A5022671993- Intestinal Malrotation and Obstruction Disorders
- Congenital gastrointestinal and neural anomalies
- Congenital Diaphragmatic Hernia Studies
- Congenital Anomalies and Fetal Surgery
- Appendicitis Diagnosis and Management
- Hernia repair and management
- Esophageal and GI Pathology
- Intraperitoneal and Appendiceal Malignancies
- Gastrointestinal disorders and treatments
- Testicular diseases and treatments
- COVID-19 and healthcare impacts
- Pelvic floor disorders treatments
- Clinical Nutrition and Gastroenterology
- Global Health and Surgery
- Urological Disorders and Treatments
- Pediatric Hepatobiliary Diseases and Treatments
- Childhood Cancer Survivors' Quality of Life
- Pleural and Pulmonary Diseases
- Gallbladder and Bile Duct Disorders
- Family and Patient Care in Intensive Care Units
- Hyperglycemia and glycemic control in critically ill and hospitalized patients
- Pediatric Pain Management Techniques
- Child Nutrition and Feeding Issues
- Sexual Differentiation and Disorders
- Ethics and Legal Issues in Pediatric Healthcare
University of Malaya
2020-2025
University Malaya Medical Centre
2020-2025
KK Women's and Children's Hospital
2012-2024
Duke-NUS Medical School
2018-2022
University College London
2010-2017
Great Ormond Street Hospital
2010-2017
Boston Children's Hospital
2014
Hospital Kuala Lumpur
2012
The University of Sydney
2012
National University of Malaysia
2011
BackgroundCongenital anomalies are the fifth leading cause of mortality in children younger than 5 years globally. Many gastrointestinal congenital fatal without timely access to neonatal surgical care, but few studies have been done on these conditions low-income and middle-income countries (LMICs). We compared outcomes seven most common low-income, middle-income, high-income globally, identified factors associated with mortality.MethodsWe did a multicentre, international prospective cohort...
Testicular atrophy (TA) is a significant complication in patients who undergo salvage procedures for testicular torsion. Studies on outcome focus factors predicting viability during scrotal exploration but few assess TA procedures. We the incidence of after and identify associated factors.With ethical approval, we reviewed underwent torsion our institution from 2001 to 2013. Data was collected patient demographics, duration pain, sonographic findings, postoperative complications, follow-up...
Abstract Purpose The STAT trial is a multicenter randomized controlled in 12 centers worldwide aiming to determine the most effective operation for neonates with necrotizing enterocolitis (NEC) requiring intestinal resection: stoma formation (ST) or primary anastomosis (PA). Methods Infants having laparotomy NEC were intraoperatively PA ST if operating surgeon thought that both viable treatment options patient. outcome (duration of parenteral nutrition [PN]) was evaluated by Cox regression....
Abstract Introduction The advancements in neonatal resuscitation and surgical care have enabled children with congenital abnormalities to receive corrective surgeries achieve lifespans well into adulthood. These patients may require long-term follow-up as they continue risks of developing sequelae from their original diseases or interventions. Purpose This study aimed investigate the current practice barriers transition (TOC) perspectives adult surgeons. Methods A cross-sectional was...
Purpose: The management of Incarcerated Inguinal Hernia (IIH) in children is challenging and may be associated with complications. We aimed to compare the outcomes laparoscopic vs. open repair IIH.
Paediatric cancer is a leading cause of death for children. Children in low-income and middle-income countries (LMICs) were four times more likely to die than children high-income (HICs). This study aimed test the hypothesis that COVID-19 pandemic had affected delivery healthcare services worldwide, exacerbated disparity paediatric outcomes between LMICs HICs.A multicentre, international, collaborative cohort study.91 hospitals centres 39 providing treatment patients March December...
<h3>Objective</h3> Undescended testis (UDT) affects 1–6% of males. Current recommendations are to correct maldescent by 1 year age. We identify the population characteristics children referred and managed for UDT, age at referral orchidopexy, patterns referral. <h3>Design, setting patients</h3> Retrospective 5-year review all patients operated UDT from 2007 2011 in our institution. Patient demographics, neonatal diagnosis referral, source first orchidopexy were recorded. Data reported as...
Background: The support for treatment of uncomplicated appendicitis with non-operative management as opposed to surgery has been building in the literature. We conducted a randomized trial compare failure rates.Methods: pragmatic multicenter, parallel-group, unmasked, non-inferiority, completed at 11 children's hospitals across globe. used non-inferiority design margin 20%, and 1:1 allocation while stratifying by sex, institution duration symptoms (≥ 48 hours verses <48 hours). Patients were...
Abstract Background The aim of this RCT was to determine whether radiologically inserted gastrostomy (RIG) in children is associated with more complications than percutaneous endoscopic (PEG). Methods Children at a single tertiary children's hospital requiring primary were randomized PEG or RIG. Patients followed by assessors blinded the insertion method. Complications recorded, assigned severity score, and analysed zero-inflated Poisson regression analysis on an intention-to-treat basis,...