Major Sponsors Contents Malaysian Society of Colorectal Surgeons: Office Bearers 2013 – 2015 2 Coloproctology 2015: Organising Committee Message 3 Programme Summary 4 Pre-Congress Workshop 5 Daily Programme 6 – 9 Conference Information 10 Function Rooms & Trade Exhibition 11 Acknowledgements 12 Abstracts 13 – 92 • Scientific Papers (13 – 46) • Poster Presentations (47 – 92) page 1 Malaysian Society of Colorectal Surgeons Office Bearers 2013 – 2015 President Dr Lu Ping Yan Immediate Past President Dato’ Dr Wan Khamizar Wan Khazim Vice President Prof Dr Azmi Md Nor Hon Secretary Assoc Prof Datuk Dr Ismail Sagap Hon Treasurer Prof Dr April Camilla Roslani Council Members Dr Jasiah Zakaria Dato’ Dr Meheshinder Singh Coloproctology 2015 Organising Committee Chairman Dr Lu Ping Yan Scientific Chairman Dr M Sarkunna Thas Scientific Committee Members Prof Dr April Camilla Roslani Assoc Prof Datuk Dr Ismail Sagap Prof Dr Azmi Md Nor Dr Samuel Tay Dr Mohd Akhtar Qureshi Allied Health Professional Programme Dato’ Dr Meheshinder Singh Matron Mariam Mohd Nasir CORUM Programme Dato’ Dr Meheshinder Singh Social Dr Manohar Padmanathan Publicity / Publications Dr Chong Hoong Yin Dr Tharmaraj T Renganathan Committee Members Dato’ Dr Wan Khamizar Wan Khazim Datuk Dr Yunus Gul Dr Paul Selvindoss Dr Ahmad Shanwani Dr Jasiah Zakaria page 2 Message Welcome to Coloproctology 2015, and to the historic state of Malacca! The Organising Committee has worked hard to come up with a very interesting programme. From the outset, we planned a programme which would cover common conditions and situations faced by general and colorectal surgeons when managing patients with colorectal conditions. The programme this year includes topics on how to manage complications which may occur following colorectal surgery, managing functional colorectal problems such as rectal prolapse and incontinence, managing obstetric and non-obstetric perineal and anal sphincter injury. In addition, there will be updates on the current status of the National Colorectal Cancer Registry and Colorectal Cancer Screening in Malaysia. Coloproctology 2015 will also address important ethical and medico-legal issues in colorectal surgery. We hope all of you will find Coloproctology 2015 to be interesting, beneficial and relevant to your clinical practice. Dr Lu Ping Yan President, MSCRS & Organising Chairman, Coloproctology 2015 page 3 Programme Summary DATE 13TH MARCH 2015 14TH MARCH 2015 TIME FRIDAY SATURDAY > Straits Ballroom East > Meeting Room 3, Level 1 > Straits Ballroom East > Meeting Room 3, Level 1 0830 – 0900 SYMPOSIUM 1 CASE STUDY SYMPOSIUM 7 PRESENTATION Colorectal Cancer SYMPOSIUM 2 Managing > Meeting Room 3, Level 1 > Meeting Room 2, Level 1 Updates 0900 – 0930 Allied Health Complications SYMPOSIUM 8 Professionals in Colorectal Allied Health > Straits Ballroom East Session (1) Surgery SYMPOSIUM 9 0930 – 1000 Professionals PLENARY 1 Session (4) CORUM (1) > Straits Ballroom East 1000 – 1030 Coffee Coffee / Official Poster Round PLENARY 3 > Straits Ballroom East > Meeting Room 3, Level 1 > Meeting Room 3, Level 1 1030 – 1100 SYMPOSIUM 3 WORKSHOP 3 Coffee Allied Health Issues in Coffee SYMPOSIUM 4 