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Pediatric Surgery

Contact Us:

2Q Clinic, McMaster Children's Hospital

Phone: 905-521-5094

Fax: 905-570-8958

Services We Provide:

The service of Pediatric General Surgery provides general and specialized surgical services to infants, children, and adolescents suffering from a wide range of congenital and acquired diseases of the abdomen, chest, head and neck, and endocrine organs. The service has extensive experience in minimal access surgical procedures including the surgical correction of Pectus Excavatum using the Nuss Procedure. 

Interdisciplinary Team:

Each member of the team will help you learn about your condition and care. We want you to have enough information and support to feel comfortable making decisions and taking part in your care. If you have any questions or concerns, please feel free to talk to any member of the team. Depending on your needs, other health care providers and specialists may be involved in your care.

Clinic Doctor/ Nurse Practitioner:

  • Review your health and treatment plant, ask about your symptoms, and examine you

  • Work with you and other team members to decide on a treatment plant that is right for you, and adjust the plan as needed

  • Help you learn about your condition and its treatment

Conditions We Treat:

  • Anorectal Malformations

  • Appendicitis

  • Biliary Atresia

  • Branchial Cleft Remnant

  • Cecostomy Tubes

  • Choledochal Cyst

  • Congenital Diaphragmatic Hernia (CDH)

  • Congenital Lung Malformations

  • Crohn's Disease

  • Dermoid Cyst

  • Esophageal Atresia and Treacheoesophageal Fistula

  • Gallstones (Cholelithiasis)

  • Gastroesophageal Reflux Disease

  • Gastosomy Tubes

  • Gastrochisis

  • Hernias

  • Hirschsprung's Disease

  • Hydrocele

  • Imperforate Anus

  • Inflammatory Bowel Disease

  • Intestinal Malrotation

  • Intussusception

  • Meconium Ileus

  • Necrotizing Enterocolitis

  • Omplalocele

  • Pectus Carinatum

  • Pectus Excavatum

  • Pilonidal Sinus

  • Pyloric Stenosis

  • Short Bowel Syndrome

  • Splenectomy

  • Thyroglossal Duct Cyst

  • Ulcerative Colitis

  • Undescended Testicles

Additional Information:

Appendicitis- Appendectomy:

The appendix is a small, hollow sack that hangs down from the large intestine (bowel). It has no known purpose in the body. If the appendix becomes blocked, it can become inflamed or infected. This is called appendicitis. If the appendicitis is severe, the appendix may burst open (rupture) and cause a serious infection in the abdomen. If your child has appendicitis, he or she may need to have surgery to remove the appendix, called an appendectomy.

Constipation:

Constipation means your child has fewer bowel movements (stools, pooh) than usual. The bowel movements may be hard and dry, and difficult or painful to pass. As the stool builds up, your child may get stomach cramps and pain. Constipation is a common problem that can be treated.

Gastroesophageal Reflux Disease- Fundoplication:

Gatroesophageal reflux disease (GERD) is an abnormal flow of acid from the stomach up into the esophagus which can be painful and can sometimes cause pneumonia. GERD can be treated with medications to help suppress or neutralize the stomach acid. To also help prevent reflux from occurring, a fundoplication  is the surgery sometimes needed to tighten the area where the esophagus and stomach join.

Gastrostomy Tubes:

A gastrostomy is a small opening through the skin and abdomen into the stomach. A gastrostomy tube or G-tube is a thin, flexible tube that is put through this opening. The tube is used to put liquids directly into your child's stomach.

Gastrostomy Tube uses:

  • Liquid food: for nutrition

  • Water: for hydration

  • Medications

There are different kinds of G-tubes. Your child's doctor will chose the tube that best meets your child's needs.

Hernias:

A hernia is a weakness in the muscles of the abdomen. Part of the bowel may push through the weak area, causing a lump under the skin. They can cause pain and discomfort, and may get bigger if they are not repaired. Sometimes the bowel (intestines) can become trapped in a hernia. This may cause the bowel to become blocked and urgent surgery is needed to fix this.

Some common places hernias can occur are:

  • the groin, called an inguinal hernia- the most common type

  • the navel, called an umbilical hernia

  • At the incision of a previous operation, called an incisional hernia

  • the upper thigh, called a femoral hernia- rare

Hirschsprung's Disease:

Hirschprung's Disease is a disease of the large intestine. It can sometimes affect the small intestines as well. It occurs when some of the ganglion cells in the large intestine are missing.

Without these cells, the muscles of the intestine cannot push stool towards the anus, where it should leave the body. As a result, the large intestine fills up with stool and becomes partially or completely blocked (obstructed). The intestine becomes enlarged and may get infected (enterocolitis).

Ingrown Toenails:

An ingrown toenail occurs when the corner or side of the nail grows down into the skin and the flesh of your toe. This causes pain, redness, and swelling. Rough or red skin may grow over the area. An ingrown toenail can also become infected. Ingrown toenails are a common foot problem. Any toenail can become ingrown, but it happens most often to the big toes.

