MyMedR

Lei CC, Abdullah MM, Abdullah K

Med J Malaysia, 1991 Jun;46(2):163-70.

Damage to the lower ureters during pelvic surgery is a serious and well-recognised complication. This iatrogenic injury, when undetected intra-operatively, continues to give rise to significant patient morbidity. In 1987, this Department was referred 18 cases of iatrogenic ureteric injuries. 16 patients were from gynaecologic surgery and 2 patients were from general surgery. Only 4 cases (24%) were detected and referred intra-operatively. 13 patients presented post-operatively with various symptoms viz., anuria, loin pain and urinary leak per vagina. Good recovery of urinary function was achieved in all cases after urological intervention, usually by ureteric re-implantation.

Matched MeSH terms: Iatrogenic Disease*

The psychiatric patient: preventing iatrogenic complications

Wagner NN

Med J Malaya, 1967 Dec;22(2):79-81.

PMID: 4231982

Matched MeSH terms: Iatrogenic Disease/prevention & control*

Robust stabilization of underactuated nonlinear systems: A fast terminal sliding mode approach

Khan Q, Akmeliawati R, Bhatti AI, Khan MA

ISA Trans, 2017 Jan;66:241-248.

PMID: 27884392 DOI: 10.1016/j.isatra.2016.10.017

This paper presents a fast terminal sliding mode based control design strategy for a class of uncertain underactuated nonlinear systems. Strategically, this development encompasses those electro-mechanical underactuated systems which can be transformed into the so-called regular form. The novelty of the proposed technique lies in the hierarchical development of a fast terminal sliding attractor design for the considered class. Having established sliding mode along the designed manifold, the close loop dynamics become finite time stable which, consequently, result in high precision. In addition, the adverse effects of the chattering phenomenon are reduced via strong reachability condition and the robustness of the system against uncertainties is confirmed theoretically. A simulation as well as experimental study of an inverted pendulum is presented to demonstrate the applicability of the proposed technique.

Matched MeSH terms: Iatrogenic Disease

Fulltext A Missed Diagnosis of Laryngotracheal Injury Secondary to Emergency Intubation: Lessons Learned

Dam VSKE, Mohamad S, Hassan NFHN, Mazlan MZ

Acta Medica (Hradec Kralove), 2022;65(3):112-117.

PMID: 36735889 DOI: 10.14712/18059694.2022.27

Iatrogenic laryngotracheal trauma is a potentially fatal complication of endotracheal intubation, especially in an emergency setting. Symptoms are almost always related to speech, breathing, and swallowing. Hoarseness being the commonest symptom, while shortness of breath and stridor always signify more devastating injury. We present a case of iatrogenic subglottic and tracheal stenosis, which was misdiagnosed in the emergency department during the first visit. This case report highlights the importance of salient history and thorough examination with a high index of suspicion in a stridorous case with a recent history of intubation. Early detection and management are vital to avoid a life-threatening event.

Matched MeSH terms: Iatrogenic Disease

Spontaneous Reversibility of an Iatrogenic Orthodontic Elastic Band-induced Localized Periodontitis Following Surgical Intervention - Case Report

Nettem S, Kumar Nettemu S, Kumar K, Reddy V, Siva Kumar P

Malays J Med Sci, 2012 Oct;19(4):77-80.

PMID: 23613652

Orthodontic elastic bands are an important iatrogenic etiologic factor in the causation of periodontal attachment apparatus breakdown. Appropriate diagnosis and a well constructed treatment plan tailor-made to suit the requirements of the particular patient is imperative for management of periodontal lesions induced by subgingival retention of rubber band. There are conflicting reports regarding the reattachment and regeneration of lost periodontal supporting tissues in such cases. The present case report highlights the spontaneous reversal and correction of periodontal destruction due to iatrogenic orthodontic elastic band displacement deep into the subgingival tissues.

Matched MeSH terms: Iatrogenic Disease

Fulltext Iatrogenic corneal perforation in Terrien Marginal Degeneration

Mohd Razali K

Med J Malaysia, 2013 Apr;68(2):173-4.

PMID: 23629570 MyJurnal

This case report is about a rare disease with unusual presentation. Failure to recognise atypical presentation may lead to error in managing the patient and cause disastrous complications. Here we highlight a case of Terrien Marginal Degeneration in both eyes with atypical presentation; namely pseudopterygium. A 22 year old man was referred to our centre for iatrogenic right eye corneal perforation after having an atypical pterygium removed at another hospital. On arrival, his vision was 1/60 in both eyes with bilateral cornea Terrien Marginal Degeneration. His right eye anterior chamber was deep with a conjunctival flap covering the perforation site which was located from the 2.30 - 3.30 clock position nasally with no aqueous leak. However after a day his right eye anterior chamber became flat and there was fast aqueous leak from the perforation site. An emergency C shaped peripheral corneal lamellar keratoplasty was performed to seal the perforation. Post operatively his right eye improved to 6/24.

