Displaying publications 1 - 20 of 33 in total

  1. Balasegaram M
    Ann Surg, 1972 Apr;175(4):528-34.
    PMID: 4259839
  2. Balasegaram M
    Ann Surg, 1972 Feb;175(2):149-54..
    PMID: 5059599
  3. Balasegaram M
    Ann Surg, 1969 Apr;169(4):544-50.
    PMID: 5774743
    Thirty-five patients with blunt hepatic injuries treated in a 7-year period are reviewed. The difficulties of diagnosis are stressed in that only 48.6%c were diagnosed
    preoperatively. Associated intra-abdominal and concomitant head, chest, pelvic and skeletal injuries accounted for most of these difficulties. Seventeen of the 35 patients had extensive lacerations or intra-lobar ruptures of the liver. Simple linear or stellate lacerated wounds were treated by drainage, or suture, or debridement of the ragged liver edges and suture. Prior to 1964 extensively lacerated liver wounds were treated by gauze packing. Three (60%c) of five patients thus treated died, while the others had multiple complications. Since 1964, packing has been abandoned in favor of major resection and of 11 patients who underwent such procedures only one died. Hepatic resection for severe blunt injuries has the advantages of removal of all devitalized liver, control of hemorrhage, reduction of postoperative complications such as secondary hemorrhage, intraabdominal and hepatic abscesses and hemobilia. Hepatic resection is recommended for subeapsular hematomas with intra-lobar rupture of the liver to avoid hepatic necrosis. These injuries are diagnosed by injection of methylene blue into the common hepatic duct. Low mortality and morbidity in this series is due to improved care of injured pa-tients, early surgical intervention and adequate removal of devitalized lacerated and injured tissues by debridement or major hepatic resection.
  4. Balasegaram M
    Am J Surg, 1975 Jul;130(1):33-7.
    PMID: 50750
    A review of 352 patients with primary liver cell carcinoma treated by the author is presented. The poor rate of resectability (7 per cent) has necessitated various forms of treatment over the years. These are described in detail. Based on this experience, the current form of treatment for nonresectable carcinoma is summarized. Although it is too early to assess this form of treatment, initial results appear to be promising. A second report in the near future is planned.
  5. Balasegaram M
    S Afr J Surg, 1972 Jun;10(2):79-87.
    PMID: 4546544
  6. Balasegaram M
    J R Coll Surg Edinb, 1972 Mar;17(2):85-9.
    PMID: 5021747
  7. Balasegaram M
    J R Coll Surg Edinb, 1971 Jul;16(4):192-6.
    PMID: 4328298
  8. Hari Rajah S, Balasegaram M
    Med J Malaysia, 1980 Dec;35(2):155-61.
    PMID: 7266410
  9. Hussein Bin Dato Sall, Balasegaram M
    Med J Malaya, 1972 Sep;27(1):43-7.
    PMID: 4264824
  10. Dato Salleh H, Balasegaram M
    Med J Malaysia, 1972 Sep;27(1):43-47.
    PMID: 35158535
    No abstract available.
  11. 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.
  12. 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.
  13. Balasegaram M, Burkitt DP
    Lancet, 1976 Jan 17;1(7951):152.
    PMID: 54670
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