The Department of Surgery is the largest Surgical Department at King Faisal Specialist Hospital and Research Centre (KFSH&RC). 

In collaboration with other services of the Hospital, it treats and manages wide range of diseases and complex cases requiring tertiary care and surgical intervention.   These include cancer cases (breast, colorectal cancer, thyroid, lung, gastric and esophageal carcinoma), vascular diseases, congenital diseases, pediatric surgical conditions and oncology, lung transplantation, and plastic and reconstructive surgery.  It performs almost 5,000 cases per year, mostly tertiary in nature, by highly-skilled surgical staff, accredited in accordance with the highest international standards. 

The Department pioneered cutting-edge treatment modalities, such as Laparoscopic Colorectal surgery, Pediatric morbid obesity surgery, different types of laparoscopic surgery, Lung Transplant & use of sentinel lymph node biopsy for breast cancer staging. Well-established academic and teaching activities form a major component of our training programs.  Surgical staff actively participates in the Outreach Program, performing major surgeries throughout the different cities in the Kingdom.  Residency Training Program in General Surgery and Fellowship Training Programs in Pediatric Surgery, Breast and Endocrine Surgery and Colorectal Surgery are very competitive.  Active involvement in research activities to produce abstracts and papers presented in renowned national and international meetings and publications in peer journals.

It has been one of the core Departments at King Faisal Specialist Hospital and Research Center for a long time and has been the incubator for all sub-specialties in the surgical Departments existing at this time.  We are proud to state that the Department of Surgery has also trained and educate many of the surgical consultants who are working in the Department of Surgery and other surgical Departments at King Faisal Specialist Hospital and Research Centre. 

With all the modern changes in the practice of surgery at worldwide level, the Department of Surgery has adopted and committed to be at par with international standards and practice.  This effort required continuous hard work in training surgeons and adopting all newly-approved surgical practice, including minimally invasive procedures, implementing evidence-based medicine practice, and using day care surgery orchestra. 

The Department of Surgery is proud of its achievements, accomplished by many of its members, including conducting international conferences, performing complicated procedures, and educating and training of surgeons from inside and outside of King Faisal Specialist Hospital and Research Centre. 

 

Subsections:  It consists of seven sections with sub-specialties as

  1. Breast & Endocrine Surgery
  2. Colorectal Surgery
  3. General & Oncology Surgery
  4. Pediatric Surgery
  5. Plastic Surgery
  6. Thoracic Surgery
  7. Vascular surgery

 

Breast and Endocrine Surgery

The Breast and Endocrine section at KFSH&RC is the main tertiary referral centre for the whole Kingdom of Saudi Arabia. The majority of the cases treated are tertiary and complex surgical cases. We have the largest volume of both Breast and Endocrine cancer patients in the country.  

The section provides the state-of-the-art surgery to all patients in a timely accepted manner. There are five experienced Breast and Endocrine surgeons at the section. They manage and treat more than 800 Breast and Endocrine patients every year. 

A short hospital stay is applied at our section and our patients are taken care of during admission by a group of highly experienced nursing staff. 

All types of surgeries are performed with excellent outcomes. This includes:

  • Breast conservative surgery and modified radical mastectomy. 
  • Sentinel lymph node biopsy and axillary dissection. 
  • Oncoplastic Breast Surgery. 
  • Skin Sparing Mastectomy and Nipple Sparing Mastectomy. 
  • Intra-operative radiotherapy as a sole therapy or as a boost. 
  • Thyroidectomy
  • Parathyroidectomy
  • Adrenalectomy
  • Lymph node excional biopsy
  • Neck dissection
  • Re-do- thyroidectomy

There are six surgical clinics throughout the week and seven full day operative rooms per-week. Surgical ground rounds and a Breast tumor multidisciplinary conference is conducted every week. 

Every year we accept three Breast and Endocrine surgical Fellows from all over the Kingdom and the region. During their two year Fellowship they are exposed to all types of Breast and Endocrine diseases and are involved in research. 

The surgical staff is engaged in local, regional and international academic activities throughout the year. 

Achievements

  • Over the last couple of years more than 15 Saudi's have graduated from our Breast and Endocrine Surgical Fellowship.
  • Over the last 15 years more than 6000 Breast and endocrine surgeries were performed. 
  • More than 350 Nipple/skin sparing mastectomies have been done. 
  • More than 600 sentinel lymph node biopsies. 
  • Intra Operative Radiation Therapy (IORT) was introduced in 2015. 
  • Intra Operative Neuro monitoring for recurrent laryngeal nerve was introduced during surgery.
  • One abstract was accepted for oral presentation in the Asian Association for Endocrine Surgery in Korea.
  • Several publications in International Journals.
  • First Oncoplastic and Breast reconstruction course in Saudi Arabia in 2016. 
  • Multiple research products are underway. 
  • The section is a member of the Euro-Asian society of Breast Diseases “EURAMA”. 

