Pub Date : 2002-05-01DOI: 10.1046/J.1442-2034.2002.T01-16-00134.X
S. Chan, D. Lam, S. Lam, Dovgiĭ SIu, S. Kwok
{"title":"HARTMANN's OPERATION‐LESSONS LEARNED FROM 183 CASES","authors":"S. Chan, D. Lam, S. Lam, Dovgiĭ SIu, S. Kwok","doi":"10.1046/J.1442-2034.2002.T01-16-00134.X","DOIUrl":"https://doi.org/10.1046/J.1442-2034.2002.T01-16-00134.X","url":null,"abstract":"","PeriodicalId":7943,"journal":{"name":"Annals of The College of Surgeons Hong Kong","volume":"20 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2002-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84756252","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2002-05-01DOI: 10.1046/J.1442-2034.2002.T01-22-00134.X
A. Lai, C. Chau, P. Chiu, K. Kwong, S. Kwok
{"title":"A COMPARISON OF OPERATIVE APPROACHES AND RESULTS OF PPU REPAIR BETWEEN ELDERLY AND YOUNG PATIENTS","authors":"A. Lai, C. Chau, P. Chiu, K. Kwong, S. Kwok","doi":"10.1046/J.1442-2034.2002.T01-22-00134.X","DOIUrl":"https://doi.org/10.1046/J.1442-2034.2002.T01-22-00134.X","url":null,"abstract":"","PeriodicalId":7943,"journal":{"name":"Annals of The College of Surgeons Hong Kong","volume":"39 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2002-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75100612","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2002-05-01DOI: 10.1046/J.1442-2034.2002.T01-8-00134.X
V.H.M. Lee, Kelvin K. W. Liu, S. Kwok
{"title":"CIRCUMCISION IN PAEDIATRIC SURGERY USING THE ‘BONE CUTTER’ METHOD","authors":"V.H.M. Lee, Kelvin K. W. Liu, S. Kwok","doi":"10.1046/J.1442-2034.2002.T01-8-00134.X","DOIUrl":"https://doi.org/10.1046/J.1442-2034.2002.T01-8-00134.X","url":null,"abstract":"","PeriodicalId":7943,"journal":{"name":"Annals of The College of Surgeons Hong Kong","volume":"104 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2002-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85868861","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2002-02-01DOI: 10.1046/J.1442-2034.2002.00125.X
K. K. Yau, C. Chung, E. Chan, Michael Li
Objective: Stapled haemorrhoidectomy is a new modality in the surgical treatment of haemorrhoidal disease and rectal mucosal prolapse. This paper aims at reporting the initial experience in a local institution. Method: From July 2000 to March 2001, a total of 17 patients underwent stapled haemorrhoidectomy, including 16 patients with third-degree haemorrhoids and one patient with rectal mucosal prolapse. With the aid of a specially designed assessment form, data were collected during the inpatient period and at 4 weeks, 8 weeks and 12 weeks after the operation. Results: The median operation time was 18 min (range 5–45 min) with a median blood loss of 10 mL (range 0–100 mL). Only three patients required pethidine injection during the postoperative period; other patients could be managed with simple oral analgesic. Thirteen patients (76%) could be discharged on the second day after the operation (range 1–7 patients), and the median time off work was 9 days (range 1–21 days). Complications encountered were minor, and symptom control and functional outcome appeared superior to excisional haemorrhoidectomy. Conclusion: Stapled haemorrhoidectomy is safe. The improved postoperative pain and the reduced time off work are evident; however, long-term outcomes still need further evaluation. Chinese Abstract Figure Chinese Abstract.
