2Q Clinic, McMaster Children's Hospital
The service of Pediatric General Surgery provides general and specialized surgical services to infants, children, and adolescents suffering from a wide range of congenital and acquired diseases of the abdomen, chest, head and neck, and endocrine organs. The service has extensive experience in minimal access surgical procedures including the surgical correction of Pectus Excavatum using the Nuss Procedure.
Each member of the team will help you learn about your condition and care. We want you to have enough information and support to feel comfortable making decisions and taking part in your care. If you have any questions or concerns, please feel free to talk to any member of the team. Depending on your needs, other health care providers and specialists may be involved in your care.
Clinic Doctor/ Nurse Practitioner:
Review your health and treatment plant, ask about your symptoms, and examine you
Work with you and other team members to decide on a treatment plant that is right for you, and adjust the plan as needed
Help you learn about your condition and its treatment
Branchial Cleft Remnant
Congenital Diaphragmatic Hernia (CDH)
Congenital Lung Malformations
Esophageal Atresia and Treacheoesophageal Fistula
Gastroesophageal Reflux Disease
Inflammatory Bowel Disease
Short Bowel Syndrome
Thyroglossal Duct Cyst
The appendix is a small, hollow sack that hangs down from the large intestine (bowel). It has no known purpose in the body. If the appendix becomes blocked, it can become inflamed or infected. This is called appendicitis. If the appendicitis is severe, the appendix may burst open (rupture) and cause a serious infection in the abdomen. If your child has appendicitis, he or she may need to have surgery to remove the appendix, called an appendectomy.
Constipation means your child has fewer bowel movements (stools, pooh) than usual. The bowel movements may be hard and dry, and difficult or painful to pass. As the stool builds up, your child may get stomach cramps and pain. Constipation is a common problem that can be treated.
Gastroesophageal Reflux Disease- Fundoplication:
Gatroesophageal reflux disease (GERD) is an abnormal flow of acid from the stomach up into the esophagus which can be painful and can sometimes cause pneumonia. GERD can be treated with medications to help suppress or neutralize the stomach acid. To also help prevent reflux from occurring, a fundoplication is the surgery sometimes needed to tighten the area where the esophagus and stomach join.
A gastrostomy is a small opening through the skin and abdomen into the stomach. A gastrostomy tube or G-tube is a thin, flexible tube that is put through this opening. The tube is used to put liquids directly into your child's stomach.
Gastrostomy Tube uses:
Liquid food: for nutrition
Water: for hydration
There are different kinds of G-tubes. Your child's doctor will chose the tube that best meets your child's needs.
A hernia is a weakness in the muscles of the abdomen. Part of the bowel may push through the weak area, causing a lump under the skin. They can cause pain and discomfort, and may get bigger if they are not repaired. Sometimes the bowel (intestines) can become trapped in a hernia. This may cause the bowel to become blocked and urgent surgery is needed to fix this.
Some common places hernias can occur are:
the groin, called an inguinal hernia- the most common type
the navel, called an umbilical hernia
At the incision of a previous operation, called an incisional hernia
the upper thigh, called a femoral hernia- rare
Hirschprung's Disease is a disease of the large intestine. It can sometimes affect the small intestines as well. It occurs when some of the ganglion cells in the large intestine are missing.
Without these cells, the muscles of the intestine cannot push stool towards the anus, where it should leave the body. As a result, the large intestine fills up with stool and becomes partially or completely blocked (obstructed). The intestine becomes enlarged and may get infected (enterocolitis).
An ingrown toenail occurs when the corner or side of the nail grows down into the skin and the flesh of your toe. This causes pain, redness, and swelling. Rough or red skin may grow over the area. An ingrown toenail can also become infected. Ingrown toenails are a common foot problem. Any toenail can become ingrown, but it happens most often to the big toes.
Is an abnormal cavity or collection of hairs under the skin that usually occurs over the tailbone
looks like a small pit or dimple on the surface of the skin
may be caused by ingrown hairs, or from pressure or friction on the skin
can lead to infection: pain, swelling, redness or the surrounding skin, drainage such as pus or blood.
Pyloric Stenosis- Pyloromyotomy:
Pyloric stenosis is narrowing of the lower part of the stomach, called the pylorus. The pylorus connects the stomach with the small bowel (intestine). The pylorus becomes narrow when the muscles around it get thicker. Eventually the pylorus becomes blocked and good cannot leave the stomach. This causes vomiting after feeds. It is usually seen in babies between 2 and 6 weeks of age, but can occur as late as 4 motnhs of age.
Splenectomy is a surgery to remove the spleen. The spleen is an organ of the body. It is found in the upper left corner of the abdomen, under the ribs. The spleen protects the body from infection and acts as a filter for the blood. A splenectomy is usually done if the spleen is bleeding, injured, or affected by disease.
Undescended Testes- Orchidopexy:
Undescended testes is a condition in which the testicle is not in the normal position in the scrotum. During normal development the testicles move from the lower abdomen down into the scrotum. This usually happens before birth, or before age one. The testicles need to be in the scrotum for them to function properly. If one or both of the testicles fail to move down (descend), surgery is done to move the testicle(s) into the scrotum. The surgical procedure is called orchidopexy.
The hospital is located at 1200 Main St. W., Hamilton, ON, L8N 3Z5.
2Q clinic, McMaster Children's Hospital
2nd floor, beside the yellow elevators
When you arrive to the clinic please check in with the Business clerk at the reception desk. The business clerk will let the team know that you have arrived.
Referrals can be faxed directly to the clinic at as noted on the referral form.
Urgent Referrals: The clinics are not for emergencies. For urgent referrals please mark as “urgent” on the fax and call the clinic. If your child needs to be seen on an urgent basis, please contact your family doctor or go to your local emergency department.
Monday 9:00 a.m. - 12:00 p.m., 1:00 p.m. - 4:00 p.m.
Tuesday 1:00 p.m. - 4:00 p.m.
Please contact us as soon as possible if you need to change or cancel your child’s appointment.
If the patient is ill with any antibiotic resistant organism, MRSA, a communicable disease (such as chicken pox), or respiratory infection, please notify the clinic prior to your appointment and arrival at the hospital.
Your Ontario health card- the Ministry of Health requires us to validate your Health Card at every clinic visit
A list of questions and concerns
A list of symptoms, new or recurring
A pain record
A list of current medications and any prescription renewals needed
Dates of upcoming tests
Any forms you need reviewed or signed
You may want to bring a snack or drinks and something to do while waiting.
Our philosophy is family-centered care. We strive to provide the best care possible.
APPENDICITIS - Appendectomy
Relieving Your Child's Constipation
Healthy Bowel Movements
Eating More Fibre
GASTROESOPHAGEAL REFLUX DISEASE:
GASTROESPOHAGEAL REFLUX DISEASE – Fundoplication
When Your Child Has a Gastronomy Tube
Caring For My Child's Gastronomy Tube
What is a Hernia?
Caring For Your Child After a Hernia Repair
MAKING NORMAL SALINE AT HOME
Pectus Carinatum (Document 1).
Pectus Excavatum (Documents 1, 2, 3)
Pilionidal Sinus Surgery
PYLORIC STENOSIS – Pyloromyotomy
What is a Splenoctomy?
Living Without A Spleen
UNDESCENDED TESTES – Orchidopexy