The Department of Surgery takes pride in delivering integrated and coordinated transdisciplinary surgical care to our patients.
Our surgeons share similar values of wanting to deliver progressive and collaborative surgical care, putting patient safety first and being compassionate.
This is delivered through various subspecialties:
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.
Integrated Bariatric Programme Members
a) Specialist Breast Surgeons
b) Specialty Breast Care Nurse
c) Dedicated Radiologists
Conditions we see and Operations performed
1.1 Benign Breast Diseases
a) Nipple discharge and nipple eczema
b) Benign breast lumps
c) Breast pain
d) Cellulitis or abscess of the breast
e) Breast reduction for symptomatic macromastia
f) Correction of breast asymmetry
g) Gynaecomastia
1.2 Breast Cancer
a) Management of Breast Cancer
i. Screen- detected / asymptomatic cancers
ii. Symptomatic cancers (i.e. lump, paget’s disease, nipple discharge, retraction or inversion, peau d’orange changes)
b) Breast conservation surgery (Wide local excision) - palpable or wire-guided
c) Mastectomy
d) Axillary surgery (dual technique sentinel lymph node biopsy and axillary clearances)
e) Primary endocrine therapy (PET) in medically unfit hormone positive cancers(PET)
f) Male breast cancer
1.3 Breast reconstruction
a) local or pedicled flapss,
b) Implant reconstruction
c) Lipofilling of breast
d) Nipple reconstruction
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
Conditions and Treatment
Wound Care after Perianal Surgery
ENDOCRINE SURGERY
The Endocrine Surgical Service within the Department of Surgery is headed by A/Prof Reyaz 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
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
Clinics slot for appointments
Mondays AM/PM (Clinic C35 [private] & Clinic C31)
Thursdays AM/PM (Clinic C31 @ Room 23)
Conditions and Treatment
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
Conditions and Treatment
HEPATO-PANCREATO-BILIARY SURGERY
Conditions:
Liver
Gallbladder
Biliary Tract (Bile Duct)
Pancreas
Services:
Liver
Gallbladder
Biliary Tract (Bile Duct)
Pancreas
Portal hypertension
NEUROSURGERY
Services
The Straits Times, 30 Sept 2017: Boosting Recovery for Frail Elderly After Surgery
Lianhe Zaobao, 23 July 2017: Bariatric Surgery
Lianhe Zaobao, 31 Dec 2016: Emergency Surgery and Trauma Service Delivers Timely and Quality Care for Patients
Lianhe Zaobao, 21 Nov 2016: Rehab Before Surgery Helps Seniors Achieve Good Outcomes
The New Paper, 22 May 2015: Bariatric Surgery Helps Woman Overcome Obesity