Pilonidal Sinus:

Is an abnormal cavity or collection of hairs under the skin that usually occurs over the tailbone

  • looks like a small pit or dimple on the surface of the skin

  • may be caused by ingrown hairs, or from pressure or friction on the skin

  • can lead to infection: pain, swelling, redness or the surrounding skin, drainage such as pus or blood.

Pyloric Stenosis- Pyloromyotomy:

Pyloric stenosis is narrowing of the lower part of the stomach, called the pylorus. The pylorus connects the stomach with the small bowel (intestine). The pylorus becomes narrow when the muscles around it get thicker. Eventually the pylorus becomes blocked and good cannot leave the stomach. This causes vomiting after feeds. It is usually  seen in babies between 2 and 6 weeks of age, but can occur as late as 4 motnhs of age.

Splenectomy:

Splenectomy is a surgery to remove the spleen. The spleen is an organ of the body. It is found in the upper left corner of the abdomen, under the ribs. The spleen protects the body from infection and acts as a filter for the blood. A splenectomy is usually done if the spleen is bleeding, injured, or affected by disease.

Undescended Testes- Orchidopexy:

Undescended testes is a condition in which the testicle is not in the normal position in the scrotum. During normal development the testicles move from the lower abdomen down into the scrotum. This usually happens before birth, or before age one. The testicles need to be in the scrotum for them to function properly. If one or both of the testicles fail to move down (descend), surgery is done to move the testicle(s) into the scrotum. The surgical procedure is called orchidopexy.

Clinic Location:

The hospital is located at 1200 Main St. W., Hamilton, ON, L8N 3Z5.

2Q clinic, McMaster Children's Hospital

2nd floor, beside the yellow elevators

Hospital Map

What Happens When We Arrive?

When you arrive to the clinic please check in with the Business clerk at the reception desk. The business clerk will let the team know that you have arrived.

Referral Process:

  • Referrals can be faxed directly to the clinic at as noted on the referral form.

  • Urgent Referrals: The clinics are not for emergencies. For urgent referrals please mark as “urgent” on the fax and call the clinic. If your child needs to be seen on an urgent basis, please contact your family doctor or go to your local emergency department.

Clinic Hours:

Monday 9:00 a.m. - 12:00 p.m., 1:00 p.m. - 4:00 p.m.

Tuesday 1:00 p.m. - 4:00 p.m.

Changing Your Appointment:

Please contact us as soon as possible if you need to change or cancel your child’s appointment.

Important:

If the patient is ill with any antibiotic resistant organism, MRSA, a communicable disease (such as chicken pox), or respiratory infection, please notify the clinic prior to your appointment and arrival at the hospital.

What Should You Bring To The Clinic?

  • Your Ontario health card- the Ministry of Health requires us to validate your Health Card at every clinic visit

  • A list of questions and concerns

  • A list of symptoms, new or recurring

  • A pain record

  • A list of current medications and any prescription renewals needed

  • Dates of upcoming tests

  • Any forms you need reviewed or signed

  • You may want to bring a snack or drinks and something to do while waiting.

Our Philosophy:

Our philosophy is family-centered care. We strive to provide the best care possible.

Helpful Links:

APPENDICITIS - Appendectomy

 

CECOSTOMY TUBES

 

CONSTIPATION:

Relieving Your Child's Constipation

Healthy Bowel Movements

Constipation Information

Eating More Fibre

 

GASTROESOPHAGEAL REFLUX DISEASE:

GASTROESPOHAGEAL REFLUX DISEASE – Fundoplication  

 

GASTROSTOMY TUBES:

When Your Child Has a Gastronomy Tube 

Caring For My Child's Gastronomy Tube

 

HERNIAS:

What is a Hernia?

Caring For Your Child After a Hernia Repair

 

HIRSCHSPRUNG’S DISEASE

 

INGROWN TOENAILS

 

MAKING NORMAL SALINE AT HOME

 

PECTUS CARINATUM:

Pectus Carinatum (Document 1). 

 

PECTUS EXCAVATUM

Pectus Excavatum (Documents 1, 2, 3) 

 

PILONIDAL SINUS:

Pilionidal Sinus Surgery

 

PYLORIC STENOSIS – Pyloromyotomy

 

RECTAL IRRIGATIONS

 

 

SPLENECTOMY:

What is a Splenoctomy? 

Living Without A Spleen

 

UNDESCENDED TESTES – Orchidopexy

 

Hamilton Health Sciences • Hamilton, Ontario • 905.521.2100

Disclaimer: Hamilton Health Sciences (HHS) offers Google Translate to better facilitate access for our community. However, HHS makes no claims regarding the accuracy of translations. Any and all health information should be verified by a health care professional.