{"title":"Initial experience with stapled haemorrhoidectomy: A local report","authors":"K. K. Yau, C. Chung, E. Chan, Michael Li","doi":"10.1046/J.1442-2034.2002.00125.X","DOIUrl":"https://doi.org/10.1046/J.1442-2034.2002.00125.X","url":null,"abstract":"Objective: \u0000 \u0000Stapled haemorrhoidectomy is a new modality in the surgical treatment of haemorrhoidal disease and rectal mucosal prolapse. This paper aims at reporting the initial experience in a local institution. \u0000 \u0000 \u0000 \u0000Method: \u0000 \u0000From July 2000 to March 2001, a total of 17 patients underwent stapled haemorrhoidectomy, including 16 patients with third-degree haemorrhoids and one patient with rectal mucosal prolapse. With the aid of a specially designed assessment form, data were collected during the inpatient period and at 4 weeks, 8 weeks and 12 weeks after the operation. \u0000 \u0000 \u0000 \u0000Results: \u0000 \u0000The median operation time was 18 min (range 5–45 min) with a median blood loss of 10 mL (range 0–100 mL). Only three patients required pethidine injection during the postoperative period; other patients could be managed with simple oral analgesic. Thirteen patients (76%) could be discharged on the second day after the operation (range 1–7 patients), and the median time off work was 9 days (range 1–21 days). Complications encountered were minor, and symptom control and functional outcome appeared superior to excisional haemorrhoidectomy. \u0000 \u0000 \u0000 \u0000Conclusion: \u0000 \u0000Stapled haemorrhoidectomy is safe. The improved postoperative pain and the reduced time off work are evident; however, long-term outcomes still need further evaluation. \u0000 \u0000 \u0000 \u0000Chinese Abstract \u0000 \u0000 \u0000 \u0000 \u0000Figure Chinese Abstract.","PeriodicalId":7943,"journal":{"name":"Annals of The College of Surgeons Hong Kong","volume":"18 1","pages":"8-11"},"PeriodicalIF":0.0,"publicationDate":"2002-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82558731","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2002-02-01DOI: 10.1046/J.1442-2034.2002.00126.X
T. Chan, D. Lam, S. Lam, S. Kwok
A 59-year-old Chinese man who presented with signs and symptoms of acute appendicitis is described. The patient received an appendicectomy, and the histology report of the appendix revealed villous adenoma with margin involved. Postoperatively, he developed a colocutaneous fistula and ended up having a right hemicolectomy and fistulectomy. The literature on villous adenoma and other tumours of the appendix is reviewed, and their surgical treatment is discussed. Chinese Abstract Figure Chinese Abstract.
{"title":"Always expect the unexpected in appendicectomy","authors":"T. Chan, D. Lam, S. Lam, S. Kwok","doi":"10.1046/J.1442-2034.2002.00126.X","DOIUrl":"https://doi.org/10.1046/J.1442-2034.2002.00126.X","url":null,"abstract":"A 59-year-old Chinese man who presented with signs and symptoms of acute appendicitis is described. The patient received an appendicectomy, and the histology report of the appendix revealed villous adenoma with margin involved. Postoperatively, he developed a colocutaneous fistula and ended up having a right hemicolectomy and fistulectomy. The literature on villous adenoma and other tumours of the appendix is reviewed, and their surgical treatment is discussed. \u0000 \u0000 \u0000 \u0000Chinese Abstract \u0000 \u0000 \u0000 \u0000 \u0000Figure Chinese Abstract.","PeriodicalId":7943,"journal":{"name":"Annals of The College of Surgeons Hong Kong","volume":"77 1","pages":"28-29"},"PeriodicalIF":0.0,"publicationDate":"2002-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88975821","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2002-02-01DOI: 10.1046/J.1442-2034.2002.00119.X
H. Lau, F. Lee, N. Patil, W. Yuen
{"title":"Methodical placement of mesh during endoscopic extraperitoneal inguinal hernioplasty","authors":"H. Lau, F. Lee, N. Patil, W. Yuen","doi":"10.1046/J.1442-2034.2002.00119.X","DOIUrl":"https://doi.org/10.1046/J.1442-2034.2002.00119.X","url":null,"abstract":"","PeriodicalId":7943,"journal":{"name":"Annals of The College of Surgeons Hong Kong","volume":"56 1","pages":"18-21"},"PeriodicalIF":0.0,"publicationDate":"2002-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79443623","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2002-02-01DOI: 10.1046/J.1442-2034.2002.00121.X
S. Wong, Y. Lam, C. McKay, D. Lee, J. Sung, S. Chung
Objective: To define factors in predicting common bile duct (CBD) stones and cholangitis in patients with acute biliary pancreatitis. Method: Retrospective analysis of patients with acute biliary pancreatitis who received early (< 72 h) endoscopic retrograde cholangiopancreatography (ERCP). Data on their clinical presentation, severity of attacks, liver function on admission, ERCP findings and bile culture results were analysed. Results: Sixty-four patients admitted with acute biliary pancreatitis were referred for early ERCP. Common bile duct stones were found in 33 patients (52%). Only five (8%) patients presented with symptoms suggestive of coexisting acute cholangitis (fever, abdominal pain and jaundice). Bile cultures were positive in 12 of 18 specimens (67%), and nine of these (75%) were associated with choledocholithiasis. Variables were entered into a logistic regression analysis and a high bilirubin level on admission was the only significant factor in predicting ductal stones. Conclusion: In the locality of Hong Kong the incidence of choledocholithiasis is high in acute biliary pancreatitis and only a high bilirubin level can predict CBD stones. Although many patients have infected bile, overt cholangitis is relatively uncommon. Chinese Abstract Figure Chinese Abstract. Figure Chinese Abstract. Figure Chinese Abstract. Figure Chinese Abstract. Figure Chinese Abstract.