 

Colorectal Surgery

The goal of the Section of Colon and Rectal Surgery at King Faisal Specialist Hospital & Research Center webpage is to offer vital information on our clinical, research and teaching programs for patients, physicians and prospective colorectal surgeons. Building on a successful history, the section continues its role as a leader in research and treatment in all aspects of colorectal surgery. Our colorectal surgeons are highly experienced and committed to providing the entire spectrum of care for their patients, dedicated to the assessment, diagnosis, and treatment of disorders of the colon, rectum, and anus.  Our surgeons strive to deliver high-quality, cost-effective medical care with dignity and compassion. Our multidisciplinary approach enables us to work as a team, providing patients with the expert & quality care.

Our primary focus is the diagnosis and treatment of diseases arising in the anus, rectum, and large bowel (colon). We treat patients with diverse problems, including colon, rectal, and anal cancer, inflammatory bowel disease (Crohn's and ulcerative colitis), diverticular disease, problems with fecal incontinence and prolapse, as well as rectocele and hereditary colorectal tumors.

Our colorectal surgeons are recognized nationally and internationally for their clinical and scientific contributions. They are recognized as educators in the medical community and they are actively involved in community education here in the Kingdom of Saudi Arabia.

In addition to rotations as part of the general surgery residency program, the section offers a fellowship program in colorectal surgery that offers in-depth exposure to all aspects of colorectal diseases and surgery. Training allows the Colon & Rectal surgeons to teach future surgeons on the latest techniques. By leading the advances in colon and rectal surgery, our surgeons stay at the forefront of colorectal surgery.

We want our patients to be healthy and we aim to do everything in our power to help them achieve and sustain the highest quality of life possible. It is what makes us leaders in our field.

Achievements:

  • Establishment of the Saudi Society of Colon & Rectal Surgery.
  • Establishment of national guidelines for screening colonoscopy.
  • Creation of the fellowship in Colon & Rectal Surgery in collaboration with King Saud University.

General & Oncology Surgery

The Section of General & Oncology Surgery at the King Faisal Specialist Hospital & Research Center is a clinical and academic service which provides advanced expertise in all aspects of General Surgery, including oncology, trauma, critical care, and diseases related to the gastrointestinal tract.

Our mission is to provide the highest quality patient care, conduct innovative medical research, and provide the best training to our surgeons and physicians.

This Section is the mainstay of Department of Surgery because General and Oncology Surgery is the bread-and-butter for surgical practice and major cases like cancer patients and tumors of various abdominal structures.

This Section is dealing with most of the surgical emergencies including acute appendicitis, bowel obstructions, acute ventral hernias and others including traumas and which is the cornerstone of Department of Surgery. The wide scale of the surgical domain in this Section includes minor procedures including muscle biopsies, acute appendicitis and small lymph node biopsies to major robotic resections of gastric tumors and laparoscopic procedures too.   This Section is the main part who practices laparoscopic surgery including laparoscopic splenectomy, laparoscopic gastrectomy and small bowel resection for various kind of pathology including cancer.

We deal with consultations from other departments for all the types of tumors and cancers.  We also do intraabdominal malignancies including very highly sophisticated procedures such as HIPEC, gastrectomy and small bowel resections.

We are committed to provide innovative and safe alternatives to traditional open surgery. Whether we are using state-of-the-art robotic-assisted technology or endoscopic techniques, our surgeons can perform complex and delicate procedures through small incisions with unmatched precision. In addition, the Section is responsible for the training of undergraduate medical students and provides training for core residents in Surgical Sub-specialties. We have 4 Consultants, 1 Associate Consultant, 2 Assistant Consultants, and 3 Residents with 4 OR list a week and daily 24-hour on call service.

Training residents and medical students and publishing new articles were all part of the function of this important section in the Hospital. There are ongoing continuing medical education programs to keep the medical community updated in a variety of surgical problems.

Achievements 

This Section is the state-of-the-art practice for all cancer patients in Surgery including Robotic procedures. 

  • HIPEC surgery has been established, in conjunction with many other services and Intra Operative Radiology (IOR) is being adjusted into Section.
  • Robotic surgery is ongoing and in process of doing more cases.

 

Accreditation 

The Section has been accredited internationally for Robotic Surgery practice as well as laparoscopic procedures.

