MyMedR

Approach to surgery in the middle ear without the need for an aural speculum

Raman R

Ear Nose Throat J, 1999 Apr;78(4):306-7.

This article describes a new approach to permeatal surgery in the middle ear that does not require the use of an aural speculum.

Matched MeSH terms: Ear, Middle/surgery*

Medicine in Malaysia: general surgery

Jalleh RP

Med J Malaysia, 1995 May;50 Suppl A:S72-4.

PMID: 10968021

Matched MeSH terms: General Surgery/trends*

Fulltext Video-assisted thoracoscopic surgery for pneumothorax

Lee YM, Lim YC, Liam CK, Aljafri M

Med J Malaysia, 1995 Dec;50(4):334-8.

PMID: 8668053

Five cases of spontaneous pneumothorax were treated with video-assisted thoracoscopic surgery (VATS). These included four cases of recurrent pneumothorax and one case of persistent pneumothorax. The mean age was 33 years. The identified bullae were eliminated with either endoloop ligation (in one patient) or stapled excision (in four patients). There were no recurrences reported in a mean follow-up of 9.4 months. In conclusion, VATS offers an equally effective and less morbid alternative to open thoracotomy in the management of primary spontaneous pneumothorax.

Matched MeSH terms: Pneumothorax/surgery*

Hepatic resections 1964-1979: vignettes drawn from the Malaysian experience

Balasegaram M, Joishy SK

Jpn J Surg, 1980 Jun;10(2):94-9.

PMID: 6253701

We present a study of 288 hepatic resections carried out in Malaysia for the past fifteen years. First, we describe our indications for hepatic resectins which are not limited to hepatic trauma and hepatomas, but also include hepatic abscesses, cysts, intrahepatic calculi and hemangiomas. Second, we give a simplified classification of hepatic resections using accurate terminology. Third, we describe the safety of hepatic resections in our hands which we believe is due to specially designed surgical instruments and the accurate decision making process at surgery. We have had minimum postoperative mortality and no intraoperative deaths so far. Finally, while analysing each indication we have drawn vignettes from our experience for the past fifteen years.

Matched MeSH terms: Calculi/surgery; Cysts/surgery; Hemangioma/surgery; Carcinoma, Hepatocellular/surgery; Liver Abscess/surgery; Liver Diseases/surgery*; Liver Neoplasms/surgery

Variation in UK Deanery publication rates in the British Journal of Oral and Maxillofacial Surgery: where are the current 'hot spots'?

Turner J, Hammond D, Goodson M

Br J Oral Maxillofac Surg, 2021 02;59(2):e48-e64.

PMID: 33109382 DOI: 10.1016/j.bjoms.2020.08.090

Publication in peer-reviewed journals is often seen as a cornerstone of the academic and clinical career within medicine and surgery. As one of the largest circulations in oral and maxillofacial surgery, the British Journal of Oral and Maxillofacial Surgery (BJOMS) offers trainees and consultants the opportunity to disseminate valuable information worldwide. The aim of this paper is to investigate the variation in publication rates of U.K. authors based upon their Deanery in order to identify potential hotspots. All volumes of BJOMS between 2011 and 2019 were hand searched to identify full articles authored by authors in U.K., these were categorised by Deanery and allocated a theme within OMFS. The results demonstrate that, of the 378 full length articles, over 30% of these were from two Deaneries: London and North West (West). Oncology, OMFS training and education, and craniofacial trauma were the three most common themes of publication amounting to 51.5% of total publications. There has been an unfortunate decrease in publications from U.K. Deaneries of almost 30% from 2011 to 2019 which begs the question of whether fewer publications are being accepted or if rates of submission have reduced.

Matched MeSH terms: Surgery, Oral*

Re: Some weighing of publication rates should be used to more fairly reflect the productivity of trainees. Re: re: Variation in UK Deanery publication rates in the British Journal of Oral and Maxillofacial Surgery: where are the current 'hot spots'?

