GENERAL SURGERY
INPATIENT, OUTPATIENT, ENDOSCOPY AND SURGERY (IOES)
CENSUS REPORT 2016 - 2019
General Surgery: Inpatient, Outpatient, Endoscopy, Surgery (IOES) Census Report215
c. Bc)yBByMBMS SHHoossppitiatlaClaCtegaortyegory
90 79 Hepatectomy 4
(2017 - 2019) 3
Mean Total Procedures : 199
No. of HPB Surgeons : 8
Mean No. of Procedures80
No. of HPB Surgeons
70 54
60
50 2
40 22
8 2 1 1 1 1 1 1 0 0 0 0 0 01
30 18 0
20 8
10
0
Centers with HPB Center with General Surgeon
Surgeons
HPB Surgeon
Figure 7.9-13 : Total Number of Hepatectomy by BMS Hospital Category
Figure 7.9.13 : Total Number of Hepatectomy by BMS Hospital Category
HEPATECTOMY
Hospital Category 2017 2018 2019
Big 195 162 227
HEPAMTEedCiumTOMY 305
024
Small
TOTAL 198 164 236
HOSPITAL CATEGTaObleR7Y.9-9 : Total Number of2H0ep1a7tectomy by BMS Catego2ry018 2019
227
Big 195 162
Medium HEPAT3ECTOMY 0 5
NSmo.all HOSPITALS 2017 0 2018 20192 Mean No. of 4 HPB
TOTAL 198 164 Procedures 23S6urgeons
1 Hospital SelayTaanbgle 7.9.9 : Total Nu7m1ber of Hepa80tectomy by8B5MS Category79 3
2 HSB Alor Setar 63 44 55 54 2
3 Hospital Queen Elizabeth 31 5 31 22
4 Hospital Umum Sarawak 19 9 27 18 2
5 HSA Johor Bahru 0 5 20 8 1
6 Hospital Melaka 8 14 2 8
2
7 HSNZ Kuala Terengganu 2 2 1 1
1
8 HRPZ Kota Bahru 121 1
1
9 Hospital Pulau Pinang 003
10 Hospital Seberang Jaya 1 0 2
11 Hospital Taiping 003
General Surgery Services Ministry of Health Malaysia 201
GENERAL SURGERY
INPATIENT, OUTPATIENT, ENDOSCOPY AND SURGERY (IOES)
CENSUS REPORT 2016 - 2019
HEPATECTOMY
NO HOSPITALS 2017 2018 2019 MEAN NO. OF HPB
1 Hospital Selayang 71 80 85 PROCEDURES SURGEON
2 HSB Alor Setar 63 44 55 79 3
54 2
3 Hospital Queen Elizabeth 31 5 31 22 1
4 Hospital Umum Sarawak 19 9 27 18 2
5 GHeSnAeJroahloSr uBarhgreury: Inpatient, Ou0tpatient,5Endosc2o0py, Surgery8 (IOES) Censu1s Report216
6 Hospital Melaka 8 14 2 8 1
7 HSNZ Kuala Terengganu 221 2 2
12 89HospHHRoitPsapZliKtLaolatPanugBlaakuharPwuiniang 1 0 2 1 1 211 1 2
0 0 3 2
13 1H0 RPHBospIpitoalhSeberang Jaya 10 0 0 2 21 11
14 11H12 TJHHSooessppreiittaamll bLTaaainnpginkgawi 0 0 3 011 1
0 0 1 1 2 0 2
15 1H3 oSHHRAPBSIpTohemerloh 01 0 0 2 01 0
16 11H45 ospHHoTitJSaHSleAQrSeumTeebmeanenrElolhizabeth 2 0 1 0 000 022199
1 1 0 0 0
17 1H6 ospHoitsaplitSaleQriuMeeannEjluiznabgeth 2 10 0 0 0 10 01
18 11H87 ospHHooitssappliittBaalliBSneitnurtiulMuluanjung 0 0 1 100 1
19 1H9 ospHoitsaplitDaloDKoKSSaanndakann 0 0 0 0 1 00 0 1
00 1 1 0 01931
TOTALTOTAL 191898 164 164236 213969 1998 8
TableT7ab.9le.170.9:-1To0 t:aTloNtaulmNubmebreorfoHf eHpepaatteeccttoommy ybybHyoHspoistapliCtaalteCgaortey gory
7.9.47.9W.4hipWphlei’ps pPlreo’csedPurroecedure
a) Total
a. Total
Whipple's Procedure
250
200 169 194
150
No. of Procedures 174
100
50
0 2018 2019
2017
FigurFeig7u.r9e.17.49-:1T4o:taTloNtaul Nmubmebreroof fWWhhipipppllee’’ssPPrroocceedudruere
b) By BMS Category
Whipple's Procedure
202 General Surgery Se2r0v0ices 1M6i4nistr1y6o8f He1a88lth Malaysia
edures
150
No. of Procedures No. 50 GENERAL SURGERY
I0NPATIENT, OUTPATIENT, ENDOSCOPY AND SURGERY (IOES)
2017 CENSUS REPO20R1T8 2016 - 2019 2019
Figure 7.9-14 : Total Number of Whipple’s Procedure
b) By BMb.SBCyatBeMgoSryCategory
Whipple's Procedure
188
200 164 168
150
100
50 565 001
Small
0 Medium
Big Hospital Category
General Surgery: Inpati2e0n1t7, Ou2tp0a18tient2,0E1n9 doscopy, Surgery (IOES) Census Report217
FiguFreig7ur.9e.71.59-:1W5 :hWiphpiplep’lse’PsrPorcoecedduurree bbyyBBMMSSCCataegteorgyory