Pediatric Surgery

King Faisal Specialist Hospital & Research Centre (KFSH & RC) is the referral center for high-risk pregnancy with antenatal diagnosis of surgical neonatal problems, oncological patients and for other complex congenital anomalies of pediatric age group, which all need a multidisciplinary teamwork action and advanced technology including Minimally Invasive/Robotic Surgery.  The hospital is also a major referral center for a full range of complicated surgical pediatric cases including patients who had surgical procedures somewher else.

King Faisal Specialist Hospital & Research Centre (KFSH & RC) is the referral center for high-risk pregnancy with antenatal diagnosis of surgical neonatal problems, oncological patients and for other complex congenital anomalies of pediatric age group, which all need a multidisciplinary teamwork action and advanced technology including Minimally Invasive/Robotic Surgery.  The hospital is also a major referral center for a full range of complicated surgical pediatric cases including patients who had surgical procedures somewher else.

Total commitment to ensure that the needs of patients and their families always come first.  This will be achieved through the pursuit of continuous quality improvement of patient care through scientific knowledge, evidence-based research and clinical work, patient's education and integrated health care networks.

The Section of Pediatric Surgery supports the mission of KFSH & RC in providing the people of the Kingdom of Saudi Arabia with the highest quality of tertiary medical care for all types of pediatric surgical diseases in a coordinated and balanced program through clinical practice, teaching and research, along with other related pediatric subspecialty

  • Computerization of our patients data for all surgical disease aiming for:
    • Database/Registry
    • Future clinical and research activity
    • Performance improvement
  • Yearly report of the section.
  • To share experience with international center regarding management of complex cases via telemedicine.
  • Establishing a section library unit.
  • Active participation in Outreach Program.
  • Section activity guide

Achievements: 

The section performs around 1700 procedures annually with major emphasis on pediatric oncology and congenital anomalies.  Many process management activities have been employed over the last few years to widen the scope of service and increase capacity.  The section have shortened the waiting list significantly through a robust and comprehensive discharge planning process, high rate of operating room utilization, high rate of bed utilization, improvement of surgical techniques, active case management, and standardization of our consultation process.  The quality of patient care is major component of our process management and we follow our performance to ensure the delivery of high-quality patient care.     

Our pain management scheme is exemplary and reviewed periodically to minimize suffering after surgical procedures. Inpatient care flow is a focus of improvement and followed closely to ensure the best care delivered in a safe environment.  Our weekly grand round is one of the activities directed for the latter purpose.  The outpatient activities are periodically reviewed and high turn-over is enhanced with discharges and new patients’ acceptance. The multidisciplinary pediatric surgery team with members from services and departments involved in patient care is in charge of establishing new goals for the section and ensures our processes are applied and measures its success. New procedures are added to our list as needed and state-of-the art equipments are utilized to serve our population.

The section members are involved in an active continuous medical education program with weekly presentations and daily clinical discussions pertaining to our patients.  Research activities are encouraged and members of the section are involved in many projects approved by our IRB committee at the hospital. A new research plan for the section is being prepared and submitted for approval by the department with major focus on trainees involvement in research projects.  

Unification of consultation process to ensure timely attendance to patients and their care.

 Movement of all circumcision procedures to the DAY SURGERY scheme since its operations were expanded (up to 11 PM).  This has  improved our bed utilization significantly.

Continue the adoption of a “0-waiting list” role: all accepted patients are booked for admission or clinic appointment instantly and cancelled cases are rebooked at the time of cancellation.

Plastic Surgery

Plastic Surgery is a major surgical specialty concerned with improving patients’ quality of life. Through plastic surgery procedures, both function and appearance are restored and improved. Plastic Surgery can involve surgery on most facial and body tissue defects resulting from illness, trauma, or congenital disorders.

The Section of Plastic Surgery at KFSH was established in 1990 as a division of the Department of Surgery. The section is committed to the mission of King Faisal Specialist Hospital & Research Centre in providing medical services of highly specialized nature and promoting medical research and educational programs.

 

Skilled plastic surgeons at King Faisal Specialist Hospital and Research Center provide a wide range of reconstructive surgery services. Plastic and Reconstructive Surgery is staffed by plastic surgeons with specialized training and skills in one or more of the following surgical subspecialties:

  • Reconstructive surgery
  • Craniofacial surgery
  • Reconstructive microsurgery
  • Pediatric plastic surgery
  • Hand surgery

There are four full time plastic surgeons along with two part time plastic surgeons practicing at KFSH, Riyadh . The plastic surgeons work closely with physicians from other specialties to offer patients comprehensive medical care to meet their reconstructive and cosmetic surgical needs.

