General Surgery Services | Waitematā

North Shore Hospital

Contact Details

Phone (09) 486 8900 for all enquiries

Street Address

Shakespeare Road
Takapuna
Auckland 0620

Postal Address

Health NZ Waitematā
Private Bag 93503
Takapuna
Auckland 0740

Description

What is General Surgery?
The Department of General Surgery at North Shore Hospital deals with a wide range of conditions within the abdomen, breast, neck, and skin, including trauma.
There is no vascular surgery service, and patients from the Waitematā District Health Board (WDHB) area are sent to the vascular service at Auckland City Hospital.
 
While the name would suggest that the focus of general surgery is to perform operations, often this is not the case. Many patients are referred to surgeons with conditions that do not need surgical procedures, but merely require counselling or medical treatment.
 
 
The Team
The leader of the general surgical team is a consultant (specialist) general surgeon. When you are referred to a clinic or admitted to hospital you will be assigned to one specific consultant. However, consultants often work in teams of two or three, and to some extent your care may be shared between these consultants.
 
Other medical members of the team include the registrar(s). These are fully qualified doctors who are now training to become specialists. The house surgeons are more junior doctors who have usually only qualified recently. Often there will also be trainee interns attached to the team. These are final year medical students who have completed all of their examinations and are now spending a year working on the wards prior to becoming registered as doctors. Finally, there may also be fourth and fifth year medical students attached to the team.
 
The medical team is complemented by the nursing staff, and a number of other staff including dietitians, physiotherapists, occupational therapists, pharmacists, speech language therapists, social workers and clerical staff. On the ward there will be a charge nurse responsible for coordinating the care given by the various nursing staff. Many wards run a system where one particular staff nurse is designated as the primary caregiver for a specific patient, but this is not always the case and it is likely that you will come into contact with a number of nurses during your stay. As with the medical staff, there are often nursing students attached to the ward whose work is being supervised by their tutors and the regular nursing staff.

Referral Expectations

Acute Referrals

If you have an urgent problem requiring immediate surgical assessment you are referred acutely to the General Surgical Department at North Shore Hospital where you will initially be seen by the junior medical staff who will decide whether you need to be admitted to hospital. Investigations will be performed as required, and the more senior members of the team involved where necessary.

Elective Referrals

If the problem is not urgent, the GP will write a letter to the Department requesting an appointment in the outpatient clinic. One of the consultant surgeons working in the Department reviews these letters to determine who should be seen first, based on the information provided by the GP. Very urgent cases are usually seen within a couple of weeks, but other cases may have to wait a much longer time. Outpatient clinics are run at both North Shore and Waitakere Hospitals.

When you come to your clinic appointment please bring any relevant x-rays, scans, or results with you. Your surgeon will ask questions about your illness and examine you to try to determine or confirm the diagnosis. This process may also require a number of tests (e.g., blood tests, x-rays, scans etc). Sometimes this can all be done during one visit, but for some conditions this will take several follow-up appointments. Occasionally some tests are arranged even before your appointment to try to speed up the process.

Once a diagnosis has been made, your surgeon will discuss treatment with you. In some instances, this will mean surgery, while other cases can be managed with medication and advice. If surgery is advised, the steps involved in the surgical process and the likely outcome are usually discussed with you at this time.

If surgery is advised, you will be placed on the elective surgery waiting list. Most major surgery is performed at North Shore Hospital, but other operations may be performed at Tōtara Haumaru, and some minor surgery can be performed at Waitakere Hospital. The waiting lists are ordered according to the urgency and severity of the condition.

You may be required to attend a preadmission clinic before your surgery. The aim of this clinic is to confirm that you are fit and well enough to undergo the surgery. The process involves junior medical staff working in consultation with anaesthetists, pharmacists, physiotherapists etc.

Common Conditions / Procedures / Treatments

Surgery for obesity (bariatric surgery)
Skin disorders
Endocrine disorders
Gastrointestinal disorders managed by general surgery
Salivary gland disorders
Gallstones
Hernias - including patient information video
Vascular disorders treated by General Surgery
Mammography
Ultrasound
Fine needle aspiration
Breast biopsy
Breast cancer surgery (mastectomy)
Breast reconstruction

Other

  • Operations Manager General Surgery: Ben Moors
  • Personal Assistant Operations Mananger and Clinical Director: Amy Power
  • Charge Nurse SASSU: Gary Swift
  • Charge Nurse Ward 4: Nicole Badenhorst
  • Charge Nurse Toru Ward: Frances Scheirlinck
  • Colorectal Nurse Specialist:  Karen Pollock, Rachel Mousely, Teresa Wingate
  • Ostomy Nurse Specialist: Angela Makwana
  • ERAS: Teresa Wingate
  • Breast Nurse Specialists: Anne Norris, Christina Taylor, Catriona Farac, Angela Gaze, Jane Dewse
  • Bariatric Nurse Specialist: Alice Chen
  • Upper GI Nurse Specialist: Megan Pimm, Leonice Bandigan
  • Melanoma Nurse Specialist: Helen Kinchley
  • Nurse Facilitator Discharges: Annette Lovelock
  • Quality and Improvement Nurse Specialist: Alison Sherlock

https://www.healthpoint.co.nz/public/general-surgery/general-surgery-services-waitemata/