- General Surgery -

General Surgery is a broad ranging specialty that incorporates a number of complex subspecialty surgical disciplines, including the management of breast and bowel cancer, vascular disease, and liver and gall bladder problems.

The Medical Specialist Group has four General Surgeons each of whom has special skills, training and experience in a particular sub-specialty over and above their general training. All are skilled in modern non-invasive Laparoscopic surgical techniques and have well established mainland links that include clinic and operating sessions in major UK Teaching Hospitals.

The General Surgeons provide a 24 hour on-call emergency service for the Hospital on a rotating basis and also provide specialist back-up for each other according to their subspecialty interests.

Personnel:
Consultants Subspecialty Interest
Mr S. Kairsingh MBBS FRCSEd-Gen.Surg. Vascular & Breast
Mr M. Van den Bossche MD, FRCS, FICS Laparoscopic Surgery
Personal Assistants
Ms Chrissy Jehan (PA to Mr Kairsingh)
Mrs Tammy Falla (PA)
Mrs Fiona Ozanne and Ms Jan Yabsley (PAs)
Mrs Glenys Domaille (PA to Mr Van den Bossche)

Out-Patient Care

Non-emergency patients requiring the attention of a General Surgeon are referred by their General Practitioners to clinics at Alexandra House.

Whilst many patients will have been referred to a particular Consultant, the increasingly sub-specialist nature of the discipline means that it is often more appropriate for a patient to see a Consultant with a particular interest in their type of medical problem. As such, inter-departmental referrals of patients within the Department occur frequently.

Specialist Clinics and Investigations

a) Breast Clinic

Mr Kairsingh and the locum Breast Surgeon conduct regular Multidisciplinary Breast Clinics at the Princess Elizabeth Hospital and these provide rapid access to specialist assessment, advice and treatment as per UK guidelines. The Guernsey Breast Screening Service and Clinics are highly regarded both locally and in the UK.

b) Endoscopies

Mr Van den Bossche has dedicated Endoscopy sessions at the PEH and many patients will be referred directly to these procedural clinics by their General Practitioners. Procedures performed include diagnostic oesophago-gastroscopy, flexible sigmoidoscopy and colonoscopy.

c) Minor Surgery

All of the General Surgeons accept referrals for minor surgery ie. superficial lumps and bumps, and these lesions are usually removed under local anaesthetic through the Day Procedures Unit at the Princess Elizabeth Hospital.

Inpatient Care and Emergencies

The General Surgeons provide emergency surgical cover for the Hospital and General Practitioners 24 hours a day on a rotating on-call basis.

In-patients are usually cared for on Ozanne Ward at the PEH and in-patient care is shared between the Consultants. This ensures that each Consultant knows every general surgical patient in the hospital. In addition to the regular morning ward rounds by the Consultant on-call, immediate post-operative surgical patients will usually been seen on the day following their surgery by the Consultant who performed their operation. There is also a weekly Grand Round attended by all of the Consultants.

Services for Private Patients:

All of the above services are provided for both Contract and Private Patients.

In addition, patients referred Privately will be:

A) seen out of normal clinic hours, as "add-ons" both before and after normal Clinic Sessions;
B) seen by the Consultant of their (or their GP's) choice;
B) cared for Privately as In-patients on Victoria Ward.