Dr Liau Kui Hin speaks on "Prevention of Unplanned Potsoperative Hypothermia in Elective Major Operations" at Healthcare Quality Improvement Forum

Dr Liau Kui Hin, our senior consultant surgeon, will be sharing his Healthcare Quality Improvement Project on the prevention of unplanned postoperative hypothermia in elective major operations at the Ministry of Health, bi-annual HQIF Forum. The forum is Date: 27 July 2011, Wed Time: 1.30-5.30pm Venue: Ministry of Health, Singapore

Dr Liau Kui Hin debates on "One Stage Laparoscopic Common Bile Duct Exploration is Better Than ERCP + Laparoscopic Cholecystectomy" in the Management of Biliary Stones Disease.

Dr Liau Kui Hin, our senior heaptobiliary laparoscopic surgeon, will be speaking at the upcoming 10th Asia Pacific Congress of Endoscopic Surgery (ELSA 2011). The congress will be held from 11 - 13 August 2011 at the Suntec Singapore Convention and Exhibition Centre in Singapore. The theme of this congress is "So Radical Today, So Obvious Tomorrow". Dr Liau Kui Hin will debates in a symposium session on "One Stage Laparoscopic Common Bile Duct Exploration (CBDE) is Better Than Endoscopic Retrograde Cholangio-Pancreatography (ERCP) with Laparoscopic Cholecystectomy" in the management of gallstones and bile duct stones. For more information, visit the website at http://www.elsa2011singapore.com

Emergency surgery for jejunal diverticulosis: our experience and review of literature

An article written by Drs Tan Ker Kan and Jody Liu, and supervised by Dr Ho Choon Kiat has been published in the May issue of the ANZ Journal of Surgery (2011 May;81(5):358-61), the official scientific publication of the Royal Australasian College of Surgeons.

Abstract:
Background:  Jejunal diverticulosis is a rare entity and is often asymptomatic. However, some of its complications may require acute surgical intervention. This study was performed to evaluate the presentation and outcome of patients who underwent urgent surgery for complicated jejunal diverticulosis. Methods:  A retrospective review of all patients who underwent emergency surgery for complicated jejunal diverticulosis from November 2005 to December 2008 was performed. Results:  Six cases of complicated jejunal diverticulosis required urgent surgery during the study period. Three patients presented with acute abdomen from perforated jejunal diverticulum. Preoperative computed tomographic (CT) scans were useful in localizing the source of sepsis. One patient died from the subsequent complications. The other three patients presented with massive lower gastrointestinal haemorrhage for which CT angiography was able to localize the source of haemorrhage in two of them. Small bowel resection was then performed and all three were discharged well eventually. Conclusion:  Though rare, jejunal diverticulosis can present with several life-threatening complications that mandates immediate surgery. While the surgical procedure may be technically simple, achieving the accurate preoperative diagnosis is often fraught with challenges. CT scan could prove invaluable in the management if the situation permits.

Surgical Lecture: Paradigm Shifts in the Management of Colorectal Liver Metastases

Speaker: Dr Ho Choon Kiat, MBBS, FRCS (Edin), FRCS (Glasg), M.Med (Surg), FRCSEd (Gen), FAMS. 
Chairman: Dr Wong Seng Weng
Time: 1230 hr to 1400 hr 19th May 2011 Venue: Parkway East Hospital Conference Room Level 3. 

Synopsis: When a cancer has spread outside of its origin to a distant site, it is very often considered a terminal disease. However, this is not the case for colorectal cancer. Even if it has spread to distant sites like the liver and lungs, with treatment, 5 years, and even 10 years, survival is now possible. This is due to advancements made in many fronts, including better anaesthetic care, better diagnostic tests, better chemotherapy agents and better surgical techniques. Dr Ho, a liver surgeon by training, will describe some of these advancements and some of the strategies that have brought hope to even the most dismal of cases.

Dr Liau Kui Hin on Conference Leave from 19-22 May 2011

Dr Liau Kui Hin will be attending the Annual Scientific Meeting of the College of Surgeons, Academy of Medicine of Malaysia (CSAMM) at Pullman Kuching, Sarawak, Malaysia from 19-22 May 2011. During his absence, Dr Ho Choon Kiat and Dr Lim Khong Hee will be covering his duty.

Lecture on "Laparoscopic Liver Surgery for Benign & Malignant Conditions" by Dr Liau Kui Hin

Dr Liau Kui Hin will be speaking at the 5th International Congress of the Society of Laparoscopic Surgeons of Bangladesh (SLSB) on 11-12th June, 2011. The lecture is on "Laparoscopic Liver Surgery for Benign & Malignant Conditions". The scientific conference is held in Dhaka, Bangladesh.

Liver Surgery Lecture by Dr Liau Kui Hin on 11 May 2011

Changing Concept in Liver Surgery for Liver Cancer. Speaker: Dr Liau Kui Hin, FRCS, FAMS. Time: 1230 hr to 1400 hr 11 May 2011 Venue: Gleneagles Hospital Lecture Hall. With technological advancement and better understanding in oncology, the concept of liver surgery in the treatment of liver cancer is changing rapidly. The surgical techniques and instrumentation for liver operations have improved tremendously over the last decade. Better anaesthetic and nursing care in the operation theaters, intensive care units and post-operation ward also contributed significant to the better operative outcome. From segment-oriented liver resection and orthotopic liver transplantation to laparoscopic liver surgery and radiofrequency (RFA) or microwave tumor ablation, progress was evident. In this lecture, Dr Liau will discuss the impacts of the recent changes on the practice of liver surgery for liver cancer and the short and long term outcomes of laparoscopic liver operations.

Nexus Surgical Clinic Closed on Polling Day 7 May 2011

The clinic is closed on polling day 7 May 2011. For urgent clinical matters, please contact our 24 hours answering service at 65-6333-5550.

Free Chromogranin (Cg A) Test for Patients on Follow-up or Suspected to have Neuroendocrine Tumours.

In the month of May, Nexus Surgical continues to offer free CgA test for patients suspected to have carcinoids / neuroendocrine tumours (NET) or patients on follow-up for NET. $40.00 administrative & transportation charges apply. For enquiry, please contact Nurse Li Kar at 65-6235 8633 or email us at enquiryFree @nexussurgical.sg