Quaternary Care at UMSC

Having opened its doors since 1998, UMSC has solidified its position as the nation’s leading quaternary care centre, providing comprehensive range of state-of-the-art treatments i.e. precise surgeries using computer-aided intraoperative navigation technologies, organ transplants, stereotactic radiosurgeries and highly specialised procedures such as complex endovascular, endoscopic and cardiac interventions, precision oncology and others.

UMSC has been the preferred referral centre of secondary and tertiary hospitals locally and abroad for patients requiring complex management. This is attributed to the innovative and evidence based treatment modalities made available, and our globally renowned expertise of over 270 consultants who work cohesively in multidisciplinary teams.

This collaborative approach ensures comprehensive, patient-centric care, addressing event the most complex medical conditions through seamless coordination across the wide array of medical disciplines.

Arthroplasty
  • Robotic Hip and Knee Replacements

Breast Health
  • Evidence-Based Minimally Invasive and Oncoplastic Breast Surgeries with Multidisciplinary Approach

Cardiology
  • Complex Coronary Interventions:
    a) Chronic Total Occlusions (CTO), Trifurcation/ Bifurcation Lesions
    b) Atherectomies, Intravascular Lithotripsy (IVL)
    c) IVUS and OCT Guidance

  • Extracorporeal Shockwave Myocardial Revascularisation (ESMR) Therapy

  • Electrophysiology services:
    a) Ablation for Treatment of Dysrhythmias
    b) Implantation of Pacemakers; Conduction System and Dual/Single Chamber
    c) Implantable Cardiac Defibrillator (ICD)

  • Implantation of Left Atrial Appendage (LAA) Occluder Device

  • Cardiac Resynchronisation Therapy Device (CRTD)

  • Transcatheter Aortic Valve Replacement (TAVR)

  • Renal Denervation Therapy

Cardiovascular & Thoracic Surgery
  • Cardiac Surgeries:
    a) Complex Aortic Surgeries; Aortic Root, Ascending Aorta and Arch (Frozen Elephant Trunk)
    b) Endovascular Aortic Aneurysm Surgery (TEVAR)
    c) Valvular Surgeries; Repairs and Replacement of Mitral, Aortic, Tricuspid and Pulmonary Valves
    d) Transcatheter Aortic Valve Implantation (TAVI)
    e) Complex Coronary Artery Bypass Grafting (CABG); with Multiple Comorbidities and Re-D CABGs
    f) Arrhythmias surgeries i.e. MAZE Procedure

  • Thoracic Surgeries:
    a) Uniportal Video Assisted Thoracoscopic Surgeries (VATS) for Lung Tumours i.e. Lobectomies, Segmentectomies, Wedge Resection, Sleeve Resection and Pulmonectomies
    b) Uniportal VATS for Mediastinal Tumours, Thymectomies
    c) Uniportal VATS for Bullectomies, Pleurectomies, Sympathectomies (Hyperhidrosis), Pleural or Lung Biopsies, Emphysema Surgery and Infective Lung Cases
    d) Tracheal Surgeries (+/- Tracheal Stenting)
    e) Mesothelioma Surgeries
    f) Diaphragmatic Surgeries; Paralysis, Eventration and Resection of Tumours

Endocrinology
  • Advanced Management of Diabetes Mellitus, Osteoporosis and Metabolic Bone Disease

  • Management of Pituitary Tumours

Gastroenterology & Hepatology
  • Endoscopic Resection of Early Gastric and Colon Cancer:
    a) Endoscopic Mucosal Resection (EMR)
    b) Submucosal Tunnelling Endoscopic Resection (STER)
    c) Endoscopic Submucosal Dissection (ESD)

  • Complex Biliary Interventions i.e. Spyglass Cholangioscopy, Biliary Stenting etc.

  • Peroral Endoscopic Myotomy (POEM)

  • Endoscopic Ultrasound (EUS) Guided Procedures:
    a) Hepaticogastrostomy (EUS-HGS)
    b) Gastro-Enterostomies
    c) Coiling Embolisation of Gastric Varices
    d) Portal Pressure Measurement.
    e) Drainage of Pancreatic Fluid Collection (PFC)
    f) Gallbladder Drainage
    g) Biliary Drainage
    h) Choledocho-duodenostomy (CDS)
    i) Anterograde Biliary Stenting
    j) Rendezvous Procedure

Interventional Radiology
  • Endovascular Coiling/ Stenting of Intracerebral Aneurysms or Arteriovenous Malformations (AVM)

