1.Abdominal Stab Wound with Inferior Vena Cava Injury: A Case Report
Narasimman Sathiamurthy ; Wee Jin Tan
The Medical Journal of Malaysia 2014;69(6):291-292
Injury to the inferior vena cava (IVC) resulting from stab
wound carries a high mortality rate.
1 Conventional open
repair of the inferior vena cava is very challenging. Its
morbidity and mortality ranges from 33-66%.
2 The predictors
determining the outcome are the mechanism and type of
injury, the initial blood pressure, the hemodynamic response
to fluid resuscitation, the location of the vena caval injury,
the presence of multiple other vascular and solid organ
injuries.
2.Mediastinal mature teratoma in a child- A case report
Wei Xin Liew ; Hong Yoong Lam ; Narasimman Sathiamurthy ; S. Navarasi ; Mohd Hamzah Kamarulzaman
The Medical Journal of Malaysia 2016;71(1):32-34
Mediastinal teratoma is an infrequent germ cell tumour and
comprises of 1 to 5% of all mediastinal tumours. We report a
case of mediastinal mature teratoma in a 12 year old boy
who presented to us with persistent non-productive cough,
fever and dyspnoea for the past 7 months. Computed
tomographic scan of thorax revealed a large anterior
mediastinal mass measuring 11.2x9.9x14cm with
calcification within. He subsequently underwent a median
sternotomy with left subcostal extension (L-incision) and
excision of tumour. Histopathology of the tumour revealed a
mature cystic teratoma. We would like to report a case of
successful surgical management of a large mediastinal
mature teratoma in a child.
Mediastinal Cyst
3.A dedifferentiated large posterior mediastinal liposarcoma – An incidental finding successfully resected
Narasimman Sathiamurthy ; Jasjit Singh Nijhar ; Navarasi S Raja Gopal ; Premnath Nagalingam
The Medical Journal of Malaysia 2016;71(4):201-202
This is a case of a posterior mediastinal mass in an
asymptomatic gentleman, which was resected successfully
and he has been disease free for more than a year of follow
up. The histopathology findings happen to be a rare
occurrence.
Liposarcoma
4.Outcome of surgery of necrotising pneumonia in immunocompromised patients: HKL experience
Premjeet Singh ; Narasimman Sathiamurthy
The Medical Journal of Malaysia 2019;74(2):179-181
Necrotising pneumonia or lung gangrene is a challenging
problem and it is diagnosed more often today, especially in
tertiary hospitals. It is always a challenge to treat these
patients as they are usually immunocompromised and are
often ill when the diagnosis is made. We report three
immunocompromised patients with necrotising pneumonia
who were treated surgically. We share the outcomes of these
patients and discuss the management of necrotising
pneumonia in the immunocompromised.
5.Uniportal video assisted thoracoscopic surgery right upper sleeve lobectomy- The first experience in Hospital Kuala Lumpur
Nguk Chai Diong ; Benedict Dharmaraj ; Narasimman Sathiamurthy
The Medical Journal of Malaysia 2020;75(4):445-446
Sleeve lobectomy is a lung sparing surgery and is the preferred
alternative to pneumonectomy for centrally located tumours,
which has less postoperative morbidity and mortality. Surgical
approach for the technically demanding sleeve lobectomy
evolved over the decades from conventional thoracotomy to
video assisted thoracoscopic surgery (VATS) to uniportal
VATS (uVATS) which allows for quicker recovery and less
pain postoperatively. We report our very first successful
uVATS sleeve right upper lobectomy performed in the Hospital
Kuala Lumpur, Malaysia.
6.Thoracic sarcoma case series in Hospital Kuala Lumpur, Malaysia
Yurkdes Aran Sittampalam ; Narasimman Sathiamurthy
The Medical Journal of Malaysia 2019;74(3):237-239
Thoracic sarcomas (TS) are rare neoplasms that may
present with non-specific pulmonary symptoms. Chest
radiographs and computed tomography of the thorax are the
investigations of choice, while pre-operative minimally
invasive biopsies may not be entirely helpful with the
diagnosis. The commonly identified variants of thoracic
sarcomas include liposarcomas, leiomyosarcomas and
synovial sarcomas. Complete excision of the tumour with
clear margins remain the sole definite form of management
and there is limited role with adjuvant chemotherapy and
radiotherapy. In the present case series, we explore our
experience with three patients who presented with TS and
the management decisions that was made.
7.Spontaneous massive haemothorax in the peri-partum period of an undiagnosed neurofibromatosis type 1 patient - A surgical perspective
Narasimman Sathiamurthy ; Hari Dass Govindasamy ; Kanesh Kumaran Kumaran Seevalingam ; Umasangar Ramasamy ; Ganendra Paramasvaran
The Medical Journal of Malaysia 2019;74(1):99-
Acute massive haemothorax is a life-threatening situation,
which is often associated with a preceding trauma. However,
spontaneous haemothorax is a rare occurrence, especially in
pregnancy. Spontaneous haemothorax in the immediate
post-partum period secondary to a ruptured intercostal AVM
is extremely rare more so in the background of an
undiagnosed neurofibromatosis. This is a report of a young
lady presenting with pleuritis and breathlessness after the
delivery of her 1st child. Her management is discussed.