Displaying publications 21 - 35 of 35 in total

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  1. 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.
  2. 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.
  3. Concomitant cerebral and breast cryptococcosis
    Arumugasamy N, Chin CS, Wong YH, Chew PH
    Aust N Z J Surg, 1985 Oct;55(5):517-8.
    PMID: 3868419
    A patient with a solitary intracranial cryptococcoma of the occipital lobe of the brain and a concomitant granuloma of similar aetiology in the breast is reported. Despite resistance of the causative fungus to 5-fluorocytosine in vitro, the patient responded well to radical excisional surgery and therapy with 5-fluorocytosine.
  4. The management of solitary thyroid nodules under local anaesthesia
    Cunningham IG, Lee YK
    Aust N Z J Surg, 1975 Aug;45(3):285-9.
    PMID: 1058690
    A group of patients with solitary nodules of the thyroid were treated at the University of Malaya by surgery under local anaesthesia. This was done in order to expedite exploration of a potentially malignant condition. This group comprised 43 patients, and four cancers were found. The standard technique used was satisfactory from the viewpoint of both the patient and the surgeon. The pattern of this condition in a Malaysian population is documented, the technique used is described, and thyroidectomy under local aneaesthesia is discussed.
  5. 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
  6. 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
  7. 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.
  8. 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.
  9. 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.
  10. Surgical Research Society of Australasia. 24th Scientific Meeting, May 12, 1978, University Hospital, Kuala Lumpur, Malaysia. Abstracts
    Aust N Z J Surg, 1978 Oct;48(5):586-8.
    PMID: 35148
  11. The history and development of surgery in Malaysia
    Alhady SM
    Aust N Z J Surg, 1978 Aug;48(4):352-6.
    PMID: 367350
  12. 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.
  13. Douglas Miller
    Loewenthal J, Kenny PG, Seng YG
    Aust N Z J Surg, 1974 Jul;44(3):211-4.
    PMID: 4618111
  14. An Experimental Study on the Pathogenesis of Postoperative Hypoalbuminaemia1
    Chandrasekharan N
    Aust N Z J Surg, 1972 Feb;38(3):292-297.
    PMID: 29265290 DOI: 10.1111/j.1445-2197.1972.tb05640.x
    This paper reports a study in the rat of the changes in the plasma albumin level following laparotomy, and their correlation with the concentrations of extravascular albumin in the area of the operation wound and in the liver.

    SUMMARY: The pathogenesis of postoperative hypoalbuminaemia remains a controversial and poorly understood topic. In the present study the changes in the plasma albumin level following laparotomy have been investigated by immunological methods and correlated with the concentrations of extravascular albumin in the operation wound site and in the liver. There was a fall in the plasma albumin level, accompanied by an increase in the extravascular albumin concentration at the laparotomy wound site, with no alteration in the concentration of albumin in the liver. This work confirms that postoperative hypoalbuminaemia is due to accumulation of albumin in the wound site. Increased capillary permeability is suggested as a cause of the excessive loss of plasma albumin into the surgically injured site. The role and subsequent fate of the extravascular albumin in the wound area are also discussed.

  15. 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.
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