  • Angioplasty/ Stenting of Arterial Stenosis (Carotid/ Peripheral Vessels)

  • Endovascular Aneurysm Repair (EVAR) of Abdominal Aortic Aneurysm

  • Inferior Aena Cava (IVC) Filter Placements and Retrieval

  • Endovascular Embolisation for Various Indications

  • Nephrostomy

  • Trans-Arterial Chemoembolisation (TACE) of Tumours

  • Trans-Jugular Intrahepatic Portosystemic Shunt (TIPS)

  • Venous Thrombolysis, Thrombectomy and Recanalistion

  • Venous Access Ports

Nephrology
  • Kidney Transplantation

  • Interventional Nephrology; Management of Complex Vascular Access

  • Management of Complex Kidney Diseases (Autoimmune Nephritides)

  • Management of Kidney Diseases in Pregnancy

  • Plasmapheresis Services

Obstetrics & Gynaecology (O&G)
  • High Risk Pregnancy Management

  • Reproductive Medicine:
    a) Fertility Assessment
    b) IVF and Assisted Reproductive Techniques

  • Maternal Fetal Medicine

  • Gynae-Oncology; Detection of Pre-Invasive Cancers

Oncology
  • Advanced Systemic Anti-Cancer Treatment i.e. Chemotherapy and Targeted Therapy (Hormonal/ Immunotherapy)

  • Intensity Modulated Radiation Therapy (IMRT)

  • Selective Internal Radiation Therapy (SIRT)

  • Stereotactic Body Radiotherapy (SBRT)

  • Stereotactic Radiosurgery (SRS)

  • Intraoperative Radiotherapy

Ophthalmology
  • Retro-vitreal Surgery

  • Oculoplastic, Lacrimal, Orbital and Reconstructive Surgery

  • Treatment of Glaucoma

  • Complex Hypertensive and Proliferative Diabetic Retinopathy

  • Immune and Thyroid Related Eye Disorders

  • Inflammatory and Infective Ocular Conditions

  • Paediatric Ophthalmology

  • Intraoperative Radiotherapy

Otorhinolaryngology (ENT), Head & Neck Surgery
  • Anterior Skull Base Surgery

  • Neuro-Otology

Paediatric Genetics
  • Genetic Assay Profiling and Translation to Clinical Management

  • Advanced Paediatric Endocrine Tests; Initiation of Insulin Pumps and Continuous Glucose Monitoring (CGMS)

Reconstructive Plastic Surgeries
  • Paediatric Plastic Surgery

    • Congenital Deformity Repair:
      a) Cleft Lip and Cleft Palate
      b) Craniofacial Deformity (Multidisciplinary)
      c) Soft Tissue Tumour
      d) Hypospadias Repair
      e) Ear Deformity (i.e. microtia)
    • Acquired/Trauma Associated Deformity Repair
  • Reconstructive Plastic Surgeries
    Multidisciplinary Team Approach with Other Specialties:

    • Head and Neck Oncoplastic; Tongue and Floor of Mouth; Maxilla; Mandibular; Facial Soft Tissue; Periorbital Tumour and Oculoplastic; Calvarial and Scalp; Upper Oesophageal and Pharynx Reconstruction
    • Thorax and Chest Wall (MDT with Cardiothoracic Surgeon); Tumour of the Chest Wall and Congenital Chest Wall Defect
    • Breast Oncoplasty and Reconstruction
    • Abdominal Wall; Large Hernias and Anterior Abdominal Wall Reconstruction
    • Genitourinary (MDT with Urologist, O & G and Colorectal Surgeon) i.e. Penoplasty, Urethra Reconstruction, Vaginal Reconstruction Following Tumour Resection, Rectovaginal and Cystovaginal Fistula Repair etc.
    • Limbs (MDT Mainly with Orthopaedic Surgeon) i.e. Soft Tissue Cover for Orthotrauma, Musculoskeletal Reconstruction
  • Hand and Microsurgery

  • Aesthetic Surgeries

Rehabilitation Medicine
  • The Utility of Robotics in Rehabilitations

Spine Surgery
  • Minimally Invasive Surgical Treatment of Scoliosis and Other Spinal Deformities

Urology
  • Percutaneous Nephrolithotomy (PCNL)

  • Kidney Transplant

  • Ureteric Stenting

Neurosurgery
  • Deep Brain Stimulation (DBS) for Parkinson’s Disease

  • Stereotactic Radiosurgeries (SRS) for Brain Tumours

*These procedures are commonly performed but not limited to the ones listed above.