Matched MeSH terms: Iatrogenic Disease*

Fulltext Stomach trichobezoar (rapunzel syndrome) with iatrogenic intussusception

Yik YI, How AK

Med J Malaysia, 2016 04;71(2):74-6.

PMID: 27326947 MyJurnal

We present a rare case of stomach trichobezoar complicated with iatrogenic intussusception noted intra-operatively after failed attempt of endoscopic removal in a 13-year-old girl. At presentation, she had gastric outlet obstruction with anaemia. Endoscopy established the diagnosis of trichobezoar. Surgical removal was warranted after failed endoscopic removal. Her postoperative course was uneventful. Detailed history and careful examination disclosed trichotillomania and associated trichophagia. Psychiatric referral was sought with the intention to prevent future recurrence.

Matched MeSH terms: Iatrogenic Disease*

Fulltext Iatrogenic instability of the lumbar spine

Sivananthan KS

Med J Malaysia, 2001 Jun;56 Suppl C:1-2.

PMID: 11814241

Matched MeSH terms: Iatrogenic Disease*

Fulltext Brief report: nail sampling technique and its interpretation

Leelavathi M, Tzar MN

Malays Fam Physician, 2011;6(2-3):58-9.

PMID: 25606224

The clinical suspicion of onychomyosis based on appearance of the nails, requires culture for confirmation. This is because treatment requires prolonged use of systemic agents which may cause side effects. One of the common problems encountered is improper nail sampling technique which results in loss of essential information. The unfamiliar terminologies used in reporting culture results may intimidate physicians resulting in misinterpretation and hamper treatment decision. This article provides a simple guide on nail sampling technique and the interpretation of culture results.

Matched MeSH terms: Iatrogenic Disease

Fulltext Anatomical variations of thenar muscle of hand, among Cadavers In Universiti Putra Malaysia (UPM)

Che Norma Mat Taib, Jegathis Prushothuman, Muhammad Adib Farhan Abdullah, Mohamad Aris, Mohd Moklas

Malaysian Journal of Medicine and Health Sciences, 2019;15(107):86-86.

MyJurnal

Introduction: Detailed information of structural and functional anatomy of thenar muscle is very significant in order to improve diagnostic and various conditions of hand surgeries so that the function of hand movement can be re-stored and to prevent further iatrogenic injuries. Methods: In this study, fifty hands were dissected to determine the variation in each of the thenar muscle. Results: Only the abductor pollicis brevis showed significant findings. Normal formation of one belly in abductor pollicis brevis represented 72.0% (18) and 84.0% (21) for the left and right hands, respectively. Variations according to the number of belly of the abductor pollicis brevis were also observed. One of the variations is the absence of the abductor pollicis brevis, 4.0% (1) in the right hand. Two belly formations of abductor pollicis brevis were observed, 28.0% (7) and 12.0% (3) for left and right sides of hand respectively. Thus, more variations were observed to occur on the left hand (7) compared to the right hand (4). Many studies describe about the variations of each thenar muscle, but few literatures were found discussing on the association of thenar muscle variation with the sides of hand. Using the Fisher Exact Test, it showed that there was no significant associa-tion of variations in the thenar muscle in relation to the sides of hand. Conclusion: This study conclude that there is no consistency between variations of the thenar muscle in relation to the sides of hand. However, clinical awareness of these variations is important in the context of compartment syndrome, use of the aberrant structures as grafting material in reconstructive surgery and proper interpretation of imaging modalities.

Matched MeSH terms: Iatrogenic Disease

Fulltext Effects of virgin coconut oil as adjunct therapy in the treatment of allergic rhinitis

Nazli Zainuddin, Nurul Azira Mohd Shah, Rosdan Salim

Journal of Clinical and Health Sciences, 2016;1:22-28.

The role of virgin coconut oil in the treatment of allergic rhinitis is controversial.
Thus, the aim of the present study is to determine the effects of virgin coconut oil ingestion, in
addition to standard medications, on allergic rhinitis. We also studied the side effects of
consumption of virgin coconut oil.