 

Achievements  

  • Excellent collaboration with other services for reconstruction after oncological resection. These services include:
    • General Surgery
    • ENT
    • Orthopedics
    • Liver Transplant
  • Received the MCA Diamond award for Early Patient Discharge. (Plastic Surgery Team Photo with plaque)
  • Our surgeons have authored many publications, chapters and books in plastic surgery. Following are a few of our achievements:
    • American Society of surgery of the hand. Chapter: Shoulder, Wrist and Hand. Dr. Abdulaziz Jarman
    • Clinical Diagnosis in Plastic Surgery. Dr. Mohamed Amir Mrad
    • Pearls of Wisdom in Plastic Surgery, 3 chapters by Dr. Abdulaziz Jarman
    • Extravasation Injury chapter. Dr. Abdulaziz Jarman

Subsections

  • Breast reconstruction after cancer
  • Congenital defects
  • Cleft lip and palate repairs
  • Adult Craniofacial surgery
  • Pediatric and Adult Hand surgery
  • Head and neck reconstruction after cancer
  • Microvascular surgery
  • Repair of postoperative defects
  • Repair of post-traumatic defects
  • Removal and reconstruction for skin cancer
  • Burn reconstruction surgery
  • Cosmetic Surgery

Thoracic Surgery

Thoracic Surgery Service at KFSH&RC receives Tertiary referrals from all provinces of the Kingdom and surrounding Gulf countries. All aspects of Thoracic Surgery are offered to our patient population including, Tracheal Surgery for tumors and stenosis pathologies, lung surgery for cancer and benign diseases, esophageal surgery, mediastinal tumor surgery and chest wall surgery for tumors and deformities, lung transplantation, surgery of diaphragm for pacing and hernias and thoracoscopic surgery for various procedures.  

Achievements:

Promoting Oncological Thoracic Malignancy Surgery, Lung Transplantation and pioneering a new technique for chest wall deformities.

Accreditation:

Thoracic Surgery  Fellowship Program for fellows training from the Kingdom and surrounding Gulf states.

Vascular Surgery

Our vascular surgeons are world-renowned leaders in vascular surgery and minimally invasive endovascular therapy. They provides comprehensive state-of-the-art diagnostic and therapeutic interventions for the entire spectrum of circulatory disorders, from medical management to minimally invasive endovascular therapy to conventional open surgery.

Our team has extensive experience in managing complex aortic aneurysms as well as other rare aneurysms of the arterial branches. They perform a full range of vascular and endovascular procedures, including:

  • Endovascular and open repair of abdominal aortic aneurysms, thoracic aortic aneurysms, and thoracoabdominal aneurysms, including fenestrated and branched stent grafts, chimneys and debranching procedures.
  • Open surgical reconstructions and balloon angioplasty and stenting in all vascular areas
  • Carotid endarterectomyand carotid artery stenting
  • Bypass surgery and endovascular therapy for peripheral artery disease and gangrene of the limbs
  • Endovascular and open surgical treatment for peripheral artery aneurysms
  • Endovascular surgical intervention, such as angioplasty and stenting, in all vascular areas
  • Endovenous laser therapy treatment and radiofrequency ablation for varicose veins and venous ulcers
  • Endovascular and open surgical reconstruction for deep vein occlusions
  • Hemodialysis access and HERO grafts.
  • Treatment of vascular malformations, median arcuate ligament , nutcracker syndromes, lymphedema, and chylous effusions
  • Chemical and mechanical thrombectomy for DVT.
  • Thoracic outlet syndrome decompression and carotid body tumors resection.
  • HBO and Wound Care center

Achievements: 

  • We present our extensive vascular experience in many national and international vascular meeting in USA and Europe.
  • We perform all complex aortic pathologies using debranching, chimneys, branched and fenestrated TEVAR.
  • In process of buying the Endovascular Robotic system ( Megalan ).

Each year our surgeons evaluate thousands of patients with circulatory conditions ranging from the common to the rare. Our commitment is to diagnose the patient's problem precisely, and to provide the most effective therapy specifically tailored for that individual's needs. Our goal is to optimize our patients' circulatory health.

Activity of Section of Vascular Surgery

  1. Clinic (3) – Sunday AM and PM, Tuesday PM
  2. Operating Time – Monday and Wednesday (whole day)
  3. Ward Rounds – daily
  4. Grand Rounds – Sun AM and Thursday AM
  5. Academic Activities – Journal club on Thursday
  6. Research Project – Three ongoing major prospective randomized trials
    • Drug-Eluting Balloon angioplasty for Early Fistula Failure (DEBEFF trial )
    • Criteria for Accessory Vein Obliteration for failing arteriovenous fistulae.( CAVO trial )
    • Access Flow Based Intervention for management of arteriovenous hemodialysis access dysfunction (FBI trial).
  7. Outreach Activity –very active in outreach program by doing major vascular cases in multiple centers in the kingdom.