Professionals > Meeting Room 2, Level 1 Laparoscopic > Straits Ballroom East 1100 – 1130 Allied Health > Meeting Room 3, Level 1 Professionals WORKSHOP 4 > Straits Ballroom East Session (2) Allied Health 1130 – 1200 SYMPOSIUM 10 PLENARY 2 Professionals SYMPOSIUM 11 Non-Healing > Meeting Room 3, Level 1 CORUM (2) 1200 – 1230 and Recurrent WORKSHOP 5 > Straits Ballroom East Fistulas-in-Ano Allied Health Lunch Satellite Symposium Professionals > Meeting Room 3, Level 1 (Johnson & Johnson) 1230 – 1300 LECTURE Lunch 1300 – 1330 Lunch Friday Prayers > Meeting Room 3, Level 1 • Presentation of Best Poster Awards > Meeting Room 3, Level 1 > Meeting Room 2, Level 1 • Introduction of New Members 1400 – 1430 WORKSHOP 1 • Introduction of MSCRS Council for 2015-2017 VIDEO PRESENTATION > > Straits Ballroom East Straits Ballroom East Allied Health > Professionals PLENARY 4 Meeting Room 3, Level 1 1430 – 1500 > Meeting Room 3, Level 1 SYMPOSIUM 5 ROUND TABLE WORKSHOP 2 > Straits Ballroom East Trauma Allied Health SYMPOSIUM 13 DISCUSSION 1500 – 1530 SYMPOSIUM 12 Professionals Allied Health CORUM > Medico-Legal Meeting Room 3, Level 1 Issues in Professionals > Straits Ballroom East SYMPOSIUM 6 Colorectal Surgery Session (5) 1530 – 1700 Allied Health > Straits Ballroom East Professionals How I DO IT Session (3) Professors’ CORNER 1700 – 1730 > Straits Ballroom East 1730 – 1900 MSCRS AGM > Seri Nyonya Peranakan Restaurant, Equatorial Hotel, Melaka 1930 – 2200 FACULTY DINNER (by invitation only) > Clinical Auditorium, University Malaya Medical Centre, Kuala Lumpur 12TH MARCH 2015 PRE-CONGRESS OPERATIVE WORKSHOP > Meeting Room 3, Level 1, Holiday Inn Melaka 15TH MARCH 2015 POSTGRADUATE ROUND page 4 Pre-Congress Workshop 12th March 2015 (Thursday) PRE-CONGRESS OPERATIVE WORKSHOP Venue Clinical Auditorium, University Malaya Medical Centre, Kuala Lumpur Faculty Paul-Antoine Lehur, Giulio Santoro, Chucheep Sahakitrungruang, Gerald Fitjerald Henry, Lee Kil Yeon Programme 0800 – 0830 Registration 0830 – 0840 Welcoming Remarks & Opening Ceremony 0840 – 0850 Official photograph 0850 – 0920 Lecture: Interpretation of endorectal ultrasound – Fistulas / Abscesses Giulio Santoro 0920 – 1300 Live Surgery Lee Kil Yeon, Paul-Antoine Lehur, Chucheep Sahakitrungruang OT 2 OT 3 Open mesh rectopexy Laser haemorrhoidoplasty Sphincter repair/Fenix implant FiLAC Rectovaginal fistula repair Lap anterior resection using automated stapling device STARR & spinofixation for rectocoele Transanal resection/TAMIS Laparoscopic resection rectopexy OR Panproctocolectomy for ulcerative colitis 1300 – 1620 Lunch / Lecture: Interpretation of endorectal ultrasound – Cancers / Prolapse / Incontinence Giulio Santoro (continued live surgery) 1620 – 1630 Closing remarks 1630 Tea page 5 Daily Programme 13th March 2015 (Friday) 0830 – 0930 > Straits Ballroom East 0815 – 1000 > Meeting Room 3, Level 1 SYMPOSIUM 1 – Colorectal Cancer Updates SYMPOSIUM 2 – Allied Health Professionals Session (1) Chairpersons: Ahmad Shanwani, Wan Khamizar Wan Khazim Welcome Remarks An update on National Colorectal Cancer Patient Meheshinder Singh, Mariam Mohd Nasir Registry [pg 13] Montage presentation: Muhammad Radzi Abu Hassan Stoma