SECTION OF
PEDIATRIC SURGERY
DR. RUSSEL ALEGARBES
AGENDA
• Program Staff
• Program Trainees
• Program Status
• Census Pre & Post COVID
• Comparative Statistics
• Plans for Service/Training
• Research Updates
PROGRAM STAFF
Russel Alegarbes, MD, FPSPS
SECTION CHIEF
PROGRAM STAFF
Dorothy Anne D. Lopez, MD, FPCS, FPSPS
TRAINING OFFICER
PROGRAM STAFF
Jose Modesto Abellera III, MD, FPCS, FPSPS
ACTIVE CONSULTANT STAFF
PROGRAM TRAINEES
Ronald S. Giron, MD
SENIOR FELLOW-IN-TRAINING (JUNE 2022 - PRESENT)
PROGRAM TRAINEES
Jayson C. Panganiban, MD, DPBS
JUNIOR FELLOW IN TRAINING ( JULY 2023 – PRESENT)
PROGRAM TRAINEES
2023
Month Names Year Level
JAN
Michelle Morco, MD 2nd year GS rotator
FEB Patricia Bernardo, MD
MAR
APR
Gloricar de Lara, MD 2nd year GS rotator
MAY Ina Marie Ursula Serrano, MD
JUN
PROGRAM STATUS
LEVEL II – FULL ACCREDITATION
PROGRAM STATUS
LEVEL II – FULL ACCREDITATION
PROGRAM CENSUS
JANUARY - JANUARY - JUNE
DECEMBER 2022 2023
Total Number of
143 110
Admissions
Total Number of
206 163
Operations
1. Elective 42 31
2. Emergency 164 90
Private 0 0
Service 206 163
Total Number of
1388 900
Patients Seen
1. ER 240 141
2. OPD 1009 685
3. Ward 116 68
Mortality 2 3
Morbidity 4 3
PROGRAM CENSUS (2021, 2022, 2023)
2021 2022
2023
January - January -
January – June
December Deecember
Total Number of Admissions 111 143 110
Total Number of Operations 156 206 163
1. Elective 36 42 31
Private 0 0 0
Service 36 42 31
2. Emergency 120 164 90
Private 0 0 0
Service 120 164 90
Total Number of Patients Seen 1237 1388 900
1. OPD 898 1009 685
Physical 149 304 424
Online 749 705 261
2. ER 253 240 141
3. Ward 86 116 68
Mortality 9 2 3
Morbidity 3 4 3
PROGRAM CENSUS
Comparative Statistics (Past 5 Years)
Year Operation Admission Referrals OPD
s s
2019 222 200 87 1168
2020 177 126 305 432
2021 156 111 339 898
2022 206 143 256 1009
2023 163 23 68 685
PROGRAM CENSUS (CHART)
2021 - 2022 - 2023
1200
900
600
300
0
2021 2022 2023
Admissions Operations Outpatient Referrals
PROGRAM CENSUS (CHART)
2021 - 2022 - 2023
1200
900
600
300
0
Admissions Operations Outpatient Referrals
2021 2022 2023
PLANS SERVICE
ELECTIVE OPERATIONS
1. As recommended by the PSPS, the section will have the following
priority cases for ELECTIVES:
1. Cancer/ tumor surgery
2. Head and Neck Surgery (Sistrunk, Brachial Cleft anomalies)
3. Esophagus, stomach, small bowe (intussusception, pyloromyotomy,
fundoplication)
4. Colon, Rectum, Anus (Hirschsprung disease, correction of imperforate anus,
closure of ostomy)
5. Gallbladder surgery (biliary atresia, choledochal cyst, cholecystectomy)
6. Abdominal wall (Hernia, Testicular cancer)
7. Minimal invasive surgery (EGD, Colonoscopy, PEG)
PLANS SERVICE
OUTPATIENT CONSULTS
1.Face to face consult at the outpatient department, every
THURSDAY at 8AM.
• Scheduling of physical consultations done by the fellow
and service rotators (walk in and online platform).
• Patients for surgery are presented to the consultant staff
during the weekly section conferences, and on Friday
elective days.
PLANS SERVICE
OUTPATIENT CONSULTS
2. Optimize online consult platform (Facebook messenger),
scheduled every MONDAY and WEDNESDAY, 1 - 5PM.
• Every consult is documented via google sheets (summary
of consults submitted to the hospital every month).
• Consults warranting further physical assessment (as
evaluated by the fellow) are scheduled for face-to-face
consults at the OPD.
