GENERAL SURGERY
INPATIENT, OUTPATIENT, ENDOSCOPY AND SURGERY (IOES)
CENSUS REPORT 2016 - 2019
General Surgery: Inpatient, Outpatient, Endoscopy, Surgery (IOES) Census Report105
c. cB)yBByMBMSSHHoossppitiatlaClaCtegaotrey gory
60 Trauma Craniotomy 3
2
Mean Total Procedures : 177
Total Trauma Surgeon : 6
Mean No. of Procedures48
No. of Trauma Surgeons5041
40 35
30
20 1
11 10
8 6
10 4 4
4 3 1 1 1 0
00
Trauma Surgeons
Figure 7.3-7 : Trauma Craniotomy by BMS Hospital Category
Figure 7.3.7 : Trauma Craniotomy by BMS Hospital Category
TRAUMA CRANIOTOMY
Hospital Category 2017 2018 2019
TRAUMA CRBAigNIOTOMY 34 43 58
112 63 53
Medium
HOSPITAL CATSEmGaOllRY 2017 52 63 205148 2019
Total 198 169 Ca14te63g5ory 58
Big : Total Number of Trau3m4a 53
Table 7.3-5 Craniotomy by BMS 54
Medium 112 63
165
Small 52 63
Total 198 169
Table 7.3.5 : Total Number of Trauma Craniotomy by BMS Category
General Surgery Services Ministry of Health Malaysia 101
GENERAL SURGERY
INPATIENT, OUTPATIENT, ENDOSCOPY AND SURGERY (IOES)
CENSUS REPORT 2016 - 2019
TRAUMA CRANIOTOMY
NO HOSPITALS 2017 2018 2019 MEAN NO. OF NO. OF TRAUMA
PROCEDURES SURGEON
1 Hospital Taiping 70 44 30 2
2 HTAR Klang 31 35 56 48 2
3 Hospital DoK Sandakan 28 41 36 41 2055
4 Hospital Tawau 8 8 17 35 1967
5 Hospital Lahad Datu 16 11 3 11 1931
6 Hospital Labuan 2 10 13 10 1884
7 HSAH Sungai Petani 9 6 3 8 1
6
8 Hospital Melaka 382 4 1861
9 HSI Johor Bahru 12 0 0 4 1
10 HoSHAS Temerloh 4 1707
11 HTF Kangar 452 3 1640
12 Hospital Langkawi 1 1589
13 Hospital Bintulu 901 1 1430
14 Hospital Keningau 1 1300
15 Hospital Shah Alam 400 0 1300
177
TOTAL 002 3
200
010
198 169 165
Table 7.3.6: Trauma Craniotomy by Hospital Category
102 General Surgery Services Ministry of Health Malaysia
GENERAL SURGERY
INPATIENT, OUTPATIENT, ENDOSCOPY AND SURGERY (IOES)
CENSUS REPORT 2016 - 2019
GGeenneerraall SSuurrggeerryy:: IInnppaattiieenntt,, OOuuttppaattiieenntt,, EEnnddoossccooppyy,, SSuurrggeerryy ((IIOOEESS)) CCeennssuuss RReeppoorrtt110077
77..33..227.3TT.rr2aauuTmmraaauLLmaappaaarrLooattopommayyrotomy
Trauma Laparotomy for Intra-Abdominal Injury (IAI) consists of :
TTrraauummaa LLaappaarroottoommyy ffoorr IInnttrraa--AAbbddoommiinnaall IInnjjuurryy ((IIAAII)) ccoonnssiissttss ooff ::
-- BBlluunnt-t IIABAluIInt IAI
-- PPeenneet-trraaPtteiinnggetIIrAaAtIIing IAI
aa)) TToottaalla. Total
TTrraauummaa LLaappaarroottoommyy
11440000 11222255 11116688 11226633
11220000
NNoo.. ooff PPrroocceedduurreess 11000000
880000
660000
440000
220000
00
22001177 22001188 22001199
FFiigguurree 77..33--88 :: TToottaall NNuummbbeerr ooff TTrraauummaa LLaappaarroottoommyy
Figure 7.3.8 : Total Number of Trauma Laparotomy
bb)) BByy BBMbM.SSBCCyaaBtteeMggooSrryyCategory
TTrraauummaa LLaappaarroottoommyy
NNoo.. ooff PPrroocceedduurreess 770000 662255 558888 661166 550000 114466 115544 114477
660000 445544 442266 SSmmaallll
550000
440000 MMeeddiiuumm
330000
220000
110000
00
BBiigg
22001177 22001188 22001199
FigFFuiirggeuur7ree.377...933--:99:T:rTTarruaaumummaaaLLLaaapppaaarrrooottotoommmyy bybyybBByMMBSSMCCSaatCteeggaootrreyygory
General Surgery Services Ministry of Health Malaysia 103
104 General Surgery Services Ministry of Health Malaysia d) Typesdo.fTIynptrea-sAobfdoInmtiTrnaraa-lAuImbnjaduLoryamp(IaiAnroIa)tlomInyjubrayse(dIAonI)Types of Intra- Mean No. of Procedures c) By BMS HosGpietnaelrCalaStuerggoery: Inpatient, Outpatient, Endoscopy, Surgery (IOES) Census Report108
abdominal Injury
Centers with 00 20 40 60 60 80 80 100 100 120 120 140 180 160 180
Trauma
No. of Procedures Figure 7.3-10: TraumaTLraapuamrotaomSyurbgyeHoonspital Category Surgeon
HSA Johor Bahru Mean No. of Procedures c. cB) yBBy MBMSSHHoossppitailtaCalteCgoarytegory GENERAL SURGERY
d) Types of InFtriagu-ArebF7dig.o3um-1rei0n:7aT.lr3Ia.n1um0ju:arTyLraa(IpuAamrIoa)toLmaypbayroHtoosmpityalbCyaHteogsopryital Category HTAR Klang
No. of Procedures Trauma Laparotomy General SINurPgAeTrIyE:NITn,pOatUieTnPCtA,ETONIEuSNtUpTaS,tEiReNEnPDt,OOERSnTCdo2Os0Pc1oY6pAy-,2NS0Du1r9SgUerRyG(IEOREYS()IOCEenS)sus Report108
HSI Johor Bahru
Hospital Sungai Buloh
1400 Centers with HTAA Kuantan 40 160
1200 Trauma 20 140
1000 Surgeon
HHSTAJJSoheorremBabharun
0 200 Figure 7.3-11 ; Trauma Laparotomy based on Types of IAI 800 Traum140a0 Lapar1o22t5omy based 1o16n8 Types of In12t6r3 a- HoSHAHSTTAeRmKelralnogh
2017 600
400 HoHspSiItJaolhSorerBdaahnrug
HoHspSitNalISBunagtaui BPualhoaht
FiguFreigu7r.e3.71.31-1; 1Tr;aTurmauamLaaLpaaparorototommyybbaasesdeodnoTnypTeyspoef sIAoIf IAI 800 1225 10001200 a1b77 dominal Inj1u25ry
Hospital HPTuAlaAuKPuiannatanng
600 HHTJRSPeBremIpbaonh
177
HosHpoitSaHl ASShaThemAerllaomh
400 HSNZ KuaHlaosTpeitraelnSgergdaanngu
200
HospHitoaslHpHKitSaSuBlNaPIlAuHaBlaRlaLouPtruuPBmSPinIaepaphtnouaaghtrr
0 HospitalHQouspeietanl SEhlaizhaAbleamth
1048 HHosSpNiZtaKl uSaelba eTrearenngggJaanyua
HospHitoalsKpiutaalla KLuamjapnugr
Blunt Penetrating TOTAL 2017 1048
Blunt HHoSspAitaHl QSHuuSenBengAaEliloiPrzaSebeteattanhri
HosHpitEalBSHebKeraKngluJaanyag MeanTTraotuaml ParoLceadpuarerso:t1o2m19y
2018 2018 125 1168 Centers with General Surgeons
Hospital UmHousmpitaSlaKrajwanagk Total Trauma Surgeon : 6
1043 1043 Centers with General Surgeons HHRSAPHZ SKuongtaaiBPaetharnui
Penetrating TOTAL Mean Total Procedures :1219
Trauma Surgeon HosHpiotHaslpRHUHiPEtmZoaBlusKHmpSoKiettSaalKaalBrylaMuawaahnnairrugkgi Total Trauma Surgeon : 6
HospHitPalSSFelaMyaunagr
2019 1263 212
Hospital SeHriosMpiatanljMunirgi
1205112 HTHFPSKFaMnguaarr
2019 HoHsHpoHiostaposlspiSptiaHiettlaraTilAlFMATmKmaanaipppnjauaginnnnagggrg
1051 HospHiotaspliPtaul Ttraaipjainyga
HospHitoaslpKitaulaPluatrPajialyaah 3
HHosopsitpailtKaluaMlaePlialakha 2
1
HoHsHpooiHstspHapoilotsiapstTlapietTliatlealSullSukeMkeggIIeananlmmattaakaannatt 0
HoHsopspitiatall SSibbuu
No. of Trauma Surgeons
HoHsopsiptiatal lKKuulliimm
HoHHspSoiHHtIsaSPoplIsTiPKptaaiKntulaaualBhalBlaMiainnKKettururrallaahuuii
HospitHaolsTpaitnalaLhaMngkearwahi
HoHspoistapliDtaolKLSaanngdkakaawni
HospitaHloDspoitKal KSuaanladaLkipaisn
HHoossHppHoHiisottopaassiplltpaiKLitltaaaLlulhKaaKhaleeaadmndLiaDDnmigaapaattinuuus
HospHitaolspKitaelnTianwgaauu
HHosppiittaal lPKoret Dmiackmsoann
HoHsopsiptiatallTSaawrikaeui
HHosopsitpalitHQaluoHePsoHeposnopirtEsitatplaDliilztaSaLilcbaaKkebrtiasuhkpoa2einnti
HoHsopspitiatall LBanbtuinagn
Hospital IQnsutietuetnKEanliszerabNeetghar2a
Hospital Kapit
Hospital Banting
Institut Kanser Negara
3
2
1
0
No. of Trauma Surgeons
GENERAL SURGERY
INPATIENT, OUTPATIENT, ENDOSCOPY AND SURGERY (IOES)
CENSUS REPORT 2016 - 2019
TRAUMA LAPAROTOMY
HOSPITAL CATEGORY 2017 2018 2019
Big 625 588 616
Medium 454 426 500
Small 146 154 147
Total 1225 1168 1263
Table 7.3.7 : Trauma Laparotomy by BMS Category
TRAUMA LAPAROTOMY BY TYPES OF IAI
2017 BLUNT % PENETRATING % TOTAL
1048 86% 177 14% 1225
2018 1043 89% 125 11% 1168
2019 1051 83% 212 17% 1263
Table 7.3.8: Trauma Laparotomy by Types of IAI
General Surgery Services Ministry of Health Malaysia 105
GENERAL SURGERY
INPATIENT, OUTPATIENT, ENDOSCOPY AND SURGERY (IOES)
CENSUS REPORT 2016 - 2019
TRAUMA LAPAROTOMY
NO HOSPITALS 2017 2018 2019 MEAN NO. OF NO. OF TRAUMA
1 HSA Johor Bahru 160 126 178 PROCEDURES SURGEON
2 HTAA Kuantan 63 57 67 155 2
62 2
3 HTAR Klang 36 77 58
4 HTJ Seremban 55 45 60 57 2
5 HoSHAS Temerloh 53 56 48 53 1967
6 HSI Johor Bahru 46 50 44 52 1931
7 Hospital Serdang 35 62 41 47
8 HSNI Batu Pahat 36 41 43 46 1
9 Hospital Pulau Pinang 40 41 37 40 1
10 HRPB Ipoh 27 36 50 39 1861
11 Hospital Shah Alam 36 49 26 38 1716
12 HSNZ Kuala Terengganu 48 38 21 37 1707
13 Hospital Kuala Lumpur 43 26 25 36 1640
14 HSB Alor Setar 30 44 18 31 1589
15 Hospital Queen Elizabeth 31 29 27 31 1430
16 Hospital Sungai Buloh 33 33 21 29 1300
29 2299
17 Hospital Seberang Jaya 35 25 26 1
18 Hospital Kajang 24 23 31 29
19 HSAH Sungai Petani 36 23 17 26 2055
20 HEBHK Kluang 31 19 19 25 1
21 Hospital Umum Sarawak 25 24 19 23
22 HRPZ Kota Bahru 32 12 22 23 1931
23 Hospital Selayang 25 25 12 22 1884
24 Hospital Miri 10 17 32 21 1877
25 HPSF Muar 19 12 25 20 1861
26 Hospital Seri Manjung 17 23 15 19 1716
27 HTF Kangar 17 9 27 18 1707
28 Hospital Ampang 16 13 18 18 1640
29 Hospital Taiping 4 0 42 16 1589
30 Hospital Putrajaya 11 17 13 15 1430
14 1300
31 Hospital Kuala Pilah 14 9 18 2299
32 Hospital Melaka 10 8 22 14 2157
33 Hospital Segamat 12 20 8 13
34 Hospital Teluk Intan 18 9 12 13 2055
35 Hospital Sibu 13 7 19 13 1967
36 Hospital Kulim 13 15 11 13 1931
37 Hospital Bintulu 6 6 20 13 1884
38 HSIP Kuala Krai 10 6 13 11 1877
39 Hospital Tanah Merah 16 8 5 10 1861
40 Hospital Langkawi 6 7 15 10 1716
41 Hospital DoK Sandakan 15 3 5 9 1707
42 Hospital Kuala Lipis 3 8 10 8 1640
43 Hospital Lahad Datu 4 5 2 7 1589
44 Hospital Keningau 0 0 10 4 1430
3 1300
45 Hospital Kemaman 5 3 0 2299
46 Hospital Tawau 2 0 4 3 2157
47 Hospital Port Dickson 0 0 3 2
48 Hospital Sarikei 1 1 1 1 2055
49 Hospital Labuan 1 0 2 1 1967
50 Hospital Queen Elizabeth 2 1 1 0 1 1931
51 Hospital Kapit 0 0 1 1 1884
52 Hospital Banting 1 0 0 0 1877
53 Institut Kanser Negara 0 0 0 0 1861
0 1716
TOTAL 1225 1168 1263 1707
1219 1640
6
Table 7.3.9 : Trauma Laparotomy by Hospital Category
106 General Surgery Services Ministry of Health Malaysia
GENERAL SURGERY
INPATIENT, OUTPATIENT, ENDOSCOPY AND SURGERY (IOES)
CENSUS REPORT 2016 - 2019
General Surgery: Inpatient, Outpatient, Endoscopy, Surgery (IOES) Census Report111
7.3.37.3T.r3auTmraa uTmhoaraTchotoormaycotomy
a) Total
a. Total
Trauma Thoracotomy
6600 5566
NNoo..ooffPPrroocceedduurreess 5500
4422
4400 3344
3300
2200
1100
00 22001188 22001199
22001177
FFiigguurree 77..33--1122 :: TToottaall NNuummbbeerr ooff TTrraauummaa TThhoorraaccoottoommyy
Figure 7.3.12 : Total Number of Trauma Thoracotomy
b) By BMb.SBCyatBegMoSryCategory
Trauma Thoracotomy
4400 3366
3355
NNoo..ooffPPrroocceedduurreess 3300 2244 1188
2255 2200 1144
2200 1100
1155 MMeeddiiuumm
1100 66 44
00
55
SSmmaallll
00
BBiigg
22001177 22001188 22001199
FiguFFreiiggu7urr.e3e.771..333-:-11T33r:a: TTurrmaauuammTaahTTohhrooarrcaaoccootottoommmyyy bbbyyyBBBMMMSSSCCCaattaeeggtoeorrgyyory
General Surgery Services Ministry of Health Malaysia 107
GENERAL SURGERYGeneral Surgery: Inpatient, Outpatient, Endoscopy, Surgery (IOES) Census Report112
INPATIENT, OUTPATIENT, ENDOSCOPY AND SURGERY (IOES)
CENSUS REPORT 2016 - 2019
c) By BMS Hospital Category
General Surgery: Inpatient, Outpatient, Endoscopy, Surgery (IOES) Census Report112
Trauma Thoracotomy No. of Trauma Surgeons 3
2
9 8 c. cB) yBBy MBMSSHHoosspiptailtCaalteCgoarytegMoearnyTotal Procedures : 44 No. of Trauma Surgeons1
8 Total Trauma Surgeon : 6 0
7 6 Trauma Thoracotomy
Mean No. of Procedures
6 98 5 Mean Total Procedures : 44 3
Mean No. of Procedures5 8 Total Trauma Surgeon : 6
4
3 37 6
2
1 6 5 2
0
5 2 2222 21111 0 0 0 0 01
14 3 2222 221111 1111 00000 0
3 1 11110
2 11
1
00
Centers with Centers with CenCteenrtserws witihthGGenneerraal lSSurugregonesons
Trauma Trauma
Surgeon
Surgeon
TrauTmraaumSauSrguregoenonss
Figure 7.3-14: Trauma Thoracotomy by BMS hospital Category
FigurFeig7u.3r-e147:.3T.r1a4u:mTaraTuhmoraacTohtoomray cbyotBoMmSyhobsypiBtaMl CSahteogsopriytal Category
d) Trauma Thoracotomy by Types of Thoracic Injury
d) Traudm.aTTrahourmacaotoThmoyrbaycToytpoesmoyf TbhyorTaycpiceIsnojufryThoracic Injury
