Mater Specialist Quick Find

General Surgery – public patients

Purpose

This page contains information for general practitioners on how to refer patients aged 16 years and over to General Surgery services at Mater Hospital Brisbane

Service: 

The General Surgery Service accepts surgical referrals for Breast and Endocrine Surgery , Colorectal Surgery, hepatobillary and upper GI surgery. 

How to Refer:

If referral for care is indicated please list all of the General Referral Information and reason for request, and essential information as indicated below.

To refer, please fill in the Mater Adult Referral Form, available to download and embed into most major Practice Management software applications.

Referrals can be sent by:

Secure messaging  Medical Objects:   HM4101000R8
  HealthLink EDI:    materref   
Fax    07 3163 8548

 

 

 

 

Emergency 

If any of the following are present or suspected, phone 000 to arrange immediate transfer to the emergency department or seek emergency medical advice if in a remote region:

 

View list of conditions:

  • Suspected strangulated/incarcerated or obstruction of any hernia
  • Acute, severe abdominal pain with or without associated sepsis
  • New onset of obstructive jaundice
  • Acute painful perianal conditions
  • Acute cholecystitis
  • Acute pancreatitis
  • Bowel obstruction
  • Severe per rectum bleeding
  • Acute abscess at any site
  • Acute testicular pain Gallstones with symptoms of cholangitis

 

Scope of Service

Conditions out of scope

The following conditions are not routinely provided at Mater Hospital Brisbane:

View list of conditions:

 

Conditions in scope

Hepatobillary Surgery

Essential information (Referral will be declined without this)

  • General referral information
  • History including:
  • timeline of current symptoms and previous symptoms
  • number of attacks and pain severity
  • jaundice, anaemia
  • abdominal examination (abdominal mass, palpable gall bladder)
  • FBC ELFT results
  • Serum lipase/amylase results, especially relevant if performed at the time of an attack of pain
  • Abdominal USS/CT result (USS is required for Gallstone Disease)

Additional referral information (useful for processing the referral)

  • HBV HCV serology results

Other useful information for management (not an exhaustive list)

  • Lifestyle modification (increased activity, dietary, weight, smoking, alcohol)
  • Referral is not mandatory for patient with asymptomatic gallstones or gall bladder polps on ultrasound if smaller <10mm
  • Short attacks of biliary colic can be managed symptomatically
  • Gallstones, points for concern:
  • increasing frequency and severity of pain
  • documented jaundice or deranged LFTs
  • USS evidence of duct dilatation
  • If known to have common bile duct stones refer as Cat 1
  • If obstructive jaundice and fever - refer to emergency

Categorisation

Available appointments are provided to our patients based on clinical priority. A process of categorisation ensures safety and equity of access.

Category 1 – urgent

Clinically recommended timeframe for initial appointment is 30 days

Category 2 - Priority

Clinically recommended timeframe for initial appointment is 90 days

Category 3 - Routine

Clinically recommended timeframe for initial appointment is 365 days

Frequent biliary colic (more than weekly) not relieved by analgesia and lasting >8hours

Any suspicion of hepatobillary malignancy

Known gallstones with ongoing biliary colic

Gall bladder mass/recurrent cholecystitis

Radiological imaging abnormality requiring investigation

 

Symptomatic gallstones

Gallstones (following cholecystitis, recurrent biliary colic)

Gall bladder polps > 10mm

Chronic pancreatitis

Porcelain gallbladder

Asymptomatic gallstones

 

Hernia Repair

Essential information (Referral will be declined without this)

  • General referral information
  • History of hernia (position, duration, size, symptoms)
  • History of attacks of obstruction/incarceration (if any)

Additional referral information (useful for processing the referral)

  • Pathology –  as indicated by comorbidities

Other useful information for management (not an exhaustive list)

  • If pain in testes or if hernia not obvious on examination – consider USS
  • Advise the patient to return if symptoms worsen and at that point consider a referral outlining the changes in condition.
  • Supportive therapy (trusses, corsets or binders)
  • Education, advice and information regarding:
    • severe pain at hernia site
    • inflammation at hernia site associated with fever
    • any evidence of incarceration/bowel obstruction
  • All children <14 years old with inguinal hernia referred to a paediatric/surgical provider (as per the Clinical Services Capability Framework)
  • Conservative management to be considered in the very elderly +/- infirm or those declining surgery

Categorisation

Available appointments are provided to our patients based on clinical priority. A process of categorisation ensures safety and equity of access.

