MyMedR

Chandrasekaran S, Zainal J

Aust N Z J Surg, 1993 Oct;63(10):780-3.

A total of 76 patients with traumatic extradural haematoma were treated within a period of 3 years. Four patients developed delayed extradural haematomas. These cases are reported in view of the unusual sequence and the importance of early diagnosis.

Definitive surgery for perforated peptic ulcer in Malaysia

Ti TK, Yong NK

Aust N Z J Surg, 1973 May;42(4):353-6.

PMID: 4532515

Ultrasound screening of the abdominal aorta in Malaysians

Teoh MK, Ramasamy D, Wong KP

Aust N Z J Surg, 1992 Nov;62(11):862-5.

PMID: 20169704

Ultrasound examination of the abdominal aorta was performed on 100 patients with cardiovascular disease and a control group of 100 subjects. The objectives were to define the normal aortic size of Malaysians, to screen for aneurysms and to compare the aorta size of the different population groups. In the study group the mean anteroposterior (AP) diameter of the non-aneurysmal aortas at the level of the renal arteries was 1.82 cm (range 0.9-2.6 cm) in men and 1.83 cm (range 1.5-2.3 cm) in women. This compares with 1.61 cm (range 1.1-2.2 cm) in men and 1.50 cm (range 0.8-2.4 cm) in women in the control group. The dimensions of the infrarenal aorta show a similar relationship between the two groups. These AP diameters were significantly smaller than the published figures from studies done on Western populations and are consistent with the smaller stature of Malaysians. Five aneurysms and one ectasia were found (mean size 5 cm, range 3.5-6.0 cm), all in men aged 50-75 years in the study group, and none in the control group. All the aneurysms were easily palpable in these patients who were thinner than the average Caucasian. Given the lower incidence of aortic aneurysms in Malaysians there is no role for routine ultrasound screening of the population. High risk groups can be adequately screened by clinical examination alone.

Severe head injury management in a general surgical department

Visvanathan R

Aust N Z J Surg, 1994 Aug;64(8):527-9.

PMID: 8048888

Sixty-nine severely head-injured patients treated by general surgeons over a 28 month period with admission Glasgow Coma Scale motor scores of 3 to 8 were reviewed retrospectively. Fifty-one patients were comatose on admission with periods from injury to admission exceeding 4 h in 34 patients who were referred from peripheral hospitals. Forty patients with acute intracranial bleeding underwent emergency decompressive surgery with 13 good recoveries and 18 deaths; good recoveries were observed in 11 of 20 patients with extradural haemorrhages, one out of eight patients with subdural haemorrhages, and one of 12 patients with intracerebral and/or combined haemorrhages. Twenty-nine patients with no evidence of acute mass lesions were treated medically with sedation, mechanical ventilation and mannitol infusion for cerebral decompression with seven good recoveries and 16 deaths. There were 15 good outcomes in 40 patients with admission motor scores of 6, 7 or 8 and five good outcomes in 29 patients with scores of 3, 4 or 5. A good outcome of 29% in the study may be improved by (i) better neurosurgical training of surgical and nursing staff; (ii) provision of technologically advanced diagnostic and treatment modalities; (iii) an efficient referral system; and (iv) provision of effective long-term rehabilitation.

Inflammatory diseases of the bowel: a Malaysian experience

Ti TK

Aust N Z J Surg, 1979 Aug;49(4):428-31.

PMID: 115452

A 10-year experience in the diagnosis and treatment of 92 patients with inflammatory bowel diseases in Kuala Lumpur is described. Tuberculosis (34 cases) was the most common inflammatory bowel disease of surgical importance. The clinical presentation of tuberculous enteritis and Crohn's disease is similar, though tuberculosis is strongly suggested by associated pulmonary disease and radiological evidence of caecal involvement. The finding of 10 cases each of Crohn's disease and ulcerative colitis is in keeping with an increased awareness of these conditions in a developing urban society where facilities exist for thorough investigation of diarrhoeal diseases. Amoebiasis sometimes causes a granulomatous lesion simulating carcinoma. Diverticular disease of the colon as known in the West is of very rare occurrence.

The value of cytology in granulomatous mastitis: a report of 16 cases from Malaysia

Yip CH, Jayaram G, Swain M

Aust N Z J Surg, 2000 Feb;70(2):103-5.

PMID: 10711470

BACKGROUND: Granulomatous mastitis is a rare condition of the breast that can mimic a carcinoma. There are characteristic histological features, the most important of which is a predominantly lobular inflammatory process. It must be differentiated from known causes of granulomatous inflammation, such as tuberculosis.

METHODS: In the present paper, the clinical and pathological features of 16 patients with granulomatous mastitis seen over a 3-year period in the University Hospital, Kuala Lumpur, are described.

RESULTS: A clinical suspicion of malignancy was present in 10 cases. One of the patients was nulliparous. One had an associated hyperprolactinaemia, while two had systemic lupus erythromatosis. One of the patients was pregnant at the time of presentation. Four patients had localized lumps excised, five were treated conservatively because the lesion was too extensive to resect, and seven patients required drainage procedures for abscess formation.

CONCLUSION: Awareness of this condition is important because it mimics a carcinoma, and surgery may not be the best treatment for recurrent disease.

The current practice of paediatric surgery in Malaysia

Somasundaram K

Aust N Z J Surg, 1978 Aug;48(4):356-9.

PMID: 282864

This 10-year review of surgical conditions in infants at the University Hospital, Kuala Lumpur, highlights some of the more common problems encountered and outlines their management. Anorectal agenesis and Hirschsprung's disease were seen relatively more frequently than other anomalies of the gastrointestinal tract. The management of these two conditions and the operation of colostomy and its complications are singled out and presented in some detail.