Trauma Thoracotomy by Types of Thoracic
Injury
Trauma Tho5r6 acotomy by Types of Thoracic
60 Injury
50 42
No. of Procedures
60 40 56 34
No. of Procedures
50 30 2017 34 42
20 2018 2019
40
10
30 0
20
Blunt Penetrating TOTAL
10
Figure 7.3-15 : Trauma Thoracotomy by Types of Thoracic Injury
0
2017 2018 2019
Blunt Penetrating TOTAL
FigureFi7g.u3r.e157.:3-T1ra5 u: mTraauTmhaoTrahcoroatcoomtoymybbyyTTyyppeessooffTThhooraracicciIcnjIunrjyury
108 General Surgery Services Ministry of Health Malaysia
GENERAL SURGERY
INPATIENT, OUTPATIENT, ENDOSCOPY AND SURGERY (IOES)
CENSUS REPORT 2016 - 2019
TRAUMA THORACOTOMY
HOSPITAL CATEGORY 2017 2018 2019
Big 36 24 20
Medium 14 10 18
4
Small 60
42
TOTAL 56 34
Table 7.3 10 : Trauma Thoracotomy by BMS Category
TRAUMA THORACOTOMY BY TYPES OF INJURY
2017 BLUNT % PENETRATING % Total
47 84% 9 16% 56
2018 34
2019 33 97% 1 3% 42
26 62% 16 38%
Table 7.3.11: Trauma Thoracotomy by Types of Thoracic Injury
TRAUMA LAPAROTOMY
NO HOSPITALS 2017 2018 2019 MEAN NO. OF NO. OF TRAUMA
1 HSA Johor Bahru 12 6 6 PROCEDURES SURGEON
2 HRPZ Kota Bahru 13 6 0 8 2
6 2
3 Hospital Kuala Lumpur 6 0 8
4 Hospital Sungai Buloh 4 6 0 5 2
5 HSB Alor Setar 3 2 1 3 1
6 HSNZ Kuala Terengganu 1 4 0 2 1931
7 Hospital Selayang 0 2 3 2 1
8 HSAH Sungai Petani 1 0 4 2 1
9 HSNI Batu Pahat 3 0 2 2 1861
10 Hospital Tawau 2 1 2 2 1716
11 Hospital Taiping 0 0 4 2 1707
12 Hospital Sibu 1 0 3 1 1640
13 Hospital Umum Sarawak 1 2 0 1 1589
14 HSI Johor Bahru 1 2 0 1 1430
15 HoSHAS Temerloh 0 0 3 1 1
16 Hospital Segamat 2 0 1 1 2299
1 1
17 HTAR Klang 0 2 0
18 Hospital Queen Elizabeth 0 0 2 1 2
19 Hospital Seri Manjung 1 0 1 1 1
20 Hospital Kapit 2 0 0 1 1931
21 Hospital Seberang Jaya 1 0 0 1 1884
22 Hospital Kajang 0 1 0 0 1877
23 HPSF Muar 1 0 0 0 1861
24 Hospital Shah Alam 0 0 1 0 1716
25 Hospital Bintulu 1 0 0 0 1707
26 Hospital DoK Sandakan 0 0 1 0 1640
0 1589
TOTAL 56 34 42
44 6
Table 7.3.12: Trauma Thoracotomy by Hospital Category
General Surgery Services Ministry of Health Malaysia 109
GENERAL SURGERY
GeneIrNaPl ASuTIrEgNerT,y:OIUnTpPaAtiTeInEtN, OT,uEtNpaDtiOenStC, EOnPdYosAcNopDy,SSUuRrGgeErRyY(I(OIOESES) )Census Report115
General Surgery: InpCatEieNnSt,UOSuRtpEaPtOieRnTt, 2E0n1d6os-c2o0p1y9, Surgery (IOES) Census Report115
7.4 Endocrine
7.4 E7Lni.ds4toocfrEpinnroedceoducrresinseelected for Endocrine workload measurement are:
-
- Liis.t of- LHpisretomocefitdphuryorrceoseiddseulcreetcostmseedylefcotreEdnfdoor cEnridnoecwrinoerkwlooarkdlomaedamsueraemsuerenmt aernet: are:
iii.. THoetmalitThhyyroroidideecctotommyy
iiiii.. i. TTHooettaamll iTTthhhyyyrorrooidiidedececctottoommmyyy with neck dissection
ivii.. ii.TTToootttaaalllPTThahyryarorthoidyidereoccitodtomemcytyomwyith neck dissection
ivv.. iiiF.TTooctuaalsl PTphaayrrraaottihhdyyerrcootiioddmeeccyttowommithyyneck dissection
vvi.. ivA.FTodocrteaunsl ePplaearcraattothhmyyryoroidideecctotommyy
vi. v.AFdorceunsepleacrtaotmhyyroidectomy
a) Total vi. Adrenelectomy
a) Total
a. Total
Endocrine Surgery
3500 Endocrine Surgery 3213
33050000 2823 2943 3213
23500000 2823 2943
No.Nofo.ProfocPerdoucreedsures 2500
2000
2000
1500
11050000
1500000
500
0
0 2017 2018 2019
Fi2g0u1r7e 7.4-1: Total Number o2f0E18ndocrine Surgery 2019
FigFuirgeur7e.47..14:-1T:oTtaotlaNl Numumbbeerr ooff EEnnddoocrcinrieneSuSrguerrgyery
b) By BBMMbSS. CBCayatteeBggMoorrSyy Category
b) By
Endocrine Surgery
1600 14E88ndocrine Surgery
11460000 1362 1398 1488
No.Nofo.ProfocPerdoucreedsures 11240000 1362 1398 1355
11020000 1180 1217 1355
1800000
680000 1180 1217
460000
240000 281 328 370
281 328 370
2000
0 Big Medium Small
Big Medium Small
2017 2018 2019
2017 2018 2019
FigFuirgeur7e.47..24:-2E:nEdnodcocrirninee SSuurrggeerryybbyyBMBMS SCaCteagtoergy ory
Figure 7.4-2: Endocrine Surgery by BMS Category
110 General Surgery Services Ministry of Health Malaysia
Figure 7.4-3: Endocrine Surgery by BMS Hospital Category Centers with B&E Mean No. of Procedures c. cB) yBBy MBMSSHHoossppitailtaCalteCgoarytegory GENERAL SURGERY
Surgeon
Figure 7.4.3: Endocrine Surgery by BMS Hospital Category Hospital Putrajaya Endocrine Surgery INPATIENT, OUTPATIENT, ENDOSCOPY AND SURGERY (IOES)
General Surgery Services Ministry of Health Malaysia 111 B&E Surgeons Centers with General Surgeons Hospital Kuala Lumpur
300 Mean Total Procedures : 2993 CENSUS REPORT 2016 - 2019
HRPZ Kota Bahru 250 Total B&E Surgeon : 24
HSI Johor Bahru General Surgery: Inpatient, Outpatient, Endoscopy, Surgery (IOES) Census Report116
HRPB Ipoh 200
150
Hospital Queen Elizabeth 2 100
Hospital Pulau Pinang
50
HSNZ Kuala Terengganu 0
Hospital Umum Sarawak
Hospital Selayang
Hospital Queen Elizabeth
HSAH Sungai Petani
Hospital Taiping
HSNI Batu Pahat
HSA Johor Bahru
HTAA Kuantan
HSB Alor Setar
HTAR Klang
Institut Kanser Negara
HoSHAS Temerloh
Hospital Melaka
Hospital Seberang Jaya
Hospital Miri
Hospital Sibu
Hospital Sungai Buloh
HTJ Seremban
Hospital Tawau
Hospital Teluk Intan
Hospital Kulim
Hospital Langkawi
Hospital Ampang
Hospital DoK Sandakan
HEBHK Kluang
Hospital Kajang
Hospital Serdang
HTF Kangar
Hospital Bintulu
HPSF Muar
Hospital Seri Manjung
Hospital Segamat
Hospital Shah Alam
Hospital Keningau
Hospital Sarikei
Hospital Kuala Lipis
HSIP Kuala Krai
Hospital Tanah Merah
Hospital Labuan
Hospital Kuala Pilah
Hospital Lahad Datu
Hospital Kemaman
Hospital Port Dickson
Hospital Banting
Hospital Kapit
No. of B&E Surgeons
5
4
3
2
1
0
GENERAL SURGERY
INPATIENT, OUTPATIENT, ENDOSCOPY AND SURGERY (IOES)
General Surgery: InpaCtieEnNt,SOUSutRpaEtPieOnRt,TE2n0d1o6sc-o2p0y1,9Surgery (IOES) Census Report117
d) Tdyp.eTsyopfeEsndoofcErinndeoScurrgineery Surgery
Types Of Endocrine Surgery
3500
3213
3000 2943
2823
2500
No. of Procedures 2000
1500
1000
500
0 2018 2019
2017
Hemithyroidectomy Total Thyroidectomy
Total Thyroidectomy + Neck Dissection Total Parathyroidectomy
Focus Parathyroidectomy Open Adrenelectomy
Laparoscopic Adrenelectomy TOTAL
FigFuigruere77.4.4.4-4: :TTyyppeess ooffEEnnddoocrcinrienSeuSrguerrgyery
ENDOCRINE SURGERY
Hospital Category 2017 2018 2019
1488
Big 1362 1398 1355
370
Medium 1180 1217 3213
Small 281 328
Total 2823 2943
Table 7.4-1: Endocrine Surgery by BMS Category
112 General Surgery Services Ministry of Health Malaysia
GENERAL SURGERY
INPATIENT, OUTPATIENT, ENDOSCOPY AND SURGERY (IOES)
CENSUS REPORT 2016 - 2019
ENDOCRINE SURGERY
HOSPITAL CATEGORY 2017 2018 2019
Big 1362 1398 1488
Medium 1180 1217 1355
370
Small 281 328
3213
TOTAL 2823 2943
Table 7.4.1: Endocrine Surgery by BMS Category
TYPE OF ENDOCRINE SURGERY
PROCEDURE TYPE 2017 (%) 2018 (%) 2019 (%)
Hemithyroidectomy 1117 39.6 1294 44.0 1363 42.4
40.5 1304 40.6
Total Thyroidectomy 1244 44.1 1191 3.9 109 3.4
Total Thyroidectomy + Neck 86 3.0 115
Dissection 7.1 279 8.7
Total Parathyroidectomy 233 8.3 209 2.3 80 2.5
Focus Parathyroidectomy 75 2.7 69 0.6 19 0.6
30 1.1 19 1.6 59 1.8
Open Adrenelectomy 38 1.3 46 100.0 3213 100.0
Laparoscopic Adrenelectomy
2823 100.0 2943
TOTAL
Table 7.4.2: Types of Endocrine Surgery
General Surgery Services Ministry of Health Malaysia 113
GENERAL SURGERY
INPATIENT, OUTPATIENT, ENDOSCOPY AND SURGERY (IOES)
CENSUS REPORT 2016 - 2019
ENDOCRINE SURGERY
NO HOSPITALS 2017 2018 2019 MEAN NO. OF B&E
1 Hospital Putrajaya 258 242 294 PROCEDURES SURGEONS
2 Hospital Kuala Lumpur 204 153 239 265 4
199 3
3 HRPZ Kota Bahru 181 155 163
4 HSI Johor Bahru 173 145 154 166 3
5 HRPB Ipoh 167 182 119 157 2
6 Hospital Queen Elizabeth 2 146 131 174 156 1
7 Hospital Pulau Pinang 129 146 152 150 2
8 HSNZ Kuala Terengganu 111 148 143 142 2
9 Hospital Umum Sarawak 108 114 124 134 2
10 Hospital Queen Elizabeth 84 83 122 115 3
11 Hospital Selayang 63 76 114 96
12 HSAH Sungai Petani 69 77 88 84 2
13 Hospital Taiping 51 81 83 78
14 HSNI Batu Pahat 62 67 58 72 2299
15 HSA Johor Bahru 51 58 76 62 1
16 HTAA Kuantan 50 63 69 62
61 2055
17 HSB Alor Setar 67 71 41 1
18 HTAR Klang 61 67 42 60
19 Institut Kanser Negara 30 48 75 57 1931
20 HoSHAS Temerloh 49 49 51 51 1884
21 Hospital Melaka 57 47 41 50 1877
22 Hospital Seberang Jaya 44 37 63 48 1861
23 Hospital Miri 41 44 50 48 1716
24 Hospital Sibu 28 37 64 45 1707
25 Hospital Sungai Buloh 36 44 39 43 1640
26 HTJ Seremban 29 35 43 40 1589
27 Hospital Tawau 39 38 30 36 1430
28 Hospital Teluk Intan 27 27 50 36 1300
29 Hospital Kulim 28 33 36 35 2299
30 Hospital Langkawi 34 35 26 32 2157
32
31 Hospital Ampang 29 30 32 2055
32 Hospital DoK Sandakan 26 28 36 30 1967
33 HEBHK Kluang 28 32 29 30 1931
34 Hospital Kajang 25 28 29 30 1884
35 Hospital Serdang 34 38 8 27 1877
36 HTF Kangar 20 38 20 27 1861
37 Hospital Bintulu 28 17 26 26 1716
38 HPSF Muar 15 22 28 24 1707
39 Hospital Seri Manjung 20 27 18 22 1640
40 Hospital Segamat 14 27 24 22 1589
41 Hospital Shah Alam 13 23 16 22 1430
42 Hospital Keningau 11 18 17 17 1300
43 Hospital Sarikei 16 7 15 15 2299
44 Hospital Kuala Lipis 12 13 12 13 2157
12
45 HSIP Kuala Krai 5 8 23 2055
46 Hospital Tanah Merah 15 9 12 12 1967
47 Hospital Labuan 6 12 11 12 1931
48 Hospital Kuala Pilah 6 10 11 10 1884
49 Hospital Lahad Datu 10 10 7 9 1877
50 Hospital Kemaman 5 5 11 9 1861
51 Hospital Port Dickson 3 5 2 7 1716
52 Hospital Banting 3 1 2 3 1707
53 Hospital Kapit 2 2 1 2 1640
2
TOTAL 2823 2943 3213 24
2993
Table 7.4.3 : Endocrine Surgery by Hospital Category
114 General Surgery Services Ministry of Health Malaysia
GENERAL SURGERY
INPATIENT, OUTPATIENT, ENDOSCOPY AND SURGERY (IOES)
CENSUS REPORT 2016 - 2019
General Surgery: Inpatient, Outpatient, Endoscopy, Surgery (IOES) Census Report120
General Surgery: Inpatient, Outpatient, Endoscopy, Surgery (IOES) Census Report120
7.4.1 Hemithyroidectomy
7.4.17.4H.1emHitehymroitihdyecrtooimdyectomy
a) Total
a) Totala. Total
1600 HHeemmiitthhyyrrooiiddeeccttoommyy
1600 1294 1363
1400 1294 1363
1400
NO.N oO.f oPfroPcreodcuerdeusres 1200 1117
1200 1117
1000
1000
800
800
600
600
400
400
200
200
0
0 2017 2018 2019
2017 2018 2019
Figure 7.4-5 : Total Number of Hemithyroidectomy
FiguFreigu7r.e4.75.4:-5To:tTaol tNaluNmumbeberrooffHHeemmiitthhyyrrooididecetocmtoymy
b) By BBbMM.SSBCCyaaBtteeMggooSrryyCategory
b) By
700 HHeemmiitthhyyrrooiiddeeccttoommyy
700
600 607 592 566
600 510 607 592
No.No.f oPfroPcreodcuerdeusres 500 510 468 500 566
468 500
500
400
400
300
300 139 187 205
200 187 205
200 139
100
100
0
0 Big Medium Small
Big Medium Small
2017 2018 2019
2017 2018 2019
FiguFFreiigguu7rr.ee4.776..44:--H66 e:: mHHeeitmmhiiytthhryyorrioodiieddeeccctttooommmyyy.. .BBByyyBBBMMMSSSCCCaattaeeggtoeorrgyyory
General Surgery Services Ministry of Health Malaysia 115
GENERAL SURGERY
INPATIENT, OUTPATIENT, ENDOSCOPY AND SURGERY (IOES)
CENSUS REPORT 2016 - 2019
General Surgery: Inpatient, Outpatient, Endoscopy, Surgery (IOES) Census Report121
c.cB) yBBy BMMSS HHoospsiptailtCaalteCgoarytegory
Hemithyroidectomy 5
4
80 Mean Total Procedures : 1258 3
70 Total B&E Surgeon : 24 2
1
60 0
50
40
30
20
10
0
Mean No. of Procedures
Hospital Putrajaya
HSNZ Kuala Terengganu
Hospital Pulau Pinang
Hospital Umum Sarawak
HRPZ Kota Bahru
HSI Johor Bahru
Hospital Queen Elizabeth 2
HRPB Ipoh
Hospital Kuala Lumpur
Hospital Selayang
Hospital Queen Elizabeth
Hospital Melaka
HSNI Batu Pahat
HSAH Sungai Petani
Hospital Sungai Buloh
HTAR Klang
HSB Alor Setar
Hospital Sibu
HTAA Kuantan
Hospital Seberang Jaya
