Happy Nurses' Day @ Nexus Surgical Associates

Nexus Surgical Associates wishes our nurses and patient service associates a Happy Nurses' Day on 1 August 2012.
Your dedication and professionalism is very much appreciated.

Gallium Doctatate Scan for Carcinoids & Neuroendocrine Neoplasms

Patients who need a Gallium-68 Doctatate Scan, Ga-68 PET/CT or PET/MRI, for the diagnosis of carcinoid tumour or neuroendocrine neoplasm can have it in the new Mt Elizabeth Novena Hospital Singapore. For enquiry, please contact us at 65-6570 2720.

College of Surgeons, Singapore Annual Combined Surgical Meeting 4 Aug 2012

Dr Liau Kui Hin will be speaking on "Recent Updates on Resection of Liver Metastases for Breast Carcinoma". The lecture is at Grand Copthorne Waterfront Hotel Singapore at 11 am to 1230 pm, Hepatobiliary & Pancreatic Surgery Symposium on 4 August 2012. For more information, please visit the web www.css.edu.sg

Nexus Surgical Associates @ Mt Elizabeth Novena Hospital

Our new clinic at Mt Elizabeth Novena Hospital will be operational on 2nd July 2012. For appointment please call Nurse Siah at 6570 2720.

Nexus Surgical Associates @ Parkway East Hospital

Visit us at www,nexussurgical.sg

Publication By Dr Liau Kui Hin and Dr Ho C.K. - Laparoscopic Surgery

Laparoscopic exploration can salvage failed

endoscopic bile duct stone extraction

Vishal G Shelat, MRCSE, MMed, Chung Yip Chan, MD, FRCS, Kui Hin Liau, FRCS, FAMS, Choon Kiat Ho, FRCS, FAMS

Introduction

Conventionally, patients who failed endoscopic removal of common bile duct stones (CBDS) by

endoscopic retrograde cholangiopancreaticography (ERCP) would be treated with open cholecystectomy and common

bile duct exploration. Laparoscopic common bile duct exploration (LCBDE) is an established option for treating CBDS. The

aim of this paper was to look at the feasibility of LCBDE as a salvage procedure after failed endoscopic stone extraction

(ESE). The secondary endpoint was to examine the short-term outcomes of our LCBDE series.

Methods

We retrospectively reviewed a prospective database to study the feasibility of LCBDE as a salvage procedure

for failed ERCP.

Resu lts

Since its inception in 2006, 43 patients had undergone LCBDE at our centre. This was achieved via a

transcystic approach in 25 patients and laparoscopic choledochotomy in 15 patients. There were three conversions. Of

these 43 patients, 21 had a pre-operative attempt at ESE, but only six patients had their ducts cleared endoscopically.

The 15 patients who failed ESE underwent LCBDE, of which 14 achieved successful stone clearance and one required

open conversion. One patient developed a bile leak, which resolved spontaneously. The median length of stay (LOS) for

these 15 patients was three days, while the median LOS for the whole cohort was two days.

Conclusion

LCBDE has been shown to be a safe and effective method for treating CBDS, with the added bonus of a

short hospital stay. Where the expertise is available, LCBDE is a safe option as a salvage procedure for failed ESE.

Keywords: bile duct exploration, cholecystectomy, common bile duct stones, endoscopic stone extraction, laparoscopy

Singapore Med J 2012; 53(5): 313–317

Official Opening of Parkway East Medical Centre Clinic

Our Parkway East Medical Centre Clinic Official Opening is on 26 May 2012.
You are invited to join us at the reception at 05-01 Parkway East Medical Centre.