Category 1 – urgent

Clinically recommended timeframe for initial appointment is 30 days

Category 2 - Priority

Clinically recommended timeframe for initial appointment is 90 days

Category 3 - Routine

Clinically recommended timeframe for initial appointment is 365 days

Irreducible and partially reducible hernia, of any kind

Symptomatic femoral hernia

Episode of irreducibility

Suspected intermittent bowel obstruction of incarcerated hernia

Symptomatic hernia of any kind with   significant impact on activities of daily living

Clinical uncertainty

Incisional hernia

Asymptomatic femoral hernia

Reducible hernia

 

Skin and Soft Tissue Pathology - Benign and Malignant

Essential information (Referral will be declined without this)

  • General referral information
  • Pigmented lesion features: size, shape, colour, inflammation, oozing, change in sensation.
  • Smoking status
  • Anticoagulant therapy

Additional referral information (useful for processing the referral)

  • Biopsy results unless clinically contraindicated.  Excision biopsy is the preferred method for biopsy suspected melanoma.
  • USS of lesion (for a suspicious lipoma)
  • CT results – if malignancy suspected
  • Photograph – with patient’s consent, where secure image transfer, identification and storage is possible

Other useful information for management (not an exhaustive list)

  • Advise patient regarding sun avoidance and use of sun screens.
  • Educate patient on skin cancer surveillance and arrange annual skin checks.

Categorisation

Available appointments are provided to our patients based on clinical priority. A process of categorisation ensures safety and equity of access.

Category 1 – urgent

Clinically recommended timeframe for initial appointment is 30 days

Category 2 - Priority

Clinically recommended timeframe for initial appointment is 90 days

Category 3 - Routine

Clinically recommended timeframe for initial appointment is 365 days

Skin lesion highly suspicious for melanoma or excision biopsy proven melanoma – including re-excision

High degree of clinical suspicion

Large SCC, BCC

Rapidly growing skin lesions especially on the face

Non-melanoma skin malignancies and any of the following:

  • ulceration and bleeding
  • rapidly enlarging
  • neurological involvement
  • lymphadenopathy

Poorly differentiated or infiltrative tumour on biopsy

Soft tissue tumour with atypical features

Ingrown toenail with infection

Small truncal peripheral limb BCC or SCC or IEC

Benign soft tissue lesions e.g. lipoma ganglion not suitable for primary health management

 

Upper Gastrointestinal Surgery

Essential information (Referral will be declined without this)

Additional referral information (useful for processing the referral)

  • Previous endoscopic procedures (date, report and histology results)

Other useful information for management (not an exhaustive list)

No other information

Categorisation

Available appointments are provided to our patients based on clinical priority. A process of categorisation ensures safety and equity of access.

Category 1 – urgent

Clinically recommended timeframe for initial appointment is 30 days

Category 2 - Priority

Clinically recommended timeframe for initial appointment is 90 days

Category 3 - Routine

Clinically recommended timeframe for initial appointment is 365 days

Upper GI symptoms with anaemia, weight loss, epigastric pain

Dysphagia

Para-oesophageal hernia

Abnormal imaging results suggesting oesophageal gastric pathology

Reflux symptoms (poorly controlled with medication or high volume)

Barrett’s oesophagitis

 

Other General Surgery Condition

Essential information (Referral will be declined without this)

Categorisation

Available appointments are provided to our patients based on clinical priority. A process of categorisation ensures safety and equity of access.

Category 1 – urgent

Clinically recommended timeframe for initial appointment is 30 days

Category 2 - Priority

Clinically recommended timeframe for initial appointment is 90 days

Category 3 - Routine

Clinically recommended timeframe for initial appointment is 365 days

 

 

Our Specialists 

Dr Chris Pyke

Director General Surgery

Dr Geoff Muduioa

Surgeon

Dr Mehan Siriwardhane

Surgeon

Dr Chung-Kwun Won 

Surgeon

 

Bulk Billed Clinics 

Mater Health offers patients the opportunity to attend bulk billed clinics. To provide your patient with the opportunity to attend a bulk billed clinic, please provide a named referral to one of the specialists listed above.

Contact Us 

If you would like to discuss a referral, including clinical criteria, or update the status of a current patient please contact our priority GP phone line on 07 3163 2200 

Current Waiting Time for Appointments 

We provide up to date data on how long patients are waiting for their first appointment by specialty here.

Referral Guideline Development

These Mater Referral Guidelines align with standardised best practice tools for referral to publicly funded specialist outpatient services developed in Queensland through the Clinical Prioritisation Criteria project. 

 

Date last reviewed: 05 July 2018

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