Tung Wah Hospital

Contact Information
Address: 12 Po Yan Street, Sheung Wan,
Hong Kong SAR, China
Telephone: (852) 2589 8328
Fax: (852) 2548 1548
Staff
Name Qualifications Position
Dr. Kin-Yuen WONG MBBS, FRCSEd(Gen), FCSHK, FHKAM(Surgery) Chief of Service & Consultant
Dr. Joseph Hon-Ping CHUNG MBBS, FRCS(Edin), FCSHK, FHKAM(Surgery) Consultant
Dr. Hok-Kwok CHOI MBBS(HK), FRCSEd(Gen),FCSHK,FHKAM(Surgery) Associate Consultant (CRS)
Dr. Terence Chun-Ting LAI MBBS(HK), FRCSEd(Urol), FCSHK(Urol), FHKAM(Surgery) Associate Consultant (URO)
Dr. Tsz-Ting LAW MBBS(HK), FCSHK, FRCSEd(GEN), FHKAM(Surgery) Associate Consultant (EGI & GEN)
Dr. Lily NG MBBS, FRCSEd, FCSHK, FHKAM(Surgery) Associate Consultant (GEN)
Dr. Sherby Suet-Ying PANG MBBS(HK), FCSHK(Plastic Surgery), FHKAM(Plastic Surgery) Associate Consultant (PRS)
Dr. Julian TSANG MB BCh BAO(NUI), LRCP&S(Ireland), MD(NUI), LMCHK, FCSHK, FRCSEd, FHKAM(Surgery) Associate Consultant (CRS)
Scope and Service

The Department of Surgery of Tung Wah Hospital provides both acute and extended medical care to surgical patients. A total of 170 in-patient beds are available for surgical patients with an annual hospital admission of 11,000 patients. It is also a teaching unit affiliated to Queen Mary Hospital and Department of Surgery, the University of Hong Kong.

There are altogether four clinical wards, five operating theatres and five day centers. The day centers include the Day Surgery Centre, the Geriatrics Urology Centre, the Breast Centre, the ENT Day Centre and the newly established Sleep and Breathing Centre. The theatre service on the 2nd and 10th floor, Centenary Building provides comprehensive operating services for a wide variety of surgery, including Hepatobiliary, Breast, Hernia, Proctology, Colorectal Surgery, Thyroid Surgery, Minimal Invasive Surgery, Plastic and Reconstructive Surgery, Urology and ENT Surgery. Over 5,000 operations, including 1,500 major operations are performed in these theatres annually. The abundance of clinical material of a general nature also makes our department renowned as an excellent teaching unit for medical students and surgical trainees. The 4-bed Special Care Unit on the 7th floor of Centenary Building provides intensive care for patients who are critically ill and those who need intensive monitoring after major operations.

We also run a share care program - Direct Access Day Surgery Scheme, to cater for patients with minor surgical problems and patients with per rectal bleeding problem. These patients are referred from primary care sector and will be discharged back to their referring doctors after their surgical problems are being investigated or settled.

We also established the first Surgical Palliative Care Service in Hong Kong. The service is to provide comprehensive physical and psychosocial care for patients with terminal cancers and to provide supportive and bereavement care for their family members. Recently, this service also works hand-in-hand with the Traditional Chinese Medicine Unit of Tung Wah Hospital.

In line with the mission of Hospital Authority, the Department of Surgery of TWH endeavours to provide quality patient-centered care and strive to achieve the spirit and tradition of Tung Wah Group of Hospitals as follows,

    "To heal the sick and to relieve the distressed,
    to care for the elderly and to rehabilitate the disabled."


