General Surgery

General surgery refers to a surgical speciality that involves surgical procedures performed on areas like the intestines, liver, colon, pancreas, gall bladder, stomach, and thyroid gland.

Conditions We Treat

General surgeons can typically attend to common conditions like hernias and haemorrhoids (piles), and may be trained to subspecialise in one of many areas like colorectal surgery and vascular surgery.

Small lumps in the body or on the limbs

Benign lumps are commonly found in many different parts of the body. In fact, when we check our body we can find many small lumps. The majority of them are benign. It varies from lipoma, sebaceous cyst, epidermoid cyst, ganglion and inclusion cyst. You can seek referral to a specialist general surgeon who will be able to give appropriate treatment and advice.

Lipoma

Lipoma is actually a fatty lump. 99% of the time is benign. There is one percent chance when it is bigger than 10cm then it has a malignant potential. Then it is called liposacroma.

Most of the lipoma are relatively small in the body, they can be left alone but it requires observation and when it suddenly gets larger. A sudden increase in size may need medical attention. Sometimes this can be removed surgically through a small incision if it caused discomfort. This can be performed as a day case and patient can return to work very quickly.

Sebaceous cyst

A sebaceous cyst is a collection of secretions from sweat glands underneath the skin. It has an opening at the skin surface and sometimes it gives a white discharge and can smell badly when the area is infected.

Epidermoid cyst

A epidermoid cyst is a benign swelling under the skin and it contains fluid inside. Normally it is safe to leave alone unless it causes pain and discomfort.

Ganglion

Ganglion is another benign swelling which is normally found in the upper or lower extremity.it arise from the sheath of the tendons of the muscles. The contents are lubricant fluid for the tendon to move around. Ganglions are benign and no need to remove except when it cause discomfort.

Hernia

A hernia is an abnormal swelling with protrusion of viscus (usually bowel or abdominal fat) through a weakening in the abdominal wall. The common hernias are inguinal, femoral or umbilical. This can also happen through previous wounds in the abdominal operations scar. This will be called incisional hernia. Hernia depending on location and size usually need to be fixed especially those which are not reducible. When the contents (usually bowel) in a hernia get twisted, it causes the blood supply of the bowel to be compromised and this is a surgical emergency.

Hernia is a weakening defect of the abdominal wall so it can be repaired primary with permanent sutures to closed up the defect. Sometimes a mesh (plastic sheath) is used to strengthen the area as well and the mesh will be put inside to re-enforce the area.

Abscess

Abscess is a pathological collection of pus (mixture of dead cells and bacterial) in any part of the body after a preceding infection. It is a serious condition because without treatment it can cause whole body infection (septicaemia). Abscess will require surgical excision of the area and also antibiotics treatment.

Pilonidal Sinus

Pilonidal sinus is formed by overgrowth of hair in the cleft of the bump. With the overgrowth of hair, it grows inwards to form sinus and cause repeated infection and discharge in the natal cleft. This requires specialist attention and a minor operation is usually performed to correct the problem.

Our Specialists

Dr Wong and Dr Tang have close to 50 years of combined surgical experience in both general and vascular surgery. Both Dr Wong and Dr Tang are dual accredited having completed specialist surgical training under the Ceritificate of Completion of Training (CCT) program in the UK and are registered with both the Singapore Medical Council (SMC) and General Medical Council (GMC).

Dr Wong and Dr Tang have been extensively trained in vascular and endovascular surgery in the National Health Service in the UK, whose core values include “commitment to quality of care, compassion and improving lives and where everyone counts”. Locally they have combined more than 20 years of practicing vascular surgery in Singapore.

Our Specialists