MyMedR

Fulltext Surgery for isolated non-inflammatory chronic total occlusion of the left main coronary artery: a case report and literature review

Azam AF, How LA, Nor A, Badmanaban B, Sachithanandan A

Med J Malaysia, 2011 Oct;66(4):374-5.

PMID: 22299565 MyJurnal

Chronic total occlusion (CTO) of the left main coronary artery (LMCA) is a rare manifestation of coronary artery disease (CAD) and defined by a total absence of antegrade blood flow to the left anterior descending (LAD) and circumflex (Cx) system. Patients are at high risk of myocardial ischaemia as a sizeable area of myocardium is at risk and thus require urgent intervention. Surgery is the treatment of choice especially with CTO lesions as percutaneous coronary intervention has limited success with a high restenosis rate. We report a rare case of a young Chinese male who presented acutely with a myocardial infarction and discuss the aetiology and peri-operative technical considerations for successful surgery with this condition.

Matched MeSH terms: Coronary Occlusion/surgery*

Fulltext Otosclerosis and the role of second ear surgery

Azlan II, Asma A, Saim L

Med J Malaysia, 2010 Jun;65(2):152-4.

PMID: 23756804 MyJurnal

Hearing loss and tinnitus are the main symptoms of otosclerosis. Little is known about the cause of tinnitus in otosclerosis and the factors influencing the effect of surgery on tinnitus. Though by surgery, we are able to inform patient about probable hearing gain and even benefit concerning bilateral hearing, it is however difficult to predict the course of tinnitus. The principle aim of stapes surgery is to restore hearing but some patients also report reduction in the severity of tinnitus and even complete cessation of it. We describe a case report of a 37 year old male who underwent a second stapes surgery. We wish to illustrate that for our patient, tinnitus represents a major disturbance and the patient is as much concerned with the improvement of hearing as with the improvement of tinnitus.

Matched MeSH terms: Stapes Surgery*

Robotic-assisted laparoscopic ureteral reimplantation with psoas hitch: a multi-institutional, multinational evaluation

Patil NN, Mottrie A, Sundaram B, Patel VR

Urology, 2008 Jul;72(1):47-50; discussion 50.

PMID: 18384858 DOI: 10.1016/j.urology.2007.12.097

To report the collective experience of three multinational institutions with the use of robotics to evaluate and treat complex distal ureteral obstruction.

Matched MeSH terms: Urinary Bladder/surgery; Ureter/surgery*; Ureteral Diseases/surgery; Ureteral Obstruction/surgery; Urinary Fistula/surgery; Vaginal Fistula/surgery; Psoas Muscles/surgery

Fulltext Total thyroidectomy: the procedure of choice for toxic goitre

Hussain M, Hisham AN

Asian J Surg, 2008 Apr;31(2):59-62.

PMID: 18490216 DOI: 10.1016/S1015-9584(08)60059-7

Over the years, subtotal thyroidectomy has been the mainstay of treatment for toxic goitre; however, total thyroidectomy is increasingly being considered as the procedure of choice. This study aimed to review our experience with total thyroidectomy in toxic goitre and evaluate the outcome of this procedure.

Matched MeSH terms: Goiter/surgery*

Reply to comment to Meta-analysis and systematic review of laparoscopic versus open mesh repair for elective incisional hernia. Jensen K, Jorgensen LN

Awaiz A, Rahman F, Hossain MB, Yunus RM, Khan S, Memon B, et al.

Hernia, 2015 Dec;19(6):1027-9.

PMID: 26496998 DOI: 10.1007/s10029-015-1432-z

Matched MeSH terms: Hernia, Ventral/surgery*

Fulltext An alternative method for securing surgical drains in the neck

Lim PVH, Jalaludin MA

Med J Malaysia, 2000 Mar;55(1):141-2.

PMID: 11072501

A method for securing closed suction drains in the neck is described where it serves to prevent leakage, slippage and accidental removal. This method involves passing a stay suture through the most proximal holes of the drain and suturing it to the skin and an overlying short length of the tube externally. Drains secured in this manner can be left in the wound for up to fourteen days with no associated complications from our experience in sixty-two patients following head and neck surgery.

Matched MeSH terms: Neck/surgery*

Fulltext Endoscopic repair of spontaneous cerebro-spinal fluid rhinorrhoea: a report of 3 cases

Gendeh BS, Wormald PJ, Forer M, Goh BS, Misiran K

Med J Malaysia, 2002 Dec;57(4):503-8.

PMID: 12733180

Three cases of spontaneous Cerebrospinal Fluid (CSF) rhinorrhea were managed at the National University Hospital, Kuala Lumpur. Case 1 had bilateral leak secondary to empty sella syndrome and the rest two cases had unilateral leak. Four transnasal endoscopic approaches were performed on these three cases since March 1999. The role of intrathecal Sodium Fluorescein is highlighted in localising the CSF fistula. Case 3 required postoperative lumbar drain as an adjunct. No recurrent leak was noted on post operative follow up in Case 2 and 3 ranging from nine to thirty two months. A recurrent left leak at six months was noted in Case 1 which could likely be due to her sudden bout of cough attacks and patient refused further surgical intervention.

