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Sweaty Palms

Excessive sweating in the palms
(palmar hyperhidrosis) is a common
condition affecting about 1 to 4 %
of the population. Unfortunately
non-surgical means do not work very well, whereas open approach thoracic sympathectomy has not been popular due to its operational size and risks are high for a relatively “benign” condition. Now this surgery can be performed via a minimally invasive approach with minimal risk and successful rate is nearly 100%. There are usually two or three small wounds (2mm – 3mm) which are virtually painless.

Gastrointestinal (GI) Surgery Specialist Service

Gastrointestinal (GI) surgery is
one of the major subspecialties of
surgery. It includes every part of
the gut from the oesophagus (food
pipe) that carries food from the mouth to the other end from which digested residue leaves the body. Common surgical procedures associated with GI Diseases include endoscopy, Cholecystectomy, Hernia operation, Haemorrhoid operation, Anti-reflux surgery, Major surgery for cancer, and Obesity surgery.

Femoro - Acetabular Impingement (FAI) FAQs

Femoro-Acetabular Impingement (FAI)
is a condition in which the two
bones which make up the hip joint
pinch against each other, or
‘impinge’, at the extremes of motion, causing damage to the joint. The hip joint is a ball and socket, if the head of the femur is not round, or sits in the wrong position in relation to the rest of the femur, or the socket is either too deep or facing in the wrong direction, problems ensue. Innovative treatments are well established for various severity of FAI, including hip arthroscopy, Birmingham Hip Resurfacing.

Investigations for Colorectal Cancers

Colorectal cancers (CRC) are among
the most common cancers in
developed countries. In Hong Kong,
1,864 people died from CRC in 2010
[1]. These deaths are unnecessary as we now know CRC are largely “preventable”! Most of the CRC in fact develop from adenomatous polyps. So early detection and removal of the polyps would have prevented the disease. The key question is how these polyps and early cancers can be detected and when should the tests be done.

Haemorrhoids: Management update and a word of caution

There are three cushions present in
the normal anal canal, which
contribute 10 15-20% anal closure
pressure and are important for both
flatus and faecal continence. Haemorrhoids occur when these vascular cushions become congested and swollen, and when the condition becomes severe, they can prolapsed out of the anal canal. There are various treatments to Haemorrhoids, in which stapled haemorroidopexy is commonly used nowadays.

Bunions FAQs

Hallux valgus is the medical term
for “bunions”, which refers to
the abnormal angulation of the big
toe towards the second toe. Severe
hallux valgus can lead to recurrent inflammation and pain over the bunion due to the repeated friction with shoe wear, difficulty in fitting shoes, second toe or other lesser toe deformities due to overcrowding, and calluses on the sole. There are more than a hundred hallux valgus operations described in the medical literature, but no one operation has proved itself to be the best. The exact operation performed depends on an individual’s particular combination of problems.

Lumbar Spinal Stenosis FAQs

Lumbar spinal stenosis most
commonly causes cramping, pain or
pins & needles in one’s legs; but
it can also cause: back pain; loss
of sensation in the legs; and sometimes problems with bladder or bowel function. Lumbar spine (low back) degeneration is the most common cause. Many people may ignore the early symptoms of spinal stenosis, believing that the pain and stiffness they experience are a normal part of aging. Most patients are recommended non-operative treatment for at least 6 weeks. Surgical treatment will be advised if the patient is not responding well.

Rotator Cuff Tear FAQs

The rotator cuff is the joined-up
of tendon of four of the muscles
which move the shoulder, mainly to
control the stability and
coordinated movement of the shoulder joint. Tears can vary hugely in severity from small partial thickness tears which may not cause any problems to massive full thickness tears which are difficult to treat. The longer a tear has been present, the weaker the shoulder and the larger the tear, the poorer the eventual outcome after treatment. Small partial thickness tears can commence non-operative treatment, and proceed to operation if non-operative treatment fails.

Ankle Sprain FAQs

A sprain is a tear of a ligament.
Ligament tears can vary from very
minor - a few fibres stretched - to
complete tears of the entire
ligament. The most common type of sprain is a lateral ankle sprain, where the ligaments on the outer part of the ankle joint are sprained. The most important part of treatment for ankle sprains is physiotherapy supervised rehabilitation to restore strength and balance. Sometimes people with many years of ankle instability from an old injury that was never properly rehabilitated can recover with a good physiotherapy programme.

Stroke Prevention and Management

Stroke is a leading cause of death
worldwide and the commonest cause
of permanent disability in adults.
The death and disability from
stroke is expected to increase in Hong Kong as the population rapidly ages in coming decades. This article highlights the need to reduce the local burden of stroke through the screening of individuals for stroke risk management and through ensuring a prompt and effective treatment response after stroke onset.