{"title":"Prediction of common bile duct stones and cholangitis in acute biliary pancreatitis","authors":"S. Wong, Y. Lam, C. McKay, D. Lee, J. Sung, S. Chung","doi":"10.1046/J.1442-2034.2002.00121.X","DOIUrl":"https://doi.org/10.1046/J.1442-2034.2002.00121.X","url":null,"abstract":"Objective: \u0000To define factors in predicting common bile duct (CBD) stones and cholangitis in patients with acute biliary pancreatitis. \u0000 \u0000Method: \u0000Retrospective analysis of patients with acute biliary pancreatitis who received early (< 72 h) endoscopic retrograde cholangiopancreatography (ERCP). Data on their clinical presentation, severity of attacks, liver function on admission, ERCP findings and bile culture results were analysed. \u0000 \u0000Results: \u0000Sixty-four patients admitted with acute biliary pancreatitis were referred for early ERCP. Common bile duct stones were found in 33 patients (52%). Only five (8%) patients presented with symptoms suggestive of coexisting acute cholangitis (fever, abdominal pain and jaundice). Bile cultures were positive in 12 of 18 specimens (67%), and nine of these (75%) were associated with choledocholithiasis. Variables were entered into a logistic regression analysis and a high bilirubin level on admission was the only significant factor in predicting ductal stones. \u0000 \u0000Conclusion: \u0000In the locality of Hong Kong the incidence of choledocholithiasis is high in acute biliary pancreatitis and only a high bilirubin level can predict CBD stones. Although many patients have infected bile, overt cholangitis is relatively uncommon. \u0000 \u0000Chinese Abstract \u0000 \u0000 \u0000 \u0000Figure Chinese Abstract. \u0000 \u0000 \u0000 \u0000Figure Chinese Abstract. \u0000 \u0000 \u0000 \u0000Figure Chinese Abstract. \u0000 \u0000 \u0000 \u0000Figure Chinese Abstract. \u0000 \u0000 \u0000 \u0000Figure Chinese Abstract.","PeriodicalId":7943,"journal":{"name":"Annals of The College of Surgeons Hong Kong","volume":"16 1","pages":"12-17"},"PeriodicalIF":0.0,"publicationDate":"2002-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81522334","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2002-02-01DOI: 10.1046/J.1442-2034.2002.00122.X
J. L. Yong, W. Chui, S. Chiu, D. Cheung
Cognitive dysfunction remains a significant complication after cardiopulmonary bypass, despite continuous improvement in the overall outcome in open-heart surgery. Embolization of the atheromatous material, most notably during removal of the aortic clamp, is a major cause. Strategies have been developed to minimize cerebral embolization. Modified surgical techniques include the use of hypothermic circulatory arrest, venting of the left ventricle, minimizing aortic manipulation, and the use of epiaortic ultrasound to locate and avoid trauma to the aortic atheromatous plaque. Use of an intra-aortic filter has been shown recently to reduce intraoperative cerebral embolic events and improve postoperative neurocognitive outcomes. Off-pump coronary artery bypass technique has also been claimed to have lower neurological complications, which is probably attributable to the avoidance of aortic cannulation and cardiopulmonary bypass. Its role on cerebral protection is, however, debatable. Chinese Abstract Figure Chinese Abstract.