Quaternary Care at UMSC

Having opened its doors since 1998, UMSC has solidified its position as the nation’s leading quaternary care centre, providing comprehensive range of state-of-the-art treatments i.e. precise surgeries using computer-aided intraoperative navigation technologies, organ transplants, stereotactic radiosurgeries and highly specialised procedures such as complex endovascular, endoscopic and cardiac interventions, precision oncology and others.

UMSC has been the preferred referral centre of secondary and tertiary hospitals locally and abroad for patients requiring complex management. This is attributed to the innovative and evidence based treatment modalities made available, and our globally renowned expertise of over 270 consultants who work cohesively in multidisciplinary teams.

This collaborative approach ensures comprehensive, patient-centric care, addressing event the most complex medical conditions through seamless coordination across the wide array of medical disciplines.

Arthroplasty
  • Robotic Hip and Knee Replacements

Breast Health
  • Evidence-Based Minimally Invasive and Oncoplastic Breast Surgeries with Multidisciplinary Approach

Cardiology
  • Complex Coronary Interventions:
    a) Chronic Total Occlusions (CTO), Trifurcation/ Bifurcation Lesions
    b) Atherectomies, Intravascular Lithotripsy (IVL)
    c) IVUS and OCT Guidance

  • Extracorporeal Shockwave Myocardial Revascularisation (ESMR) Therapy

  • Electrophysiology services:
    a) Ablation for Treatment of Dysrhythmias
    b) Implantation of Pacemakers; Conduction System and Dual/Single Chamber
    c) Implantable Cardiac Defibrillator (ICD)

  • Implantation of Left Atrial Appendage (LAA) Occluder Device

  • Cardiac Resynchronisation Therapy Device (CRTD)

  • Transcatheter Aortic Valve Replacement (TAVR)

  • Renal Denervation Therapy

Cardiovascular & Thoracic Surgery
  • Cardiac Surgeries:
    a) Complex Aortic Surgeries; Aortic Root, Ascending Aorta and Arch (Frozen Elephant Trunk)
    b) Endovascular Aortic Aneurysm Surgery (TEVAR)
    c) Valvular Surgeries; Repairs and Replacement of Mitral, Aortic, Tricuspid and Pulmonary Valves
    d) Transcatheter Aortic Valve Implantation (TAVI)
    e) Complex Coronary Artery Bypass Grafting (CABG); with Multiple Comorbidities and Re-D CABGs
    f) Arrhythmias surgeries i.e. MAZE Procedure

  • Thoracic Surgeries:
    a) Uniportal Video Assisted Thoracoscopic Surgeries (VATS) for Lung Tumours i.e. Lobectomies, Segmentectomies, Wedge Resection, Sleeve Resection and Pulmonectomies
    b) Uniportal VATS for Mediastinal Tumours, Thymectomies
    c) Uniportal VATS for Bullectomies, Pleurectomies, Sympathectomies (Hyperhidrosis), Pleural or Lung Biopsies, Emphysema Surgery and Infective Lung Cases
    d) Tracheal Surgeries (+/- Tracheal Stenting)
    e) Mesothelioma Surgeries
    f) Diaphragmatic Surgeries; Paralysis, Eventration and Resection of Tumours

Endocrinology
  • Advanced Management of Diabetes Mellitus, Osteoporosis and Metabolic Bone Disease

  • Management of Pituitary Tumours

Gastroenterology & Hepatology
  • Endoscopic Resection of Early Gastric and Colon Cancer:
    a) Endoscopic Mucosal Resection (EMR)
    b) Submucosal Tunnelling Endoscopic Resection (STER)
    c) Endoscopic Submucosal Dissection (ESD)

  • Complex Biliary Interventions i.e. Spyglass Cholangioscopy, Biliary Stenting etc.

  • Peroral Endoscopic Myotomy (POEM)

  • Endoscopic Ultrasound (EUS) Guided Procedures:
    a) Hepaticogastrostomy (EUS-HGS)
    b) Gastro-Enterostomies
    c) Coiling Embolisation of Gastric Varices
    d) Portal Pressure Measurement.
    e) Drainage of Pancreatic Fluid Collection (PFC)
    f) Gallbladder Drainage
    g) Biliary Drainage
    h) Choledocho-duodenostomy (CDS)
    i) Anterograde Biliary Stenting
    j) Rendezvous Procedure

Interventional Radiology
  • Endovascular Coiling/ Stenting of Intracerebral Aneurysms or Arteriovenous Malformations (AVM)

