Abu Rauff
Email Address
surar@nus.edu.sg
Organizational Units
YONG LOO LIN SCH OF MEDICINE
faculty
SURGERY
dept
48 results
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Now showing 1 - 10 of 48
Publication Acute abdominal pain secondary to retroperitoneal bleeding from a giant adrenal lipoma with review of literature(2009) Thamboo, T.P.; Mukherjee, J.J.; Singaporewalla, R.M.; Rauff, A.; Cheah, W.K.; SURGERY; PATHOLOGYPublication The surgical treatment of squamous cell carcinoma of the oesophagus in Singapore.(1990-11) Wong, T.H.; Tekant, Y.; Ngoi, S.S.; Ti, T.K.; Rauff, A.; SURGERYIn a retrospective study, we reviewed 97 consecutive cases of squamous cell carcinoma collected over a five-year period (1978-1983). Resection of the tumour was possible in 30 out of 40 patients subjected to surgery. Of these 30 patients, five died within 30 days of surgery. Eight patients who underwent oesophageal resection were still alive after five years and apparently cured. Bypass surgery for unresectable lesions in six patients were complicated by anastomotic leakage in three patients. Patients unsuitable for surgical resection were treated using Celestin tube insertion or radiation. Mean survival in 13 patients with Celestin tube insertion was 4.1 months. Of 48 patients who were treated by radiotherapy, two lived beyond five years. Surgical resection restores swallowing effectively and offers a 25% chance of cure and should be done in fit patients. In unfit patients with advanced disease, palliation from the use of radiotherapy and Celestin tube insertion were poor. Newer techniques such as endoscopic laser recanalisation and bicap hyperthermia may need to be considered for palliation in this group of patients.Publication Totally implantable central venous access for cancer patients in Singapore(1988) Tan, Y.O.; Rauff, A.; SURGERYPublication Perforation of the large bowel during colonoscopy in Singapore(1990) Soon, J.C.C.; Shang, N.S.; Goh, P.M.; Rauff, A.; SURGERYPublication Renal cell carcinoma - a local experience(1981) Tung, K.H.; Foo, K.T.; Rauff, A.; Foong, W.C.; Tan, L.K.; SURGERYA review of 23 cases of renal cell carcinoma was undertaken. The sex distribution was 3.6 males to 1 female, the male preponderance being higher than in most reported series. The tumour was most common in the 6th and 7th decades of life. Hematuria was the commonest presenting symptom (52.2%); however, all the features of the classical triad of hematuria, loin pain and swelling, were not present in any of our patients; 26% of patients presented with non-urological symptoms. At the time of diagnosis, 4 patients (17.3%) had evidence of metastasis. Another 4 developed secondaries after nephrectomy. Our approach to renal cell carcinoma has been aggressive and all 23 patients including those with metastasis were treated by nephrectomy.Publication A study of 245 infected surgical wounds in Singapore(1992) Esuvaranathan, K.; Kuan, Y.F.; Kumarasinghe, G.; Bassett, D.C.J.; Rauff, A.; SURGERYThe aims of the study were to correlate the laboratory detection rate of wound infections with the actual wound infection rate, and to analyse the bacteriology of these wounds to provide a rationale for antibiotic usage in prophylaxis and treatment of surgical wound infections. The wound infection rate in a general surgical unit was determined using the most comprehensive surveillance available to us and was correlated with the laboratory detection rate. A correlation coefficient of 0.8 was obtained, allowing a reasonable estimation of the actual wound infection rate from laboratory data. Review of the bacteriology of consecutive infected surgical wounds over a 4 year period in a university hospital, revealed that the commonest organisms cultured were Staphylococcus aureus, Escherichia coli, Klebsiella spp., Pseudomonas aeruginosa, enterococci and β-haemolytic streptococci. Methicillin-resistant S. aureus (MRSA) caused 50% of all staphylococcal wound infections. All MRSA isolates were sensitive to fusidic acid and vancomycin. All the non-MRSA isolates of S. aureus were sensitive to cephalexin. Some 89% of E. coli were sensitive to gentamicin, with 93% and 100% sensitive to cefuroxime and ceftriaxone respectively. Klebsiella isolates have shown an increased resistance to aminoglycosides, with a new strain from one patient, isolated in 1990, resistant to penicillins, aminoglycosides and third generation cephalosporins. Pseudomonas spp., enterococci and β-haemolytic streptococci did not show a change in resistance patterns over the same time period.Publication Informed patient consent--historical perspective and a clinician's view.(1992-02) Kour, N.W.; Rauff, A.; SURGERYInformed patient consent, in this day and age, is usually taken for granted, poorly understood, and inadequately practised. Historically, informed patient consent is relatively new to medical practice, as there was no such consent during the times of the ancient Egyptians, the ancient Greeks or Romans. The culture of individual rights as part of a social trend and evolution of human civilisation with landmarks such as the American Revolution two centuries ago also brought along greater patient awareness of their health and persons as well as their rights in the investigations, treatment and research of their illnesses. The rationale and elements in the practice of informed patient consent is part of this trend. However, there are moral and legal dilemmas involved. Discussion is needed, and though the practice of such consent may sometimes be difficult, the spirit of its application should never be compromised.Publication The solitary thyroid nodule(1980) Tan, W.T.L.; Rauff, A.; SURGERYPublication Primary gastric lymphoma.(1993-10) Ong, C.L.; Ti, T.K.; Rauff, A.; SURGERYPrimary gastric lymphoma is a rare gastrointestinal lymphoma. The treatment of this condition remains controversial, especially the extent of surgical resection. Ten cases were operated on over a five-year period at our institution and the outcome was reviewed. Early results suggest no difference in survival whether the margin of resection was clear or not so long as postoperative chemotherapy was given. The outcome appear to depend more on the extent of the disease at the time of surgery. Full thickness involvement of the stomach wall with lymph node involvement were bad prognostic indicators.Publication Carcinoma of the pancreas - Bypass versus resection?(1993) Ong, C.L.; Rauff, A.; SURGERY