To determine whether a transverse incision is an alternative to midline in terms of incisional hernia incidence, surgical site infection, postoperative pain, hospital stay and cosmetics cholecystectomy. Incisional hernias after are commonly underestimated but probably complicate between 2 20% all abdominal wall closures. The the preferred for surgery upper abdomen despite evidence that alternatives, such as lateral paramedian incision, exist might reduce rate hernia. A RCT was preformed...

Majority burn mortality prognostic scores were developed and validated in western populations. The primary objective of this study was to evaluate identify possible risk factors which may be used predict burns a local Malaysian intensive care unit. secondary validate the five well known (Baux score, Abbreviated Burn Severity Index (ABSI) Ryan Belgium Outcome Injury (BOBI) score revised Baux score) prediction.Patients that treated at Hospital Sultan Ismail's Burns Intensive Care (BICU) unit...

Prognostic measures to determine burn mortality are essential in evaluating the severity of individual victims. This is an important process triaging patients with high risk that may be nursed acute care setting. Malaysian research lacking only one publication identified which describes epidemiology Therefore, objective this study was go step further and identify predictors from a burns intensive unit (BICU) used triage at higher death.This retrospective cohort all admissions Hospital Sultan...

Besides the conventional laboratory tests, thromboelastography (TEG) is used to monitor hemostasis during liver transplantation. A previous pilot study suggested a beneficial effect of recombinant activated factor VII (rFVIIa) on transfusion requirements in In present study, we assess effects rFVIIa coagulation variables and TEG. six patients, prothrombin time (PT), partial thromboplastin (aPTT) TEG [reaction (r), kinetic (k), or clot formation time, alpha angle (alpha), maximal amplitude...

Amongst the ASEAN countries, Malaysia has highest road fatality risk (>15 fatalities per 100 000 population) with 50% of these involving motorcyclist. This contributes greatly to ward admissions and poses a significant burden general surgery services. From mild rib fractures severe intra-abdominal exsanguinations, spectrum cases managed by surgeons resulting from motorcycle accidents is extensive. The objective this study report clinical characteristics identify predictors death in traumatic...

The outbreak of Coronavirus disease 2019 (Covid-19) has a significant impact on the mental health global population. Updates are needed regarding status among local population since limited studies were done so far. This research compared prevalence anxiety and depression symptoms HCWs non-HCWs. We also evaluated factors associated with these 2 groups. was cross-sectional study conducted between September to December 2022. Online questionnaire distributed from tertiary government hospitals....

Trauma mortality due to exsanguination is the second most common cause of death. The objective this study investigate predictors for early death from exsanguination.A prognostic was done identify exsanguination. Data were extracted our Surgery Registry database Sultanah Aminah Hospital, Johor Bahru, Malaysia. All patients who treated May 1, 2011 April 31, 2014 by trauma team included. Adult included divided into two groups analysis: and non-exsanguination/survivors. Univariate multivariate...

Acne is a common skin disorder which can cause physical scaring and impact the quality of life. The aim this study to determine prevalence, severity risk factors for developing acne among medical students in Universiti Kebangsaan Malaysia (UKM).A cross sectional UKM from academic year 1 5 was conducted July 2011 May 2012. A total 361 were selected by stratified cluster sampling method. Baseline data students, factors, height weight recorded. graded using Comprehensive Severity Scale...

Incidence of inadvertent arterial puncture secondary to central venous catheter insertion is not common with an rate <1%. This due the advancements and wide availability ultrasound guide its insertion. Formation arteriovenous fistula after unexpected complication. Till date, only five cases (including this case) acquired formation has been described carotid puncture. The present case a 26-year-old man sustained traumatic brain injuries, chest injuries multiple bony fractures. During...

Abstract Background Well-known trauma mortality prediction scores such as New Injury Severity Score (NISS), Revised Trauma (RTS), and (TRISS) have been externally validated from high-income countries with established databases. However, these were never used in Malaysian population. In this current study, we attempted to validate scoring systems using our regional surgery database. Methods A retrospective analysis of the Surgery Database was performed over a period 3 years May 2011 April...

Malaysia has one of the highest total numbers COVID-19 infections amongst Southeast Asian nations, which led to enforcements Malaysian "Movement Control Order" prohibit disease transmission. The overwhelming increasing amount a major strain on healthcare services. This leads shortages in hospital beds, ventilators and critical personnel protective equipment. article focuses adaptations from general surgery department is part tertiary that treats cases. core highlights these strategies...

COVID-19 infection or vaccination is rarely associated with arterial occlusive disease of the extremities. The surgical department a hospital in Johor, Malaysia, recorded significant increase number COVID-19-related acute limb ischaemia when rates were high both locally and internationally. clinical presentation management are largely underreported Johor. Herein, we report case series 12 patients managed strategies ranging from purely anticoagulation to catheter-directed thrombolysis...

Symmetrical peripheral gangrene is characterized as acral (distal extremity) ischemic limb injury affecting two or more extremities, without large vessel obstruction, typically in a symmetrical fashion. Risk factors include hypotension, disseminated intravascular coagulation, and acute hepatitis ("shock liver"). In contrast, venous by occurring with deep vein thrombosis. Both present necrosis despite presence of arterial pulses. The coexistence rare, potential to provide pathophysiological...

Calcium infusion is used after parathyroid surgery for renal hyperparathyroidism to treat postoperative hypocalcaemia. We compared a new regimen one commonly in Malaysia based on 2003 K/DOQI guidelines.Retrospective data serum calcium and rates was collected from 2011-2015. The relationship between peak efflux (PER) time determined using scatterplot linear regression. A comparison regimens made treatment efficacy (hypocalcaemia duration, total amount time) excursions (outside target range,...

Superabsorbent polymer (SAP) ingestion is a potentially dangerous condition and may lead to morbidity mortality. A 22-month-old girl presented with intestinal obstruction. At operation SAP was found as cause of The child underwent second surgery for anastomotic leak ileostomy made.

Smartphone-controlled patch electro-acupuncture (SCEA) is a novel device which gives the same analgesic effect as with conventional acupuncture. There are no published articles in English literature on use of this primary mode pain relief during colonoscopy. Primary aims study were to investigate efficacy SCEA substitute for colonoscopy.Thirty-seven patients randomized receive (n = 19) or placebo 18) Additional rescue sedation was administered if they had discomfort procedure. Visual...

A 22-year-old female presented with lower abdominal pain, loose stools, weight loss and right limb painful swelling for three months.There was no history of oral contraceptives use.She cachexic, dehydrated dry lips sunken eyeballs.She had tenderness guarding over iliac fossa.Right thigh calf swollen tender.Blood investigations revealed iron deficiency anaemia [Total Iron = 4.1 (5-29) mcmol/l, Total Binding Capacity 36.0(45-66) Haemoglobin 5.3 (13.0-17.0)g/dl], thrombocytosis {709 (150 -400)...