PLANS TRAINING
PROBLEM
1. Limited cases
(limited vacancies and elective slots for
patients)
PROPOSED SOLUTION
Outside Rotations, Additional OR slot
• Need for Additional Elective Slot
• Recommendations from the PSPS:
• Creation of pediatric surgery network MOA with NCH,
TMC, JJASGH (Mother and Child), and Fabella
Hospital
• Assist consultants in private cases
PLANS TRAINING
Memorandum of Agreement
(JR-NCH)
PLANS TRAINING
PROBLEM
1. Limited cases
PROPOSED SOLUTION
Attendance in interhospital
conferences
• WEDNESDAY: JRRMMC 8AM
• THURSDAY: NCH 4PM
PLANS TRAINING
PROBLEM
2. Limited bedspace in admitting neonates
(Pedia Service)
PROPOSED SOLUTION
Review Protocols for Admission
• Current guidelines: Neonates and px <6months: Admit to PEDIA
WARD; Need for both patient and relative to have a negative
swab
• Request for additional space in their COVID ward (currently, only
1 allotted bed for co-managing services)
• Request for additional bassinets to accommodate neonates from
outside
PEDIA WARD • Close coordination with OB-Gyne service to have more inborn
deliveries, for prenatally detected conditions (admit to NICU)
PLANS TRAINING
PROBLEM
3. Lack of basic pediatric equipment
PROPOSED SOLUTION
Service to prioritize most urgent equipment requests from
the hospital and department
ESTIMATED UNIT
EQUIPMENT PURPOSE QTY
PRICE
TOTAL PRICE
Complete Pediatric Laparotomy Sets and Equipment (fine For abdominal operations 1
(Breakdown of
80,390
instruments below)
mosquito, mixter, deaver, malleable, metzenbaum)
Pediatric Colonoscope (with polypectomy and biopsy snare) For evaluation of colonic bleeding, polyps
11.6mm outer diameter (3.8mm channel), working length at and other colorectal conditions in pediatric 1 3,000,000 3,000,000
patients
170cm
For evaluation of colonic bleeding, polyps
Colonoscope polypectomy and biopsy snares and other colorectal conditions in pediatric 2 5,000 10,000
patients
For evaluation of pediatric trauma/rectal
Flexible sigmoidoscope lesions
1 300,000 300,000
For evaluation of pediatric trauma/rectal
Pediatric proctoscope (9.5mm OD with 6.5cm length) lesions
1 300,000 300,000
For evaluation of pediatric trauma/rectal
Pediatric proctoscope (13mm OD with 11cm length) lesions
1 300,000 300,000
Suction Rectal Biopsy Set (rbi2) For bedside tissue biopsy of Hirschsprung’s 1 75,000 75,000
Suction Rectal Biopsy Disposable Blades (rbi2) For bedside tissue biopsy of Hirschsprung’s 10 12,000 120,000
Spring-loaded Silo Bag 50mm, 60mm diameter For management of gastroschisis patients 6 10,000 60,000
Pediatric/neonatal gastroscope (ultra thin gastroscope <6mm For foreign body ingestion, esophageal
1 250,000 250,000
lesions
outer diameter with 2mm channel)
Pediatric/neonatal gastroscope (slim adult gastroscope 7.8- For foreign body ingestion, esophageal
1 250,000 250,000
lesions
9mm outer diameter with 2.2-2.8mm channel)
For evaluation polyps and other esophageal
Gastroscope polypectomy and biopsy snares conditions in pediatric patients
2 5,000 2,900,000
10,000
For dilation procedures such as achalasia,
Esophageal Bougie Dilator Set esophageal atresia repair
1 15,000 15,000
Laparoscopic Pediatric instruments For laparoscopic procedures
PLANS TRAINING
PROBLEM
3. Lack of basic pediatric equipment
PROPOSED SOLUTION
Service to prioritize most urgent equipment requests from
the hospital and department
SPRING-LOADED SILO BAG
SUCTION RECTAL BIOPSY GUN
PLANS TRAINING
PROBLEM
3. Lack of basic pediatric equipment
PROPOSED SOLUTION
Service to prioritize most urgent equipment requests from
the hospital and department
LAPAROSCOPIC INSTRUMENTS (Quotation from MeriJR)
PLANS RESEARCH
Research Title Author/ Adviser Status
A Prospective Nonrandomized Clinical Trial on the Non-Operative Management of Monica Bianca C. Balictar, MD IRB Approved
Uncomplicated Appendicitis: A Single-Center Experience at a Tertiary Rose Virginy O. Bautista, MD Ongoing Data Collection
Government Hospital Jose Modesto B. Abellera, MD
IRB Approved
Completed
Presented at the PSPS Trainees’
Monica Bianca C. Balictar, MD Research Forum, October 21, 2022
Clinicopathologic Profile of Pediatric Patients Managed with Open and Patrick U. Avellano, MD (Second Place)
Laparoscopic Cholecystectomy: A Two-Center Experience Russel Alegarbes, MD