Turner J, Hammond D, Goodson M

Br J Oral Maxillofac Surg, 2021 02;59(2):263.

PMID: 33531182 DOI: 10.1016/j.bjoms.2020.12.015

Matched MeSH terms: Surgery, Oral*

Perioperative challenges in a morbidly obese former COVID-19 patient undergoing elective spine surgery

Leo ZH, Mohammad Iskandar FF, Yeap TB, Bong CP

BMJ Case Rep, 2021 Jul 26;14(7).

PMID: 34312139 DOI: 10.1136/bcr-2021-243950

Anaesthesia for patients with severe lung fibrosis post COVID-19 infection requires special consideration. This is due to its propensity to cause perioperative anaesthetic catastrophe and possibility of cross infection among healthcare workers if not properly managed. This interesting article elaborates in detail the anaesthetic and surgical challenges in a morbidly obese patient who had a severe COVID-19 infection presenting for an elective spine surgery.

Matched MeSH terms: Spine/surgery

Hepatic resection. Pillars of success built on the foundation of 15 years of experience

Balasegaram M, Joishy SK

Am J Surg, 1981 Mar;141(3):360-5.

PMID: 6259961

Two hundred eight-eight hepatic resections performed over the past 15 years are discussed. The safety and success achieved are attributed to the original work in Malaysia on the anatomy of the liver and its anomalies, the use of surgical instruments specially designed for hepatic resection, various types of resections devised and studies on aids to liver regeneration after resection. The diversity of the principles and practice of surgery in the Western countries compared with those in Malaysia is illustrated.

Matched MeSH terms: Calculi/surgery; Cysts/surgery; Carcinoma, Hepatocellular/surgery; Liver/surgery*; Liver Abscess/surgery; Liver Diseases/surgery*; Liver Neoplasms/surgery

Perforated caecal mass: benign or malignant?

Chan KH, Muhamad A, Hayati F, Azizan N, Andee DZ

ANZ J Surg, 2021 Jul;91(7-8):1620-1622.

PMID: 33351236 DOI: 10.1111/ans.16508

Matched MeSH terms: Cecum/surgery

The place of vaginal hysterectomy in the management of genital prolapse

Menon R

Med J Malaya, 1970 Mar;24(3):194-5.

PMID: 4246800

Matched MeSH terms: Uterine Prolapse/surgery*

Deviation of the mandible corrected by an acrylic training flange

Hiong ET

Dent J Malaysia Singapore, 1972 May;12(1):53-5.

PMID: 4507359

Matched MeSH terms: Mandible/surgery

Neurological disease and its management in malaysia. Belah otak

Richardson PM

Can J Neurol Sci, 1976 May;3(2):133-4.

PMID: 1268766

Matched MeSH terms: Brain Diseases/surgery*

An improved exposure in appendicectomy

COHEN Y

Med J Malaya, 1958 Dec;13(2):175-8.

PMID: 13632218

Matched MeSH terms: Appendix/surgery*

Operations on the great vessels

GORDON W

Med J Malaya, 1958 Dec;13(2):173-4.

PMID: 13632217

Matched MeSH terms: Cardiovascular Abnormalities/surgery*

Treatment of inguinal hernia with special reference to the use of floss silk darn

METHA KM

Med J Malaya, 1957 Mar;11(3):235-41.

PMID: 13477001

Matched MeSH terms: Hernia, Inguinal/surgery*

Diagnosis, assessment, and management of surgical complications following esophagectomy

Grimminger PP, Goense L, Gockel I, Bergeat D, Bertheuil N, Chandramohan SM, et al.

Ann N Y Acad Sci, 2018 12;1434(1):254-273.

PMID: 29984413 DOI: 10.1111/nyas.13920

Despite improvements in operative strategies for esophageal resection, anastomotic leaks, fistula, postoperative pulmonary complications, and chylothorax can occur. Our review seeks to identify potential risk factors, modalities for early diagnosis, and novel interventions that may ameliorate the potential adverse effects of these surgical complications following esophagectomy.

