Paediatric Surgery

Paediatric Surgery is a new specialty in Malaysia and has grown over the last 25 years. It may be further divided mainly into General Paediatric Surgery, Paediatric Urology & Endoscopic Paediatric Surgery (Minimally invasive surgery e.g. laparoscopy, thoracoscopy & robotics).

Conditions managed by Paediatric Surgeons range from simple to complex surgical conditions in children as listed below but not exhaustive by:

1. Simple surgical conditions:
   1. Phimosis
   2. Hernia/hydrocele
   3. Undescended testis
2. Complex surgical conditions:
   1. Neonatal conditions: congenital diaphragmatic hernia, congenital pulmonary airway malformation, venous and lymphatic malformations, neonatal necrotizing enterocolitis, malrotation with midgut volvulus, bowel atresia, anorectal malformation and Hirschsprung disease
   2. Conditions in older children: intussusception, biliary atresia, choledochal cyst, appendicitis, Meckel’s diverticulum, inflammatory bowel disease, blunt thoracic and abdominal trauma
3. Urological conditions:
   1. Hypospadias
   2. Vesico-ureteric reflux (VUR)
   3. Pelvi-ureteric junction obstruction (PUJO)
   4. Cloacal anomaly
4. Childhood malignancy:
   1. Teratoma
   2. Neuroblastoma
   3. Nephroblastoma or Wilms tumor
   4. Hepatoblastoma
   5. Lymphoma & leukaemia
5. Special services only available at UMSC:
   1. Gastrointestinal transit study & anorectal manometry in children
   2. Urodynamics in children

Approaches to surgery are:

1. Open surgery (conventional)
2. Endoscopic surgery (“Keyhole” surgery or minimally invasive surgery)

We offer both conventional and “keyhole” surgery at UMSC at its highest and safest quality of care.