HSA Johor Bahru
HTJ Seremban
HTF Kangar
Hospital Ampang
Hospital Langkawi
Hospital Taiping
Hospital Kajang
HoSHAS Temerloh
Hospital Teluk Intan
HEBHK Kluang
Hospital Miri
Hospital Bintulu
Hospital Tawau
Institut Kanser Negara
Hospital Kulim
Hospital DoK Sandakan
Hospital Seri Manjung
Hospital Segamat
Hospital Sarikei
Hospital Keningau
Hospital Serdang
HPSF Muar
Hospital Lahad Datu
Hospital Shah Alam
Hospital Kemaman
Hospital Kuala Pilah
Hospital Kuala Lipis
Hospital Labuan
Hospital Tanah Merah
HSIP Kuala Krai
Hospital Port Dickson
Hospital Kapit
Hospital Banting
No. of B&E Surgeons
Centers with B&E Centers with General Surgeons
Surgeon
B&E Surgeons
Figure 7.4-7: Hemithyroidectomy By BMS Hospital Category
Figure 7.4.7: Hemithyroidectomy By BMS Hospital Category
HEMITHYROIDECTOMY
Hospital Category 2017 2018 2019
HEMITHYRBOigIDECTOMY 510 607 592
566
Medium 468 500 2025018
1366307
HOSPITAL CSAmTaEllGORY 2011739 187 2019
500 592
Big Total 5110117 1294 566
Medium 205
Table 7.4-4: Hemithyroidecto4m6y 8By BMS Category B&E1363
Surgeon
Small HEMITHYROID1E3C9 TOMY 187 4
2
No. TOTAL Table 7.4.4: H2e0m17ithyro12i1d01e178ctomy20B1y9BMSMPCr1eaoa2tcne9egdN4ouorr.yeosf
Hospitals 2
3
1 Hospital Putrajaya 64 61 97 74 3
2
2 HSNZ Kuala Terengganu 56 77 64 66
2
3 Hospital Queen Elizabeth 57 56 62 58
4 Hospital Pulau Pinang 48 53 66 56
5 Hospital Umum Sarawak 48 63 56 56
6 HRPZ Kota Bahru 55 48 60 54
7 HSI Johor Bahru 44 36 61 47
8 Hospital Melaka 47 35 36 39
9 Hospital Queen Elizabeth 2 37 38 38 38
10 HSNI Batu Pahat 38 44 30 37
116 General Surgery Services Ministry of Health Malaysia
GENERAL SURGERY
INPATIENT, OUTPATIENT, ENDOSCOPY AND SURGERY (IOES)
CENSUS REPORT 2016 - 2019
HEMITHYROIDECTOMY
NO HOSPITALS 2017 2018 2019 MEAN NO. OF B&E
1 Hospital Putrajaya 64 61 97 PROCEDURES SURGEONS
2 HSNZ Kuala Terengganu 56 77 64 74 4
66 2
3 Hospital Queen Elizabeth 57 56 62
4 Hospital Pulau Pinang 48 53 66 58 2
5 Hospital Umum Sarawak 48 63 56 56 3
6 HRPZ Kota Bahru 55 48 60 56 3
7 HSI Johor Bahru 44 36 61 54 2
8 Hospital Melaka 47 35 36 47
9 Hospital Queen Elizabeth 2 37 38 38 39 2
10 HSNI Batu Pahat 38 44 30 38
11 HRPB Ipoh 28 49 27 37 1
12 Hospital Kuala Lumpur 29 25 49 35 3
13 HSAH Sungai Petani 37 22 43 34
14 Hospital Sungai Buloh 35 43 24 34 2299
15 HTAR Klang 33 44 22 34 2
16 Hospital Selayang 18 33 42 33
31 2055
17 HSB Alor Setar 25 47 16 1
18 Hospital Sibu 18 30 37 29
19 HTAA Kuantan 25 32 27 28 1931
20 Hospital Seberang Jaya 22 19 40 28 1884
21 HSA Johor Bahru 24 27 29 27 1877
22 HTJ Seremban 17 18 36 27 1861
23 HTF Kangar 20 34 14 24 1716
24 Hospital Ampang 18 23 25 23 1707
25 Hospital Langkawi 24 27 15 22 1640
26 Hospital Taiping 13 25 25 22 1589
27 Hospital Kajang 15 23 19 21 1430
28 HoSHAS Temerloh 20 19 17 19 1300
29 Hospital Teluk Intan 14 14 25 19 2299
30 HEBHK Kluang 19 13 20 18 2157
17 2055
31 Hospital Miri 21 13 15 1967
32 Hospital Bintulu 21 11 16 16 1931
33 Hospital Tawau 18 17 12 16 1884
34 Institut Kanser Negara 3 9 35 16 1877
35 Hospital Kulim 13 20 10 16 1861
36 Hospital DoK Sandakan 7 11 19 14 1716
37 Hospital Seri Manjung 11 17 8 12 1707
38 Hospital Segamat 3 17 16 12 1640
39 Hospital Sarikei 15 6 15 12 1589
40 Hospital Keningau 7 15 14 12 1430
41 Hospital Serdang 9 10 5 12 1300
42 HPSF Muar 3 8 11 8 2299
43 Hospital Lahad Datu 8 8 5 7 2157
44 Hospital Shah Alam 0 11 9 7 2055
7 1967
45 Hospital Kemaman 5 5 10 1931
46 Hospital Kuala Pilah 3 8 8 7 1884
47 Hospital Kuala Lipis 4 9 6 6 1877
48 Hospital Labuan 4 5 9 6 1861
49 Hospital Tanah Merah 7 4 6 6 1716
50 HSIP Kuala Krai 3 5 7 6 1707
51 Hospital Port Dickson 2 4 2 5 1640
52 Hospital Kapit 2 2 1 3
53 Hospital Banting 0 1 2 2 24
1
TOTAL 1117 1294 1363
1258
Table 7.4.5: Hemithyroidectomy By Hospital Category
General Surgery Services Ministry of Health Malaysia 117
General Surgery: Inpatient, Outpatient, Endoscopy, Surgery (IOES) Census Report123
53 Hospital BantingGENERAL S0 URG1 ERY2 1
INPTAOTITENATL, OUTPATIENT, ENDO11S1C7OPY 1A2N94D SUR1G36E3RY (IOES1)258 24
CTaEbNleS7U.4S-5:RHEePmOithRyrToid2e0ct1om6y-B2y0H1o9spital Category
7.4.2 Total Thyroidectomy
7.4.2 Total Thyroidectomy
a) Totala. Total
Total Thyroidectomy
1400 1244 1304
1191
1200
No. of Procedures 1000
800
600
400
200
0 2018 2019
2017
FiguFriegu7r.e47.8.4-T8oTtaoltaNl uNmumbbeerrooff TToottaall TThhyyrrooididecetcomtoymy
b) By BMb.SBCyaBteMgoSryCategory
Total Thyroidectomy
700 601 621 514 550 576
No. of Procedures 600 528 Medium
Hospital Category
500
400
300
200 129 113 107
Small
100
0
Big
2017 2018 2019
FiguFriegu7r.e47.9.4:-9To: tTaoltaThl TyhroyridoiedcectotommyybbyyBBMMSSCCataegteorgyory
118 General Surgery Services Ministry of Health Malaysia
GENERAL SURGERY
INPATIENT, OUTPATIENT, ENDOSCOPY AND SURGERY (IOES)
CENSUS REPORT 2016 - 2019
General Surgery: Inpatient, Outpatient, Endoscopy, Surgery (IOES) Census Report124
c.cB) yBBy BMMSS HHoosspiptailtCaalteCgoarytegory
Total Thyroidectomy 5
4
140 Mean Total Procedures : 1246 3
120 Total B&E Surgeon : 24 2
1
100 0
80
60
40
20
0
Mean No. of Procedures
Hospital Putrajaya
Hospital Kuala Lumpur
HRPB Ipoh
HRPZ Kota Bahru
Hospital Queen Elizabeth 2
HSI Johor Bahru
Hospital Umum Sarawak
HSNZ Kuala Terengganu
Hospital Pulau Pinang
Hospital Selayang
Hospital Taiping
HSAH Sungai Petani
HSA Johor Bahru
Hospital Queen Elizabeth
HoSHAS Temerloh
HSB Alor Setar
Hospital Miri
HSNI Batu Pahat
HTAR Klang
Hospital Seberang Jaya
HTAA Kuantan
Hospital Serdang
Hospital Teluk Intan
Hospital DoK Sandakan
Hospital Tawau
Institut Kanser Negara
HPSF Muar
HEBHK Kluang
HTJ Seremban
Hospital Sibu
Hospital Shah Alam
Hospital Langkawi
Hospital Segamat
Hospital Kulim
Hospital Seri Manjung
Hospital Melaka
Hospital Kajang
Hospital Ampang
HSIP Kuala Krai
Hospital Bintulu
Hospital Tanah Merah
Hospital Kuala Lipis
Hospital Sungai Buloh
HTF Kangar
Hospital Keningau
Hospital Labuan
Hospital Kuala Pilah
Hospital Lahad Datu
Hospital Banting
Hospital Port Dickson
Hospital Sarikei
Hospital Kemaman
Hospital Kapit
No. of B&E Surgeons
Centers with B&E Centers with General Surgeons
Surgeon
B&E Surgeons
Figure 7.4-10 : Total Thyroidectomy by BMS Hospital Category
Figure 7.4.10 : Total Thyroidectomy by BMS Hospital Category
TOTAL THYROIDECTOMY
Hospital Category 2017 2018 2019
Big 601 528 621
Medium 514 550 576
113 107
TOTASmLalTl HYROIDECTOMY 129
Total 1244 1191 1304
2018
HOSPITAL CATEGOTaRblYe 7.4-6 : Total Thyroide2ct0om1y7by BMS Category 2019
Big TOTAL THYR60O1IDECTOMY 528 621
Medium Hospitals 514 Mea5n50No. of 576
No. 2017 2018 2019 Pro1c1e3dures B&E Surgeon
Small 129 107
14304
1 Hospital PutTraOjaTyAaL 131 1214245 126 1119271 3
2 Hospital Kuala Lumpur 121 70 103 98 1
3 HRPB Ipoh Table 7.4.6 : Total8T9hyroid9e6ctom7y1by BMS Ca8te5gory
4 HRPZ Kota Bahru 91 69 86 82 3
5 Hospital Queen Elizabeth 2 40 49 78 56 2
6 HSI Johor Bahru 70 49 38 52 2
7 Hospital Taiping 36 55 55 49
8 HSAH Sungai Petani 32 55 43 43
9 Hospital Umum Sarawak 41 31 52 41 3
10 HSNZ Kuala Terengganu 37 39 44 40 2
11 Hospital Pulau Pinang 33 41 40 38 2
12 Hospital Selayang 31 33 44 36 2
General Surgery Services Ministry of Health Malaysia 119
GENERAL SURGERY
INPATIENT, OUTPATIENT, ENDOSCOPY AND SURGERY (IOES)
CENSUS REPORT 2016 - 2019
TOTAL THYROIDECTOMY
NO HOSPITALS 2017 2018 2019 MEAN NO. OF B&E
1 Hospital Putrajaya 131 125 126 PROCEDURES SURGEONS
2 Hospital Kuala Lumpur 121 70 103 127 4
98 3
3 HRPB Ipoh 89 96 71
4 HRPZ Kota Bahru 91 69 86 85 1
5 Hospital Queen Elizabeth 2 40 49 78 82 3
6 HSI Johor Bahru 70 49 38 56 2
7 Hospital Taiping 36 55 55 52 2
8 HSAH Sungai Petani 32 55 43 49 2
9 Hospital Umum Sarawak 41 31 52 43 2
10 HSNZ Kuala Terengganu 37 39 44 41 3
11 Hospital Pulau Pinang 33 41 40 40 2
12 Hospital Selayang 31 33 44 38 2
13 HSA Johor Bahru 27 31 47 36 2
14 Hospital Queen Elizabeth 22 26 57 35
15 HoSHAS Temerloh 29 30 34 35 2299
16 HSB Alor Setar 42 19 24 31 1
28
17 Hospital Miri 20 31 33 2055
18 HSNI Batu Pahat 24 23 24 28 1
19 HTAR Klang 26 23 19 24
20 Hospital Seberang Jaya 22 18 23 23 1931
21 HTAA Kuantan 19 21 22 21 1884
22 Hospital Serdang 25 28 3 21 1877
23 Hospital Teluk Intan 13 13 25 19 1861
24 Hospital DoK Sandakan 19 16 13 17 1716
25 Hospital Tawau 16 15 13 16 1707
26 Institut Kanser Negara 14 19 11 15 1640
27 HPSF Muar 12 14 14 15 1589
28 HEBHK Kluang 9 19 9 13 1430
29 HTJ Seremban 12 17 7 12 1300
30 Hospital Sibu 10 7 17 12 2299
11 2157
31 Hospital Shah Alam 13 12 7
32 Hospital Langkawi 10 8 11 11 2055
33 Hospital Segamat 11 10 8 10 1967
34 Hospital Kulim 15 7 6 10 1931
35 Hospital Seri Manjung 9 10 9 9 1884
36 Hospital Melaka 10 12 5 9 1877
37 Hospital Kajang 10 5 10 9 1861
38 Hospital Ampang 11 7 7 8 1716
39 HSIP Kuala Krai 2 3 16 8 1707
40 Hospital Bintulu 7 6 8 7 1640
41 Hospital Tanah Merah 8 5 6 7 1589
42 Hospital Kuala Lipis 8 4 6 6 1430
43 Hospital Sungai Buloh 1 1 15 6 1300
44 HTF Kangar 0 4 6 6 2299
3 2157
45 Hospital Keningau 4 3 2
46 Hospital Labuan 2 6 1 3 2055
47 Hospital Kuala Pilah 3 2 3 3 1967
48 Hospital Lahad Datu 2 2 2 3 1931
49 Hospital Banting 3 0 0 2 1884
50 Hospital Port Dickson 1 1 0 1 1877
51 Hospital Sarikei 1 1 0 1 1861
52 Hospital Kemaman 0 0 1 1 1716
53 Hospital Kapit 0 0 0 0 1707
0 1640
TOTAL 1244 1191 1304
1246 24
Table 7.4.7 : Total Thyroidectomy by Hospital Category
120 General Surgery Services Ministry of Health Malaysia
GENERAL SURGERY
INPATIENT, OUTPATIENT, ENDOSCOPY AND SURGERY (IOES)
CENSUS REPORT 2016 - 2019
General Surgery: Inpatient, Outpatient, Endoscopy, Surgery (IOES) Census Report126
7.4.37.4T.o3talToTthaylroTihdyecrotoimdeycwtiothmNyewckitDhisNseecctikonDissection
a) Totala. Total
Total Thyroidectomy With Neck Dissection
140
120 115 109
NNoo.. ooff PPrroocceedduurreess 100 86
80
60
40
20
0 2018 2019
2017
FigureFi7g.u4r.e171.:4T-1o1ta: Tl oNtualmNbuemrbeorf oTfoTtaotlaTlhTyhryoriodideeccttoommyywwithithNeNcek cDkissDeicstsioenction
b) By BMb.SBCyatBeMgoSryCategory
Total Thyroidectomy With Neck Dissection
80 70
NNoo.. ooff PPrroocceedduurreess 70
60
50 38 34 42 33
40 36 20
12
30 25
Small
20 Medium
Hospital Category
10
0
Big
2017 2018 2019
FigureFi7g.u4r.e127.4: -T1o2ta: lTTohtaylrTohidyreocidtoecmtoymywwitihthNNeecckkDDiisssseectciotinobnybByMBSMCSatCegaotreygory
General Surgery Services Ministry of Health Malaysia 121
GENERAL SURGERY
INPATIENT, OUTPATIENT, ENDOSCOPY AND SURGERY (IOES)
CENSUS REPORT 2016 - 2019
General Surgery: Inpatient, Outpatient, Endoscopy, Surgery (IOES) Census Report127
c.cB) yBBy BMMSS HHoosspiptailtCaalteCgoarytegory
Total Thyroidectomy With Neck Dissection 5
4
Mean Total Procedures : 103 3
25 Total B&E Surgeon : 24 2
20 1
15 0
10
5
0
Mean No. of Procedures
No. of B&E Surgeons
Centers with B&E Surgeon
Centers with General Surgeons
B&E Surgeons
Figure 7.4-13 : Total Thyroidectomy with Neck Dissection by BMS Hospital Category
Figure 7.4.13 : Total Thyroidectomy with Neck Dissection by BMS Hospital Category
TOTAL THYROIDECTOMY WITH NECK DISSECTION
Hospital Category 2017 2018 2019
NTOECTSBMAKmiegLdalDilTumHISYSRECOTIDIOECNTOMY WITH38 70 34
25 42
36 20 33
12
HOSTPoITtAalL CATEGORY 2017 86 115 2018109 2019
Big Table 7.4-8: Total Thyroidectomy with N3ec8k Dissection by BMS Catego7r0y 34
Medium 36 25 42
TOTAL THYROIDECT20O1M7 Y81W26I2T0H18NECK20D1I9SS1E21C0M5PTreIoaOcneNdNuor.eosf B&33E
Small HTOosTpAiLtals Su1rg0e9on
No.