    The Department is organized into the following divisions:

    • Breast Surgery
    • Colorectal Surgery
    • Endocrine Surgery
    • ENT
    • Esophageal and Upper Gastrointestinal Surgery
    • General Surgery
    • Head & Neck Surgery (Include HNE)
    • Hepatobiliary & Pancreatic Surgery
    • Neurosurgery
    • Plastic Surgery
    • Urology
    • Vascular Surgery

Scope of services
  • Acute / ambulatory Care Service
    • Li Shiu Chung Memorial Day Surgery Centre
    • Boondy K B Pong Ambulatory Diagnostic Centre
    • Geriatric Urology Centre
    • Hung Chao Hong Integrated Centre for Breast Diseases
  • Extended Care Service
    • Incontinence Care Team
    • Surgical Palliative Care Team
    • Wound and Stoma Care Team
    • Specialist Outpatient Service
  • Constipation
    • ENT
    • General Surgery
    • Hernia
    • Plastic
    • Urology
Acute / ambulatory Care Service:

It includes specialist inpatients and day patients services, minor and major operative procedures, and endoscopy services. A wide range of operations (Table 1) and specialist outpatient services (Table 2) are provided in Tung Wah Hospital.

 
Theatre Time Monday Tuesday Wednesday Thursday Friday
OT I 9:00 - 13:00 CRS HBP URO CRS <Wk 1> *
/GEN (KY Wong) <Wk 2 - 5>
URO
13:00 - 17:00 CRS HBP BR ENT <Wk 1> URO
OT II 9:00 - 13:00 ENT GEN <WK 1, 3 - 5>
EGI <WK 2>*
BR ENT URO
13:00 - 17:00 ENT GEN <WK 1, 3 - 5>
EGI <WK 2>*
VAS <To follow GEN/EGI>
BR ENT URO
OT III 9:00 - 13:00 ECS BR HNP VAS (CC Wong) <Wk 1>*
/GEN (CRS) <Wk 2,3,(4)>*
/EGI <Last Wk (4 or 5)>**
ECS
13:00 - 17:00 ECS <Wk 1, 2, 4, 5>*
/PRS <Wk 3>*
BR HNP VAS (CC Wong) <Wk 1>*
/ ENT <Wk 2, 3, (4)>
/ EGI <Last Wk (4 or 5)> **
ECS

Table 1 - C2 OT sessions

Remarks:
* If the < week specific > list falls on a public holiday, the list will be cancelled.
** The last week of the month (4 or 5) will be assigned to EGI. If the specific last week falls on public holiday, the list will be cancelled.

Extended Care Service:

The Department forms a network with the Department of Surgery of Queen Mary Hospital and surgical patients are transferred from Queen Mary Hospital for operation, convalescence and rehabilitation.

To achieve high-quality care, 3 special care teams are set up and headed by specialist surgeons and nurses to provide up-to-date patient management. These include the Incontinence Care Team, Surgical Palliative Care Team, and Wound and Stoma Care Team.

Specialist Outpatient Service:

In connection with specialist outpatient service in Queen Mary Hospital, the department also provides outpatient clinics as listed in Table 2.

Time Monday Tuesday Wednesday Thursday Friday
09:00 - 13:00

General Surgery

ENT
Constipation ENT ENT ENT
14:00 - 17:00 ENT ENT

General Surgery

ENT

Urology

Plastic

Hernia

ENT

Table 2 - Outpatient clinic schedule

Service and Centres of Excellence
Li Shiu Chung Memorial Day Surgery Centre
Contact Information
Location: 10/F, Centenary Building, Tung Wah Hospital
Telephone: (852) 2559 9399
Fax: (852) 2546 0397

Day Surgery Service commenced in 1995 and is currently the only major day surgery service in Hong Kong Island West Cluster. Operations range from minor excision of benign skin lesions, to more advanced day laparoscopic cholecystectomy, laparoscopic / open hernia repair, stapled haemorrhoidectomy and various endo-urology procedures.

Telephone service as a major workload of Day Surgery Centre

Telephone service as a major workload of Day Surgery Centre

A comfortable waiting area of Day Surgery Centre

A comfortable waiting area of Day Surgery Centre

Scope of services
  • Pre-anaesthesia Assessment Clinic
  • Telephone pre-anaesthesia assessment
  • Perioperative care and recovery
  • Telephone follow-up service
  • 24-hour telephone helpline service

Since its establishment in 1995, the Centre has treated over 20,000 patients. Total 545 and 2,736 operations are performed under GA/SA/IVS and under LA respectively in 2006. Annual patient surveys all showed patient satisfaction rates of over 90%.