Matched MeSH terms: Iatrogenic Disease

Fulltext Coconut water as an alternative of radiographic contrast media: a preliminary study

Nurul Nadiah Norasip, Inayatullah Shah Sayed

International Journal of Allied Health Sciences, 2018;2(1):204-214.

MyJurnal

Radiographic contrast medium is primarily used to enhance the contrast of the internal structure in diagnostic imaging. However, the adverse reactions of administration of contrast media have become a great concern and challenge since it can affect the life of patient. Even though some safety
measurements have been highlighted by several studies, still, the occurrence of adverse effects of contrast media is one of the issues in medical imaging. There are several similar properties between the young coconut water and contrast media used in radiography. Thus, the objective of this research was to investigate whether the young coconut water be used as an alternative to contrast media.

Matched MeSH terms: Iatrogenic Disease

Fulltext Managing unexpected iatrogenic opening of anterior bite during active orthodontic treatment: A case report

Abdul,Ghani,S,H,, Mohd,Ali,N,D,

Compendium of Oral Science, 2020;7(1):44-50.

MyJurnal

Abstract
Introduction: Orthodontic treatment even though managed and properly controlled , on some remote occasion
may lead to presence of unwanted movement. Anterior open bite is one such example of an iatrogenic
outcome. This article describes the management of an iatrogenic anterior open bite case that occurred in active
orthodontic treatment in the early stage of leveling and aligning. A few modalities had been employed to
manage the open bite through some artistic bends followed by the use of modified low transpalatal arch with
extended looped arms with loops as well as orthodontic mini implants for distalisation and some intrusion
mechanics. This case report is aimed to share authors’ anecdotal experience on overcoming the open bite.

Matched MeSH terms: Iatrogenic Disease

Fulltext The Role of Nerve Exploration in Supracondylar Humerus Fracture in Children with Nerve Injury

Anuar R, Gooi SG, Zulkiflee O

Malays Orthop J, 2015 Nov;9(3):71-74.

PMID: 28611917 MyJurnal DOI: 10.5704/MOJ.1511.019

The supracondylar humerus fracture (SCHF) in children is common and can be complicated with nerve injury either primarily immediate post-trauma or secondarily posttreatment. The concept of neurapraxic nerve injury makes most surgeons choose to 'watch and see' the nerve recovery before deciding second surgery if the nerve does not recover. We report three cases of nerve injury in SCHF, all of which underwent nerve exploration for different reasons. Early reduction in the Casualty is important to release the nerve tension before transferring the patient to the operation room. If close reduction fails, we proceed to explore the nerve together with open reduction of the fracture. In iatrogenic nerve injury, we recommend nerve exploration to determine the surgical procedure that is causing the injury. Primary nerve exploration will allow early assessment of the injured nerve and minimize subsequent surgery.

Matched MeSH terms: Iatrogenic Disease

Fulltext Impact of total contact plaster boot via off loading practice in trophic ulcers of the feet: case series

Mohandas, K., Nur Farhana, M.Y., Vikram, M., Sundaresan, A.N., Potturi Gowri, S., Mahendran, J.

Medicine & Health, 2014;9(1):80-84.

MyJurnal

Trophic ulcers have emerged as one of the major complications following diabetes mellitus (DM) and Hansen’s diseases (HD). In this case series, the study attempted total contact plaster boot using a readily available plaster of Paris to treat trophic ulcer for 10 subjects. A total of five subjects with DM and five subjects with HD were included based on the study criteria. Pre and post test measure of wound measurement size following total contact plaster boot were taken as an outcome measure. All ten subjects showed decrease in size of wound following fifteen days of treatment. No adverse effects were associated with this type of treatment. Subjects with trophic ulcer may benefit from the application of total contact plaster boot.

Matched MeSH terms: Iatrogenic Disease

Fulltext Outcome of Pseudoaneurysm repair: a single tertiary center experience in Pahang, Malaysia

Ahmad Faidzal Othman, Mohamad NorHisham, Azmi Abdul Rahman

International Medical Journal Malaysia, 2017;16(11):18-18.

MyJurnal

Symptomatic arterial pseudoaneurysm is not an uncommon emergent
vascular case presenting to a tertiary hospital. These are mainly associated with
infection, iatrogenic puncture or trauma. The resultant morbidity, limb loss and
mortality present a challenge to the surgeons managing these cases. (Copied from article).

Matched MeSH terms: Iatrogenic Disease

Fulltext Self-inflicted and iatrogenic peripheral intravenous cannula fracture: A case report

Khoo PJ, Tay KL, Jamaluddin AA, Gunasaker D

Ann Med Surg (Lond), 2018 Sep;33:44-46.