care and tribute to the late Mr Peter Chua Advances in genetic testing and counselling [pg 13] Past-President of Malaysian Ostomy Association Abdul Rahman Jamal (MOsA) Current status of colorectal cancer screening in Mohd Rahime Ab Wahab, Mohamad Amiruddin Jaafar Malaysia [pg 14] Chairperson: Mariam Mohd Nasir Nor Saleha Ibrahim Tamin Enterostomal therapist: Where will your journey take you? [pg 15] 0930 – 1015 > Straits Ballroom East Rohani Arshad PLENARY 1 Chairperson: April Roslani Chairperson: Rozita Mohamad Fecal Incontinence Management: Trends over the Enterostomal therapy nursing services in Malaysia: 25 last years [pg 15] Challenges and the way forward [pg 16] Paul-Antoine Lehur Mariam Mohd Nasir 1015 – 1030 1000 – 1030 COFFEE / OFFICIAL POSTER ROUND COFFEE 1030 – 1130 > Straits Ballroom East 1030 – 1300 > Meeting Room 3, Level 1 SYMPOSIUM 3 – Issues in Laparoscopic Colorectal SYMPOSIUM 4 – Allied Health Professionals Session (2) Surgery Chairperson: Mariam Mohd Nasir Chairpersons: Ismail Sagap, Jasiah Zakaria Indonesian perspective: Quality of life of an ostomate Bowel preparation [pg 20] Yunus Gul Widasari Sri Gitraja The finer points Chairperson: Mohd Amiruddin Jaafar Paul Selvindoss International ostomy guidelines Containing costs [pg 17 – 18] Rusinahayati Moktarudin Chucheep Sahakitrungruang Chairperson: Ikram Bauk 1130 – 1215 > Straits Ballroom East Stomacare: How competent are you? [pg 20] PLENARY 2 Rohani Arshad Chairperson: Azmi Md Nor Chairperson: Norsehha Ahmad Role of ultrasound in anorectal surgery [pg 19] Prevention is better than cure: Recognising, Giulio Santoro managing and treating peristomal and stomal complications [pg 20] Rozita Mohamad Chairperson: Mohd Amiruddin Jaafar Home care for stoma patients in Indonesia [pg 21] Edy Mulyadi 1215 – 1300 > Straits Ballroom East Lunch Satellite Symposium (Johnson & Johnson) Science of Tissue Management Energy for Colorectal Surgery Shastri Satyanand page 6 Daily Programme 13th March 2015 (Friday) 1300 – 1415 1300 – 1400 LUNCH / FRIDAY PRAYERS LUNCH 1415 – 1545 > Straits Ballroom East 1400 – 1445 > Meeting Room 3, Level 1 SYMPOSIUM 5 – Trauma WORKSHOP 1 – Allied Health Professionals Chairpersons: Gerald Fitjerald Henry, Mohd Ismail Ali (Convatec Malaysia Sdn Bhd) Mohd Rahime Ab Wahab Non obstetric perineal and anorectal trauma: Mohamad Amiruddin Jaafar Guidelines for emergency and long-term Norsehha Ahmad management [pg 21] Paul-Antoine Lehur 1445 – 1530 > Meeting Room 3, Level 1 Obstetric trauma Workshop 2 – Allied Health Professionals (Coloplast) Charles Tsang Mohd Rahime Ab Wahab Colonic trauma [pg 22] Mohamad Amiruddin Jaafar Rattaplee Pak-art Ikram Bauk 1545 – 1730 > Straits Ballroom East 1530 – 1700 > Meeting Room 3, Level 1 HOW I DO IT SYMPOSIUM 6 – Allied Health Professionals Session (3) Moderators: M Sarkunathas, Tharmaraj T Renganathan Chairperson: Rozita Mohamad Magnetic anal sphincter: An option to treat fecal Stoma care: Bedside stories incontinence [pg 23] Norlizah Turiman [pg 24] Paul-Antoine Lehur Alimuddin Ali Padu [pg 25] Pelvic floor US in incontinence and obstructed Noorfariza Hussin defecation Azniwani Yusoff [pg 25] Giulio Santoro Hamka [pg 26] Obstetric