{"title":"Cognitive dysfunction after cardiopulmonary bypass","authors":"J. L. Yong, W. Chui, S. Chiu, D. Cheung","doi":"10.1046/J.1442-2034.2002.00122.X","DOIUrl":"https://doi.org/10.1046/J.1442-2034.2002.00122.X","url":null,"abstract":"Cognitive dysfunction remains a significant complication after cardiopulmonary bypass, despite continuous improvement in the overall outcome in open-heart surgery. Embolization of the atheromatous material, most notably during removal of the aortic clamp, is a major cause. Strategies have been developed to minimize cerebral embolization. Modified surgical techniques include the use of hypothermic circulatory arrest, venting of the left ventricle, minimizing aortic manipulation, and the use of epiaortic ultrasound to locate and avoid trauma to the aortic atheromatous plaque. Use of an intra-aortic filter has been shown recently to reduce intraoperative cerebral embolic events and improve postoperative neurocognitive outcomes. Off-pump coronary artery bypass technique has also been claimed to have lower neurological complications, which is probably attributable to the avoidance of aortic cannulation and cardiopulmonary bypass. Its role on cerebral protection is, however, debatable. \u0000 \u0000 \u0000 \u0000Chinese Abstract \u0000 \u0000 \u0000 \u0000 \u0000Figure Chinese Abstract.","PeriodicalId":7943,"journal":{"name":"Annals of The College of Surgeons Hong Kong","volume":"1 1","pages":"1-3"},"PeriodicalIF":0.0,"publicationDate":"2002-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75181771","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2002-02-01DOI: 10.1046/J.1442-2034.2002.00120.X
K. Pang, Wilson Wai Shing Ho, C. Wong
A 20-year-old male underwent surgery for an occipital extraventricular multicystic tumour. The tumour’s histology was high-grade anaplastic ependymoma. The clinical course, its radiological appearance and the prognosis are discussed. Chinese Abstract Figure Chinese Abstract.
{"title":"Supratentorial extraventricular ependymoma: Literature review and case report","authors":"K. Pang, Wilson Wai Shing Ho, C. Wong","doi":"10.1046/J.1442-2034.2002.00120.X","DOIUrl":"https://doi.org/10.1046/J.1442-2034.2002.00120.X","url":null,"abstract":"A 20-year-old male underwent surgery for an occipital extraventricular multicystic tumour. The tumour’s histology was high-grade anaplastic ependymoma. The clinical course, its radiological appearance and the prognosis are discussed. \u0000 \u0000 \u0000 \u0000Chinese Abstract \u0000 \u0000 \u0000 \u0000 \u0000Figure Chinese Abstract.","PeriodicalId":7943,"journal":{"name":"Annals of The College of Surgeons Hong Kong","volume":"36 1","pages":"22-24"},"PeriodicalIF":0.0,"publicationDate":"2002-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76005503","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2002-02-01DOI: 10.1046/J.1442-2034.2002.00123.X
H. Lau, F. Lee
Superior lumbar hernia is a rare clinical entity. Techniques for the repair of lumbar hernia have evolved in the past few decades. The case of a 77-year-old woman presenting with a reducible left lumbar swelling for 3 months is reported. Repair of the hernia using a mesh plug technique was performed. The cone-shaped prolene mesh plug maintained the inversion of the hernia and occluded the hernial defect, thereby conferring a mechanical advantage. The application of mesh plug hernioplasty for the repair of a superior lumbar hernia was simple and effective. Chinese Abstract Figure Chinese Abstract.
{"title":"Mesh plug hernioplasty of superior lumbar hernia","authors":"H. Lau, F. Lee","doi":"10.1046/J.1442-2034.2002.00123.X","DOIUrl":"https://doi.org/10.1046/J.1442-2034.2002.00123.X","url":null,"abstract":"Superior lumbar hernia is a rare clinical entity. Techniques for the repair of lumbar hernia have evolved in the past few decades. The case of a 77-year-old woman presenting with a reducible left lumbar swelling for 3 months is reported. Repair of the hernia using a mesh plug technique was performed. The cone-shaped prolene mesh plug maintained the inversion of the hernia and occluded the hernial defect, thereby conferring a mechanical advantage. The application of mesh plug hernioplasty for the repair of a superior lumbar hernia was simple and effective. \u0000 \u0000 \u0000 \u0000Chinese Abstract \u0000 \u0000 \u0000 \u0000 \u0000Figure Chinese Abstract.","PeriodicalId":7943,"journal":{"name":"Annals of The College of Surgeons Hong Kong","volume":"13 1","pages":"25-27"},"PeriodicalIF":0.0,"publicationDate":"2002-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87019403","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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