General Surgery
CONTENT UNDER REVIEW
Who we are:
Emergency General Surgical and trauma services are provided at Ninewells Hospital, Dundee. Outpatient and elective services at Ninewells Hospital, Perth Royal Infirmary and Stracathro Hospital (Angus).
Emergency/Same-day Assessment
Refer through the on-call bleep holder for the Acute Surgical Receiving Unit, Ninewells hospital (based on Ward 7). They can facilitate admission, review in a hot clinic or urgent outpatient assessment. Children under 16 should be referred to paediatrics in the first instance.
General Surgery: Abdominal pain, lower GI bleeding, breast abscess, skin abscess torso or buttocks (if on limb orthopaedics)
Medics: Haematemesis/upper GI bleeding, painless jaundice.
General Surgery: Abdominal pain, lower GI bleeding, breast abscess, skin abscess torso or buttocks (if on limb orthopaedics)
Medics: Haematemesis/upper GI bleeding, painless jaundice.
Advice
For URGENT advice please contact the Surgical on-call team via the on-call registrar at Ninewells hospital (01382 660111 bleep 5000). Non-urgent advice can be requested via SCI Gateway (General Surgical - advice). We prefer no general e-mail advice unless in regard to a specific patient already within the system.
Outpatient Referrals
Self-referrals or e-mail referrals are not accepted.
Routine/Urgent outpatient categories via SCI Gateway 'General Surgical' Choose between 'Lower GI Surgery', 'Breast Surgery' or 'Hernia' categories.
Lower GI Surgery
URGENT SUSPECTED CANCER: Refer rectal bleeding, weight loss and change of bowel habit to the colorectal service via the colorectal pathway. Refer rectal or abdominal mass direct to General Surgery.
Routine: Haemorrhoids requiring treatment, fissures, fistulas, pilonidal sinus, pelvic floor dysfunction (faecal incontinence, obstructive defaecation), diverticular disease - consideration for surgery, inflammatory bowel disease - consideration for surgery.
Upper GI and hepatobiliary
URGENT SUSPECTED CANCER: Dysphagia, haematemesis, suspected upper GI malignancy should be referred directly to endoscopy. Pancreatic mass or cancer seen on imaging, refer direct to General Surgery.
Routine Referrals: Gallstones for consideration of surgery, gallstone polyps for consideration of surgery, specialist liver or pancreas problems for consideration of surgery (consider gastroenterology referral if more appropriate in the first instance), reflux disease for consideration for surgery, discussion of bariatric surgery.
Hernias
Suspected strangulation or incarceration of hernia should be discussed with on-call registrar at Ninewells (01382 660111 bleep 5000)
Routine referrals: symptomatic inguinal hernia, femoral hernia, incisional hernia, ventral hernia.
Breast Surgery
Emergency breast issues requiring admission are dealt with by General Surgical on-call team at Ninewells. For breast referral guidance see dedicated section of this site.
Routine/Urgent outpatient categories via SCI Gateway 'General Surgical' Choose between 'Lower GI Surgery', 'Breast Surgery' or 'Hernia' categories.
Lower GI Surgery
URGENT SUSPECTED CANCER: Refer rectal bleeding, weight loss and change of bowel habit to the colorectal service via the colorectal pathway. Refer rectal or abdominal mass direct to General Surgery.
Routine: Haemorrhoids requiring treatment, fissures, fistulas, pilonidal sinus, pelvic floor dysfunction (faecal incontinence, obstructive defaecation), diverticular disease - consideration for surgery, inflammatory bowel disease - consideration for surgery.
Upper GI and hepatobiliary
URGENT SUSPECTED CANCER: Dysphagia, haematemesis, suspected upper GI malignancy should be referred directly to endoscopy. Pancreatic mass or cancer seen on imaging, refer direct to General Surgery.
Routine Referrals: Gallstones for consideration of surgery, gallstone polyps for consideration of surgery, specialist liver or pancreas problems for consideration of surgery (consider gastroenterology referral if more appropriate in the first instance), reflux disease for consideration for surgery, discussion of bariatric surgery.
Hernias
Suspected strangulation or incarceration of hernia should be discussed with on-call registrar at Ninewells (01382 660111 bleep 5000)
Routine referrals: symptomatic inguinal hernia, femoral hernia, incisional hernia, ventral hernia.
Breast Surgery
Emergency breast issues requiring admission are dealt with by General Surgical on-call team at Ninewells. For breast referral guidance see dedicated section of this site.