj Assistant Professor R. M. Singaporewalla. After going through post-graduate specialist surgical training in Singapore, Dr Singaporewalla was awarded the Ministry of Health Singapore’s prestigious Health Manpower Development Scholarship (HMDP), that enabled him to go for further hands-on specialization in endocrine and minimally invasive surgery under world renowned specialists, Prof Martin Walz in Germany and Prof Tom Lennard in UK.

After completing his HMDP, Dr Singaporewalla started the Endocrine Surgical Service in Khoo Teck Puat Hospital. He has initiated the Minimally Invasive Video-Assisted Thyroidectomy (MIVAT) procedure, and KTPH Endocrine Surgery is currently the only public healthcare institution offering this surgical procedure. He has also pioneered the concept of a ONE-STOP “Quadruple Assessment” Thyroid Clinic to allow a hassle-free, cheaper and faster evaluation of thyroid nodules (goitres).

Services

• Evaluation of neck lumps / nodes / cysts

• Investigation and management of suspected salivary glands tumours / swellings

• ONE-STOP “Quadruple Assessment” Thyroid Clinic 
  “Quadruple Assessment” Thyroid Clinic is a one-stop single day evaluation of thyroid nodules (Goitre): 

i) History & Clinical exam

ii) Thyroid hormone tests (T4, TSH)

iii) Bedside Ultrasound 

iv) Ultrasound guided aspiration of cysts or FNAC of solid nodules with on-site cyto-technician support

• Surgery for Benign and Malignant Thyroid Pathology: 
  Total thyroidectomy +/- neck dissection 
  Hemithyroidectomy 
  Completion thyroidectomy 
  Subtotal / Near total thyroidectomy 
  Minimally Invasive Video-Assisted Thyroidectomy (MIVAT) 
  Transaxillary Endoscopic Thyroidectomy (No Neck Scar)

• Parathyroid Surgery (Primary & Secondary Hyperparathyroidism): 
  Conventional & Minimally Invasive Parathyroid Surgery

• Adrenal Surgery: 
  Laparoscopic 
  Retroperitoneal laparoscopic 
  Open conventional approach  

Clinics slot for appointments
Mondays AM/PM (Clinic C35 [private] & Clinic C31) 
Thursdays AM/PM (Clinic C31 @ Room 23)

Conditions and Treatment

Thyroid Nodule

Hyperthyroidism

Thyroidectomy

VASCULAR SURGERY

Conditions we see and Operations performed 

Varicose vein surgery

a) Endovenous laser and radiofrequency ablation of saphenous vein

b) Saphenous vein ligation/stripping

c) Stab avulsions for varicose veins

Peripheral vascular disease

a) Endovascular peripheral angiography/angioplasty/stenting

b) Open surgical bypass

c) Major amputations/wound debridements/Complex wound management

Vascular access surgery and surveillance

a) AV access creation

b) AV access angiography/angioplasty/maintenance

c) Endovascular salvage for thrombosed fistula’s/grafts

Diabetic foot

a) Screening/diagnostic evaluation

b) Complex wound management

Management of thoracic/abdominal aortic aneurysms (AAA)

a) Endovascular repair of traumatic aortic transections

b) Endovascular repair of thoracic aortic aneurysms

c) Endovascular repair of abdominal aortic aneurysms

d) Open abdominal aortic aneurysm repair

EMERGENCY SURGERY AND TRAUMA

KTPH is the first hospital in Singapore to adopt this approach with the ESAT team commencing operations in November 2014. The ESAT team admits all general surgery acute and trauma patients during the daytime from Monday to Friday at 7.30am - 4.00pm. This novel approach allows for a dedicated consultant level service provision for critically ill patients that are admitted through the emergency department.   