Matched MeSH terms: Cerebrospinal Fluid Rhinorrhea/surgery*

Fulltext Management of gastroschisis in a peripheral hospital setting

Naidu RR, Lee FH, Teh KH

Med J Malaysia, 1996 Dec;51(4):444-6.

PMID: 10968031

Ten patients (5 males and 5 females) with gastroschisis were treated in Alor Setar Hospital from January 1989 to December 1993. Two patients had associated congenital anomalies. Primary closure was possible in 9 patient while the other patient had stage closure. All patients received prophylactic antibiotics, 9 patients were ventilated electively in the post-operative period and 7 patients received parenteral nutrition. There were 9 survivors. Complications especially wound infection and breakdown were seen in 7 patients. The average hospital stay was 36 days.

Matched MeSH terms: Gastroschisis/surgery*

Fulltext Ambulatory carbon dioxide laser haemorrhoidectomy without disability

Yap CM

Med J Malaysia, 1997 Mar;52(1):97-8.

PMID: 10968064

Matched MeSH terms: Hemorrhoids/surgery*

Fulltext Fracture of the penis

Kamil N, Hisham AN, Abdullah M, Khairullah A

Med J Malaysia, 1993 Sep;48(3):373-6.

PMID: 8183157

Fracture of the penis is not an uncommon urological emergency. Six patients with this injury, treated at the Institute of Urology, General Hospital, Kuala Lumpur, since 1988, were reviewed. Their ages ranged from 21 to 30 years old (mean 25). Four cases were self-inflicted by abnormal bending and 2 cases occurred during sexual intercourse. A sudden "cracking sound", violent pain, rapid flaccidity and deformity of the penis were documented. Duration of injury at presentation ranged from 12 to 90 hours (mean 35 hours). Primary repair of the tunica albuginea with absorbable suture was performed in all cases. The results of surgery was excellent, with restoration of normal function in 4 patients (2 patients defaulted follow-up). We advocate immediate surgical repair for this injury.

Matched MeSH terms: Fractures, Bone/surgery*

Fulltext Gangrene of the penis

Lwin M, Abdullah MA

Med J Malaysia, 1995 Mar;50(1):108-9.

PMID: 7752962

A case of gangrene of the penis, rarely seen at our University Hospital is reported. Urolithiasis, urinary tract infection, infected piles and anaemia were found to be associated with the condition. Because of rapid spread of the gangrene, partial amputation was required in this reported case.

Matched MeSH terms: Penis/surgery

Fulltext Resurfacing penile skin defect with bilateral dartos musculocutaneous flaps

Yap CM

Med J Malaysia, 1993 Dec;48(4):457-8.

PMID: 8183174

A case of marked penile skin loss following an adult circumcision is presented. The surgical requirement is to provide a soft and flexible cover for the penis to facilitate return of sensation and function. The two stage bilateral dartos musculocutaneous flaps offer an acceptable surgical alternative.

Matched MeSH terms: Penis/surgery*

Fulltext Combined pregnancy--a case report

Kumarasamy S, Arumugam K

Med J Malaysia, 1991 Sep;46(3):252-4.

PMID: 1839921

A case of combined intra- and extra-uterine pregnancy is reported. Awareness of this condition, a high index of suspicion, the proper interpretation of physical signs and ultrasound findings together with early resort to laparoscopy resulted in a favourable outcome.

Matched MeSH terms: Fallopian Tubes/surgery

Fulltext Methods used for reconstruction in aggressive bone tumours: an early experience

Pan KL, Ting SS, Mohamad AWK, Lee WG, Wong CC, Rasit AH

Med J Malaysia, 2003 Dec;58(5):752-7.

PMID: 15190663

Improvements in the overall treatment of patients with aggressive, large tumours involving the bone have made it possible to preserve and salvage limbs instead of amputating them. Each patient is unique in his clinical presentation and social circumstance. The different reconstructive options available allow us to choose the most appropriate method suited to the particular patient and with minimal delay, even when resources are limited. The patient and the relatives actively participate in the choice. The early experience of the different techniques for reconstructing these bone defects at our hospital are presented in this paper.

Matched MeSH terms: Bone Neoplasms/surgery*

Mucocele of the appendix

Salleh HM, Bin Mohamed Salleh H

Med J Malaysia, 1973 Dec;28(2):91-3.

PMID: 4276223

Matched MeSH terms: Mucocele/surgery*

The place of the surgical specialties in the training of the general surgeon

Balasegaram M

J R Coll Surg Edinb, 1972 Jul;17(4):225-6.

PMID: 5073907

Matched MeSH terms: General Surgery/education*

The "Best" Inguinal Hernia Repair Technique

Chai FY

World J Surg, 2020 10;44(10):3322-3323.

PMID: 32524160 DOI: 10.1007/s00268-020-05636-6

Matched MeSH terms: Hernia, Inguinal/surgery*

Management of sphenoid lateral recess encephalocoeles

Govindaraju R, Tang IP, Prepageran N

Curr Opin Otolaryngol Head Neck Surg, 2019 Feb;27(1):37-46.

