1.Southern Philippines Medical Center Heart Institute surgical services from 2008 to 2017
Mark Angelo Andrada ; Clarence Xlasi Ladrero
Southern Philippines Medical Center Journal of Health Care Services 2018;4(1):1-3
The Mindanao Heart Center (MHC) was inaugurated on 14 February 2007. On 10 October 2013, through Hospital Administration No. 174 series of 2013, MHC was renamed Southern Philippines Medical Center Heart Institute (SPMCHI). The Institute offers a wide range of cardiovascular medical and surgical services, including major heart surgeries such as ventricular septal defect (VSD) repair, tetralogy of Fallot (TOF) correction, and coronary artery bypass graft (CABG).
General Surgery
2.Southern Philippines Medical Center Heart Institute surgical services from 2008 to 2017
Mark Angelo Andrada ; Clarence Xlasi Ladrero
Southern Philippines Medical Center Journal of Health Care Services 2018;4(Editorial Interns Edition 2017-2018):1-3
3.Application of the "five-line division method" in selecting surgical approach for spaceoccupying lesions in the saddle area and the adjacent areas.
Chengwei YU ; Zhenhua SONG ; Chengyong LIU ; Danian WEI
Journal of Southern Medical University 2020;40(11):1673-1681
OBJECTIVE:
To explore the application of the"five-line division method "in selecting the surgical approach for occupying lesions in the saddle area and its adjacent areas.
METHODS:
Based on the natural anatomic structures, 5 lines (alpha, beta, theta line and lambda, epsilon line) were drawn on the images of the craniocerebral axial plane crossing the middle of the saddle area and the craniocerebral median sagittal plane, thus dividing the saddle area and its adjacent areas into 6 regions in the axial plane (1, 2, 3, 1', 2', and 3' regions) and into 4 regions in the sagittal plane (I, II, III, and IV regions). Based on these divisions, the large space-occupying lesions in the saddle area and adjacent areas were classified and their respective surgical approaches were determined after reviewing the commonly used approaches in the saddle area and clinical experiences. We collected the data of 116 patients undergoing surgeries for space-occupying lesions involving the saddle and the adjacent areas in our hospital between September, 2014 and August, 2017, and analyzed their classifications and the corresponding surgical approaches based on the "five- line division method " to compare the consistency between the hypothetic approaches and the approaches adopted in the actual surgeries.
RESULTS:
The actual surgical approaches adopted in the 116 cases were all selected under the guidance of experts in our hospital. The hypothetic surgical approaches selected based on the"five- line division method "showed a good consistency with the actually adopted approaches.
CONCLUSIONS
The"five-line division method "can spatially classify the commonly seen space-occupying lesions involving the saddle area and its adjacent area to provide assistance in the selection of surgical approaches for such lesions.
General Surgery/methods*
;
Humans
4.Primary ovarian leiomyosarcoma in a 72-year-old nulligravid and the 2022 provisional diagnostic criteria for primary ovarian leiomyosarcoma
Sherry Mae A. Uy ; Pherdes E. Galbo
Philippine Journal of Obstetrics and Gynecology 2022;46(6):271-277
Primary ovarian leiomyosarcoma (POLMS) is an exceedingly rare neoplasm accounting for only 0.1% of all ovarian malignancies and most commonly occurring in postmenopausal women. Prognosis is poor with only a 20% 5-year survival rate. Surgery remains to be its mainstay treatment. Discussed here is a 72-year-old nulligravid with hypogastric pain. Transrectal ultrasound showed a right ovarian new growth, probably malignant on International Ovarian Tumor Analysis (IOTA) simple rules, with a 79.2% risk of malignancy by IOTA ADNEX and an unremarkable uterus. Other workups were normal. She underwent primary cytoreductive surgery. Histopathologic diagnosis was ovarian leiomyosarcoma with positive immunohistochemical staining for desmin, S-100 protein, smooth muscle actin, and epithelial membrane antigen. She refused adjuvant chemotherapy postoperatively. The latest published literature on POLMS was also reviewed to develop the provisional criteria for its prompt diagnosis, thereby decreasing the heterogeneity of the diagnostic approach as well as supporting future researches on manifestations, clinical courses, and therapeutic plans.
Ovary
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Prognosis
;
General Surgery
5.Oral Mucocele and its surgical approach as treatment: Case series
Tania Saskianti ; Angela Faustina Kartono ; Ayudia Rifki ; Yufita Fitriani ; Pradita Agung Kurnia
Acta Medica Philippina 2021;55(8):816-822
A common benign lesion in children’s oral cavity is mucocele on the lower lips that originates from the accumulation of mucous due to local trauma and a lip-biting habit.
Lip-biting is often motivated by a psychological condition of anxiety. Mucoceles are painless but can be bothersome for patients when eating and speaking. Mucoceles can affect the general population but are more common among the young. The etiology of oral mucoceles may vary, and surgical treatment is best chosen for its convenience, child-friendliness, and high treatment success rate.
