Prehospital

For planned surgery, the hospital will contact you to confirm the date of the surgery. You will be telephoned on the working day prior to the surgery and will be advised on what time you should arrive at the hospital and your child’s fasting time.

This information is very important, so please take the call when the hospital contacts you on your preferred telephone number. Typical fasting times would be 4 hours for breast milk and water, and 6 hours for all other liquids and solids. Generally, unless there are specific medical issues, such as a child with diabetes, the list will proceed in age order with youngest child first.

Day of surgery

On the day of the surgery, you may need to complete additional documentation once you arrive. After you have been checked in by the administrative and nursing staff, you will be reviewed by my anaesthetist. They will also examine your child to make sure that they are fit for surgery.

If you have a number of additional questions about the surgery before the procedure, due to limited time on the day, we recommend that you book an additional consultation prior to the day of surgery.

Generally, one guardian will accompany the child to the anaesthetic bay whilst the child is put to sleep. You will then be escorted to the waiting area where your surgeon will meet you after the procedure has been completed. Once the child wakes in recovery, one guardian will be called through to stay by them. Typically, patients will be in recovery and then a step down area for 1 to 2 hours after surgery has been completed. Some children may need to stay longer if they have any special medical problems, remain drowsy from their premedication or experience nausea and vomiting following their anaesthetic.

Discharge and review

Generally we ask you to make arrangements to be seen in the rooms between 3 to 6 weeks following surgery to ensure satisfactory wound healing. For those children needing to have a drain or catheter removed, an additional appointment one week after the surgery with the clinic nurse will be made prior to discharge.

Financial

When the patient is seen in the rooms, you will be required to pay for your consultation at the time of the appointment. You will be advised of the cost of the consultation at the time of your appointment, some of the cost will be covered by Medicare. The current amount of the rebate can be determined by contacting Medicare on 132 011. Please note that you must have a current referral in order to claim this rebate from Medicare. Referrals from another specialist such as a Paediatrician are only valid for 3 months, whereas those from your GP may be valid for up to 12 months.

For those patients electing to have their child’s surgery at a private hospital or as a private patient in a public hospital, your surgery will be performed by your consultant paediatric surgeon and the anaesthetic by a consultant paediatric anaesthetist. The charges involved will be discussed with you at the time of your consultation and you will also be provided with a written financial quotation. You are strongly advised to contact your health fund and Medicare to confirm any additional cost to yourself between our fees and rebate you will receive. Please note that you will need to contact the hospital to discuss any excess that you may need to pay in relation to their fees. In general, most health funds will fully rebate day-case surgery in a child.

For those parents who elect to have their eligible child treated as a Medicare patient at a public hospital, there will be no cost for treatment. Please note that, as both Fiona Stanley Hospital and Princess Margaret Hospital for Children are teaching hospitals, the surgery would normally be performed by a surgeon in training. Similarly, the anaesthetic would also generally be performed by an anaesthetic doctor in training. Your subsequent follow-up would also be in the public out-patient clinic of the hospital at which the surgery was performed.

Postoperative Emergency

Surgeon can be contacted via our rooms 61621615 during normal office hours or via Princess Margaret Hospital Phone 93408222. In an event of emergency, please bring your child to emergency department at Princess Margret Hospital for children, you can contact duty surgical registrar at Princess Margaret Hospital on phone 93408186.

Facilities We Provide

Procedures

  • Laser Abstract

    Laser Abstract

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  • Accessory Digits And Skin Tags

    Accessory Digits are an extra digit which is present when the child is born. The most common extra digit occurs alongside the little finger and the Skin Tags are an extra piece of skin attached to the body by a narrow stalk or pedicle.

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  • Inguinal Hernia

    An inguinal hernia is a protrusion of some of the contents of the tummy into the groin area. It is a common problem, particularly in boys, as there is an area of weakness or passage-way which originally allowed the testis to descend from the back of the tummy cavity ...

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  • Thyroglossal Duct Cysts and dermoid

    A thyroglossal duct cyst is a remnant of the pathway that the thyroid gland follows in its development from the back of the tongue to the neck. It normally contains thick, clear fluid. If not removed it tends to slowly enlarge over time and there is a risk of ...

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  • Tongue Tie

    This is a piece of fleshy tissue running between the under surface of the tongue and the floor of the mouth. It is sometimes called the frenulum. The frenulum is present in most people but when thicker or shorter than normal may restrict movement of the tongue, ...

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  • Umblical and Epigastric Hernias

    An umbilical hernia is a protrusion of some of the contents of the tummy into the umbilical area (‘bellybutton’). It is a very common problem but only rarely causes pain. Often the hernia will repair itself as your child becomes older, but this is much less likely ...

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  • Hemangiomas (Infantile)

    Hemangiomas of infancy are benign (noncancerous) vascular tumors composed of cells that normally line the blood vessels (endothelial cells). They are the most common tumor of childhood, occurring in up to 10 percent of infants.

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  • Circumcision

    Male circumcision is the removal of the foreskin from the human penis. Boys are born with a hood of skin, called the foreskin, covering the head (also called the glans) of the penis. In the most common procedure, the foreskin is surgically removed, exposing the end of ...

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  • Orchidopexy

    Orchiopexy (or orchidopexy) is a surgery to move an undescended (cryptorchid) testicle into the scrotum and permanently fix it there. Orchiopexy typically also describes the surgery used to resolve testicular torsion. An undescended testicle is unlikely to ...

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  • Hypospadias

    Hypospadias is a condition in which a tube, called the urethra, does not reach its normal position at the centre of the tip of the penis. It is often associated with a bend in the penis, called a ‘chordee’, which may only be apparent when the boy has an erection.

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  • Hydrocoele

    A hydrocoele is a collection of fluid around the testis. The testis first develops near the kidney when the baby boy is inside the mother’s womb. For the testis to drop down into the scrotum there needs to be a passage through the groin area. Normally this closes off ...

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  • Lung abnormalities

    One of The lung abnormalities that can be picked up by antenatal ultrasounds...

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  • In-Grown Toe Nail

    In-grown toenails are quite common, especially among teenagers. It commonly affects the big toes only. It is usually the lateral aspect of the toe (i.e the side of the toe which touches the second toe) but it can affect the other side or even both sides.

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  • Pilomatrixoma

    Pilomatrixoma is a relatively common lump which appears under the skin classically on the face, neck or arms in children.

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  • Perianal Fistula

    Perianal fistulas are very common in the first year of life and are much more common in boys than in girls.

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  • Periorbital Dermoid Cyst

    Periorbital dermoid cyst classically occurs at the outer edge of the eyebrow.

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