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Content about Surgical

Vol. 1 No. 2 : 2011 - Che Hasnura CH et al.

We hereby report a rare case of a woman who presented with symptoms of urogenital prolapse and menorrhagia. She was erroneously diagnosed to have cervical mass and underwent examination under anesthesia and was found to have only a vaginal leiomyoma. The fibroid was enucleated successfully through a vaginal incision. We discuss the rare case.

Vol. 1 No. 2 : 2011 - Jasman JW et al.

Subcutaneous metastasis of rectal adenocarcinoma is an infrequent event as it occurs in less than 4% of all patients with rectal malignancy. When present, it signifies an advanced disease and carries poor prognosis. We hereby, present the case of a 51-year-old woman with subcutaneous lesion that turned out to be rectal adenocarcinoma metastases. She was then managed as an advanced case.

Vol. 1 No. 1 : 2011 - Shafiee MN et al.

Morbidly adherent placenta with spontaneous rupture of membrane at extreme prematurity poses poor pregnancy outcome. Various issues on different management modalities still remain perplexed and individual consideration is vital. Two cases of morbidly adherent placenta with symptomatic per vaginal bleeding and spontaneous rupture of membrane at severe prematurity were reviewed and discussed. We found that, active intervention by termination of pregnancy and methotrexate therapy at early gestation can prevent the need of hysterectomy following major obstetrics haemorrhage.

Vol. 1 No. 1 : 2011 - Suraya A et al.

Popliteal artery entrapment syndrome is an important infrequent cause of serious disability among young adults and athletes. We hereby describe a case of popliteal artery syndrome and its clinical implications. Physicians should be aware of the possibility of popliteal artery entrapment in young patients presenting with progressive arterial insufficiency.

Vol. 1 No. 1 : 2011 - Levin KB et al.

In  this  article,  we speculate  the reasons  behind  the death  of  Achilles  during  the  Trojan  war.  Roots  of Medicine  can  be  traced  to  ancient  Greek  history. From the Hippocrates Oath to the Achilles tendon, it all  has  a  long  story  to  tell.  In  the  history  of  ancient Greece,  Gods  played  an important  role  in their  lives and the immortals existed. 

Vol. 1 No. 1 : 2011 - Faizal A et al.

Tumour surgery for locally extensive malignant neoplasms of the extremity will sometimes result in extensive composite soft tissue defect. Local flaps are usually inadequate to cover these large defects. More than one tissue flap might be required to cover any exposed neurovascular structures, bone or prosthesis. We present two cases where two composite flaps were simultaneously used to cover extensive surgical defects after ablative tumour resections in the extremity. These resulted in uncomplicated wound healing and limb salvage.

Vol. 1 No. 1 : 2011 - Ahmad KI et al.

Acute appendicitis is one of the most common differential diagnoses for acute abdominal pain made by emergency doctors. Suspected cases require surgical referral for observation or definitive intervention to prevent complications. A high index of suspicion and good clinical skills with the aid of scoring systems allows early decision making, which includes optimal pain control.

Vol. 1 No. 1 : 2011 - Goh EH et al.

Dermoid cyst in a kidney is rarely seen. We report a case of intrarenal dermoid cyst which mimics malignant renal tumour and discuss the dilemma in managing this disease.