Awareness education for children and parents is necessary to eliminate a lip-biting habit. If the pattern persists due to anxiety, it is essential to inquire more about the etiology and consult a professional psychologist.
Child
;
Mucocele
;
General Surgery
6.Surgical training - the challenge of change.
Annals of the Academy of Medicine, Singapore 2009;38(12):1034-1037
The healthcare environment is continuing to change and so too is education and training of surgeons. We now live in an age of increased specialisation, of technology, of accountability, of greater patient education and expectation and mass media attention. The traditional apprentice method and emphasis too much on examinations will have to be changed to a more structured system of training with training standards, regular assessment and feed back. There are new skills to be learnt for future surgical practice and new ways to learn them to become competent. We need to make changes in the institutions and departments to create a learning environment and an organisational system to implement the training programme. The current shortage of surgical work force in the institutions and lack of sufficient teachers committed to teaching and training are major issues that need to be addressed.
General Surgery
;
education
;
trends
;
Singapore
8.The Use of a Transparent Corneal Protector Permits Early Detection of Mydriasis to Prevent Blindness during Orbital Wall Fracture Surgery.
Dong Woo JUNG ; Kyu Jin CHUNG ; Yong Ha KIM
Archives of Plastic Surgery 2013;40(6):791-792
No abstract available.
Blindness*
;
General Surgery*
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Mydriasis*
;
Orbit*
9.Arthroscopic Mumford Procedure Utilizing the Anteromedial and Neviaser Portals – A Pilot Cadaveric Study on Neurovascular Structures at Risk
Nasir Mohd Nizlan ; Azfar Rizal Ahmad ; Hisham Abdul Rashid ; Paisal Hussin ; Che Hamzah Fahrudin ; Abdullah Arifaizad ; Mohamad Aris Moklas
Malaysian Journal of Medicine and Health Sciences 2016;12(2):18-22
Introduction: Degenerative disorder involving the acromioclavicular
joint (ACJ) is quite common especially in the elderly.
One of the surgical modalities of treatment of this disorder is the
Mumford Procedure. Arthroscopic approach is preferred due to
its reduced morbidity and faster post-operative recovery. One
method utilizes the anteromedial and Neviaser portals, which
allow direct and better visualization of the ACJ from the
subacromial space. However, the dangers that may arise from
incision and insertion of instruments through these portals are
not fully understood. This cadaveric study was carried out to
investigate the dangers that can arise from utilization of these
portals and which structures are at risk during this procedure.
Materials and Methods: Arthroscopic Mumford procedures
were performed on 5 cadaver shoulders by a single surgeon
utilizing the anteromedial and Neviaser portals. After marking
each portals with methylene blue, dissection of nearby structures
were carried out immediately after each procedure was
completed. Important structures (subclavian artery as well as
brachial plexus and its branches) were identified and the nearest
measurements were made from each portal edges to these
structures. Results: The anteromedial portal was noted to be
closest to the suprascapular nerve (SSN) at 2.91 cm, while the
Neviaser portal was noted to be closest also to the SSN at 1.60
cm. The suprascapular nerve was the structure most at risk
during the Mumford procedure. The anteromedial portal was
noted to be the most risky portal to utilize compared to the
Neviaser portal. Conclusion: Extra precaution needs to be given
to the anteromedial portal while performing an arthroscopic
distal clavicle resection in view of the risk of injuring the
suprascapular nerve of the affected limb.
urgical Procedures, Operative
;
General Surgery
10.Axial Length Change after Implantable Collamer Lens Implantation.
Ju Yong SEOK ; Damho LEE ; Haksu KYUNG ; Joon Mo KIM
Journal of the Korean Ophthalmological Society 2013;54(11):1675-1679
PURPOSE: The axial length measurement is an important variable in calculating the intraocular lens (IOL) power in cataract surgery. In this study, the effects of the implantable collamer lens (ICL) on the axial length measurement were investigated. METHODS: The axial lengths of 141 eyes of 76 highly myopic patients were measured before ICL implantation and 1 month postoperatively using applanation A-scan ultrasound. RESULTS: The measured axial lengths before ICL implantation and 1 month after the surgery were 28.03 +/- 1.91 mm and 28.08 +/- 1.86 mm respectively, with a statistically significant difference of 0.05 mm (p = 0.036). These 2 values showed a high correlation (R2 = 0.9829, p < 0.0001). CONCLUSIONS: Even though the axial length after ICL implantation significantly increased, the 0.05 mm change was too small to influence the determination of the IOL diopters in cataract surgery. Therefore, ICL implantation history may be reflected when measuring the axial length for the IOL power calculation in cataract surgery, but the axial length measured immediately before the cataract surgery may be used to calculate the IOL power regardless of the ICL implantation history.
Cataract
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General Surgery
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History
;
Humans
;
Lenses, Intraocular