Jose Modesto B. Abellera, MD Presented at the 14th PCS Annual
Surgical Research Contest
(Champion of Champions), PCS 78th
Clinical Congress, December 4,
2022 (First Place)
IRB Approved
A Three-Year Retrospective Review on Pediatric Acute Appendicitis in Jose R. Nikka T. Miranda, MD Completed
Reyes Memorial Medical Center Jose Modesto B. Abellera, MD Presented at the PSPS Trainees’
Research Forum, October 21, 2022
A Systematic Review and Meta-Analysis on the Efficacy and Safety of Pediatric Kim Joe Uichangco, MD IRB Approved
Laparoscopic-Assisted Needle Herniotomy versus Traditional Herniotomy Monica Bianca Balictar, MD Ongoing data collection
Russel Alegarbes, MD
IRB Approved, Completed
Incidence of Pediatric Metachronous Contralateral Inguinal Hernia in a Tertiary Rubie Margaret Ganzon, MD Presented at the JRRMMC
Hospital in Manila, Philippines: An Eight-Year Retrospective Study Russel Alegarbes, MD Interdepartmental Research
Contest (Second Place)
A 5-Year Retrospective Descriptive Study on the Incidence and Outcomes of Precious Angelique Dy, MD
Inguinal Hernia Among Pediatric Patients at Jose R. Reyes Memorial Medical Monica Bianca C. Balictar, MD Ongoing proposal
Center Jose Modesto B. Abellera, MD
A 5-Year Retrospective Descriptive Study on the Incidence and Outcomes of Cyril David A. Vergara, MD
Charmagne Loren A. Yerro, MD IRB Approved
Intussusception Among Pediatric Patients at Jose R. Reyes Memorial Medical
Monica Bianca C. Balictar, MD Ongoing data collection
Center
Jose Modesto B. Abellera, MD
Edward Paul B. Lorenzo, MD
Pediatric Trauma: A 5-Year Experience at a Tertiary Government Hospital Monica Bianca C. Balictar, MD Ongoing proposal
Jose Modesto B. Abellera, MD
PLANS RESEARCH
Research Title Author/ Adviser Status
Completed
Untoward Pressure: Perforated Jejunal Diverticulitis with Generalized Peritonitis Alfred Mari S. Villanueva, MD Presented at the British
in a Fourteen-Year-Old Filipino Male Monica Bianca C. Balictar, MD Association of Pediatric Surgeons
Congress 2022 on July 13-15, 2022,
Birmingham, UK
Completed
Presented at the British
Association of Pediatric Surgeons
Small Bowel Hemangioma Presenting as Partial Gut Obstruction in a COVID- Arden Aron L. Asuncion, MD Congress 2022 on July 13-15, 2022,
Confirmed Six-Year-Old Male Monica Bianca C. Balictar, MD Birmingham, UK;
Presented at the JRRMMC
Department of Surgery Research
Contest
(First place, case report category)
Completed
Van Eulden Battad, MD Presented in the JRRMMC Annual
A Report on a Case of a Patent Omphalomesenteric Duct seen in a Neonate
Russel Alegarbes, MD Research Forum (First place, case
report category)
2023 EVENTS
JRRMMC
Pediatric Surgery
Interhospital
Conference
MARCH 23, 2022
2023 EVENTS
JRRMMC
Pediatric Surgery
Interhospital
Conference
APRIL 24, 2023
2023 EVENTS
JRRMMC
Pediatric
Surgery
Interhospital
Conference
APRIL 24, 2023
2023 EVENTS
JRRMMC
Pediatric Surgery
Interhospital
Conference
JULY 28, 2023
2023 EVENTS
JRRMMC
Pediatric Surgery
Interhospital
Conference
JULY 28, 2023
2023 EVENTS
JRRMMC
Pediatric Surgery
Interhospital
Conference
JULY 28, 2023
2023 EVENTS
JRRMMC
Pediatric
Surgery
Interhospital
Conference
JULY 28, 2023
2023 EVENTS
Laparoscopic
Hernia Repair
MAY 2023
2023 EVENTS
PCS/PSPS/
International
Online
Conferences
APRIL-JUNE 2023
PSPS/NCH Interhospital Conference 2023
PCS 48th Midyear Convention
PSPS 37TH Childhood Cancer Tumor Board
PCMC Kelly Surgical Repair for Bladder
Exstrophy
Faculty Grant in Pediatric Surgery Professorial
Lecture
2023 EVENTS
3RD
5TH
PALES 2ND INTERHOSPITAL
INTERHOSPITA
JANUARY 18-19, INTERHOSPITAL CONFERENCE
L
2023 CONFERENCE IPEG
CONFERENCE
JULY 5-8, 2023
APRIL 2023 NOVEMBER 13,
2023
1ST PGH POSTGRAD
INTERHOSPITAL 4TH
CONFERENCE INTERHOSPITAL PCS ANNUAL
MARCH 2023 PCS MIDYEAR CONFERENCE CONGRESS
CONVENTION PAPS DECEMBER 2023
APSA SEPTEMBER 10-14,
MAY 10-13, 2023 2023
2nd INTERHOSPITAL CONFERENCE
(JRRMMC)
MARCH 2023 EVENTS
HYPOSPADIA WORKSHOP
Dr. Nyo Yoke Lin
Senior consultant of Pediatric Surgery and Pediatric Urology at
National University Children’s Medical Institute
Training:
Royal Children’s Hospital
MARCH 2023 EVENTS
HYPOSPADIA WORKSHOP
MARCH 2023 EVENTS
HYPOSPADIA WORKSHOP
MARCH 2023 EVENTS
HYPOSPADIA WORKSHOP
MARCH 2023 EVENTS
HYPOSPADIA WORKSHOP
PEDIATRIC SURGERY
NETWORK
Thank you!