1 Institut KanTasebrleNe7g.4a.r8a: Total Thyroidect1o2my with N19eck Disse2c8tion by BM2S0Category
2 Hospital Kuala Lumpur 12 23 10 15 3
3 HRPZ Kota Bahru 7 21 9 12 3
4 HSI Johor Bahru 9 14 10 11 2
5 Hospital Queen Elizabeth 2 9 2
15 6 5
6 Hospital Pulau Pinang 397 6 2
7 Hospital Putrajaya 7 1 10 6 4
8 HRPB Ipoh 552 4 1
9 HSNZ Kuala Terengganu 551 4 2
122 General Surgery Services Ministry of Health Malaysia
GENERAL SURGERY
INPATIENT, OUTPATIENT, ENDOSCOPY AND SURGERY (IOES)
CENSUS REPORT 2016 - 2019
TOTAL THYROIDECTOMY WITH
NGEeCneKraDl SISurSgEeCryT:IIOnpNatient, Outpatient, Endoscopy, Surgery (IOES) Census Report128
NO HOSPITALS 2017 2018 2019 MEAN NO. OF B&E
10 1HosIpnisttaitlutTKaawnsaeur Negara 12 3 19 238 PROC32E0DURES SU3RG4EONS 3
11 2HosHpoitsaplitUalmKuuamla SLuamrapwurak 12 2 23 130 215 23
2
12 34HosHHpSRitIPaJZloKhTooatraiBpBaianhhrguru 7 2 21 1190 31121 2 3 24
13 5HosHpoitsaplitQaluQeueenenEElilizzaabeetthh2 9 14 15 29 2
15 2 6 22
14 67HSBHHooAsspploiittaar llSPPeuuttlaraaurjaPyinaang
15 8HSNHIRPBBaIptuohPahat 3 0 9 1370 166 1 2
16 19H0 osHHpSoitNsapZlitKDauloaTalKawTSaeuarenndgagkaannu 7 1 02 34 4
5 05 131 234 11
5 5 12
3 0 3
17 1H1 TAHRospKitalal nUgmum Sarawak 2 23 02 02 13
18 11H23 SAHHHoossppSiittuaanll TQgaauipieiePnngetEalinzaibeth 2 1 032 222 13
2 0 1
19 11H54 PSHHFSSBNMIABuloaarturSePtaahrat 0 0 3 013 211 1 2299
20 1H6 osHpoitsaplitSalibDuoK Sandakan 0 0 02 21 12
0 01
21 11H78 osHHpTSiAtAaRHl KMSluaninrggiai Petani 2 0 0 020 211 1 2055
22 1H9 osHpPitSaFlMSuearri Manjung 0 0 02 11 1
0 00 0 1931
23 22H01 osHHpooitssappliittBaalliMSnibtiruui lu 0 0 0 022 111 0 1884
0 0 1877
24 2H2 osHpoitsaplitSaleSlearyi aMnagnjung 0 00 01 00 0 1861
23 HHoossppiittaallTSBOeinlatTuylAuanLg 0 0 11015 10009 10317216
24 0 86 0
TTOaTbAleL7.4-9: Total Thyro1i1de1c7tomy w1it2h9N4eck Dis1s3ec6t3ion by Hosp1it2a5l 8Category 24
Table 7.4.9: Total Thyroidectomy with Neck Dissection by Hospital Category
7.4.4 Total Parathyroidectomy
7.4.4 Total Parathyroidectomy
a) Totala. Total
Total Parathyroidectomy
300 279
No. of Procedures 250 233 209
200
150
100
50
0 2018 2019
2017
FigureFig7u.4re.174.4:-1T4o:taTl oNtaulmNbumebr eorfoTfoTtoatlaPl aPararaththyyrrooiiddeecctotmomy y
General Surgery Services Ministry of Health Malaysia 123
GENERAL SURGERY
INPATIENT, OUTPATIENT, ENDOSCOPY AND SURGERY (IOES)
CENSUS REPORT 2016 - 2019
General Surgery: Inpatient, Outpatient, Endoscopy, Surgery (IOES) Census Report129
b) By BMb.SBCyatBeMgoSryCategory
General Surgery: Inpatient, Outpatient, Endoscopy, Surgery (IOES) Census Report129
Total Parathyroidectomy
b) By BMS Category
180 155
160 140 132
No. of Procedures 140 Total Parathyroidectomy
No. of Procedures 120 180 155 93 102
100
80 160 140 132 69
140
60 120 93 102
100 69
40 80 08 22
20 60
22
0 40
0 8Small
20 Big Medium
0 Big HospitalMCedaiutemgory Small
Hospital Category
2017 2018 2019
2017 2018 2019
FigureF7ig.4ur.1e57.:F4iT-go1u5rtea:7lT.4Po-a1t5aral: TPtohatyarlarPothairydarteohycidroteoicdmetoctmyomybybybyyBBBMMMSSSCCCataeagtteoergygoroyry
c) By BMc.ScB)HyBoyBspBMiMtaSSl HHCooastpseiptgaolitCrayatlegCoray tegory
Total Parathyroidectomy
45 42 45 42 TotalMPeaanrTaottahl Pyrorcoediudreesc: t2o40my 5
Mean No. of Procedures 39
Total B&E Surgeon : 24 45
Mean No. of Procedures 40
34
39 35 Mean Total Procedures : 240 No. of B&E Surgeons
40 30
35 25 24 23 18 18 Total B&E Surgeon : 24 No. of B&E Surgeons
30 20 15 14 12 2
25
15 24 23 18 18 12 3
10 99
1
20 5
15 0 15 14 12 21110000 2
12 0
99
10
1
5 21110000
00
Centers with B&E Surgeon
Centers with General Surgeons
B&E Surgeon
Figure 7.4-16: Total Parathyroidectomy by BMS Hospital Category
Figure 7.4.16: Total Parathyroidectomy by BMS Hospital Category
Centers with B&E Surgeon
Centers with General Surgeons
B&E Surgeon
Figure 7.4-16: Total Parathyroidectomy by BMS Hospital Category
124 General Surgery Services Ministry of Health Malaysia
GENERAL SURGERY
INPATIENT, OUTPATIENT, ENDOSCOPY AND SURGERY (IOES)
CENSUS REPORT 2016 - 2019
TOTAL PARATHYROIDECTOMY
HOSPITAL CATEGORY 2017 2018 2019
Big 140 132 155
Medium 93 69 102
Small 0 8 22
TOTAL 233 209 279
Table 7.4.10 : Total Parathyroidectomy by BMS Category
TOTAL PARATHYROIDECTOMY
NO HOSPITALS 2017 2018 2019 MEAN NO. OF B&E
SURGEONS
1 HSI Johor Bahru 45 41 40 PROCEDURES
2 Hospital Kuala Lumpur 35 24 59 42 2
39 3
3 Hospital Putrajaya 22 18 33 4
4 HSNZ Kuala Terengganu 13 24 31 24 2
5 Hospital Queen Elizabeth 2 25 8 21 23 2
6 Hospital Pulau Pinang 19 21 13 18 2
7 HRPB Ipoh 13 21 11 18 1
8 HRPZ Kota Bahru 25 11 5 15 3
9 HTAA Kuantan 6 10 20 14 2
10 Hospital Umum Sarawak 16 14 6 12 3
11 Hospital Selayang 10 7 10 12 2
12 Hospital Kulim 0 6 20 9 3
13 Hospital Tawau 1 2 2 9
14 Hospital Sibu 0 0 4 2 2299
15 Hospital Queen Elizabeth 3 0 0 1 2
16 Hospital Labuan 0 1 1 1
1 2055
17 HPSF Muar 0 0 1 1
18 HSNI Batu Pahat 0 0 1 0
19 Institut Kanser Negara 0 1 0 0 1931
20 Hospital DoK Sandakan 0 0 1 0 1884
0
TOTAL 233 209 279 24
240
Table 7.4.11 : Total Parathyroidectomy by Hospital Category
General Surgery Services Ministry of Health Malaysia 125
GENERAL SURGERY
INPATIENT, OUTPATIENT, ENDOSCOPY AND SURGERY (IOES)
General Surgery: ICnpEaNtiSeUnSt, ROEuPtpOaRtiTen2t0, E16nd- 2o0sc1o9py, Surgery (IOES) Census Report131
7.4.5 Focus Parathyroidectomy
7.4.5 Focus Parathyroidectomy
a) Totala. Total
Focus Parathyroidectomy
No. of Procedures 90 80
80 75
69
70
60
50
40
30
20
10
0 2018 2019
2017
FiguFreig7ur.4e.71.74-:1T7o:taTol tNaluNmubmebrerooffFFooccuuss PPaarraatthhyyroroidiedcetocmtoy my
b) By BMb.SBCyatBegMoSryCategory
Focus Parathyroidectomy
50 41 43 41
No. of Procedures 40 34 36
30 26
20
10 Medium 003
Hospital Category Small
0
Big
2017 2018 2019
Figure 7.4-18: Focus Parathyroidectomy by BMS Category
Figure 7.4.18: Focus Parathyroidectomy by BMS Category
126 General Surgery Services Ministry of Health Malaysia
GENERAL SURGERY
INPATIENT, OUTPATIENT, ENDOSCOPY AND SURGERY (IOES)
CENSUS REPORT 2016 - 2019
General Surgery: Inpatient, Outpatient, Endoscopy, Surgery (IOES) Census Report132
c. cB)yBBy MBMSSHHoossppitailtCaalteCgoarytegory
Focus Parathyroidectomy
25 21 Mean Total Procedures : 75 5
Total B&E Surgeon : 24
Mean No. of Procedures 4
No. of B&E Surgeons3
20 2
15
15 11
10 10 8
5 3 1 1 1
1100 0
0 0 0
00
Centers with B&E Surgeon
Centers with General Surgeons
B&E Surgeons
Figure 7.4-19: Focus Parathyroidectomy by BMS Hospital Category
Figure 7.4.19: Focus Parathyroidectomy by BMS Hospital Category
FOCUS PARATHYROIDECTOMY
FOCHUoSspPitaAl CRaAteTgoHryYROIDECTOMY2017 2018 2019
Big 34 26 36
Medium 41 43 41 2019
HOSPITAL CATEGORY 2017 2018 36
Big Small 34 0 0 41
26 3
Medium Total Table 7.4-12: Focus Parathyroid4ec1tomy7b5y BMS 69 43 80 3
Category 80
Small 00
TOTAL 75 69
Table 7.4.12: Focus Parathyroidectomy by BMS Category
General Surgery Services Ministry of Health Malaysia 127
GENERAL SURGERYGeneral Surgery: Inpatient, Outpatient, Endoscopy, Surgery (IOES) Census Report133
INPATIENT, OUTPATIENT, ENDOSCOPY AND SURGERY (IOES)
CENSUS REPORT 2016 - 2019
FOCUS PARATHYROIDECTOMY
No Hospital 2017 2018 2019 Mean No. of No. of B&E
Procedures Surgeons
1 Hospital Queen Elizabeth 2 22 21 21 21 2
2 HospiFtaOl PCuUtraSjaPyAa RATHYROIDEC13TOMY16 16 15 4
3 Hospital Pulau Pinang 11 10 13 11 2
4 HNoOspital KualaHLOSuPmITpAuLrS 20167 210118 122019 MEAN1N0O. OF B&E 3
5 HR1 PBHIopspoihtal Queen Elizabeth 2 2216 251 421 PROC2E81DURES SURG2EONS1
6 HS2 I JoHhoospritBalaPhurturajaya 135 156 016 135 42
Ho43spitHHaoolssSppiiittbaaull KPuulaalua Pinang 1610 11001 41132 11110
7 Lumpur 2
3
8 HR56 PZHHKSRIPoJBotaIhpooBrhaBharhuru 161 50 24 81
9 Ho7spitHaolsUpitmaluSmibuSarawak 311 13
550 23
0 0 00 34 3
3
10 Ho89spitHHaoRlPsTpZiaKtawoltUaamuBaumhruSarawak 1 1 001 023 111
11 H1S0NZHKosupaitalal TTaewraeungganu 0 10 2
1 0 10 10
12 H11o12spitHHaoSlNsQpZitKuauelaeQlnaueETeelrniezEnalgibzgaeabtnheuth 0 000 111 000 2
13 In1s3tituItnsKtitaunt sKearnsNereNgeargaara 0 0 00
14 H11o45spitHHaoolssBppiittiaanlltDBuiolnuKtuSluandakan 000
0 0 00 11
0 000 111
0 0 2299
2
15 H1o6spitHaolsDpitoaKl SeSlaaynadnagkan 0 0 00 10 00
24
16 Hospital SelayanTgOTAL 750 609 080 705 2
24
TOTAL Table 7.4.13: Focus Par7a5thyroid6e9ctomy 8b0y Hospital Cat7e5gory
Table 7.4-13: Focus Parathyroidectomy by Hospital Category
7.4.67.4A.d6reAnedlreectnoemlyectomy
a) Totala. Total
Adrenelectomy
90
78
80
68
70 65
No. of Procedures 60
50
40
30
20
10
0 2018 2019
2017
FiguFreig7ur.4e.72.04-:2T0o:taTol tNaluNmubmebrerooffAAddrreenneelelectcotmoymy
128 General Surgery Services Ministry of Health Malaysia
GENERAL SURGERY
INPATIENT, OUTPATIENT, ENDOSCOPY AND SURGERY (IOES)
CENSUS REPORT 2016 - 2019
General Surgery: Inpatient, Outpatient, Endoscopy, Surgery (IOES) Census Report134
b) By BMb.SBCyatBegMoSryCategory
General Surgery: Inpatient, Outpatient, Endoscopy, Surgery (IOES) Census Report134
b) By BMS Category Adrenelectomy
60 50
50 Adrenelectomy
No. of Procedures 39
40 60 35
No. of Procedures 50 28 30 28
30 50
39
20 40 35
28 30 28
30
10
20 100
1 Sm0 all 0
0 10
Big Medium Small
0
Big Hospital CMaetdeigumory
Hospital Category
2017 2018 2019
2017 2018 2019
FigFuirgeur7e.47..42F-i1g2u1:reA: 7Ad.4dr-er2e1nn:eeAllederccetnoteomlemyctobymyybBbyMy BBSMMCSSaCtCeagteaogtroeyrygory
c) By BMc.ScB)HyoBBsypMBitMaSlSHCHaootsseppgitoailtraCyalteCgoarytegory
20 18 AdArMedeanrn eTeontlaelePlcreoctceodtuormems : y7y0 5
18
Mean TToottaal lBP&rEocSeudrgueroens::2740 45
20 18 16
Total B&E Surgeon : 24
18 14
Mean No. of Procedures 13 No. of B&E Surgeons
16 12 Mean No. of Procedures 998 3 No. of B&E Surgeons4
14 10 13 3
8 2 2
12 1
10 6 998 33222 1 0
4 0
82 10 0
6 0
4
Hospital Hospital Hospital HRPB Ipoh SHeolasypaitnag3l HRPZ Kota 3HUomspuimtal Hospital HSNZ HSI Johor HSB Alor HTAR
Putrajaya Pulau Queen Bahru
2Kuala TerKenu2gaglaanu Bahru2 Setar Klang
2 Pinang Elizabeth 2 Sarawak Lumpur 1
0 Hospital Hospital Hospital HRPB Ipoh HCosepnittaelrsHwRiPthZBK&otEa SHuorsgpeitoaln
Hospital HSNZ HSI Johor Centers with
GenHerSSaBletSAarulorrgeonHKsTlaAnRg
Putrajaya Pulau Queen Selayang Bahru Umum Kuala Kuala Bahru
Pinang Elizabeth 2 SBa&raEwSaukrgeonsLumpur Terengganu
FiguCFriegenur7tee.7r4.s4.2-w222i::thAAddBrer&neenlEeectSoleumrcygtbeoyomBnMy
S Hospital Category Category Centers with
General Surgeons
by BMS Hospital
B&E Surgeons
Figure 7.4-22: Adrenelectomy by BMS Hospital Category
General Surgery Services Ministry of Health Malaysia 129
GENERAL SURGERY
INPATIENT, OUTPATIENT, ENDOSCOPY AND SURGERY (IOES)
CENSUS REPORT 2016 - 2019
ADRENELECTOMY
HOSPITAL CATEGORY 2017 2018 2019
Big 39 35 50
Medium 28 30 28
Small 1 0 0
TOTAL 68 65 78
Table 7.4.14: Adrenelectomy by BMS Category
ADRENELECTOMY
NO HOSPITALS 2017 2018 2019 MEAN NO. OF B&E
SURGEONS
1 Hospital Putrajaya 21 21 12 PROCEDURES
2 Hospital Pulau Pinang 15 12 13 18 4
13 2
3 Hospital Queen Elizabeth 2 7 9 11 2
4 HRPB Ipoh 16 6 4 9 1
5 Hospital Selayang 4 3 18 9 2
6 HRPZ Kota Bahru 2 6 1 8 3
7 Hospital Umum Sarawak 1 3 5 3 3
8 Hospital Kuala Lumpur 1 0 6 3 3
9 HSNZ Kuala Terengganu 0 3 2 2 2
10 HSI Johor Bahru 0 0 5 2 2
11 HSB Alor Setar 0 2 0 2
12 HTAR Klang 0 0 1 1 24
0
TOTAL 68 65 78
70
Table 7.4.15: Adrenelectomy by Hospital Category
130 General Surgery Services Ministry of Health Malaysia
GENERAL SURGERY
GeneINraPlASTuIErgNeTr,yO: UInTpPCaAtETiNeInESNtU, TOS, uERNtEpPDaOtOieRSnTCt,2OE0Pn1Yd6oA-s2cNo0Dp1y9S, USRurGgEeRryY(I(OIOEESS))Census Report136
7.5 Breast
Breast 7ca.n5cerBcroensatitsutte 32.1% of all cancer among females in Malaysia (National Cancer Registry
Report 2007 -2011). Although the workload pertaining to breast related disease consist of both
benign and mBarleiagnstanctacnacseers,cwoonrsktitluotaed 3fo2r.1B%reoafstaallndcaEnncdeorcraimneo(nBg&feEm) Saulebs-sinpeMcialaisytsaiare(bNeasttional
measured in tCeramncseorfRbergeaisstrtycRaenpceorrtre2l0a0t7ed-2p0r1o1c).edAultrheosu. gh the workload pertaining to breast related
disease consist of both benign and malignant cases, workload for Breast and Endocrine
In this section(B, &dEa)taSuobn-sBpreecaisatlisMt aarmembeosgtrmameaasnudrebdreinatset rsmusrgoefrbyrewaisltl cbaentcabeur lreatlaedte.d procedures.
