Paediatric Surgery & Urology International

25/02/2024

A bubbly 4 years old girl presented with bilateral groin swellings. These were recurrent and persistent. She underwent a repair. Post operatively, she was discharged on the same day. She was well with no recurrence of . Two years later, she was reviewed for a separate condition, and the scars were minimal. Her parents were very satisfied with the results.☺️

13/10/2021

Fissure at the a**s, what is it? What are the symptoms and signs? What are the treatment options and which is the best? Read more in the following webpage https://childsurgery.sg/about-us and if you are subscribed to the American Pediatric Surgical Association Pediatric Surgery Library, Not A Textbook (NaT), sign in to read the chapter and review the photos on A**l Fissure written by Dr. Wong Zeng Hao. **lfissure **lFissure

13/10/2021

13/10/2021

29/07/2021

Updated post on tongue tie in a baby or a child, and the costs involved, taking reference from the Ministry of Health, Singapore, Fee Guidelines.

29/07/2021

Updated post on circumcision in a baby or a child, and the costs involved, taking reference from the Ministry of Health, Singapore, Fee Guidelines.

22/07/2021

During this Phase 2 of Heightened Alert in Singapore, we are available on Telemedicine video consultation. While we are socially distanced, we maintain our treatment for our existing patients. For patients residing locally and overseas, this form of communications helps us to stay connected during this COVID-19 pandemic. It is also a good modality in selected new patients for diagnosis and management. Please call at 63335550 or email at [email protected] for any queries. Thank you.

22/07/2021

Eid al-Adha to our Muslim friends. It is a time of faith and trust in God. During the Festival of Sacrifice, we acknowledge the time and effort of parents in looking after their children, especially those with special needs. It is also a time of sharing, and we believe that knowledge of conditions a...

15/05/2021

Our updated services are grouped into Oncology, Gastrointestinal, Urology – Gynecology, Thorax, Head and Limbs. Common childhood conditions and treatment e.g. circumcision, undescended or absent te**is, urinary tract infection, vesicoureteric reflux, hypospadias, tongue tie, intussusception, appendicitis, inguinal hernia, hydrocele, have corresponding patient resources to help patients and parents gain comfort. Learn more on https://www.childsurgery.sg/our-services/

12/05/2021

I was told my child has an intussusception (intus). What is it? How does intussusception present in a child? How is the treatment for pediatric intussusception? During the procedure, what happens? After the procedure, can my child eat? All these questions, answers and references will be answered in the following post https:\\www.childsurgery.sg\intussusception

25/03/2021

Hi! We are hiring assistants! Part time, half days include Saturday office hours, can work from home, uses computers easily and tolerates sight of surgery. Due to government regulations, we are hiring only Singaporeans and Singapore Permanent Residents. Please private message me if there is interest. Thank you!

21/02/2021

Hi! We are hiring assistants! Part time, half days include Saturday office hours, can work from home, preferable uses computers easily and tolerates sight of surgery. Because of government regulations, we are only able to hire Singaporeans. We will update you in future if the situation changes. Please private message me if there is interest. Thank you!

12/02/2021

Wish you and your family a Blessed and Happy Chinese New Year, 万事如意, 心想事成! The clinic will be opened half day till 12 noon on 11 Feb, Chinese New Year’s Eve and closed on 12 and 13 Feb Chinese New Year. The clinic will be opened on 15 Feb Monday at the usual times. Dr. Wong Zeng Hao will be available during the holidays and can be contacted on 63335550 or [email protected]. Keep in touch and best regards!

30/01/2021

What happens during and after a traumatic laceration repair?

When it is a deep tear, multi-layer suturing under local pain relief (anaesthesia) with sedation or general anaesthesia is needed in an uncooperative child. When the wound is shallow, it may be able to close in one layer, either with tissue glue or sutures. This can be done under local anaesthesia alone or combined with general anaesthesia.

Surgery

Your child’s wound is washed clean and closed with dissolvable sutures in layers, in a tension free repair. Depending on the depth and severity of the wound, antibiotics and anti-teta**s toxoid will be given to your child.

After the operation

Your child may shower normally. Painkiller medications should be taken for the first 2 days and as when needed after that. Wound strength will be developing over the next few weeks, hence avoid things that may disrupt it, for example swimming and exercise, for at least 4 weeks. It is important to contact your doctor if there is wound swelling, pain, redness or abnormal discharge. There is a risk of scarring with keloid and hypertrophic scar formation, especially if the child’s parents or siblings have it. This can be treated with good outcome if detected.

Laceration Repair Children may be injured in an accident at home or outdoors. A laceration is a tear / deep

28/01/2021

Why is there a swelling in my child’s inner lip?
A swelling in a child’s inner lip or mouth is commonly a mucocele. Other causes include malformation, dermoid cyst or rarely, tumor. It is important to note the onset, frequency, duration of the swelling and symptoms such as pain or bleeding to aid the diagnosis. The swelling should be evaluated by a paediatric surgeon or pediatric dentist.

What is a mucocele?
A mucocele or mucous cyst is a collection of mucous due to trauma or obstruction to the minor salivary duct. This may be due to habitual biting of the lip or misaligned teeth causing trauma to the mucous membrane. It may involve the floor of the mouth, with resultant extension into the neck, called a “Plunging Ranula.”

When should a mucocele be excised?
As the swelling grows bigger, it may ulcerate, causing pain and bleeding. When symptoms persist, treatment options are, excision, marsupialization or repeated steroid injections. I prefer excision to completely remove the involved minor salivary gland and duct(s). This prevents recurrence of the mucous cyst.

Table of Contents Why is there a swelling in my child’s inner lip or mouth? A swelling in a child’s inner lip

15/11/2020

To our Hindus, Jains, Sikhs and Newar Buddhists colleagues, friends and patients. Hope you have a great weekend and Festival of Lights!

30/10/2020

Hypospadias and Chordee Repair

Hypospadias is an anomaly of the p***s comprising excess curvature (chordee), a hooded appearance of the fo****in, deficient fo****in on the bottom side of the p***s and an abnormal urinary tract opening. It is one of the most common congenital anomaly and causes spraying of urine (this wets the pants when the child is standing to p*e) and curved er****on (chordee which may be painful).

Learn more from the patient resources at https://www.childsurgery.sg/hypospadias/.