Types of operations performed under general or regional anaesthesia include:

  • Open and laparoscopic hernia repair
  • Excision of breast lumps
  • Endo-urology procedures for stones and transurethral prostate operations
  • Circumcision
  • Excision of larger / deep cutaneous lesions and other plastic operations
  • Perianal operations and haemorrhoidectomy
  • Scrotal operations for varicocoeles, hydrocoeles and testicular biopsy
  • Diagnostic / therapeutic procedures for male infertility patients
  • Laparoscopic cholecystectomy
  • Trendelenburg operation of varicose veins

The centre also provides a Direct Access One-stop Day Surgery service. This is a share care program between linked primary care family physicians and hospital surgeons in the management of common, minor surgical problems in selected patients. The program consists of 2 major services:

  1. Direct Access Day Surgery (DADS) – to tackle common problems such as simple excision of benign skin lesions, ingrown toenail excision, circumcision, and inguinal hernia repair.
  2. Direct Access Per Rectal Bleeding Clinic (DAPRB) – to treat haemorrhoids by banding or sclerotherapy and to exclude malignancy by flexible sigmoidoscopy.

Ear, Nose and Throat Centre (ENT Centre)
Contact Information
Location: 4/F, Li Shiu Chung Memorial Building, Tung Wah Hospital
Telephone: (852) 2589 8301
Fax: (852) 2549 2334

The dedication of the ENT Centre is to provide specialist care for the diagnosis, evaluation and treatment of common as well as highly complicated ENT disorders in our patients. The ENT Centre maintains a state of art standard of care for the patients with diseases of the ear, nose and throat and patients with head and neck cancers.

The ENT team comprises of experienced ENT specialist, ENT nurses and professional paramedical staff. Our audiologists are particularly experienced in the assessment and management of hearing problems and balance and inner ear disorders.

Reception counter of ENT Centre

Reception counter of ENT Centre

Reception counter of ENT Centre

A spacious waiting area of ENT Centre

Scope of services
  • General ENT Clinic
  • Sleep Disordered Breathing Clinic
  • Laryngology Clinic
  • Rhinitis / ENT Allergy Clinic
  • Radiofrequency Surgery Session
  • Anaesthetic Assessment Session
  • Minor operation Session
  • Audiological Assessment Service
  • Hearing Aid Prescription and Fitting
  • Otologic Implants – Cochlear and BAHA implants
  • Vestibular Assessment Service
  • Dizziness Balance Rehabilitation Exercise
  • Nursing Clinics –
    • Triage Service
    • Day Care Service
  • Educational Activities –
    • ENT Resource Centre
    • Certificate Course in Ear Nose and Throat Diseases for Nurses
    • ENT course for Family Medicine Trainees
    • Teaching in ENT for medical students from HKU
    • General public ENT series
    • Basic ENT Course for Health Care Workers
  • Collaboration with Traditional Chinese Medicine for treatment in ENT disease (planning)

Geriatiric Urology Centre
Contact Information
Location: 5/F, Centenary Building, Tung Wah Hospital
Telephone: (852) 2589 8131
Fax: (852) 2547 5009

The Centre started in 2001 and provides a one-stop urology service with minimally invasive procedures, chiefly for the geriatric patients. It aims to minimize the traveling and waiting time for diagnosis and treatment of common urological diseases in the elderly. The number of in-patient bed stays will be saved from the use of minimally invasive therapy.

Over the years, an average of 1000 admissions annually have attended the Centre for management of various urinary dysfunctions.