Matched MeSH terms: Esophagus/surgery*

How does saline backflow affect the treatment of saline-infused radiofrequency ablation?

Kho ASK, Ooi EH, Foo JJ, Ooi ET

Comput Methods Programs Biomed, 2021 Nov;211:106436.

PMID: 34601185 DOI: 10.1016/j.cmpb.2021.106436

BACKGROUND AND OBJECTIVE: Saline infusion is applied together with radiofrequency ablation (RFA) to enlarge the ablation zone. However, one of the issues with saline-infused RFA is backflow, which spreads saline along the insertion track. This raises the concern of not only thermally ablating the tissue within the backflow region, but also the loss of saline from the targeted tissue, which may affect the treatment efficacy.

METHODS: In the present study, 2D axisymmetric models were developed to investigate how saline backflow influence saline-infused RFA and whether the aforementioned concerns are warranted. Saline-infused RFA was described using the dual porosity-Joule heating model. The hydrodynamics of backflow was described using Poiseuille law by assuming the flow to be similar to that in a thin annulus. Backflow lengths of 3, 4.5, 6 and 9 cm were considered.

RESULTS: Results showed that there is no concern of thermally ablating the tissue in the backflow region. This is due to the Joule heating being inversely proportional to distance from the electrode to the fourth power. Results also indicated that larger backflow lengths led to larger growth of thermal damage along the backflow region and greater decrease in coagulation volume. Hence, backflow needs to be controlled to ensure an effective treatment of saline-infused RFA.

CONCLUSIONS: There is no risk of ablating tissues around the needle insertion track due to backflow. Instead, the risk of underablation as a result of the loss of saline due to backflow was found to be of greater concern.

Matched MeSH terms: Liver/surgery

Unidirectional ablation minimizes unwanted thermal damage and promotes better thermal ablation efficacy in time-based switching bipolar radiofrequency ablation

Ooi EH, Ooi ET

Comput Biol Med, 2021 10;137:104832.

PMID: 34508975 DOI: 10.1016/j.compbiomed.2021.104832

Switching bipolar radiofrequency ablation (bRFA) is a thermal treatment modality used for liver cancer treatment that is capable of producing larger, more confluent and more regular thermal coagulation. When implemented in the no-touch mode, switching bRFA can prevent tumour track seeding; a medical phenomenon defined by the deposition of cancer cells along the insertion track. Nevertheless, the no-touch mode was found to yield significant unwanted thermal damage as a result of the electrodes' position outside the tumour. It is postulated that the unwanted thermal damage can be minimized if ablation can be directed such that it focuses only within the tumour domain. As it turns out, this can be achieved by partially insulating the active tip of the RF electrodes such that electric current flows in and out of the tissue only through the non-insulated section of the electrode. This concept is known as unidirectional ablation and has been shown to produce the desired effect in monopolar RFA. In this paper, computational models based on a well-established mathematical framework for modelling RFA was developed to investigate if unidirectional ablation can minimize unwanted thermal damage during time-based switching bRFA. From the numerical results, unidirectional ablation was shown to produce treatment efficacy of nearly 100%, while at the same time, minimizing the amount of unwanted thermal damage. Nevertheless, this effect was observed only when the switch interval of the time-based protocol was set to 50 s. An extended switch interval negated the benefits of unidirectional ablation.

Matched MeSH terms: Liver/surgery

Fulltext Atypical presentation of giant fibroadenoma of the breast

Burud IAS, Azmi N

Pan Afr Med J, 2021 07 05;39:168.

PMID: 34539964 DOI: 10.11604/pamj.2021.39.168.26975

Matched MeSH terms: Breast/surgery

Alternative suture tightening technique for achieving adequate suture tension during B-Lynch compression suture

Ramly F, Mohd Kasim N

Int J Gynaecol Obstet, 2022 Mar;156(3):577-580.

PMID: 34652812 DOI: 10.1002/ijgo.13981

Matched MeSH terms: Uterus/surgery

Displaying publications 41 - 60 of 2740 in total