  • Angioplasty/ Stenting of Arterial Stenosis (Carotid/ Peripheral Vessels)

  • Endovascular Aneurysm Repair (EVAR) of Abdominal Aortic Aneurysm

  • Inferior Aena Cava (IVC) Filter Placements and Retrieval

  • Endovascular Embolisation for Various Indications

  • Nephrostomy

  • Trans-Arterial Chemoembolisation (TACE) of Tumours

  • Trans-Jugular Intrahepatic Portosystemic Shunt (TIPS)

  • Venous Thrombolysis, Thrombectomy and Recanalistion

  • Venous Access Ports

Nephrology
  • Kidney Transplantation

  • Interventional Nephrology; Management of Complex Vascular Access

  • Management of Complex Kidney Diseases (Autoimmune Nephritides)

  • Management of Kidney Diseases in Pregnancy

  • Plasmapheresis Services

Obstetrics & Gynaecology (O&G)
  • High Risk Pregnancy Management

  • Reproductive Medicine:
    a) Fertility Assessment
    b) IVF and Assisted Reproductive Techniques

  • Maternal Fetal Medicine

  • Gynae-Oncology; Detection of Pre-Invasive Cancers

Oncology
  • Advanced Systemic Anti-Cancer Treatment i.e. Chemotherapy and Targeted Therapy (Hormonal/ Immunotherapy)

  • Intensity Modulated Radiation Therapy (IMRT)

  • Selective Internal Radiation Therapy (SIRT)

  • Stereotactic Body Radiotherapy (SBRT)

  • Stereotactic Radiosurgery (SRS)

  • Intraoperative Radiotherapy

Ophthalmology
  • Retro-vitreal Surgery

  • Oculoplastic, Lacrimal, Orbital and Reconstructive Surgery

  • Treatment of Glaucoma

  • Complex Hypertensive and Proliferative Diabetic Retinopathy

  • Immune and Thyroid Related Eye Disorders

  • Inflammatory and Infective Ocular Conditions

  • Paediatric Ophthalmology

  • Intraoperative Radiotherapy

Otorhinolaryngology (ENT), Head & Neck Surgery
  • Anterior Skull Base Surgery

  • Neuro-Otology

Paediatric Genetics
  • Genetic Assay Profiling and Translation to Clinical Management

  • Advanced Paediatric Endocrine Tests; Initiation of Insulin Pumps and Continuous Glucose Monitoring (CGMS)

Reconstructive Plastic Surgeries
  • Paediatric Plastic Surgery

    • Congenital Deformity Repair:
      a) Cleft Lip and Cleft Palate
      b) Craniofacial Deformity (Multidisciplinary)
      c) Soft Tissue Tumour
      d) Hypospadias Repair
      e) Ear Deformity (i.e. microtia)
    • Acquired/Trauma Associated Deformity Repair
  • Reconstructive Plastic Surgeries
    Multidisciplinary Team Approach with Other Specialties:

    • Head and Neck Oncoplastic; Tongue and Floor of Mouth; Maxilla; Mandibular; Facial Soft Tissue; Periorbital Tumour and Oculoplastic; Calvarial and Scalp; Upper Oesophageal and Pharynx Reconstruction
    • Thorax and Chest Wall (MDT with Cardiothoracic Surgeon); Tumour of the Chest Wall and Congenital Chest Wall Defect
    • Breast Oncoplasty and Reconstruction
    • Abdominal Wall; Large Hernias and Anterior Abdominal Wall Reconstruction
    • Genitourinary (MDT with Urologist, O & G and Colorectal Surgeon) i.e. Penoplasty, Urethra Reconstruction, Vaginal Reconstruction Following Tumour Resection, Rectovaginal and Cystovaginal Fistula Repair etc.
    • Limbs (MDT Mainly with Orthopaedic Surgeon) i.e. Soft Tissue Cover for Orthotrauma, Musculoskeletal Reconstruction
  • Hand and Microsurgery

  • Aesthetic Surgeries

Rehabilitation Medicine
  • The Utility of Robotics in Rehabilitations

Spine Surgery
  • Minimally Invasive Surgical Treatment of Scoliosis and Other Spinal Deformities

Urology
  • Percutaneous Nephrolithotomy (PCNL)

  • Kidney Transplant

  • Ureteric Stenting

Neurosurgery
  • Deep Brain Stimulation (DBS) for Parkinson’s Disease

  • Stereotactic Radiosurgeries (SRS) for Brain Tumours

*These procedures are commonly performed but not limited to the ones listed above.