In this section, data on Breast Mammogram and breast surgery will be tabulated.
List of procedures selected for Breast surgery measurement are:
i. SHiomopklLweisitMroeafWsptreiodccetoeLmdouycrea/slRsEeaxdleciccistaeilodMnfo(aHsr tBWerceLtaoEsmt)syurgery measurement are:
ii.
iii. UABixnliialltlaeaiiitri.ieri. a. yr lacMHASllioMxemaiaolsplarkatalsewerntyceicMrtcceoetalmoeWsmatyiedryacaentnaoLcdnomedcayxaa/ilxlEilRlaxalrcadyirsiycicoalcnellaeM(rHaaarWnasctLneEecc)etomy
iv.
v.
vi. Wideivlo. caUlneilxacteisraiol nM(aWsteLcEto)my and axillary clearance
vii. Widevl.o caBlilaextecriaslioMnaastnedctaoxmilylaaryndclaexairllaanrycec(leWarLaEnc+eAC)
viii. Widevlio. caWlidexeclioscioanl ewxictihsioount(WaxLiEl)lary clearance + Latissimus Dorsi flap
ix. Widevlioi.c aWlidexeclioscioanl ewxictihsioanxiallnadryacxlilelaarryanccleea+raLnacteis(sWimLEu+s ADCo)rsi flap
x. Mastevciitio. mWiydeanlodcaaxliellxacryisioclneawriathnocuetwaxitihllaBryrecalestaraecnocnes+trLuacttiisosinm(uTsRDAorMsi f/laIpmplant) with or
withoiuxt. cWonidtrealoatcearal el xmcaissitoonpwexityh axillary clearance + Latissimus Dorsi flap
x. Mastectomy and axillary clearance with Breast reconstruction (TRAM / Implant) with
The histopatholoogrywfiothrowuht iccohntthraelaptreoracel dmuarsetowpaesxdyone was not captured / not within the scope of
this report.
The histopathology for which the procedure was done was not captured / not within the
scope of this report.
a) Totala. Total
Breast Surgery
6000
5034
5000 4549 4646
No. of Procedures 4000
3000
2000
1000
0 2018 2019
2017
FigFuirgeur7e.57..15-:1T:oTtoatlaNl Nuummbbeerr ooffBBrreeaastsSt uSrugregryery
General Surgery Services Ministry of Health Malaysia 131
132 General Surgery Services Ministry of Health Malaysia Mean No. of Procedures c) By BcM.ScB)HyBoByspMBiMtSaSlHHCooasstpepigtaioltrCayalteCgoarytegory b) By BbM.SBCyaBteMgoSryCategory
Centers with B&E Hospital Kuala Lumpur 350 GENERAL SURGERY
Surgeon
Hospital Queen Elizabeth 2 350 300 INPATIENT, OUTPATIENT, ENDOSCOPY AND SURGERY (IOES)
CENSUS REPORT 2016 - 2019
Hospital Selayang 250
General Surgery: Inpatient, Outpatient, Endoscopy, Surgery (IOES) Census Report137
Hospital Pulau Pinang 300
200
250 150
200 100
150 50
0
100
50
0
HRPB Ipoh Mean No. of Procedures No. of Procedures b) By BMS Category
No. of B&E Surgeons
HSI Johor Bahru No. of Procedures 2000 Bre18a8s2t S18u45rgery 2500
1500
HSNZ Kuala TerengHgoasnpuital Kuala LumpurCenters with B&E 1000 General Surgery: Inpatient, Outpatient, Endoscopy, Surgery (IOES) Census Report137
HospitaHl oUsmpiutaml PSHuaotrrsaapwHjitaaoaylskaQpHiutoaeslepPnituaEllalSiuzeaPlbaineytaahnngg2Surgeon
500
HRPZ Kota Bahru HRPB Ipoh 0
HSI Johor Bahru 1000 2500 2301 2291
2000 2105
Figure 7.5-3: Breast Surgery by BMS Hospital Category HTHATAARKuHHKaSolnsNaptZnaitgnaHKl ouUsamplaiutTamlePrSeunatrgraagwjaanaykua 2017 2018 2019 500 1500
Hospital Sungai BulohHRPZ Kota Bahru
Figure 7.5-3: Breast Surgery by BMS Hospital Category 2017 2018 2019 Big
Institut Kanser Negara 2301 2291
Figure 7.5.3: Breast Surgery by BMS Hospital Category HHosTpJitSalerMemeHlbaoaksnpaitaHl TSHAuTnAAgaRKiuKBaulnaltnoaghn FiguFrigeu7re.57.F.25ig-:u2rBe:r7eB.5ar-e2sat:sBSt ruSeuragsrtgeSeurryrygebbryyybBByMMBMSSSCCCaaatteetggeoogrryyory 0 2105
Centers with General Surgeons
HoSHAS TemerInlosthitut Kanser Negara Big Breast Surgery
HSA Johor Bahru Hospital Melaka Breast Surgery Medium
Hospital Taiping HTJ Seremban HospitalMCeadtiuemgory
HSNI Batu PahHatoHSSHAAJSohToermBearlhorhu BMreeanaTsottalSPurocregduerers y: 4743
Hospital Ampang Hospital Taiping Hospital Category
Mean TToottaallBP&roEcSeudrugeroens ::244743
HSAH Sungai PetaniHSNI Batu Pahat Total B&E Surgeon : 24
B&E Surgeons HSB Alor SetarHospital Ampang 2180
HospitalHDoospKitSalaKndaajakHnaSgnAHHHoSSsuBpnitAgaalloiKrPaSejteaatnnagri 1882 1845
Hospital SerHdoasnpgital DoK Sandakan
Centers with General Surgeons 2180
B&E Surgeons HPSF MuarHospital Serdang
HospHitaolspTietlaulkTaInwtHaanuospHitaolsHpTiPetlaSulFkTMaInwutaaanur
Hospital Miri Hospital Miri
Hospital Sibu Hospital Sibu 562 500 563 562 500 563
HTF Kangar HTF Kangar
HEBHK KluangHHoEspBiHtaKl SKegluaamnagt Small
Hospital Segamat Hospital Kulim
Small
Hospital KuliHmospital Shah Alam
Hospital Shah AHloasmpital Seberang Jaya
SeberanHgoJHsapoiystaaplitQaluSeeenri Elizabeth
Hospital Manjung
Hospital Queen Elizabeth Hospital Bintulu
Hospital Seri ManjuHnogspital Kuala Pilah
Hospital BintuluHospital Langkawi
HHosopsiptaitlaKl LuaalnagPkailHwaHohisopHsiptoaistlapKlitKuaalelSnaainLrigikpaeiusi
Hospital Kuala LipiHsospital Kemaman
Hospital SarHikoesipital Port Dickson
KKeemnianmgHaauonsHHpiSotaIsPlpLiKtaaulhaaLldaabDKuaratanui
Hospital
Hospital
Hospital Port DickHsoosnpital Tanah Merah
HSIP Kuala Krai Hospital Kapit
Hospital Labuan Hospital Banting
Hospital Lahad Datu 5
4
3
2
1
0
Hospital Tanah Merah
Hospital Kapit
Hospital Banting
5
4
3
2
1
0
No. of B&E Surgeons
GENERAL SURGERY
INPATIENT, OUTPATIENT, ENDOSCOPY AND SURGERY (IOES)
General Surgery: InpatienCt,EONuStUpaStiReEnPt,OERnTdo2s0co1p6y-,2S0u1rg9ery (IOES) Census Report138
d) Typeds o. fTBypreeasst oSuf rBgreeryast Surgery
Types Of Breast Surgery
6000 5034
5000 4549
4646
No. of Porcedures 4000
3000
2000
1000
0 2018 2019
2017
Mastectomy + AC + Breast Reconstruction +/- contralateral Mastopexy
WLE with AC + Lat. Dorsi Flap
WLE without AC + Lat. Dorsi Flap
WLE + Axillary Clearance
Wide Local Excision
Bilateral Mastectomy and Axilary Clearance
Unilateral Mastectomy and Axillary Clearance
Axillary Clearance
Simple Mastectomy / Radical Mastectomy
HWLE
TOTAL
FiFgiugruer7e.57-4.5:.4Ty:pTeyspoef BsroeafsBt rSeuargsetrSyurgery
BREAST SURGERY
Hospital Category 2017 2018 2019
2291
BBigREAST SURGERY 2105 2301 2180
1882 1845 2051683
Medium 25300314
SmHOalSl PITAL CATEGORY 562 2017 500 1845 2019
2291
Big Total 4549 2105 4646 500 2180
Table 7.5-1: Total Number of1B8r8ea2st Surgery
Medium 4646 563
Small 562 5034
TOTAL 4549
Table 7.5.1: Total Number of Breast Surgery
General Surgery Services Ministry of Health Malaysia 133
GENERAL SURGERY
INPATIENT, OUTPATIENT, ENDOSCOPY AND SURGERY (IOES)
CENSUS REPORT 2016 - 2019
BREAST SURGERY
PROCEDURE TYPE 2017 (%) 2018 (%) 2019 (%)
Unilateral Mastectomy and Axillary 1931 42.4 1961 42.2 2138 42.5
Clearance 1209 26.6 1277 27.5 1381 27.4
Wide Local Excision 486 10.7 427 9.2 407 8.1
Simple Mastectomy / Radical 317 7.0 368 7.9 464 9.2
Mastectomy 294 6.5 280 6.0 274 5.4
HWLE 203 4.5 205 4.4 192 3.8
WLE + Axillary Clearance
42 0.9 41 0.9 91 1.8
Axillary Clearance
Mastectomy + AC + Breast 39 0.9 63 1.4 49 1.0
Reconstruction +/- contralateral 0.4 30 0.6
Mastopexy 22 0.5 17 0.2 8 0.2
Bilateral Mastectomy and Axilary 6 0.1 7 100.0 5034 100.0
Clearance 4549 100.0 4646
WLE with AC + Lat. Dorsi Flap
WLE without AC + Lat. Dorsi Flap
TOTAL
Table 7.5.2: Types of Breast Surger
134 General Surgery Services Ministry of Health Malaysia
GENERAL SURGERY
INPATIENT, OUTPATIENT, ENDOSCOPY AND SURGERY (IOES)
CENSUS REPORT 2016 - 2019
BREAST SURGERY
NO HOSPITALS 2017 2018 2019 MEAN NO. OF B&E
1 Hospital Kuala Lumpur 269 285 344 PROCEDURES SURGEONS
2 Hospital Queen Elizabeth 2 184 216 330 299 3
243 2
3 Hospital Selayang 177 236 261
4 Hospital Pulau Pinang 149 248 198 225 2
5 HTAA Kuantan 179 187 198 198 2
6 HRPB Ipoh 183 191 175 188
7 HSI Johor Bahru 237 132 173 183 1
8 HSNZ Kuala Terengganu 181 182 172 181 2
9 Hospital Umum Sarawak 175 177 172 178 2
10 Hospital Putrajaya 161 155 166 175 3
11 HTAR Klang 167 162 144 161 4
12 Hospital Sungai Buloh 192 146 120 158
13 Institut Kanser Negara 146 112 173 153 3
14 HRPZ Kota Bahru 127 126 169 144 2299
15 Hospital Melaka 115 126 125 141
16 HTJ Seremban 85 153 127 122 1
122
17 HoSHAS Temerloh 80 149 123 2055
18 HSA Johor Bahru 119 110 97 117 1
19 Hospital Taiping 76 92 155 109
20 HSNI Batu Pahat 127 92 102 108 1931
21 Hospital Ampang 87 95 136 107 1884
22 HSAH Sungai Petani 90 112 112 106 1877
23 HSB Alor Setar 111 104 96 105 1861
24 Hospital Kajang 73 117 120 104 1716
25 Hospital DoK Sandakan 101 93 55 103 1707
26 Hospital Serdang 65 65 108 83 1640
27 HPSF Muar 67 67 82 79 1589
28 Hospital Tawau 75 72 68 72 1430
29 Hospital Teluk Intan 47 67 90 72 1300
30 Hospital Miri 89 44 58 68 2299
64 2157
31 Hospital Sibu 52 61 60
32 HTF Kangar 62 46 64 58 2055
33 HEBHK Kluang 60 50 58 57 1967
34 Hospital Segamat 41 37 50 56 1931
35 Hospital Kulim 36 29 38 43 1884
36 Hospital Shah Alam 36 37 29 34 1877
37 Hospital Seberang Jaya 36 37 28 34 1861
38 Hospital Queen Elizabeth 68 14 13 34 1716
39 Hospital Seri Manjung 47 25 23 32 1707
40 Hospital Bintulu 28 20 40 32 1640
41 Hospital Kuala Pilah 22 30 27 29 1589
42 Hospital Langkawi 30 37 10 26 1430
43 Hospital Kuala Lipis 28 13 17 26 1300
44 Hospital Sarikei 12 18 19 19 2299
16 2157
45 Hospital Keningau 7 5 37
46 Hospital Kemaman 8 21 19 16 2055
47 Hospital Port Dickson 10 14 17 16 1967
48 HSIP Kuala Krai 7 11 18 14 1931
49 Hospital Labuan 14 15 4 12 1884
50 Hospital Lahad Datu 5 9 7 11 1877
51 Hospital Tanah Merah 3 2 7 7 1861
52 Hospital Kapit 3 2 0 4 1716
53 Hospital Banting 0 0 0 2 1707
0 1640
TOTAL 4549 4646 5034
4743 24
Table 7.5.3: Breast Surgery by Hospital Category
General Surgery Services Ministry of Health Malaysia 135
GENERAL SURGERY
INPATIENT, OUTPATIENT, ENDOSCOPY AND SURGERY (IOES)
CENSUS REPORT 2016 - 2019
7.5.1 Breast Imaging
Data for Breast Mammogram investigation is a good reflection for workload related to breast
diseases.
