A Paediatric Surgery Essentials Workshop: Little Gut, Big Skills: A Review

by Gan Geyee, Organising Chairperson of Little Gut, Big Skills 2025, Malaysian Students’ Surgical Society (MSSS)

      

Subang Jaya, 9th  September 2025  The Malaysian Students ’ Surgical Society (MSSS), in collaboration  with  Subang Jaya Medical  Centre  (SJMC)  and  endorsed by the Malaysian Association of Paediatric Surgery  (MAPS),  successfully  launched the Paediatric  Surgery  Essentials Workshop: Little Guts, Big Skills  (LGBS)  on  6th  September  2025.  This   landmark   student-led  initiative  brought  together  60 undergraduate medical students across Malaysian universities, establishing a vital platform for the next generation of surgeons and healthcare professionals while spotlighting paediatric surgery.

Opening Ceremony and MoU Signing

LGBS commenced with opening remarks by the Organizing Chairperson, Ms. Gan Geyee; the MSSS President, Ms. Praveena Vijaya Devan; and the Vice President of MAPS, Professor Dr. Shireen Anne Nah Han Yien. We were deeply honored by the presence of Professor Dato ’ Dr. Kandasami Palayan, Advisor to MSSS, as the Guest of Honour.

A highlight of the ceremony was the signing of a Memorandum of Understanding (MoU) between the MSSS and the College of Surgeons, Academy of Medicine of Malaysia (CSAMM). The agreement was signed  by  Professor  Dr.  Liew  Ngoh  Chin, President of CSAMM,  and  Ms.  Praveena  Vijaya  Devan, President  of  MSSS,  and  was  witnessed  by Professor Dr.  Shireen  Anne Nah Han Yien,  Senior Vice President  of  CSAMM,  and  Ms.  Radha  Sai,  Honorary  Vice  Secretary  of MSSS.  This  MoU  marks  a monumental  step  towards  strengthening  student  involvement  in  surgical  education  and  fostering collaboration in advancing the surgical field in Malaysia.

Academic Highlights

The programme began with a keynote lecture,  Unfolding the First Chapter: Understanding Paediatric Colorectal Conditions , delivered by Dr. Chin Yen Ming (Paediatric Surgeon, Hospital Tuanku Ja’afar, Seremban), covering congenital colorectal anomalies including anorectal malformations (ARM) and Hirschsprung disease.

This  was  followed  by  a  forum  titled “Beyond Childhood: Lifelong  Care in Congenital Colorectal Diseases .  The  session  addressed  critical  aspects  of  long-term  management,   including  the Bowel Management Programme (BMP), transitional care for adolescent patients, and the surgical management of adults  with  congenital  colorectal  anomalies. Esteemed  panellists  included:  Dr.  Quah  Soong  Yuen (Consultant Paediatric Surgeon, Subang Jaya Medical Centre), Dr. Tan Yew Wei (Consultant Paediatric Surgeon  and  Senior  Lecturer,  Universiti  Malaya),  and  Dr.  Nora  Abdul  Aziz  (Consultant  Colorectal Surgeon and Senior Lecturer, Universiti Malaya). The discussion emphasised the importance of continuity of care, cross-specialty collaboration, and the need for structured transitional care services.

Hands-on Workshops

The  practical  component  began  with  a  basic  suturing  skills  workshop,  where  participants  practiced fundamental techniques,  including  knot  tying,   simple   interrupted,  simple  continuous,  vertical,  and horizontal mattress sutures, using bananas as skin simulators.

The  afternoon  was  dedicated  to  a  paediatric  stoma  workshop. The session commenced  with an introductory lecture by Dr. Quah Soong Yuen, covering the types of stoma, as well as the indications, techniques,  and  complications  of stoma  creation  in children.  This  was  followed  by  a  step-by-step demonstration on stoma creation and reversal, led by Dr. Tan Yew Wei and facilitated by Dr. Quah Soong Yuen, Dr. Chin Yen Ming, and Dr. Nora Abdul Aziz. Participants engaged in hands-on practice using an innovative simulated model constructed with goat skin and porcine intestine, designed by the Organizing Chairperson, Ms. Gan Geyee, to closely replicate operative conditions.

Impact and Reflections

LGBS was met with highly positive feedback; participants expressed that the experience enhanced both their technical skills and their understanding of the broader challenges in paediatric surgical care. Beyond skill  acquisition,  Little  Guts,  Big  Skills  successfully  fostered  a  spirit  of collaboration,  curiosity,  and community among medical students from diverse backgrounds.

This initiative exemplified budding student-led initiatives and their role in shaping the surgical education landscape in Malaysia. By bridging knowledge, skills, and networking opportunities, LGBS aims to instill interest and inspire future surgeons while contributing to the continued advancement in paediatric surgery.