Types of Surgery

A Short Guide

A ‘hernia’ is a defect in one or more layers of the abdominal wall that allows protrusion of the internal contents through the defect. These typically cause pain and discomfort and carry a small chance of becoming incarcerated (stuck) and strangulated, which is when it becomes a surgical emergency.
Common areas of hernias are the umbilicus, the epigastrium (space between the umbilicus and the bottom edge of the sternum or breast bone) and the groin. Mr. Hsee and Mr. Taneja have both performed a high number of hernia operations and have a special interest in performing laparoscopic repairs as well as traditional, open surgery. In most cases, patients typically spend one night in hospital.

In some cases, particularly in those patients who have had previous abdominal incisions and surgeries, wide and large hernias can develop, known as Incisional or Ventral Hernias. In these cases, the abdominal muscles are significantly weak and tend to be retracted, allowing for a large bulk of abdominal contents (mostly intestine) to bulge through.
Repair of these hernias is challenging and requires special expertise. Mr. Taneja and Mr. Hsee both take a particular interest in these types of hernias and perform special techniques of Abdominal Wall Reconstruction with Component Separation (a way of separating the various layers of the abdominal wall to be able to bring them together)

The Gallbladder is a non-essential organ that stores bile. Bile is a soap like fluid which is produced by the Liver. From the Liver, the bile enters the intestine through a pipe known as the Common Bile Duct (CBD). The Gallbladder is attached to the CBD. Once in the intestine the bile mixes with food, to help with digestion and absorption of nutrients.
As a storage organ, small stones (gallstones) can precipitate in the Gallbladder. A consequence of these stones is that they can cause symptoms of pain in the upper abdomen and other complications such as acute infection (cholecystitis), jaundice, pancreatitis (inflammation of the pancreas) and cholangitis (life threatening infection of the bile ducts and liver). Because the Gallbladder only stores bile, it can be safely removed with no long term consequences to the patient as the Liver continues to produce bile.
Gallbladder surgery is almost always laparoscopic (key hole) and patients typically spend one night in the hospital. Mr. Hsee and Mr. Taneja are highly experienced laparoscopic surgeons that typically perform these operations on highly complicated gallbladder disease.

There are numerous indications for patients needing bowel surgery. These range from Bowel/Colorectal Cancer to non-malignant conditions such as adhesions. Mr. Taneja and Mr. Hsee perform a range of bowel surgeries such as Laparoscopic and Open Colon Surgery for Colorectal Cancer, as well as Adhesiolysis (freeing up of scar-tissue/adhesions internally) to Small Bowel Resection.

A pilonidal sinus refers to a tract caused by the burrowing of hair and debris typically in the natal cleft (between the buttocks), which causes repetitive infections. The pilonidal disease can be quite painful, with recurrent flare-ups requiring antibiotics and sometimes surgery, if an abscess develops.
Definitive management of this conditions requires an excision of the pits where the hair and debris have burrowed in, as well as the tracts that have formed from it. The reconstruction involves creating flaps to ensure there is no recurrence. Patients having this operation typically spend one night in the hospital.

These are a group of conditions ranging from Haemorrhoids (piles) to Anal Fissures (painful tears in the lining of the anal canal). The typical symptoms from these conditions are pain and rectal bleeding. It is important that these are assessed properly.
There are a range of minor operations and procedures that can be performed for these conditions and both Mr. Hsee and Mr. Taneja can discuss the various options with you.

Skin lesions often require biopsy and excision and both Mr. Taneja and Mr. Hsee can perform these surgeries under local anaesthetic if suitable.