Neurotrauma without neurosurgeons?

Simpson D

Aust N Z J Surg, 1994 Aug;64(8):525-6.

PMID: 8048887

Douglas Miller

Loewenthal J, Kenny PG, Seng YG

Aust N Z J Surg, 1974 Jul;44(3):211-4.

PMID: 4618111

Massive epistaxis from traumatic aneurysm of the internal carotid artery

Saim L, Rejab E, Hamzah M, Sakijan S, Selvapragasam T

Aust N Z J Surg, 1993 Nov;63(11):906-10.

PMID: 8216074

Intracavernous carotid artery aneurysm following head injury is a rare occurrence. Two such cases presenting with delayed but massive and repeated epistaxis are reported and the literature reviewed. The first case required a trapping procedure while the second case had only cervical carotid ligation to control the bleeding. Both resulted in no neurological sequelae.

Bilateral plasma cell granuloma (inflammatory pseudotumour) of the breast

Yip CH, Wong KT, Samuel D

Aust N Z J Surg, 1997 May;67(5):300-2.

PMID: 9152166

Plasma cell granuloma of the breast is an extremely rare condition. Only one other case has been reported in the literature. We report here the second case of plasma cell granuloma of the breast. After the initial excision, the lesion recurred in both breasts after 5 months.

Acute Primary Inversion of the Caecum

Salleh HBD

Aust N Z J Surg, 1969 May;41(4):356-358.

PMID: 29319853 DOI: 10.1111/j.1445-2197.1969.tb06545.x

A case of acute primary inversion of the caecum is presented. The importance of early operation is stressed. The importance of the condition in the differential diagnosis of appendicitis is mentioned.

Mullerian duct cyst (utricular cyst): treatment with the transvesical, transtrigonal approach

Goon HK, Tan KC, Sakijan AS

Aust N Z J Surg, 1987 Sep;57(9):683-6.

PMID: 3689258

The diagnosis of mullerian duct or utricular cyst should be considered in a child with urinary difficulties and a palpable midline, anterior rectal mass. Endoscopic cannulation of the cyst has been found to be the most useful diagnostic test. Infection should be treated with the appropriate antibiotics before definitive treatment. Surgical excision offers the best result. The transperitoneal and posterior parasacral approaches have been described but we favour the transvesical, transtrigonal approach which we find highly satisfactory. The risk of malignancy at a later age is an added indication for surgery.

Localized osseous involvement in cryptococcosis: case report and review of the literature

Ong TH, Prathap K

Aust N Z J Surg, 1970 Nov;40(2):186-90.

PMID: 5275987

Xanthogranulomatous pyelonephritis in Malaysians

Yong SL, Prathap K

Aust N Z J Surg, 1977 Apr;47(2):216-20.

PMID: 267467

Eight cases of xanthogranulomatous pyelonephritis occurring in an oriental population are reported. The patients were mostly middle-aged, and there was a female preponderence. Nephrectomy controlled the disease in all cases. Diagnosis on clinical and radiological grounds is difficult, and it is often only made on pathological examination of the kidney after nephrectomy. The nature of the disease remains obscure.

Fatal haemoperitoneum due to rupture of hepatic metastasis from renal cell carcinoma

Wong KT, Khir AS, Noori S, Peh SC

Aust N Z J Surg, 1994 Feb;64(2):128-9.

PMID: 8291977

Tropical pyomyositis

Owen-Smith MS

Aust N Z J Surg, 1975 Feb;45(1):57-60.

PMID: 1057403

Six cases of tropical pyomyositis occurring in Australian, New Zealand and British soldiers in Malaysia and Singapore are described.

A state-wide campaign for the early detection of cancer in Sabah

Oommen RM

Aust N Z J Surg, 1994 Jan;64(1):22-3.

PMID: 8267532

The Medical Department of Sabah, in collaboration with various governmental and non-governmental agencies and 'Surgeons International' conducted a state-wide campaign for the 'Early Detection of Cancer' over a period of 3 months from July 1992. The purpose of the campaign was to educate the population about the early signs and symptoms of common cancers, to remove the myth that cancer was incurable and to impress on the public the need to detect cancer early for a possible cure and a better prognosis.

Type IVa choledochal cysts: surgical management and literature review

Thambi Dorai CR, Visvanathan R, McAll GL

Aust N Z J Surg, 1991 Jul;61(7):505-10.

PMID: 1859310

Type IVa choledochal cysts with cylindrical dilatation of the intrahepatic ducts constitute a relatively less recognized variety of choledochal cysts, and differ from cystic dilatation of intrahepatic ducts in their clinical manifestations and response to treatment. Five patients with type IVa choledochal cysts and cylindrical dilatation of major intrahepatic ducts who underwent cyst excision and Roux-en-Y hepaticojejunostomy are reported. The duration of symptoms was less than 1 year in all patients. Palpable abdominal mass and abdominal pain were present in 3 patients. The traid of jaundice, abdominal pain and mass was present in only 1 patient. The intrahepatic dilatation regressed after excision of the extrahepatic cyst just below the hilum of the liver. The surgical technique is described and the need for excision of the cyst is emphasized.

Thymolipoma

Majid AA

Aust N Z J Surg, 1992 Jan;62(1):74-6.

PMID: 1731742

Although the diagnosis of thymolipoma has improved with the introduction of computerized tomography (CT), variations in CT appearance are still being described; this paper describes a case which resembled a lipoma. The CT features of thymolipoma are discussed with special reference to the differential diagnosis. Surgical excision should be considered for patients who are found to exhibit a fatty intrathoracic mass on CT.

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