1.Urothelial metastasis in prostate adenocarcinoma.
Gupal SINGH ; Ho Yee TIONG ; Thatad KALBIT ; Lewis LIEW
Annals of the Academy of Medicine, Singapore 2009;38(2):170-171
Adenocarcinoma
;
diagnosis
;
secondary
;
surgery
;
Aged
;
Biopsy
;
Cystoscopy
;
Diagnosis, Differential
;
Follow-Up Studies
;
Humans
;
Laparoscopy
;
Male
;
Prostatic Neoplasms
;
diagnostic imaging
;
pathology
;
surgery
;
Radiography
;
Transurethral Resection of Prostate
;
methods
;
Ureteral Neoplasms
;
diagnosis
;
secondary
;
surgery
;
Ureteroscopy
;
Urethral Neoplasms
;
diagnosis
;
secondary
;
surgery
;
Urothelium
;
pathology
2.Synchronous nephrectomy with unilateral dual kidney transplantation: feasibility in patients with adult polycystic kidney disease.
Fiona WU ; Zhaolong DENG ; David CONSIGLIERE ; Ho Yee TIONG
Singapore medical journal 2012;53(8):e163-5
Adult polycystic kidney disease (APKD) accounts for 2% of end-stage renal disease in Singapore and is a major indication for kidney transplantation. We report synchronous nephrectomy with unilateral cadaveric dual kidney transplantation (DKT) in a patient with APKD. Simple nephrectomy of the right native 27-cm polycystic kidney was performed to provide adequate space for unilateral DKT. Right donor kidney transplantation was performed at the site of native nephrectomy. End-to-side anastomosis of the right donor renal vein to the distal inferior vena cava and the right donor artery to the common iliac artery were performed. Left donor kidney was transplanted below the right kidney, with its vessels anastomosed to the right external iliac vessels. Ureter anastomosis was performed after perfusion of both kidneys. Lich-Gregoir anastomosis of the left donor ureter to the bladder and direct right donor ureter to native ureter anastomosis was established. This case illustrates that synchronous nephrectomy with DKT is feasible to facilitate implantation on the same side.
Adult
;
Anastomosis, Surgical
;
Humans
;
Kidney
;
surgery
;
Kidney Failure, Chronic
;
surgery
;
Kidney Transplantation
;
methods
;
Male
;
Middle Aged
;
Nephrectomy
;
methods
;
Polycystic Kidney, Autosomal Dominant
;
surgery
;
Tomography, X-Ray Computed
;
Ureter
;
surgery
3.Key Considerations in the Recovery and Resumption of Surgical Services after the COVID-19 Pandemic.
Yi Quan TAN ; Jirong LU ; Ziting WANG ; Ho Yee TIONG ; Edmund CHIONG
Annals of the Academy of Medicine, Singapore 2020;49(11):922-924
COVID-19/prevention & control*
;
Communicable Disease Control
;
General Surgery/organization & administration*
;
Guidelines as Topic
;
Health Care Rationing
;
Health Services Needs and Demand
;
Health Workforce
;
Humans
;
Practice Guidelines as Topic
;
SARS-CoV-2
;
Singapore/epidemiology*
;
Surgical Procedures, Operative
;
Triage
4.Prevalence of thyroid malignancy and hormonal dysfunction following radiation exposure in childhood.
Yee Sian TIONG ; Edwin Tong Yuen HAO ; Chia Ching LEE ; Rajeev PARAMESWARAN ; Timothy CHEO ; Wei Li Cindy HO ; Samantha Peiling YANG
Annals of the Academy of Medicine, Singapore 2021;50(5):402-410
INTRODUCTION:
Childhood radiation exposure is a known risk factor for thyroid malignancy and dysfunction. However, local data are limited and there is no consensus on the modality and frequency of screening in this high-risk group.
METHODS:
Retrospective analysis study evaluating patients with childhood radiation exposure in 2006-2016 and minimum of 1-year follow-up.
RESULTS:
Of the 132 childhood cancer survivors in the study, thyroid malignancy was detected in 2 cases (1.5%) and thyroid nodules in 13 (9.8%). The earliest thyroid malignancy was detected 5 years post-radiotherapy via ultrasound. Of the 84 patients who had screening thyroid function test, 26 (31.0%) were detected with abnormal test results post-radiation, majority being subclinical hypothyroidism.
CONCLUSION
Regular screening via clinical examination for thyroid nodules should be performed at least annually. Where feasible and if resources permit, consideration should be given to using ultrasound for thyroid nodule(s) and malignancy screening at 5 years post-radiation therapy. Screening for thyroid dysfunction can be considered from 6-12 months post-radiotherapy.
5.Optimising utilisation of kidneys from very young deceased donors: the technique of en bloc kidney transplantation.
Ziting WANG ; Hui Kim YAP ; Krishnan PRABHAKARAN ; Ho Yee TIONG
Singapore medical journal 2015;56(8):e137-8
Kidneys of paediatric deceased donors were previously considered suboptimal for older recipients. An 18-month-old deceased donor was made available via Singapore's Medical (Therapy, Education and Research) Act. To the best of our knowledge, she is the youngest local donor. We herein report a case of successful kidney transplantation, using the en bloc technique, to a 15-year-old girl with renal failure secondary to bilateral cystic dysplastic kidney.
Adolescent
;
Age Factors
;
Female
;
Humans
;
Infant
;
Kidney Diseases, Cystic
;
surgery
;
Kidney Transplantation
;
methods
;
Renal Insufficiency
;
surgery
;
Tissue Donors
;
Tissue and Organ Procurement
;
methods
6.Review of stentless, tubeless, apposed renal (STAR) transplant wound management programme.
Hui Wen Melissa TAY ; Pei Yi SIM ; Yong Ai TEO ; Lata RAHMAN ; Ho Yee TIONG
Singapore medical journal 2021;62(10):529-534
INTRODUCTION:
We aimed to review the necessity of conventional interventions in renal transplant for preventing complications arising out of the use of wound drains, ureteral stents and stapled skin closures.
METHODS:
We reviewed a series of 33 patients who received stentless, tubeless/drainless and suture-apposed living donor renal transplants (STAR group) and compared the results to a control non-STAR group of 36 patients in whom all three interventions of drains, stents and skin staples were used.
RESULTS:
No significant differences in demographics and clinical characteristics were observed between the two groups. With regard to the overall surgical complications, no significant differences in terms of wound infection, seroma, perinephric collections, urinoma, bacteriuria or vascular complications were observed between the groups. When analysed according to the interventions specific for preventing complications, although slightly more asymptomatic perinephric collections were observed and two lymphoceles required treatment in the STAR group, these differences were not statistically significant. Similarly, no significant differences in ureteric or skin-related complications were observed between the groups. Both groups had comparable good outcomes for renal function, graft survival and patient survival.
CONCLUSION
The routine use of ureteric stents, drains or skin staples may not be necessary for uncomplicated renal transplants. Potential complications associated with the placement of these interventions can be avoided without compromising on the safety of patients and/or the outcome of transplants.
7.Paediatric living-donor liver and kidney transplantation during COVID-19.
Vidyadhar Padmakar MALI ; Marion AW ; Kar Hui NG ; Sivaramakrishnan Venkatesh KARTHIK ; Michelle TAN ; Sharon TEO ; Perry Yew Weng LAU ; Yoke Lin NYO ; Dale Ser Kheng Lincoln LOH ; Ho Yee TIONG ; Seng Hock QUAK ; Hui Kim YAP
Annals of the Academy of Medicine, Singapore 2022;51(2):119-121