Surgery - Asian Hospital and Medical Center

The Department of Surgery of Asian Hospital and Medical Center is composed of certified, well-trained, highly skilled, and credentialed specialists. The department consists of the following clinical services classified into Divisions and Sections: Each section offers highly specialized services.

The Division of General Surgery is a division of the Department of surgery made up of consultants providing quality surgical care to patients 12 years and older and having surgical diseases located in the skin/ head and neck region, thoracic wall, abdomen and soft tissue of extremities. Basic laparoscopic procedures like diagnostic laparoscopy, laparoscopic cholecystectomy and laparoscopic appendectomy are performed by members of the division.

The Department of Surgery is further divided into 9 sections:

Section of Advanced Minimally Invasive Surgery
Section of Breast Surgery
Section of Colorectal Surgery
Section of Head and Neck Surgery
Section of Hepatobiliary & Pancreatic Surgery
Section of Metabolic and Bariatric Surgery
Section of Surgical Endoscopy
Section of Surgical Oncology
Section of Trauma and Critical Care

SECTION OF BREAST SURGERY

The Section of Breast Surgery under the Division of General Surgery of the Department of Surgery of Asian Hospital and Medical Center is composed of board certified general surgeons with specialty training or interest in breast surgery. The members of the section will provide efficient and effective, multi-disciplinary care for breast patients according to treatment protocols set by the section in accordance with the international standards of care applicable to our country. The section will collaborate with the Breast Center of Asian Hospital and Medical Center in its activities to provide quality breast care.

SECTION OF COLORECTAL SURGERY

The section of colorectal surgery is composed of surgeons who are both board certified by the Philippine Board of Surgery and the Philippine Board of Colorectal Surgery. Members of the colorectal staff are therefore recognized experts in the management of colon, rectal and anal diseases. And while many areas of this field of surgery overlap with areas covered by the sections of general surgery and minimally invasive surgery, the highly specialized services offered by members of the section of colorectal surgery include:

Diagnostic and Therapeutic Lower Endoscopy
- Polypectomy
- Endoscopic Mucosal Resection
- Endoscopic Submucosal Dissection
- Stent placements for malignant obstructions
- Dilatation of strictures
- Endoscopic clipping of bleeders and perforations
- Transanal endoscopic microsurgery
Endorectal ultrasonography and endoanal ultrasonography
- Rectal cancer staging
- Evaluation of anal sphincters in relation to:
  - Anal abscesses
  - Anal fistulas
  - Fecal incontinence
  - Rectovaginal or anovaginal fistulas
Comprehensive and highly specialized management of anal diseases, specifically:
- Hemorrhoids
  - Band ligatiom
  - Coagulation
  - THD
  - Stapled hemorrhoidopexy
  - Traditional open surgical techniques
- Anal Fissures
  - Closed or open sphincterotomy
  - Botox injection
  - Nitroglycerine treatment
- Anal Fistulas
  - LIFT technique
  - Endorectal advancement flap
  - Fistuloscopy
  - Fibrin plug
- Anal warts and other STDs
  - Excision / cauterization
  - HPV vaccinations
  - Close outpatient follow-up and medical management to prevent recurrence
  - Coordination with Infectious Diseases for possible concomitant STD and HIV infection
Open and laparoscopic surgery for various benign colorectal conditions
- diverticulitis
- bleeding diverticulosis
- tuberculosis
- inflammatory bowel disease
- volvulus
- rectal prolapse
Comprehensive management of colon cancer:
- Multidisciplinary pre-treatment planning and management
- Laparoscopic colon surgery, including
  - Single incision laparoscopic surgery
  - Natural orifice transendolaparoscopic surgery
- Multivisceral resections
- Peritoniectomy and intraperitoneal chemotherapy (HIPEC/EPIC)
- Surgical management of recurrent disease
- Management of complications following surgery
- Coordination with other specialists for the curative treatment of metastasis
  - Liver resection
  - RFA
  - Pulmonary resection
Comprehensive management of rectal cancer
- Multidisciplinary pre-treatment planning and management
- Neoadjuvant chemoradiotherapy when needed
- Total Mesorectal Excision
- Extralevator abdominoperineal resection
- Laparoscopic rectal surgery, including
  - Single incision laparoscopic surgery
  - Natural orifice transendolaparoscopic surgery
- Anal sphincter preservation
  - Coloanal anastomosis
  - Intersphincteric resection
  - Transanal Endoscopic Microsurgery
- Multivisceral resections
- Peritoniectomy and intraperitoneal chemotherapy (HIPEC/EPIC)
- Surgical management of recurrent disease
- Management of physiologic disorders following sphincter preserving surgery
- Management of complications following surgery
- Coordination with other specialists for the curative treatment of metastasis
  - Liver resection
  - RFA
  - Pulmonary resection
Surgical management of rare / uncommon colon, rectum or anal conditions
- Adult hirschprungs disease
- Anoplasty for anal sphincter defects
- Retrorectal cysts/tumors

SECTION OF METABOLIC AND BARIATRIC SURGERY

The Section of Metabolic and Bariatric Surgery under the Division of General Surgery of the Department of Surgery of Asian Hospital and Medical Center is composed of board-certified general surgeons with specialty training in metabolic and bariatric surgery in the treatment of obesity, Type 2 Diabetes, and other co-morbid illnesses. The members of the section will provide an accessible, efficient and effective, multi-disciplinary care for the management of patients undergoing metabolic and bariatric surgery according to treatment protocols set by internationally accepted guidelines applicable to the Philippine setting.

Division of Pediatric Surgery

The Division of Pediatric Surgery of the Department of Surgery of Asian Hospital and Medical Center is composed of well-trained, highly skilled, and board-certified specialists. Majority of these specialists have been trained in various sub-specialties in Pediatric Surgical Oncology, Pediatric Hepatobiliary Surgery, Anorectal malformation, Colorectal, Pediatric urology and Minimal Invasive Surgery and endoscopy. This allows the division to offer the current approaches to most pediatric surgical conditions similar to what is available in developed countries.

Division of Urology

The Division of Urology of the Department of Surgery of Asian Hospital and Medical Center is composed of well-trained, highly skilled, and board-certified specialists. Majority of these specialists have been trained in various sub-specialties in Urology such as Urologic Oncology, Pediatric Urology and Minimally-invasive Surgery. This allows the division to offer the current approaches to most urologic conditions similar to what is available in developed countries.