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Bringing Relief To Our Patients

C1. How Much Relief Can We Offer Our Patients With Haemorrhoids?

Haemorrhoids (also known as piles) are enlarged and swollen blood vessels in or around lower rectum and the anus.  Haemorrhoids often cause itching, pain and bleeding. A stapled haemorrhoidectomy is an operation to return the haemorrhoids to a normal position inside the rectum. From 1999 to 2004, more than 3700 patients had stapled haemorrhoidectomy performed in SGH, none of whom experienced persistent anal pain after the procedure, while 0.2% required further surgery or outpatient intervention due to residual disease, and 1.1% developed anal stricture [1]. Our results appeared generally more favourable compared to our counterpart in New Zealand [2].

1. Ng, K.H., et al., Experience of 3711 stapled haemorrhoidectomy operations. The British journal of surgery, 2006. 93(2): p. 226-30.
2. Ch'ng, S. and M. Hulme-Moir, New Zealand's early experience in stapled haemorrhoidopexy. The New Zealand medical journal, 2006. 119(1230): p. U1880.

C2. Doctor, My Finger Is Stuck In A Bent Position!

Trigger finger is a condition that causes finger stiffness and pain and the finger may “get stuck” in a bent position and may have to be straightened with the help of the other hand. A surgery to release the finger tendon may be necessary when conservative treatments fail. The success rate and complication rate in SGH, Singapore [1] appeared more favourable to those reported by other hospitals in Japan [2], Norway [3] and the United States [4], which also offered the procedure.

1. Lim, M.H., et al., Outcome of open trigger digit release. The Journal of hand surgery, European volume, 2007. 32(4): p. 457-9.
2. Moriya, K., T. Uchiyama, and Y. Kawaji, Comparison of the surgical outcomes for trigger finger and trigger thumb: preliminary results. Hand Surg, 2005. 10(1): p. 83-6.
3. Finsen, V. and S. Hagen, Surgery for trigger finger. Hand Surg, 2003. 8(2): p. 201-3.
4. Turowski, G.A., P.D. Zdankiewicz, and J.G. Thomson, The results of surgical treatment of trigger finger. The Journal of hand surgery, 1997. 22(1): p. 145-9.

C3. How Are Newborns Who Were Delivered Slightly Earlier Than Expected Doing?

Infants born between 34 and 37 weeks of gestation are often called late preterm infants. These infants usually have difficulties adapting to the new environment. Because of their smaller size and premature organs, they may be feeding poorly, have difficulties maintaining their body temperature or even have trouble breathing. Close monitoring and high quality hospital care during the immediate postpartum recovery period following birth is critical for reducing the occurrence of morbidities and the transition to higher level of care. A four-year audit of deliveries managed in SGH showed that rates of immediate complications caused by prematurity and our utilization of neonatal intensive care by late preterm newborns compared favourably with those reported in published research studies by our counterparts in the United States.  

1. Wang, M.L., et al., Clinical outcomes of near-term infants. Pediatrics, 2004. 114(2): p. 372-6.
2. Gilbert, W.M., T.S. Nesbitt, and B. Danielsen, The cost of prematurity: quantification by gestational age and birth weight. Obstetrics and gynecology, 2003. 102(3): p. 488-92.
3. Henderson-Smart, D.J., The effect of gestational age on the incidence and duration of recurrent apnoea in newborn babies. Australian paediatric journal, 1981. 17(4): p. 273-6.
4. Escobar, G.J., et al., Rehospitalisation after birth hospitalisation: patterns among infants of all gestations. Archives of disease in childhood, 2005. 90(2): p. 125-31.

Last Modified Date :05 Dec 2013