H. G. Baladas

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The treatment of para-esophageal hernia by the laparoscopic approach has been described by a number of authors. The lower morbidity of the laparoscopic approach compared with the open approach holds some attraction, however, reservations regarding the durability of laparoscopic repair exist. There is a paucity of objective follow-up data in the literature(More)
INTRODUCTION The Bioenteric Intragastric Balloon (BIB, Inamed Health, Santa Barbara, CA, USA) is an endoscopic method for achieving restriction of gastric intake in obese patients. It is less invasive and cheaper than bariatric surgery, but can only be left in the stomach for six months. We report our experience with the BIB in Singapore. METHODS Since(More)
INTRODUCTION Severe obesity is an increasing problem in Singapore. Laparoscopic adjustable gastric banding (LAGB) was introduced at our hospital in 2001 as part of a comprehensive weight management programme. To assess the effectiveness of this procedure, our results to date have been reviewed. METHODS A prospective database was kept of all patients(More)
Laparoscopic fundoplication has become the standard operation for gastroesophageal reflux disease. In our service, a laparoscopic fundoplication is performed as a 2-cm floppy 360 degrees wrap with division of the short gastric vessels and the fundoplication is sutured using a prolene 2/0 mattress suture (Ethicon, USA) and buttressed laterally with two(More)
Brunner’s gland hamartoma (adenoma) was first described in 1876. It is a rare hamartomatous lesion, with only ~100 cases reported in the world literature. Treatment has been by endoscopic snaring. Open surgical excision was reserved for cases where snaring had failed. We report a case of a Brunner’s gland hamartoma (2.4 cm) that was successfully resected by(More)
Trichilemmal carcinoma is a rare skin tumour occurring in the sun-exposed areas of the elderly. It originates from the external root sheath of the hair follicle and is the malignant form of the trichilemmoma. Clinically, it may be mistaken for a squamous cell carcinoma, basal cell carcinoma, nodular melanoma or keratoacanthoma. It is distinct from the(More)
"Sclerosing lipogranuloma" was first coined to describe a lesion of adipose tissue thought to be due to trauma. Later, analysis of the fat within these lesions showed the presence of exogenous paraffin hydrocarbons and a link with paraffin injection was postulated. In Japan, lipogranulomas without a history of trauma or paraffin injection have been(More)
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