PMID: 30167303 DOI: 10.1016/j.amsu.2018.08.004

Introduction: We present a case of broken peripheral intravenous catheter/cannula (PIVC), a well-known, underreported complication of PIVC placement. The fractured cannula could have resulted in intravascular foreign body retention, which is usually iatrogenic.

Presentation of case: In this case, we conceded that both iatrogenic and self-infliction were culpable. The intoxicated, aggressive patient forcefully removed the inserted cannula after repeated attempts by medical personnel to place it. The same cannula was used for multiple attempts. After the location of the fractured catheter was reconfirmed with radiological imaging, venotomy and removal of the foreign body were performed.

Conclusion: Due to potentially devastating consequences, early detection, adherence to standard operating procedures for peripheral venous access, management of aggressive patients, and meticulous teamwork must be upheld.

Matched MeSH terms: Iatrogenic Disease

Case series of haemothorax secondary to avulsed bullae vessel

Low QJ, Hatta Z, Cheo SW, Syed RSH, Goh KS

Med J Malaysia, 2019 Oct;74(5):431-432.

PMID: 31649221

Haemothorax refer to the bleeding in the pleural space. It is commonly due to iatrogenic, blunt or penetrating chest trauma. Non-traumatic haemothorax is a rare entity that can potentially lead to life threatening complications. The initial management of both traumatic and non-traumatic haemothorax includes resuscitation and stabilisation of the patient. We would like to present two cases of non-traumatic haemothorax secondary to an avulsed bullae vessel.

Matched MeSH terms: Iatrogenic Disease

Fulltext Outcome of Surgical Treatment for Displaced Acetabular Fractures

Anizar-Faizi A, Hisam A, Sudhagar KP, Moganadass M, Suresh C

Malays Orthop J, 2014 Nov;8(3):1-6.

PMID: 26401227 MyJurnal DOI: 10.5704/MOJ.1411.001

The aim of this study was to assess the outcome of surgical treatment in displaced acetabular fractures in our local facilities. Previous studies reveal good outcome via open reduction method with achievement of congruent joint. We note that studies in this respect have not been conducted in our region. We retrospectively analyzed thirty patients with acetabular fractures who underwent open reduction and internal fixation. The data collection was performed over a 4-year period, from 2008 to 2011. The results showed 20 out of 30 patients (66.7%) had excellent/good results (Harris Hip Score equal or more than 80). Post operative complications were deep infection (6.7%), iatrogenic sciatic nerve injury (10.0%), avascular necrosis (16.7%), heterotopic ossificans (3.3%), degenerative changes in hip joint (43.3%) and loss of reduction (3.3%). In conclusion, surgical treatment of displaced acetabular fractures produces good functional outcome despite the complications.

Matched MeSH terms: Iatrogenic Disease

Fulltext Risk of Axillary Nerve Injury in Standard Anterolateral Approach of Shoulder: Cadaveric Study

Kongcharoensombat W, Wattananon P

Malays Orthop J, 2018 Nov;12(3):1-5.

PMID: 30555639 DOI: 10.5704/MOJ.1811.001

Introduction: The anterolateral acromion approach of the shoulder is popular for minimally invasive plate osteosynthesis (MIPO) technique. However, there are literatures describing the specific risks of injury of the axillary nerve using this approach. Nevertheless, most of the studies were done with Caucasian cadavers. So, the purpose of this study was to evaluate the risk of iatrogenic axillary nerve injury from using the anterolateral shoulder approach and further investigate the location of the axillary nerve, associated with its location and arm length in the Asian population that have shorter arm length compared to the Caucasian population. Materials and Methods: Seventy-nine shoulders in fourty-two embalmed cadavers were evaluated. The bony landmarks were drawn, and a vertical straight incision was made 5cm from tip of the acromion (anterolateral approach), to the bone. The iatrogenic nerve injury status and the distance between the anterolateral edge of the acromion to the axillary nerve was measured and recorded. Results: In ten of the seventy-nine shoulders, the axillary nerve were iatrogenically injured. The average anterior distance was 6.4cm and the average arm length was 30.2cm. The anterior distance and arm length ratio was 0.2. Conclusion: Our results demonstrated that the recommended safe zone at 5cm from tip of acromion was not suitable with Asian population due to shorter arm length, compared to Caucasian population. The location of axillary nerve could be predicted by 20% of the total arm-length.

Matched MeSH terms: Iatrogenic Disease

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