Pediatric Anorectal Surgery Outpatient Clinic（越秀院区）

Guangdong Provincial Children’s Hospital/Guangdong Provincial Women and Children’s Hospital-Pediatric Anorectal Surgery is the earliest independently established pediatric anorectal surgery specialty in Guangdong Province. The outpatient clinic operates independently, and the inpatient ward has 20 beds, including beds without an accompanying caregiver (for neonates) and beds with an accompanying caregiver. This specialty is a standing committee member institution of the Pediatric Laparoscopy Group of the China Maternal and Child Health Association. The team comprises 1 chief physician, 1 deputy chief physician, 2 attending physicians, and multiple physicians. The professional team has strong technical capabilities and, after years of accumulated experience, can diagnose and treat various pediatric anorectal surgical diseases; diagnosis and treatment have reached a leading level domestically and an advanced level internationally. It mainly admits children with congenital and acquired anorectal diseases (including neonates through children under 18 years of age), receives children with anorectal diseases transferred from primary-level hospitals throughout the province and neighboring provinces, admits more than 1000 patients annually, and performs more than 800 operations annually. Its distinctive services include integrated prenatal assessment and consultation and early postnatal diagnosis and treatment for fetal anorectal diseases, laparoscopic minimally invasive treatment of congenital anorectal diseases, and early postoperative feeding and rapid recovery. It possesses a range of advanced laparoscopic and nursing and resuscitation equipment. It is the Guangdong Provincial project management agency and designated medical institution for the Congenital Structural Malformation Relief Project of the China Birth Defects Intervention and Relief Foundation. It has established close referral and technical-guidance relationships with more than 100 people’s hospitals and maternal and child health hospitals at all levels in Guangdong Province and neighboring provinces, serving primary-level healthcare. This specialty can provide diagnosis and treatment for all pediatric anorectal diseases, including anorectal malformations (anal atresia), megacolon, megacolon-related diseases, sacrococcygeal tumors, perianal abscesses, anal fistulas, abdominal masses, short bowel syndrome, and various intestinal obstructions and malformations. Head of Pediatric Anorectal Surgery Ge Wuping, Director of Pediatric Anorectal Surgery and chief physician in pediatric surgery, has received the titles Yangcheng Good Doctor and Nanyue Good Doctor. He is a standing committee member of the Neonatal Minimally Invasive Group of the China Maternal and Child Health Association and a member of the Minimally Invasive Group of the Pediatric Surgery Branch of the Guangdong Medical Association. He is an expert on the Guangdong Provincial Medical Accident Expert Panel and an editorial board member of the journal International Medicine & Health Herald. He is engaged in prenatal consultation and integrated postnatal treatment of congenital malformations. He specializes in endoscopic minimally invasive surgery for congenital malformations/pediatric surgery (intermediate- and high-type anal atresia, congenital megacolon, duodenal obstruction diseases, intestinal diseases, congenital hypertrophic pyloric stenosis, oblique hernia, etc.). He has long been committed to research on congenital anorectal malformations (anal atresia). He was the first in Guangdong Province to perform; cloaca; surgery and laparoscopic anoplasty. Diseases treated: A. Congenital anorectal malformation (anal atresia), a common birth defect. For; anal atresia with perineal fistula, anal atresia with vestibular fistula; primary anoplasty is performed. For; anal atresia with urethral fistula, cloaca; laparoscopic anoplasty is used. For; anal atresia with rectovaginal fistula; primary laparoscopic anoplasty is used. The wounds are minimally invasive, the prognosis is satisfactory, and the level is leading domestically. In particular, for cloaca with a common channel length greater than 3cm, ;cystoscopy, laparoscopic anoplasty, and en bloc downward mobilization of the urogenital sinus; are used; this is at a leading level domestically and has achieved breakthrough results. B. Congenital megacolon, a common birth defect, is classified as: short-segment type, common type, long-segment type, total-colon type, and total-intestinal type; currently, most types (including the long-segment type) are treated with one-stage laparoscopic resection of megacolon; postoperative hospitalization is short (usually 3-5 days), recovery is rapid, fecal soiling is extremely rare, and the prognosis is satisfactory. For total-colon type and total-intestinal type, staged surgery is used; the prognosis depends on the individual circumstances, and the level is leading domestically. C. Duodenal obstruction, a common birth defect, is classified as: duodenal atresia, annular pancreas, intestinal malrotation, etc.; all are treated with laparoscopic surgery; postoperative hospitalization is short and recovery is rapid (milk feeding is usually started 1-2 days after surgery, and discharge occurs at around one week). D. Small intestinal obstruction, a relatively common birth defect, is classified as: small intestinal atresia, meconium ileus, meconium peritonitis, alimentary tract duplication malformations, etc.; it is usually treated with laparoscopic surgery, postoperative recovery time depends on the specific circumstances, and most have a good prognosis. E. After small-intestinal or colonic enterostomy, a common temporary stoma status, stoma closure can be performed once the primary disease is stable; the original surgical incision is closed with cosmetic sutures, postoperative hospitalization is short (milk feeding is usually started 3-5 days after surgery, and discharge occurs at around one week), and recovery is rapid. F. Abdominal cysts, relatively common birth defects, are classified as: ovarian cysts, mesenteric cysts, lymphangiomas, alimentary tract duplication malformations, and choledochal cysts; they are usually treated with laparoscopic surgery, postoperative recovery is relatively rapid and depends on the specific circumstances, and the prognosis is good. G. Short bowel syndrome, neonatal necrotizing enterocolitis, and necrotizing enterocolitis in infants and young children; conventional surgery is performed, and most have a good prognosis. H. Rectal mucosal prolapse, anal fistula, perianal abscess, etc.; conventional surgery is performed, and the prognosis is good. I. Other conditions: hernia, urachal fistula, omphalointestinal fistula, congenital hypertrophic pyloric stenosis, etc.; conventional surgery is performed, and the prognosis is good. Scan the QR code below---tap Follow---check in with Dr. Ge Wuping---you can contact Ge Wuping, Director of the Anorectal Specialty.