The data tabulated is obtained from radiology services (Dr Shantini)
NO HOSPITAL MMG U/S U/S STEREOTACTIC NHOOKWNIROE BIRADS BIRADS BIRADS
3485 4511 GUIDED 3 45
1 Hospital Kuala BIOPSY BIOPSY UNDER UNDER
Lumpur STEREO U/S 425 527 97
740
2 HTAR Klang 71 25 53 521 93
3 Hospital Putrajaya 128 61
4 Hospital Melaka 2936 4023 665 60 15 40 578 63 68
5 Hospital Selayang 2165 2784 301 181 33
6 Hospital Sarawak 2100 4184 119 20 6 37 191 66 43
7 HRPB Ipoh 2019 2520 311 123 55
8 Hospital Pulau 2008 2320 257 16 4 11 141 154 57
1966 2559 115
Pinang 1936 560 45 64 13 24 318 100 12
9 HRPZ II Kota Bharu 29 78
10 HTJ Seremban 32 6 14 101 27 167
11 HSA Johor Bahru 64 41
12 Hospital Sungai 72 10 18 179
41 146
Buloh 50 23 218 110 33
13 HSAH Sg Petani
14 HSNZ Kuala 1716 1719 117 10 2 10 92 69 33
1575 2440 333
Terengganu 1566 1522 12 65 11 20 136 43 27
15 Hospital Seberang 1489 2597 11 100 28
22 26 26 298 44 67 43
Jaya 44 11
16 HTAA Kuantan 9 00 59
17 Hospital QE II 56 39
18 Hospital Taiping 1488 1862 32 0 3 3 60 55 69 33
19 Hospital Wanita 1450 2875 39 34 13
3 1 33 69 81 38
& Kanak-Kanak, 52 33
Sabah 1196 902 105 5 31 210 47 15
20 HSF Muar 79 14
21 Hospital Kajang 1105 1057 66 10 13 105 41 23
22 HSNI Batu Pahat 1084 3009 95 52 NIL
23 Hospital Temerloh 1077 1316 101 0 68 91
24 Hospital Shah Alam 873 817 0 12 7
25 Hospital Sibu 18 1 11 109 24 192
26 Hospital Miri 134 42
27 Hospital Segamat 22 00 149 23 23
28 HTAN Negeri
Sembilan 806 647 86 34 2 2 112
793 583 50 2 4 20 86
29 Hospital Kuala Krai 787 1930 0 0 00 24
693 1128 141 12 3 12 116
30 HEBHK Kluang 656 1202 249 9 00 80
554 793 72 3 49 60
31 HSB Alor Setar 553 553 0 0 00 81
510 448 44 12 0 0 46
32 HTF Perlis 467 891 94 5 03 64
422 109 3 0 00 7
364 658 34 8 6 23 25
1896 2030 116 17 5 3 137
417 644 62 0 0 10 45
Table 7.5.4 : Radiological Imaging for Breast Diseases
136 General Surgery Services Ministry of Health Malaysia
GENERAL SURGERY
INPATIENT, OUTPATIENT, ENDOSCOPY AND SURGERY (IOES)
CENSUS REPORT 2016 - 2019
General Surgery: Inpatient, Outpatient, Endoscopy, Surgery (IOES) Census Report144
General Surgery: Inpatient, Outpatient, Endoscopy, Surgery (IOES) Census Report144
7.5.2 Total Parathyroidectomy
7.5.2 Mastectomy and Reconstruction
7.5.2 MaLsitset cotfopmroycaenddurResecseolnescttreudctfoior nBreast Mastectomy and Reconstruction measurement
List of procedaurere: s selected for Breast Mastectomy and Reconstruction measurement are:
Li.ist oSf ipmropcled/urraedsicsaellemctaesdtefcotromBryeast Mastectomy and Reconstruction measurement are:
ii. i. UnSiilmaitp.e lreaSl/imraapdslietcea/cltroammdaicystaelcmtoamstyectomy
iii.ii. BiUlanteiilria.a tlemUranalilsmatetaecsrtatoelmcmtyoamstyectomy
ivi.ii. MBasitleaiictie.t oramBlilymatwaesriatehlcmbtoramesatyestcrtoemcoynstruction +/- mastopexy
iv. Masivte. ctMoamsytewctiothmbyrweaitshtbrerecaosntsrtercuoctnisotnru+ct/i-omn +a/s-tompaexstyopexy
a)a)ToTtaoltaal. Total
Mastectomy And Reconstructive Breast
Mastectomy ASnudrRgeercyonstructive Breast
Surgery
3000
2685
3000 2498 2492
2500 2498 2492 2685
No. of Procedures 2500
No. of Procedures 2000
2000
1500
1500
1000
1000
500
500
0
0 2017 2018 2019
FigurFeig7u.5re.57:.5T-o5t:aTl oNtau2lm0N1bu7mebr eorfoMf Masatseteccttoommyyaan2d0n1dR8eRceoncsotrnuscttrivuecBtirveeasBt rSeu2ar0gs1et9rSyurgery
Figure 7.5-5: Total Number of Mastectomy and Reconstructive Breast Surgery
b) By BMS Category
b) By BbM. BSyCBaMtegSorCyategory
Mastectomy And Reconstructive Breast Surgery
114200100400Ma1s2t11e02c1t012o91m02901y311A931n9d Reconstructive Breast Surgery
No. of Procedures 10010200 99499491891810415045
No. of Procedures 8010000
600800 294 284 321
400600 294 284 321
200400
0200
0 Big Medium Small
Big 2012701H7oH2s0po12ist80pa1iMlt8aCel2daC0itue12amg90toe1gr9yory Small
Figure 7.5-6 : Mastectomy and Reconstructive Breast Surgery by BMS Category
Figure 7.5-6 : Mastectomy and Reconstructive Breast Surgery by BMS Category
Figure 7.5.6 : Mastectomy and Reconstructive Breast Surgery by BMS Category
General Surgery Services Ministry of Health Malaysia 137
138 General Surgery Services Ministry of Health Malaysia Small HOSPITAL CATEGORY 00 MMeaenanNNo.oo.foPf rPorcoecdeudruerses2200440066008800110000112200140118800 Figure 7.5-7 : Mastectomy and Reconstructive Breast Surgery by BMS Hospital Category MMeaenaNn oN.oo.foPfrPocroecdeudreusres020024004600680018000110200112400180 c. ccB)) yBByyBBBMMMSSS HHHoossoppiitstaapll CCiaatttaeeggloorrCyy ategory
Big 116600 116800
Medium HoHsopsitpailtaKl uKaulaalLauLmupmuprur 140 Figure 7.5.7F:igMurea7.s5t-7e:cMtaostmectyomay annddReRceoncstroucntivsetrBurecasttiSvuergeBryrebyaBMstS SHuosrpgitael Cryatebgoyry BMS Hospital Category HoHspoistaplitKaluKaluaaLlaumLupmurpur 114600
HoHsopsitpailtaPluPlauulaPuinPainagng HoHspoistaplitPaul lPaulaPuinPainngang
Table 7.5.5 : Mastectomy and Reconstructive Breast Surgery by BMS Category TOTAL MASTECTOMY AND RECONSTRUCTION FFiigguurree 77..55--88 :: TTyyppeess ooff MMaasstteeccttoommyy aanndd RReeccoonnssttrruuccttiivvee BBrreeaasstt SSuurrggeerryy bbyy BBMMSS HHoossppiittaall CCaatteeggoorryy SSiimmppllee MMaasstteeccttoommyy CCeenntteeSSrruussrrwgwgeeiitotohhnnB
B
&&EE Centers with B&E GGeenneerraall SSuurrggeerryy:: IInnppaattiieenntt,, OOuuttppaattiieenntt,, EEnnddoossccooppyy,, SSuurrggeerryy ((IIOOEESS)) CCeennssuuss RReeppoorrtt114455 GENERAL SURGERY
HoHsopsitpailtaQl uQeueeneEnlEizlaizbaebthet2h 2 CenteSSruusrrgwgeeiotohnn
B
&E HoHspoistaplitQaluQeeuneeEnliEzalibzeatbhe2th 2
Figure 7.5.8 : Types of Mastectomy and Reconstructive Breast Surgery HRHPRBPBIpoIphoh HRHPRBPIBpoIhpoh INPATIENT, OUTPATIENT, ENDOSCOPY AND SURGERY (IOES)
by BMS Hospital Category UUnniillaatteerraall MMAACC MMaasstteeccttoommyy AAnndd RReeccoonnssttrruuccttiivvee BBrreeaasstt SSuurrggeerryy MMaasstteeccttoommyy AAnndd RReeccoonnssttrruuccttiioonn
HoHsopsitpailtaUl mUummumSaSraawraawkak HoHspoistaplitUalmUummuSmarSaawrawk ak CENSUS REPORT 2016 - 2019
BBiillaatteerraall MMAACC CCeenntteerrss wwiitthh GGeenneerraall SSuurrggeeoonnss HoHsopsitpailtaPluPtruatjraayjaya MMeeTTaaononttTTaallooBBttaa&&ll PPEErrooSSccuueerrddgguueeroroeennss::::222244555588 Centers with General Surgeons HoHspoistaplitPaul tPraujtarayjaaya Mean Total Procedures : 2558
HoHsopsitpailtaSleSlaeylaynagng Centers with General Surgeons HoHspoistaplitSael lSaeylaanygang MeTaontTaloBta&l PEroScuerdgueroens :: 224558
2498 294 284 321 2017 MMAACC WWiitthh BBrreeaasstt RReeccoonnssttrruuccttiioonn HSHISJIoJhoohroBraBharuhru B&E Surgeons HSHI SJoIhJoorhBorahBrauhru
1210 HRHPRZPKZ oKtaotBaaBharuhru B&E Surgeons HRHPRZPKZoKtaoBtaahBrauhru Total B&E Surgeon : 24
994
HSHNSZNZKuKaulaalTaeTrenregnggagnaunu HSHNSZNKZuKaluaaTlaerTeenrgegnagnguanu
2492 2018
1290 HTHATAAAKuKaunatanntan HTHATAAKAuKanutantan
918 HoHsopsitpailtaSluSnugnagi aBiuBlouhloh HoHspoistaplitSaul nSguanigBaiuBlouhloh
BB&&EE SSuurrggeeoonnss HoHsopsitpailtaMl Melaeklaka HoHspoistaplitMaleMlaeklaaka
InsIntistutituKt aKnasnerseNreNgeagraara InsItnitsuttitKutaKnsaenrsNereNgaergaara
HTHATRARKlKanlagng HTHATRAKRlaKnlgang
HSHASHAHSuSnugnagi aPiePtaentai ni HSHASHASHunSguanigPaei tPaentiani
HTHJTSJeSreemrebmabnan HTHJ TSJerSeemrebmanban
HSHBSABlAorloSreStaertar HSHBSABloArlSoer tSaertar
HSHASAJoJhoohroBraBharuhru HSHASJAohJoorhBorahBrauhru
HoHsopsitpailtaTlaTipaiinpging HoHspoistaplitTaal iTpainipging
HPHSPFSMF Muaur ar HPHSFPSMFuMaruar
HoHSoHSAHSATSeTmeemrleorhloh HoHSHoSAHSATSemTemrloehrloh
HoHsopsitpailtaSleSrdeardnagng HoHspoistaplitSael rSdearndgang
HTHFTKFaKnagnagr ar HTHFTKFaKngaanrgar
HoHsopsitpailtaTleTluekluIkntIanntan HoHspoistaplitTael lTuekluInktaIntan
HSHNSINBIaBtuatPuaPhaht at HSHNSI NBIatBuaPtuahPaathat
HoHsopsitpailtaAlmApmapnagng HoHspoistaplitAalmApmanpgang
HoHsopsitpailtaSlibSuibu HoHspoistaplitSailbSuibu
HEHBEHBKHK lKualunagng HEHBEHBKHKKluKalnugang
HoHsopsitpailtaKl uKliumlim HoHspoistaplitKaluKlimulim
HoHsopsitpailtaMl Miriiri HoHspoistaplitMaliMri iri
HoHsopsitpailtaSleSgeagmaamt at HoHspoistaplitSael gSaemgamt at
HoHsopsitpailtaTlaTwaawuau HoHspoistaplitTaalwTawu au
HoHsopsitpailtaSlhSahaAhlAamlam HoHspoistaplitSahl aShhAahlaAmlam
HoHsopsitpailtaDl oDKoKSaSnadnadkaknan HoHspoistaplitDaloDKoSKanSdaankdaankan
HoHsopsitpailtaKl aKjaanjagng HoHspoistaplitKalaKjaanjgang
HoHsopsitpailtaSleSrieMri Manajunnjugng HoHspoistaplitSael rSieMriaMnjaunnjgung
HoHsopsitpailtaSleSbebraenragnJgayJaya HoHspoistaplitSael bSeerbaenrganJagyJaaya
HoHsopsitpailtaKl uKaulaalPailPaihlah HoHspoistaplitKaluKaluaaPlailaPhilah
HoHsopsitpailtaSlaSriakreiki ei HoHspoistaplitSaal rSikaerikei
HoHsopsitpailtaBliBntiunltuulu HoHspoistaplitBalinBtuinlutulu
HoHsopsitpailtaPloPrtoDrt iDckicskosnon HoHspoistaplitPaol rPtoDrticDkiscoknson
HoHsopsitpailtaKl eKmeammaamnan HoHspoistaplitKaleKmeamamn an
HoHsopsitpailtaLlaLnagnkgakwaiwi HoHspoistaplitLalanLgaknagwkai wi
HoHsopsitpailtaKl uKaulaalLaiLpiispis HoHspoistaplitKaluKaluaaLlaipLisipis
HoHsopsitpailtaKl eKneinnginaguau HoHspoistaplitKaleKnienngianugau
HoHsopsitpailtaLlaLbaubaunan HoHspoistaplitLaal bLuaabnuan
HSHISPIKP uKaulaalKa rKairai HSHIPSKIPuKaluaaKlaraKi rai
HoHsopsitpailtaQl uQeueeneEnlEizlaizbaebtheth HoHspoistaplitQaluQeeuneeEnliEzalibzeatbheth
HoHsopsitpailtaLlaLhahdaDd aDtuatu HoHspoistaplitLalahLaadhaDdaDtuatu
HoHsopsitpailtaTlaTnanhaMh Meraehrah HoHspoistaplitTaal nTaahnaMheMraehrah
HoHsopsitpailtaKl aKpaitpit HoHspoistaplitKalaKpiat pit
HoHsopsitpailtaBlaBnatinntging HoHspoistaplitBalanBtaingting
NNo.oo. foBf B&&EESuSrugregoenosns NoN. oo.foBf &BE&ESuSrguergoenosns
55 5
44 5
33
22 4
11 4
00
3
3
2
2
1
1
0
0
2685 2019
1319
1045
GENERAL SURGERY
INPATIENT, OUTPATIENT, ENDOSCOPY AND SURGERY (IOES)
CENSUS REPORT 2016 - 2019
TYPES OF MASTECTOMY AND RECONSTRUCTION
MEAN NO OF PROCEDURES TOTAL NO. OF
PROCEDURES B&E
NO HOSPITAL SIMPLE UNILATERAL BILATERAL MAC WITH BREAST
MASTECTOMY MAC MAC RECONSTRUCTION (a+b+c+d) SURGEONS
1 Hospital Kuala (b) (c) (d) 158 3
Lumpur (a) 116 9 15 152 2
19 115 2
2 Hospital Pulau 11 125 10 7 109 1
Pinang 15 109 3
64 96 0 3 107 4
3 Hospital Queen 40 107 2
Elizabeth 2 13 42 2 1 105 2
8 65 4 0 102 3
4 HTAA Kuantan 5 97 2
5 Hospital Sungai 10 93 1 0 92
27 95 2 2 89 24
Buloh 10 86
6 HRPB Ipoh 14 98 2 1 82
7 Hospital Umum 9 86 2 3 74
5 72
Sarawak 11 58 0 11 71
8 Hospital Melaka 6 77 1 5 68
9 Institut Kanser 6 74 2 0 65
38 71 3 3 60
Negara 7 77 0 0 46
10 Hospital Putrajaya 21 57 1 5 46
11 Hospital Selayang 10 63 0 2 44
12 HTAR Klang 4 42
13 HSI Johor Bahru 5 63 1 0 36
14 HSAH Sungai Petani 30 30 0 0 34
15 HRPZ Kota Bahru 2 58 0 0 32
16 HSNZ Kuala 1 37 2 0 30
3 35 1 0 29
Terengganu 9 41 1 0 26
17 HTJ Seremban 2 39 0 0 25
18 HSB Alor Setar 4 10 2 0 25
19 HSA Johor Bahru 4 33 0 0 21
20 Hospital Taiping 3 33 0 0 21
21 HPSF Muar 3 29 0 0 20
22 HoSHAS Temerloh 2 21 0 0 20
23 Hospital Serdang 5 27 0 0 19
24 HTF Kangar 2 22 1 0 17
25 Hospital Teluk Intan 1 20 1 0 16
26 HSNI Batu Pahat 2 21 1 0 13
