Displaying publications 41 - 43 of 43 in total

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  1. Fulltext Clinical validity and conceptual interpretation of systematic review and meta-analysis on elective neck dissection (END) versus observation for early-stage oral squamous cell carcinoma (OSCC)
    Jayaraj R, Shetty S, Kumaraswamy C, Raymond G, Ram M R, Govind SK, et al.
    Oral Oncol, 2020 10;109:104764.
    PMID: 32402654 DOI: 10.1016/j.oraloncology.2020.104764
    Matched MeSH terms: Elective Surgical Procedures
  2. COVID-19 pandemic and its impact on emergency surgery in colorectal cancer: A single centre experience
    Ng GH, Philip Ding HL, Leow YC, Umasangar R, Ang CW
    Med J Malaysia, 2023 Jan;78(1):32-34.
    PMID: 36715188
    INTRODUCTION: The COVID-19 pandemic has led to major changes in the provision of surgical services and also affected patients' health-seeking behaviour. This contributes to delayed presentation of many surgical conditions resulting in poorer outcomes. Colorectal cancer (CRC) patients who present with acute surgical emergencies such as complete bowel obstruction, perforation, bleeding or sepsis often require immediate intervention. This study aimed to assess the impact of COVID-19 pandemic on the proportion of emergency surgery in CRC patients.

    MATERIALS AND METHODS: This is a retrospective cohort study. All CRC patients who underwent elective and emergency surgery from January until December 2019 (pre-COVID era) and September 2020 until August 2021 (COVID era) were included. Patient demographics, presentation, tumour stage, surgery performed and waiting time for surgery were collected. Data were then compared.

    RESULTS: Seventy-seven and 76 new cases of CRC underwent surgery before and during COVID-19, respectively. The proportions of emergency surgery before and during COVID-19 are 29% vs 33% (p=0.562). Of those who required emergency surgery, the proportions of patients who required stoma formation are 59% vs 72% (p= 0.351). There was no difference in median waiting time for patients requiring elective surgery (p= 0.668).

    CONCLUSION: The proportion of emergency surgery for CRC patients is not statistically higher during the pandemic.

    Matched MeSH terms: Elective Surgical Procedures
  3. Fulltext Acute impending compartment syndrome during elective spine surgery: a rare occurrence
    Yeap TB, Shabani NS, Bong CP, Tan HS
    BMJ Case Rep, 2021 Jul 13;14(7).
    PMID: 34257132 DOI: 10.1136/bcr-2021-244358
    Intraoperative impending compartment syndrome (ICS) is an extremely rare but lethal occurrence that can involve the upper and/or lower limb(s). It commonly occurs in patients who undergo anaesthesia in various special positions such as lithotomy, lateral decubitus or prone. We present a patient who developed an ICS of his left forearm during a cervical spine surgery in prone position. This devastating condition was fortunately identified when the pulse oximetry, intra-arterial wave form and motor-evoked potentials signal disappeared abruptly from our monitors. We discuss our perioperative challenges and management for the patient which had eventually saved the patient's limb.
    Matched MeSH terms: Elective Surgical Procedures
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