Complimentary Chromogranin A Test at Nexus Surgical Clinic

In the month of June 2012, Nexus Surgical continues to offer free CgA test for patients who are suspected to have carcinoids / neuroendocrine neoplasia (NEN) or on follow-up for NEN. Administrative & handling charges apply. For enquiry, please contact Nurse Li Kar at 65-6235 8633/51 or email us at enquiry@nexussurgical.sg

Nexus Surgical Associates @ Mt Elizabeth Novena Specialist Centre

Come July 2012, Nexus Surgical Associates will have a new clinic at Mt Elizabeth Novena Specialist Centre, 38 Irrawaddy Road, Singapore 329563. The new hospital will have state-of-the-art medical equipments and facilities. For the scope of services, visit us at www.nexussurgical.sg

Continuing Nursing Education @ Mt Elizabeth Medical Centre

Nurses Education Seminar

Date                                    Venue                                Lecture Topic                        

24 May 2012 Thursday 3:30 PM — 4:30 PM

Seminar Room MOUNT ELIZABETH HOSPITAL

The Philosophy of Pre and Post Operative Care for Major Gastrointestinal Operations  by Dr Liau Kui Hin Director & Senior Consultant Surgeon Nexus Surgical Associates

Nexus Surgical Associates@Parkway East Medical Centre

Nexus Surgical Associates is pleased to announce the new clinic at Parkway East Medical Centre #05-01. The clinic is opened from Monday to Friday 0900 hr - 1700 hr and Saturday 0900 hr to 1300 hr.
For appointment with our surgeons, contact Ms Jainah at 65-6440 4866. Our fax number is 65-6440 9655. Our website is www.nexussurgical.sg.

Our surgeons in Parkway East Medical Centre are:
Dr Liau Kui Hin, Dr Lim Khong Hee, Dr Ho Choon Kait, Dr Lee Chee Wei, Dr Jane Tan

Lecture on Vascular Surgery

Title: The Art and Science of Vascular Surgery

by Dr Lee Chee Wei, FRCS, FAMS

Date and time: 03 Feb, 2012, 1:00 to 2:00pm

Venue: Mt Elizabeth Hospital Seminar Room

Surgical Specialty Services Provided by Nexus Surgical Associates

Nexus Surgical Associates is a team-based surgical practice that offers a wide range of surgical specialties services.

Our services are
Upper gastrointestinal surgery
Colorectal surgery
Anorectal surgery
Hemorrhoids & piles operations
Hepatobiliary surgery
Gallstones treatment & management
Pancreatic surgery
Pancreatic cancer treatment and management
Bariatric surgery & weight loss management
Laparoscopic or minimally invasive surgery
Single port laparoscopic surgery
Diagnostic laparoscopy and laparoscopic biopsy
Laparoscopic radiofrequency ablation (RFA)
Endo-laparoscopic surgery
Transanal endoscopic microsurgery (TEM)
Endocrine & thyroid surgery
Surgical oncology
Neuroendocrine (carcinoids) oncology
Soft tissue tumour and sarcoma surgery
Vascular surgery
Vein surgery
Endovascular intervention
Trauma surgery
Hernia surgery
Wound care
Diabetes foot care
Surgical infection & sepsis
Skin lump and nodules operation
Lymph nodes biopsy
Diagnostic endoscopy - gastroscopy & colonoscopy
Therapeutic and interventional endoscopy
Endoscopic variceal ligation
Endoscopic ulcer injection

Our team of surgeons are
Dr Liau Kui Hin, FRCS
Dr Lim Khong Hee, FRCS
Dr Ho Choon Kiat, FRCS
Dr Jane Tan, FRCS
Dr Lee Chee Wei, FRCS

Nexus Surgical Associates Appointment Lines

For scheduling clinic and endoscopy appointment with our Nexus Surgical Doctors, please contact us at
Tel (65) 6235 8633 or
Tel (65) 6235 8651

Alternatively, you can email us at enquiry@nexussurgical.sg. or
reach us online via www.NexusSurgical.sg

For urgent matters, our doctors can be contact via the 24 hours answering service at (65) 6333 5550.

Happy Lunar New Year

Nexus Surgical Associates wishes all our doctors, nurses, allied health, healthcare workers and patients a happy and healthy New Year of the Dragon.