27 Hospital Ampang 3 18 0 0 12
28 Hospital Sibu 0 19 0 0 12
29 HEBHK Kluang 2 16 0 0 11
30 Hospital Kulim 1 8
31 Hospital Miri 1 18 0 0 7
32 Hospital Segamat 2 19 0 0 7
33 Hospital Tawau 1 6
34 Hospital Shah Alam 1 15 0 0 4
35 Hospital DoK 0 4
2 12 0 0 3
Sandakan 0 2
36 Hospital Kajang 0 13 0 0 1
37 Hospital Seri 0 10 0 0 0
0 11 0 0 2558
Manjung 0
38 Hospital Seberang 440 10 0 0
60 0
Jaya 60 0
39 Hospital Kuala 60 0
60 0
Pilah 20 0
40 Hospital Sarikei 40 0
41 Hospital Bintulu
42 Hospital Port 30 0
Dickson 20 0
43 Hospital Kemaman
44 Hospital Langkawi 0 0 0
45 Hospital Kuala Lipis 0 0 0
46 Hospital Keningau 2010 50 58
47 Hospital Labuan
48 HSIP Kuala Krai
49 Hospital Queen
Elizabeth
50 Hospital Lahad
Datu
51 Hospital Tanah
Merah
52 Hospital Kapit
53 Hospital Banting
TOTAL
Table 7.5.6 : Types of Mastectomy and Reconstructive Breast Surgery by Hospital Category
General Surgery Services Ministry of Health Malaysia 139
GENERAL SURGERY
INPATIENT, OUTPATIENT, ENDOSCOPY AND SURGERY (IOES)
GGeenneerraall SSuurrggeerryy:: IICnnppEaaNttSiieeUnnStt,, ROOEuuPttppOaaRttiiTeenn2tt0,, 1EE6nn-dd2oo0sscc1oo9ppyy,, SSuurrggeerryy ((IIOOEESS)) CCeennssuuss RReeppoorrtt114499
77..55..33 WWiiddee LLooccaall EExxcciissiioonnss
LLiiiiiiiiiivvvvssiiiiii..........tt oo7ff.ppWWHWWWWHWW5rr.oooo3iiiiiiiicddoddcdddodeekeeeeekeeeddWLiiiiwwiiv.LLLLLLLLii. uus. . iit ooooooooirrrrdeeocccccccceeWHWWssaaaaaaaafeoWWiiillllllllpssdddoeeEEEEEEEErLeeeiikollddoxxxxxxxxeewcLLLeeccccccccccoooceiriiiiiiiittcccLLedsssssssseeaaaaiiiiiiiiddoouooooooooWllllccrnnnnnnnnffeEEEEiaaoodxxxslxlww(www(wrrecccWWsEEceWiiiWiiiiiiLsssttttttxxlioLhLhiiihhhheoooscciiccEoEoddnnnAAiiiAAaosstuuee))ew(wiixxlCCttnoWoLLdEiiiinnttlAlAsxLoohh++llfEcaaoc(Cc(CAA)rrHiHLLaarsyyCxillW++aaWWoiCCttEElnl+iiiLLadssLLxlxl(eeLrassaeccHyEEaiiaattiimmiiWLrtr))ssCssioaasiissuuLloonsnceiiEssimmnnccama)eeDDlrmmuuuaE((oosssxneWeWrrcDDDcaassissoeiiLLsooiuuorFFEErr(srrssnWllieeaaii++FmmmLpplFFaEAAeeellp+aannaCCppttAs))uaaCrrre)eem:: ent are:
v. Wide Local Excision without AC + Latissimus Dorsi Flap
aa)) TToottaalla. Total
WWiiddee LLooccaall EExxcciissiioonnss
2500 1949 2157
2500 1949 2157
2000
No.Noo.foPfrPorcoecdeudreurses 2000 1848
1848
1500
1500
1000
1000
500
500
0 2018 2019
0 2017 2018
2017 2019
Figure 7.5-9 : Total Number of Wide Local Excisions
Figure 7.5-9 : Total Number of Wide Local Excisions
Figure 7.5.9 : Total Number of Wide Local Excisions
bb)) BByy BBMMb.SSBCCyaattBeeMggooSrryyCategory
WWiiddee LLooccaall EExxcciissiioonnss
No.Noo.foPfrPorcoecdeudreurses 1200 829 928 905 1042
1200 928 905 1042
1000 845
1000 829 776 845
776
800
800
600
600
400 243 176 210
400 243 176 210
200
200
0 Medium Small
0 Big Medium Small
Big
2017 2018 2019
2017 2018 2019
FiguFFriiegguu7rr.ee577.1..550--11:00W::idWWeiiddLeeoLLcooaccaal llEEExxxccciiisssiiiooonnnsss bbbyyyBBBMMMSSSCCCaattaeeggteoorrgyyory
140 General Surgery Services Ministry of Health Malaysia
Small HOSPITAL CATEGORY WIDE LOCAL EXCISIONS MMeaenaNn oN. oo.foPfrPocroecderedsres020024004600680018000110200114600 160 WWiiddee LLooccaall EExxcciissiioonnss 0 MMeaenaNn oN. oo.foPfrPocroecdeudreusres20024004600680018000140 c. Bcc))y BBByyMBBMMSSSHHHooossspppiittaaitllaCCaaltteCeggooarryytegory
Big 112400 112400
Medium HosHpoitsaplitKaluaKlauaLlaumLupmurpur HosHpoitsaplitKaluaKlauaLlaumLupmurpur110200
HosHpoitsaplitSaellSayealanygang HosHpoitsaplitSaellSayealanygang
Figure 7.5.12 : Types of Wide Local Excisions by Hospital Category HWLE HWLE Centers with Centers with B&E GENERAL SURGERY
BBC&&enEEteSSruusrrgwgeeiotohnn
HosHpoitsaplitQalueQeuneEenlizEalbizeathbe2th 2 CenteSSruusrrgwgeeiotohnn B
&E HosHpoitsaplitQalueQeuneEenlizEalbizeathbe2th 2
Table 7.5.7 : Total Number of Wide Local Excisions by BMS Category TOTAL WLE FWigLuEre+7A.x5il-l1ar2y :ClTeayrpanecseof WiWdeLELwocitaholuEt AxcCis+iLoants. DboyrsHi Folasppital CWaLteEgwoirthy AC + Lat. Dorsi Flap WLE HSHNSZNKZuaKlauaTlearTenergegnagnguanu Figure 7.5-11 : Wide Local Excisions by BMS Category HSHNSZNKZuaKlauaTlearTenergegnagnguanu INPATIENT, OUTPATIENT, ENDOSCOPY AND SURGERY (IOES)
HSHI JSoIhJoorhBorahBrauhru HSHI JSoIhJoorhBorahBrauhru
Figure 7.5-12 : Types of Wide Local Excisions by Hospital Category WLE + Axillary Clearance HRHPBRPIBpoIhpoh Figure 7F.i5g.u1re17:.5W-11id: eWidLeoLcoacall EExxccisiisoinos nbysBbMyS CBaMteSgoCry ategory HRHPBRPIBpoIhpoh CENSUS REPORT 2016 - 2019
HosHpoitsaplitUalmUumuSmarSawarakwak HosHpoitsaplitUalmUumuSmarSawarakwak
General Surgery Services Ministry of Health Malaysia 141 1848 243 176 2017 WLE without AC + Lat. Dorsi Flap Centers with General Surgeons HRHPZRPKZotKaoBtaahBrauhru Mean Total Procedures : 1962 Centers with General Surgeons HRHPZRPKZotKaoBtaahBrauhru WWMieiddanee
TLLotooalcc
PaarollcEEedxxuccreiisss
i:i
o o 19nn6ss2
GGeenneerraall SSuurrggeerryy:: IInnppaattiieenntt,, OOuuttppaattiieenntt,, EEnnddoossccooppyy,, SSuurrggeerryy ((IIOOEESS)) CCeennssuuss RReeppoorrtt115500
829 Centers with General Surgeons HosHpoitsaplitPaultPraujtaryaajaya MeTanotTaloBta&l PErSoucerdgueornes::214962 Centers with General Surgeons HosHpoitsaplitPaultPraujtaryaajaya
776 HosHpoitsaplitPaullPaulPauinPaningang B&E Surgeons HosHpoitsaplitPaullPaulPauinPaningang MeaTno t
Taol
t Ba&l
PEr
Soucregdeuorne
s :
:2
149
62
Total B&E Surgeon : 24 B&E Surgeons Total
B&E
Surgeon
:
24
HosHpoitsaplitKalajKanagjang HosHpoitsaplitKalajKanagjang
1949 2018 WLE with AC + Lat. Dorsi Flap HTHATAAKAuaKnutantan HTHATAAKAuaKnutantan
928 HoSHHoSAHSATSemTermloehrloh HoSHHoSAHSATSemTermloehrloh
845 HosHpoitsapliAtaml Apmanpgang HosHpoitsapliAtaml Apmanpgang
2019 B&E Surgeons HTHATRAKRlaKnglang HTHATRAKRlaKnglang
905 B&E Surgeons HSHNSI NBIatBuaPtuahPaathat HSHNSI NBIatBuaPtuahPaathat
1042 HosHpoitsaplitDaloKDoSKanSdaankdaankan HosHpoitsaplitDaloKDoSKanSdaankdaankan
210 HosHpoitsapliTtaalwTauwau HosHpoitsapliTtaalwTauwau
HTHJ TSeJrSemerbemanban HTHJ TSeJrSemerbemanban
2157 HosHpoitsaplitSaulnSguanigBaui lBouhloh HosHpoitsaplitSaulnSguanigBaui lBouhloh
HosHpoitsapliTtaaliTpianipging HosHpoitsapliTtaaliTpianipging
HSHASJAohJoorhBorahBrauhru HSHASJAohJoorhBorahBrauhru
HosHpoitsaplitSaelrSdearndgang HosHpoitsaplitSaelrSdearndgang
InstIintustitKutanKsaenr sNeregNaergaara InstIintustitKutanKsaenr sNeregNaergaara
HosHpoitsapliTtaellTukeluInktaIntan HosHpoitsapliTtaellTukeluInktaIntan
HSHBSABloAr lSoertSaretar HSHBSABloAr lSoertSaretar
HosHpoitsaplitQalueQeuneEenlizEalbizeathbeth HosHpoitsaplitQalueQeuneEenlizEalbizeathbeth
HEHBEHBKHKKluKanlugang HEHBEHBKHKKluKanlugang
HosHpoitsaplitSailbSuibu HosHpoitsaplitSailbSuibu
HSHASHASHunSguanigPaeitPaneitani HSHASHASHunSguanigPaeitPaneitani
HPHSFPSMFuMaruar HPHSFPSMFuMaruar
HosHpoitsaplitMalirMi iri HosHpoitsaplitMalirMi iri
HosHpoitsaplitSaelgSaemgatmat HosHpoitsaplitSaelgSaemgatmat
HosHpoitsaplitSaelbSeerbanerganJagyJaaya HosHpoitsaplitSaelbSeerbanerganJagyJaaya
HTHF TKFanKgaanrgar HTHF TKFanKgaanrgar
HosHpoitsaplitMaleMlakealaka HosHpoitsaplitMaleMlakealaka
HosHpoitsaplitBailnBtuinlutulu HosHpoitsaplitBailnBtuinlutulu
HosHpoitsaplitLaalnLgaknagwkiawi HosHpoitsaplitLaalnLgaknagwkiawi
HosHpoitsaplitSaelrSi eMriaMnjuanjgung HosHpoitsaplitSaelrSi eMriaMnjuanjgung
HosHpoitsaplitSahlaShhAahlaAmlam HosHpoitsaplitSahlaShhAahlaAmlam
HosHpoitsaplitKaluaKlauaLlaipLisipis HosHpoitsaplitKaluaKlauaLlaipLisipis
HosHpoitsaplitKalenKinengianugau HosHpoitsaplitKalenKinengianugau
HosHpoitsaplitKalulKimulim HosHpoitsaplitKalulKimulim
HosHpoitsaplitKaluaKlauaPlailaPhilah HosHpoitsaplitKaluaKlauaPlailaPhilah
HosHpoitsaplitLaalbLuaabnuan HosHpoitsaplitLaalbLuaabnuan
HosHpoitsaplitKalemKaemanman HosHpoitsaplitKalemKaemanman
HosHpoitsaplitSaalrSikaerikei HosHpoitsaplitSaalrSikaerikei
HosHpoitsaplitLaalhLaadhDadatDuatu HosHpoitsaplitLaalhLaadhDadatDuatu
HSHIPSKIPuaKlauaKlaraKi rai HSHIPSKIPuaKlauaKlaraKi rai
HosHpoitsaplitPaolrPt oDrticDksicoknson HosHpoitsaplitPaolrPt oDrticDksicoknson
HosHpoitsaplitKalapKitapit HosHpoitsaplitKalapKitapit
HosHpoitsapliTtaalnTaahnMaheMraherah HosHpoitsapliTtaalnTaahnMaheMraherah
HosHpoitsaplitBaal nBtianngting HosHpoitsaplitBaal nBtianngting
NoN. oo.foBf&BE&SEuSrguergoenosns NoN. oo.foBf&BE&SEuSrguergoenosns
5
5
4
4
3
3
2
2
1
1
0
0
5
5
4
4
3
3
2
2
1
1
0
0
GENERAL SURGERY
INPATIENT, OUTPATIENT, ENDOSCOPY AND SURGERY (IOES)
CENSUS REPORT 2016 - 2019
WIDE LOCAL EXCISIONS
MEAN NO OF PROCEDURES TOTAL
PROCEDURES
NO HOSPITAL HWLE WLE WLE + WLE WITHOUT AC WLE WITH AC (a+b+c+d+e) NO. OF B&E
(a) (b) AXILLARY + LAT. DORSI FLAP + LAT. DORSI SURGEONS
CLEARANCE 125
45 (d) FLAP 122 3
90 (c) (e) 112 2
1 Hospital Kuala Lumpur 57 79 19 3 2
2 Hospital Selayang 32 9 98 2
3 Hospital Queen 15 54 00 0 84 2
51 8 79 1
Elizabeth 2 26 69 17 1 74
4 HSNZ Kuala Terengganu 15 12 0 71 3
5 HSI Johor Bahru 10 68 18 0 0 70
6 Hospital Kajang 20 58 18 0 0 68 3
7 HRPB Ipoh 2 66 00 0 66 4
8 HTAA Kuantan 9 42 42 0 1 62
9 HoSHAS Temerloh 0 35 10 0 2
10 Hospital Ampang 23 30 0 61
11 HTAR Klang 10 39 20 0 60 3
12 Hospital Umum 29 10 0 60 2
14 33 17 0 60 2
Sarawak 9 58 0 48 2
13 HSNI Batu Pahat 17 48 80 3 47 2
14 HRPZ Kota Bahru 2 28 22 0 0 44 1
15 Hospital Putrajaya 0 39 10 0 0 39
16 Hospital DoK Sandakan 14 21 00 0 39
17 Hospital Tawau 2 22 00 0 37
18 HTJ Seremban 5 12 50 0 33
19 Hospital Sungai Buloh 8 27 30 1 33
20 Hospital Pulau Pinang 18 10 12 1 1 32
21 Hospital Taiping 6 24 90 0 31
22 HSA Johor Bahru 5 20 70 0 27
23 Hospital Serdang 4 6 00 0
24 Institut Kanser Negara 5 18 0 0 24
25 Hospital Teluk Intan 2 17 40 0 24
26 HSB Alor Setar 15 60 0 22
27 Hospital Queen 3 20 19 0 21
6 20 0 20
Elizabeth 2 18 40 0 17
28 HEBHK Kluang 2 10 20 0 16
29 Hospital Sibu 1 9 00 0 16
30 HSAH Sungai Petani 2 1 00 0
31 HPSF Muar 6 10 0
32 Hospital Miri 15 50 0
33 Hospital Segamat 00 0
34 Hospital Seberang Jaya 00
35 HTF Kangar
36 Hospital Melaka 7 6 1 0 0 14
37 Hospital Bintulu 6 5 3 0
38 Hospital Langkawi 0 13 0 0 0 14
39 Hospital Seri Manjung 0 12 0 0
40 Hospital Shah Alam 3 8 0 0 0 14
41 Hospital Kuala Lipis 0 10 0 0
42 Hospital Keningau 0 10 0 0 0 12
43 Hospital Kulim 0 6 0 0
44 Hospital Kuala Pilah 2 3 1 0 0 11
45 Hospital Labuan 0 5 0 0
46 Hospital Kemaman 0 4 0 0 0 11
47 Hospital Sarikei 0 4 0 0
48 Hospital Lahad Datu 0 3 0 0 0 10
49 HSIP Kuala Krai 0 2 1 1
50 Hospital Port Dickson 0 2 0 0 06
51 Hospital Kapit 0 1 0 0
52 Hospital Tanah Merah 0 0 0 0 06
53 Hospital Banting 0 0 0 0
05
TOTAL 383 1289 283 7
04
04
03
03
02
01
00
00
23 1962 24
Table 7.5.8 : Types of Mastectomy and Reconstructive Breast Surgery by Hospitals
142 General Surgery Services Ministry of Health Malaysia
GENERAL SURGERY
INPATIENT, OUTPATIENT, ENDOSCOPY AND SURGERY (IOES)
GGeenneerraall SSuurrggeerryy::CIInnEppNaaSttiUieeSnnttR,, OEOPuuOttppRaaTttiiee2nn0tt1,, E6En-n2dd0oo1sscc9ooppyy,, SSuurrggeerryy ((IIOOEESS)) CCeennssuuss RReeppoorrtt115544
77..55..44 AAxxiillllaarryy CClleeaarraannccee
7.5.4 Axillary Clearance
aa)) TToottaalla. Total
