Hak Koon Tan

Learn More
OBJECTIVE The purpose of our study was to evaluate the efficacy of the perioperative placement of occlusion balloons within the internal iliac arteries in reducing intraoperative blood loss and transfusion requirements during cesarean delivery for women with placenta accreta or its variants. MATERIALS AND METHODS Over a 30-month period, 11 patients with(More)
OBJECTIVE To study maternal and fetal outcomes in women with systemic lupus erythematosus (SLE). MATERIALS AND METHODS Retrospective study of 27 pregnancies in 18 women with SLE in a single centre. RESULTS The mean age was 30 years and most patients were nulliparous. Twenty-six of 27 pregnancies were in disease remission at the time of booking. Renal(More)
  • Hak Koon Tan
  • Annals of the Academy of Medicine, Singapore
  • 2004
INTRODUCTION Molecular adsorbent recirculating system (MARS) for albumin liver dialysis has been used as a bridge to liver transplantation in patients with fulminant hepatic failure (FHF). This review examines the available data on its clinical use, its technical aspects and present gaps in knowledge. METHODS Peer-reviewed journals and monographs on the(More)
INTRODUCTION In the United Kingdom, caesarean section (CS) rates have increased from 9% of deliveries in 1980 to 21% in 2001. A similar increase in CS rates has been seen in many developed countries. This is beyond the World Health Organisation's (WHO's) recommended level of 15%. This is a worrying trend as the risks of placenta previa, placenta accreta,(More)
OBJECTIVES To assess the clinical utility of fluorescence in-situ hybridisation with chromosomes 13, 18, 21, X and Y as a stand-alone test in detecting chromosomal abnormalities, and the types of chromosomal abnormalities missed. DESIGN Retrospective analysis. SETTING A restructured Government hospital in Singapore and an academic hospital in the United(More)
OBJECTIVES The aim of this study was to compare the demographic and clinical characteristics of pregnant women and non-pregnant women of childbearing age hospitalized with laboratory-confirmed influenza A(H1N1)pdm09 infection in Singapore, and to assess whether pregnancy was a risk factor associated with the development of influenza-related complications.(More)
Madam W, a 26-year-old healthy Chinese primigravida, presented at 24 weeks’ gestation with sudden onset of severe headache associated with left-sided weakness. Physical examination confi rmed a Glasgow Coma Scale (GCS) score of 13 and altered level of consciousness, unequal pupils, partial cranial nerve III palsy and left hemiplegia. Magnetic resonance(More)
INTRODUCTION Renal transplantation offers the best hope for those women with end-stage renal disease who wish to have children. However, pregnancy after renal transplantation is associated with increased maternal and fetal morbidity. The aim of this retrospective study was to review the outcome of pregnancy in renal transplant patients in Singapore General(More)
Spontaneous preterm labour and delivery accounts for approximately one-third of preterm births, which is the predominant cause of perinatal mortality and morbidity. This review aims to evaluate the evidence on the benefits and harms of five classes of tocolytic therapy, namely: betamimetics, calcium channel blockers, magnesium, non-steroidal(More)
We present a case series of four patients with Caesarean scar pregnancies (CSPs) managed at our gynaecological unit between October 2008 and May 2009. Three patients were detected while asymptomatic, and were treated with elective intragestational sac methotrexate injections. The last patient had presented following complications from a termination of(More)