PMID: 30507693 DOI: 10.1097/MOO.0000000000000508

PURPOSE OF REVIEW: Sphenoid sinus lateral recess encephalocoeles (SSLRE) are rare occurrences and pose unique challenges due to limited surgical access for endoscopic endonasal repair and also the lack of consensus on optimal perioperative managements specifically in the spontaneous cases, which are also believed to be a variant of idiopathic intracranial hypertension (IIH). Endoscopic endonasal approaches have largely replaced the transcranial route and the techniques are continuously being refined to reduce the neurovascular morbidity and improve outcome.

RECENT FINDINGS: Transpetrygoid is the most utilized approach with modifications suggested to limit bone removal, exposure and preservation of the neurovascular structures as dictated by the extent of the lateral recess. As more experience is gained, extended transphenoidal techniques were also successfully used for access. Lateral transorbital is a new approach to the lateral recess investigated in cadavers. IIH treatment is still controversial in the setting of SSLRE, but it appears rationale to evaluate, monitor and treat if necessary.

SUMMARY: SSLRE management should be tailored to the specific anatomical variances and cause. Modifications of techniques have been described giving different options to access the lateral recess. Successful repair for spontaneous SSLRE may require treatment of IIH if present, but the long-term outcome is still unclear.

Matched MeSH terms: Encephalocele/surgery*

Prevalence of obstructive sleep apnea in an Asian bariatric population: an underdiagnosed dilemma

Loo GH, Rajan R, Mohd Tamil A, Ritza Kosai N

Surg Obes Relat Dis, 2020 Jun;16(6):778-783.

PMID: 32199766 DOI: 10.1016/j.soard.2020.02.003

BACKGROUND: Obesity is a growing health problem that has become a global epidemic. Serial population studies have shown the same in Malaysia, where the prevalence of obesity increased rapidly in the last decade. Currently, bariatric surgery is the most effective treatment in patients with morbid obesity. Obstructive sleep apnea (OSA) is the most common type of sleep-related breathing disorder seen in obesity.

OBJECTIVES: We aim to ascertain the prevalence and severity of OSA in Asian patients who underwent bariatric surgery and were seen in our center.

SETTING: The study was conducted in our university hospital.

METHODS: Study approval was obtained from our institutional review board for a retrospective chart review. A total of 226 patients were included in this review. OSA was noted as absent or present and graded from mild to severe. The patient population was stratified by body mass index according to the World Health Organization guidelines for Asian population.

RESULTS: The overall sample prevalence of OSA was 80.5%. Of these, 24.3% had mild OSA, 23.9% had moderate OSA, and 32.3% had severe OSA. Only 17.3% have been diagnosed with OSA before bariatric workup. Among men, the prevalence of OSA was 93.7% and 75.5% among women.

CONCLUSION: Based on these findings, Asian patients undergoing bariatric workup should be considered for routine polysomnography to enable treatment of OSA.

Matched MeSH terms: Bariatric Surgery*

Osseous evidence behind micro-osteoperforation technique in accelerating orthodontic tooth movement: A 3-month study

Asif MK, Ibrahim N, Sivarajan S, Heng Khiang Teh N, Chek Wey M

Am J Orthod Dentofacial Orthop, 2020 Oct;158(4):579-586.e1.

PMID: 32826123 DOI: 10.1016/j.ajodo.2019.09.022

INTRODUCTION: The study aimed to investigate the effects of micro-osteoperforations (MOPs) on the mandibular bone volume/tissue volume (BV/TV) ratio changes and the rate of orthodontic tooth movement using cone-beam computed tomography images. Another objective was to evaluate the effects of MOP frequency intervals (4 weeks, 8 weeks, and 12 weeks) on the BV/TV ratio and rate of tooth movement.

METHODS: In 24 participants, 140-200 g of force was applied for mandibular canine retraction. Three MOPs were made according to the scheduled intervals of the 3 different groups: group 1 (MOP 4 weeks), group 2 (MOP 8 weeks), and group 3 (MOP 12 weeks) directly at the mandibular buccal cortical bone of extracted first premolars sites. Cone-beam computed tomography scans were obtained at the 12th week after MOP application. Computed tomography Analyzer software (version 1.11.0.0; Skyscan, Kontich, Belgium) was used to compute the trabecular alveolar BV/TV ratio.

RESULTS: A significant difference was observed in the rate of canine movement between control and MOP. Paired t test analysis showed a significant difference (P = 0.001) in the mean BV/TV ratio between control and MOP sides in all the frequency intervals groups. However, the difference was significant only in group 1 (P = 0.014). A strong negative correlation (r = -0.86) was observed between the rate of canine tooth movement and the BV/TV ratio at the MOP side for group 1 and all frequency intervals together (r = -0.42).

CONCLUSIONS: The rate of orthodontic tooth movement can be accelerated by the MOP technique with frequently repeated MOPs throughout the treatment.

Matched MeSH terms: Mandible/surgery

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