Scope of services
  • Non-muscle invasive Bladder Cancer
    • Surveillance cystoscopy
    • Intravesical Therapy
  • Diagnostic Procedures for Prostate Cancer
    • Transrectal ultrasound-guided prostate biopsy
    • PSA Clinic
  • Continence Diagnostic Procedures:
    • Urodynamic study
    • Uroflowmetry and post-void residue urine volume
  • Continence Clinic / Services
    • Education on:
      • Bladder training
      • Pelvic floor muscle exercise
      • Clean intermittent self catheterization (CISC)
    • Extracorporeal magnetic Intervention (EXMI)
    • Change of suprapubic catheter
  • Telephone Follow up

Hung Chao Hong Integrated Centre for Breast Diseases
Contact Information
Location: 5/F, Centenary Building, Tung Wah Hospital
Telephone: (852) 2589 8141
Fax: (852) 2547 5009

The Breast Centre Service in Tung Wah Hospital commenced in March 2001 and provides quality patient-centred care, with emphasis on advanced, relevant knowledge as well as skill breast services.

It centralizes and facilitates the deliver of breast services and to deliver holistic care in breast disease through education, counselling, prevention, as well as rehabilitation.

Scope of services
  • Chemotherapy for Carcinoma of Breast
  • Patient Breast Research Treatment
  • Clinic Patient Seminar
  • Prosthesis Fitting
  • Genetic Counselling and Information
  • Telephone follow-up
Incontinence Team

The incontinence team, headed by urologists and nurse specialists, provides assessment and education of patients with incontinence problem. The program encourages self care of patients and enhances early discharge of patients with continued outpatient management.

Wound Care Team

The Wound Care Team is leaded by Plastic Surgeon and wound care nurse specialist to provide wound prevention program, conservative and surgical treatment of chronic wound using up-to-date technologies and skills. An annual Comprehensive Wound Care Nursing Course is also held to develop and enhance nursing competence in the knowledge and practice on prevention of pressure ulcer and common wound care management.

The Surgical Palliative Care Team

The Surgical Palliative Care Team in TWH was established in 1999. The palliative care team comprises of surgeons, nurses, clinical psychologists, occupational therapists and medical social workers. The aim is to provide a familiar, home-feel environment for the care of surgically incurable diseases. Both patients and their families find it a relief to be in TWH rather than being sent to a new and unfamiliar hospice hospital. The centre also provides aromatherapy, massage therapy, music therapy and bereavement care.

Meeting of multi-disciplinary team members

Meeting of multi-disciplinary team members

A home-feel environment for family gathering

A home-feel environment for family gathering


TWGHs Sophia Wang Integrated Chinese & Western Medicine Treatment Centre
Contact Information
Location: 4/F, Centenary Building, Tung Wah Hospital
Telephone: (852) 2589 8240
Fax: (852) 2548 6495

In view of increasing demand of Traditional Chinese Medicine (TCM) as a complementary medicine for patients with advanced malignancy, the TWGH Sophia Wang Integrated Chinese and Western Treatment Centre was set up in March 2006. This forms part of the palliative program. This pioneer service allows TCM Practitioners to conduct consultations and ward rounds in the centre. Both Chinese and Western doctors will work together to provide the best treatment as needed. The arrangement facilitates the prescription of herbal medicine which is as tightly regulated as that in Western medicine, with any adverse side-effects properly documented. The Centre will also provide training of TCM practitioners and involved in research on integration of Chinese and Western medicine.


The newly opened Integrated Chinese and Western Medicine Treatment Centre

The newly opened Integrated Chinese and Western Medicine Treatment Centre

Joint consultation of CM & WM doctors in the care of liver cancer patient.

Joint consultation of CM & WM doctors in the care of liver cancer patient.


Continuous Nursing Education Centre

Over the years, TWH have organized several successful courses for nurses. With the active participation of the medical and nursing staff in TWH and QMH, we have organized the 12th ENT nurse course, the 4th Advanced Urology Nurse Course and the 3rd Comprehensive Wound Care Course in 2006. Apart from local participants, other attendees include those from the private sectors, Macau and mainland hospitals. The responses from the participants have been most encouraging. Through these courses, we hope to introduce our service to our counterparts and raise the standard of nursing care in Hong Kong. This will also benefit the specialization of our nursing staff and ultimately the standard of nursing care in the hospital. We are working along the line of Continuous Education Centre for the nursing staff.


Current Research Areas
  • Ambulatory Surgery
  • Minimal invasive surgery
  • Hernia surgery
  • Integration of Chinese and Western Medicine