AAxxiillllaarryy CClleeaarraannccee
221100
220055 220033 220055
NNo.o.ooffPPrroocceedduurree 220000
119955 119922
119900
118855 22001188 22001199
22001177
FFiigguurree 77..55--1133 :: TToottaall NNuummbbeerr ooff AAxxiillllaarryy CClleeaarraannccee
Figure 7.5.13 : Total Number of Axillary Clearance
bb)) BByy BBbMM.SSBCCyaaBtteeMggooSrryyCategory
AAxxiillllaarryy CClleeaarraannccee
112200 111122 9933
8822
NNo.o.ooffPPrroocceedduurree 110000 8833
8800 6666 6677
6600 2255 4400 3322
SSmmaallll
4400
2200
00 MMeeddiiuumm
BBiigg HHoossppiittaall CCaatteeggoorryy
22001177 22001188 22001199
FigFuFiriggeuur7ree.577...1554--11:44A::xAAixxlliiallllraayrryyCCClelleeaaarrraaannnccceeebbyybByBMMBSMS CCSaaCtteeaggooterryygory
General Surgery Services Ministry of Health Malaysia 143
GENERAL SURGERY
INPATIENT, OUTPATIENT, ENDOSCOPY AND SURGERY (IOES)
CENSUS REPORT 2016 - 2019
General Surgery: Inpatient, Outpatient, Endoscopy, Surgery (IOES) Census Report155
c. Bc)y BByMBSMHSoHsopspiittaall CCaatetgeorgyory 5
4
Axillary Clearance 4
3
Mean Total Procedures : 200 3
20 Total B&E Surgeon : 24 2
2
18 1
16 1
14 0
12
10
8
6
4
2
0
Mean No. of Procedure
No. of B&E Surgeons
HSI Johor Bahru
Hospital Selayang
Hospital Queen Elizabeth 2
HSNZ Kuala Terengganu
Hospital Kuala Lumpur
Hospital Pulau Pinang
Hospital Umum Sarawak
HRPZ Kota Bahru
Hospital Putrajaya
HRPB Ipoh
Hospital Miri
HSNI Batu Pahat
Institut Kanser Negara
Hospital Taiping
HSA Johor Bahru
HTAA Kuantan
Hospital Ampang
HSB Alor Setar
HPSF Muar
Hospital Kajang
Hospital Kuala Pilah
HSIP Kuala Krai
HTJ Seremban
Hospital Sibu
Hospital Langkawi
HEBHK Kluang
Hospital DoK Sandakan
Hospital Melaka
Hospital Tawau
Hospital Bintulu
HTAR Klang
Hospital Shah Alam
Hospital Serdang
Hospital Kulim
Hospital Tanah Merah
HoSHAS Temerloh
Hospital Segamat
Hospital Kemaman
Hospital Kuala Lipis
Hospital Queen Elizabeth
Hospital Seberang Jaya
Hospital Teluk Intan
HSAH Sungai Petani
Hospital Sungai Buloh
Hospital Lahad Datu
Centers with B&E Centers with General Surgeons
Surgeon
B&E Surgeon
FigureF7ig.u5r.e157.5:-A15x:illAaxriyllaCryleCaleraaranncceebbyyBMBMS HSoHspoitsapl CitaatleCgoarytegory
AXILLARY CLEARANCE
AXILLAROYVCELREAALRLANCE 2017 2018 2019
Big 66 83 67
Big HOSPITAL CMAeTdEiuGmORY 210616127 82 2018 93 2019
12152 83 67
93
Medium Small 40 82 32 32
192
Small Total 22053 205 40 192
No. of B&E
TOTAL Table 7.5-9 : Total Number of2A0x3illary Clearance by BM2S0C5ategory Surgeon
Table 7.5.9 : Total Number of Axillary Clearance by BMS Category 2
2
AXILLARY CLEARANCE 2
No. Hospitals 2017 2018 2019 Mean No. of 2
Procedures
1 Hospital Miri 35 15 6 19
2 HSNI Batu Pahat 8 14 12 11
3 HSI Johor Bahru 17 8 7 11
4 Hospital Selayang 8 15 8 10
5 Hospital Queen Elizabeth 2 11 6 11 9
6 Institut Kanser Negara 6 8 12 9
7 HSNZ Kuala Terengganu 996 8
144 General Surgery Services Ministry of Health Malaysia
GENERAL SURGERY
INPATIENT, OUTPATIENT, ENDOSCOPY AND SURGERY (IOES)
CENSUS REPORT 2016 - 2019
AXILLARY CLEARANCE
NO HOSPITALS 2017 2018 2019 MEAN NO. OF B&E
SURGEONS
1 Hospital Miri 35 15 6 PROCEDURES
2 HSNI Batu Pahat 8 14 12 19 2
11 2
3 HSI Johor Bahru 17 8 7 2
4 Hospital Selayang 8 15 8 11
5 Hospital Queen Elizabeth 2 11 6 11 10 2
6 Institut Kanser Negara 6 8 12 9
7 HSNZ Kuala Terengganu 9 9 6 9 3
8 Hospital Taiping 11 3 9 8
9 Hospital Kuala Lumpur 5 8 9 8 2
10 HSA Johor Bahru 12 4 5 7 3
11 HTAA Kuantan 6 10 5 7 3
12 Hospital Ampang 0 11 6 7
13 HSB Alor Setar 3 5 8 6 4
14 Hospital Pulau Pinang 5 6 5 5
15 Hospital Umum Sarawak 2 7 7 5 2299
16 HRPZ Kota Bahru 5 5 4 5 1
5
17 HPSF Muar 5 6 3 2055
18 Hospital Kajang 5 0 8 5 1967
19 Hospital Putrajaya 2 2 9 4 1931
20 Hospital Kuala Pilah 7 5 1 4 1884
21 HSIP Kuala Krai 1 9 3 4 1877
22 HTJ Seremban 1 10 1 4 1861
23 Hospital Sibu 3 4 5 4 1716
24 Hospital Langkawi 5 7 0 4 1707
25 HEBHK Kluang 3 1 5 4 1640
26 Hospital DoK Sandakan 6 2 1 3 1589
27 Hospital Melaka 3 1 4 3 1430
28 Hospital Tawau 1 5 2 3 1300
29 Hospital Bintulu 3 1 4 3 2299
30 HRPB Ipoh 2 0 5 3 2157
2 2055
31 HTAR Klang 3 3 0
32 Hospital Shah Alam 1 4 1 2 24
33 Hospital Serdang 0 0 5 2
34 Hospital Kulim 2 1 2 2
35 Hospital Tanah Merah 1 1 3 2
36 HoSHAS Temerloh 0 1 3 2
37 Hospital Segamat 0 2 2 1
38 Hospital Kemaman 0 1 3 1
39 Hospital Kuala Lipis 0 3 1 1
40 Hospital Queen Elizabeth 2 0 0 1
41 Hospital Seberang Jaya 2 0 0 1
42 Hospital Teluk Intan 1 0 1 1
43 HSAH Sungai Petani 1 0 0 1
44 Hospital Sungai Buloh 0 1 0 0
0
45 Hospital Lahad Datu 0 1 0
0
TOTAL 203 205 192
200
Table 7.5.10 : Total Number of Axillary Clearance by Hospital Category
General Surgery Services Ministry of Health Malaysia 145
GENERAL SURGERY
INPATIENT, OUTPATIENT, ENDOSCOPY AND SURGERY (IOES)
General Surgery: InpCaEtiNenStU, SOuRtEpPaOtieRnTt,2E0n1d6o-s2c0o1py9, Surgery (IOES) Census Report157
General Surgery: Inpatient, Outpatient, Endoscopy, Surgery (IOES) Census Report157
7.6 Thoracic
7.6 ofT7ph.roo6creadTcuhicreos rsaeleccitecd for Thoracic workload measurement are:
List
Lisi.t of pVNVriooiddcneee-ootdLruiaAAsrtusseomssfiiassptteTreeloddehccoTTetredhhadouocorrrfeaaotsoccroomsTessyhlcceoocpprtaeiiccdiSScfouuwrrrggoTheerkroryylroa((acVVdicAAmwTTeoSSar))skuloraedmmenetaasruer:ement are:
ii.
ii. Non-tir.a umViadeTohoArsascisotetodmThyoracoscopic Surgery (VATS)
ii. Non-trauma Thoracotomy
a) Total
a) Totala. Total
Thoracic Surgery
350 Thoracic Surgery
335000 294
294
320500
No.Nofo.ProfocPerdoucreedsures 237
250 237
200
177
210500 177
115000
100
50
50
0
0 2017 2018 2019
2F0ig1u7re 7.6-1 : Total Numbe2r0o1f8Thoracic Surgery 2019
Figure 7.6-1 : Total Number of Thoracic Surgery
Figure 7.6.1 : Total Number of Thoracic Surgery
b) By BMS Category
b) By BMbS. BCyatBegMoSryCategory
No.Nofo.ProfocPerdoucreedsures Thoracic Surgery
300 280Thoracic Surgery
320500 229 280
225000 229
145
210500 145
115000
10500 29 9 315
7 9 315
500
01 29 3
7 3
1 2
Hospital2Category
Hospital Category
Series1 Series2 Series3
Series1 Series2 Series3
FFiigguurree77.6.-62.:2T: hThoroarcaiccSicurSguerrgy ebyryBbMyS BCMatSegCoraytegory
Figure 7.6-2: Thoracic Surgery by BMS Category
146 General Surgery Services Ministry of Health Malaysia
GENERAL SURGERY
General SINurPgAeTrIyE:NITn,pOaUtieTnPCtA,ETONIEuSNtUpTSa,tEiReNEnPDt,OOERSnTCdo2Os0Pc1oY6pAy- ,2NS0Du1r9SgUerRyG(IEOREYS()IOCEeSn)sus Report158
General Surgery: Inpatient, Outpatient, Endoscopy, Surgery (IOES) Census Report158
c) By BMS Hospital Category
c. cB)yBByMBMS SHHoossppiittaal lCCateagtoerygory
Thoracic Surgery
Mean No. of Procedures 180 159 180 159 MTeoatnalTTohtoaTlraPhcriooccrSeudarucgreeicosn:S2: 3u16rgery 2 No. of Thoracic Surgeons 2
Mean No. of Procedures160 160 Mean Total Procedures : 236 1 No. of Thoracic Surgeons1
140 Total Thoracic Surgeon : 1 0
120
100 140
80 120
60 1308300
40 60 10 8 343 3 3 2 2 1 1 1 1 1 1 1 1 1 1 0 0 0 0
20
40 10 8 4 3 3 2 2 1 1 1 1 1 1 1 1 1 1 0 0 0 00
0 20
0
Thoracic STuhrgoeraocnic Surgeon
FigureF7ig.6u-3reF:i7Tgu.h6roe.r37a.c:6iT-c3hS:ouTrrahgocerriacycibcSyuSBurgrMgeeSrryyHbobysypBiMBtaMSl HCSoaHstpeoigtsaoplryiCtaatlegCoarytegory
d) Typesdo.fdT)TyhpToeyrpsaecsoiocffSTTuhhroogrreaarcyicciScurSguerrygery
Types oTfyTphesoroaf cTihcoSruacrigceSruyrgery
350
350
300 294
300 294
250 237
250 237
No. of Procedures
No. of Procedures200 177
200 177
150
150
100
100
50
50 0 2018 2019
2017
0 VATS Thoracotomy TOTAL
2017 2018 2019
Figure 7.6- : Types of Thoracic Surgery
VATS Thoracotomy TOTAL
FFigiguurree 77..66--::TTyyppeseosfoTfhTohraocriaccSiucrgSeurrygery
General Surgery Services Ministry of Health Malaysia 147
GENERAL SURGERY
INPATIENT, OUTPATIENT, ENDOSCOPY AND SURGERY (IOES)
CENSUS REPORT 2016 - 2019
THORACIC SURGERY
HOSPITAL CATEGORY 2017 2018 2019
Big 145 229 280
Medium 29
7 9
Small 31 5
TOTAL 177 237 294
Table 7.6.1 : Thoracic Surgery by BMS Category
THORACIC SURGERY
PROCEDURE TYPE 2017 (%) 2018 (%) 2019 (%)
97 55% 143 60% 139 47%
VATS 40% 155 53%
Thoracotomy 80 45% 94 100% 294 100%
TOTAL 177 100% 237
Table 7.6.2 : Types of Thoracic Surgery
THORACIC SURGERY
NO HOSPITALS 2017 2018 2019 MEAN THORACIC
SURGEON
1 Hospital Kuala Lumpur 84 161 233 NUMBER
2 HTAR Klang 31 45 24 159 1
33 2
3 HRPZ Kota Bahru 13 9 9 2
4 HSAH Sungai Petani 21 1 3 10 2
5 HSNZ Kuala Terengganu 8 3 1 8 2
6 HSB Alor Setar 5 2 3 4 3
7 Hospital Taiping 4 2 4 3
8 Hospital Melaka 0 5 0 3 2
9 Hospital Selayang 2 3 0 2 3
10 HRPB Ipoh 0 0 4 2 3
11 HTJ Seremban 2 1 1 1
12 Hospital Pulau Pinang 0 0 3 1 4
13 HSNI Batu Pahat 3 0 0 1
14 Hospital Langkawi 2 0 1 1 1
15 Institut Kanser Negara 1 1 1 1
16 HSA Johor Bahru 0 0 2 1
1
17 Hospital Sibu 0 2 0
18 Hospital Tawau 0 0 2 1
19 Hospital DoK Sandakan 0 0 2 1
20 Hospital Kajang 1 0 0 1
21 HoSHAS Temerloh 0 1 0 0
22 Hospital Queen Elizabeth 2 0 1 0 0
23 Hospital Bintulu 0 0 1 0
0
TOTAL 177 237 294
236
Table 7.6.3: Thoracic Surgery by Hospital Category
148 General Surgery Services Ministry of Health Malaysia
GENERAL SURGERY
INPATIENT, OUTPATIENT, ENDOSCOPY AND SURGERY (IOES)
GGeenneerraall SSuurrggeerryy::CIInnEppNaaSttiUieenSnttR,, OEOPuuOttppRaatTtiiee2nn0tt,1, E6En-n2dd0oos1scc9ooppyy,, SSuurrggeerryy ((IIOOEESS)) CCeennssuuss RReeppoorrtt116600
77..66..11 VViiddeeoo AAssssiisstteedd TThhoorraaccoossccooppiicc SSuurrggeerryy ((VVAATTSS))
7.6.1 Video Assisted Thoracoscopic Surgery (VATS)
aa)) TToottaall
a. Total
VViiddeeooAAssssiisstteedd TThhoorraaccoossccooppyy SSuurrggeerryy
116600 114433 113399
114400
No of Procedures 112200
9977
110000
8800
6600
4400
2200
00 22001188 22001199
22001177
FiFgFiuiggruuerree77.76..66.-4-44:::TTTooottataalllNNNuuummmbbbeererorofof VVfAAVTTASSTS
bb)) BByy BBMbM.SSBCCyaaBtteeMggooSrryyCategory
VViiddeeooAAssssiisstteedd TThhoorraaccoossccooppyy SSuurrggeerryy
116600 114400 113333
114400
No. of Procedures 112200
110000 7788
8800
6600
4400 1177
33 55
2200 22 00 11
MMeeddiiuumm SSmmaallll
00
BBiigg
22001177 22001188 22001199
FFiigguurree77..66--55::VVAATTSS bbyyBBMMSSCCaatteeggoorryy
Figure 7.6.5 : VATS by BMS Category
General Surgery Services Ministry of Health Malaysia 149
GENERAL SURGERY
INPATIENT, OUTPATIENT, ENDOSCOPY AND SURGERY (IOES)
CENSUS REPORT 2016 - 2019
General Surgery: Inpatient, Outpatient, Endoscopy, Surgery (IOES) Census Report161
c. cB)yBByMBSMHS HosopspiitaallCCataegtoergy ory
Video Assisted Thoracoscopic Surgery
(2017 - 2019)
90 79 Mean Total Procedures : 126 2
80 Total B&E Surgeon : 1
Mean No. of Procedures
No. of Thoracic Surgeon70
60
50 1
40 32
30
20
10 6 2 2 1 1 1 1 1 0 0 0 0
00
Thoracic Surgeon
FigurFeig7ur.6e.76.6:-6V:AVTASTSbybyBBMMSS HHoossppitiatal Cl aCteagtoerygory
VATS
Hospital Category 2017 2018 2019
78 140
VATS Big 133
5
Medium 17 3 1
HOSPITASLmCaAllTEGORY 139
Big Total 2017 2 20018 2019
78 97 114430 133
Medium
Table 7.6-4 : V1AT7S by BMS Category 3 5
Small 20 1
TOTAL 97 143 139
Table 7.6.4 : VATS by BMS Category
150 General Surgery Services Ministry of Health Malaysia
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