Services

• Consultant led team dedicated to emergency surgical and trauma patients 
• Rapid assessment of critically ill surgical patients in emergency department 
• Timely surgery for emergency surgical and trauma patients 
• Established collaboration with Interventional radiology and ICU for holistic care 
• Acute and elective endoscopy 
• Three follow up clinics per week

Conditions and Treatment

• Acute abdominal pain 
• Acute appendicitis 
• Biliary Colic/Acute cholecystitis/cholangitis/pancreatitis 
• Colitis/Enteritis 
• Bowel obstruction - malignant and benign 
• Intra-abdominal sepsis 
• Soft tissue infections 
• Blunt and penetrating traumatic injury 
• Upper and lower GIT bleeding

HEPATO-PANCREATO-BILIARY SURGERY

Conditions:

Liver

• Benign liver conditions including hemangioma, focal nodular hyperplasia (FNH), hepatocellular adenoma, hepatic (liver) cysts, and recurrent pyogenic cholangitis (RPC) with intrahepatic stones
• Malignant (cancerous) liver conditions including primary liver cancer such as hepatocellular carcinoma (HCC), cholangiocarcinoma or bile duct cancer, and secondary liver cancers such as cancer of the colon, lung or breast that has spread to the liver
• Liver cirrhosis or scarring due to multiple causes including hepatitis B or C and fatty liver or non-alcoholic fatty liver disease (NAFLD)

Gallbladder

• Gallstone and gallstone-related problems including inflammation and/or infection of the gallbladder (cholecystitis), biliary colic or symptomatic cholelithiasis, blockage of the common bile duct or pancreatic duct, and erosion of the gallstone into the nearby duct or structures (Mirizzi’s Syndrome)
• Malignant (cancerous) gallbladder tumors like gallbladder cancer
• Gallbladder polyps

Biliary Tract (Bile Duct)

• Choledochal cyst or biliary tract cysts
• Complicated bile duct stone disease (both inside and outside of the liver)
• Malignant (cancerous) biliary tract problems such as cholangiocarcinoma or bile duct cancers
• Benign or malignant bile duct strictures

Pancreas

• Pancreatitis or inflammation of the pancreas (from multiple causes)
• Malignant (cancerous) pancreas conditions including pancreatic adenocarcinoma and neuroendocrine tumors of the pancreas
• Pancreatic cysts
• Benign pancreatic growths or tumors

Services:

Liver

• Major and/or wedge liver resections (open or laparoscopic/keyhole surgery)
• Tumor ablation using either radiofrequency ablation (RFA) or microwave ablation (MWA)
• Ultrasound-guided procedures including drainage of liver abscesses and liver cysts

Gallbladder

• Laparoscopic/keyhole and/or open cholecystectomies (removal of the gallbladder)
• Ultrasound-guided procedures including drainage of gallbladder abscesses for patients unfit for surgery

Biliary Tract (Bile Duct)

• Resection/excision of the biliary tract (including choledochal or biliary cyst)
• Common bile duct explorations for complicated bile duct stone disease (including stone removal using various methods)
• Biliary reconstruction with Roux-en-Y hepaticojejunostomy or biliary bypass

Pancreas

• Pancreatoduodenectomy (Whipple-type operation to remove tumors are the head or neck of the pancreas)
• Distal pancreatectomy (removing tumors or cancers at the tail of the pancreas) – open or laparoscopic/keyhole surgery

Portal hypertension

• Surgery for portal hypertension (porto-systemic shunts) 

NEUROSURGERY

Services

• Diagnosis and management of acute neurosurgical emergencies such as intracranial hemorrhages, acute traumatic head injury (bleeds, traumatic contusions, subdural and extradural hemorrhages)
• Tumor surgery, both for primary brain tumor, or secondary metastasis, including latest in endoscopic surgeries, navigation
• Congenital malformations, such as Chiari malformation
• Emergency vascular surgeries for aneurysm, AVM, cavernomas
• Treatment for hyperhydrosis (sweaty palms)
• CSF dysfunctional issues, hydrocephalus, shunts, external ventricular drains, CSF leaks
• Spine surgeries inclusive of occipital-cervical, cervical, thoracic, lumbar and lumbosacral, both open and minimally invasive surgery (keyhole surgery) for:
  -  Degenerative disc disease, prolapsed discs
  -  Cervical myelopathy
  -  Spinal stenosis
  -  Spine tumors, both intra and extra axial
  -  Acute fractures/dislocations/unstable spine
  -  Fusion and instrumentation for all levels both open and MIS
  -  Spinal corrective surgery, degenerative scoliosis, spondylolisthesis