c.cB) yBBy BMMSSHHoossppitailtaCaltCegoartyegory
No. of Procedures 70 65 Whipple's Procedure 4 No. of HPB Surgeons
60 3
50 Mean Total Procedures : 179
No. of HPB Surgeons : 8
38
40 2
30 21
20 8 15 11 8 1
10 0
0 4 3 2 1 1 1 1 0 0
0
Centers with HPB Center with General Surgeon
Surgeons HPB Surgeon
Figure 7.9-16: Whipple’s Procedure by BMS Hospital Category
Figure 7.9.16: Whipple’s Procedure by BMS Hospital Category
General Surgery Services Ministry of Health Malaysia 203
GENERAL SURGERY
INPATIENT, OUTPATIENT, ENDOSCOPY AND SURGERY (IOES)
CENSUS REPORT 2016 - 2019
WHIPPLE’S PROCEDURE
HOSPITAL CATEGORY 2017 2018 2019
Big 195 162 227
Medium
3 0 5
Small 02 4
TOTAL 198 164 236
Table 7.9.11 : Total Number of Whipple’s Procedure by BMS Category
WHIPPLE’S PROCEDURE
NO HOSPITALS 2017 2018 2019 MEAN NO. OF HPB
SURGEON
1 Hospital Selayang 64 66 64 PROCEDURES
2 HSB Alor Setar 36 27 51 65 3
38 2
3 Hospital Umum Sarawak 14 23 27 2
4 Hospital Queen Elizabeth 17 10 18 21 2
5 Hospital Melaka 15 14 4 15
6 HSNZ Kuala Terengganu 8 10 6 11 1
7 HSA Johor Bahru 1 10 12 8 1
8 HRPZ Kota Bahru 5 5 3 8 2
9 HTAA Kuantan 4 3 1 4 2
10 Hospital Seberang Jaya 1 4 0 3 1
11 HoSHAS Temerloh 4 0 0 2 1
12 HTF Kangar 0 0 3 1 2
13 Hospital Pulau Pinang 0 0 2 1
14 Hospital Sibu 0 1 1 1 1
15 Hospital Taiping 0 0 1 1 2299
16 Hospital Sungai Buloh 0 1 0 0
0 1
17 Hospital Bintulu 0 0 1 1
0
TOTAL 169 174 194 8
179
Table 7.9.12: Total Number of Whipple’s Procedure by Hospital Category
204 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 Report219
7.107.C1o0lorCecotallorectal
List of proceLdisutroefspsreolcecetdeudrefos rseCleocloteredcftoarl Cwoolorkrelocatadlmweoarksluoraedmmenetaasruere: ment are:
i. Abdomino-Perineal Resection
LUAHHoalnetwmrtrteamiriviiviAv.iiciLi. i.ao. ..o n onrltwenHAHLUAeRoc’rlaebntetsiwArmtrodoasetPmnmreoAirLcrictmRoonaoeyotrtiwrnceileon(ieRensoRronAecedi’ros-icstunPgorRePttreihRemrceoeortertisnyicnios/oeeee(rcLnRcadRteiitlugeofioRrtshne/eent Ssc/eitLigcoemtnfito/oniSdig)moid)
ii.
iii.
iv.
v.
vi.
vii. TotalvCii.o Tleoctatol mCoylectomy
viii. Staplveirii.H SetampolerrrhHoeimdeocrtrohmoidyectomy
ix. OpenixF. isOtuplae-ninF-isatnuola-Pinro-acnedouPrreocedure
a) Totala. Total
Colorectal Surgery
4500 4112
4000
3500 3666
3000
2500 3202
2000
No. of Procedures 1500
1000
500
0
2017 2018 2019
FigFuigruere7.71.010.1-1: :ToTotatallNNuummbbeer roof Cf Coloorloecrteacl StaulrgSeurrygery
General Surgery Services Ministry of Health Malaysia 205
Mean NO. of Procedures FiguFriegu7r.e170..120-:2C:oCloolroercectat2a0ll1SS7uurrgg2ee0r1ryy8bbyy2B0MB19MS SCaCteagtoergyory b) By BMS Category
206 General Surgery Services Ministry of Health Malaysia Centers with Hospital Selayang 300 300 Figure 7.10-2 : Colorectal Surgery by BMS Category b. By BMS Category GENERAL SURGERY
Colorectal Surgeons
HRPB Ipoh 250 250 c) By BMS Hospital Category General Surgery: Inpatient, Outpatient, Endoscopy, Surgery (IOES) Census Report220 INPATIENT, OUTPATIENT, ENDOSCOPY AND SURGERY (IOES)
c.cB) yBBy MBMSSHHoossppitailtaCalteCgoarytegory
HSA Johor Bahru 200 200 General Surgery: InpatientC, OENutSpUaStieRnEtP, EOnRdTo2sc0o1p6y,- 2S0u1rg9ery (IOES) Census Report220
Hospital Queen Elizabeth 150
HSB Alor Setar 150
Hospital Kuala Lumpur 100
HosHpiRtaPlZPuKlaouHtaoPsBipnaitaHhanlrRuSgPeBlayIpaonhg 100
HTJ SeHrSeAmJboahnor Bahru
HHToAspAitalKQuuaenentaEnlizabeth 50
HHoossppitiatalHlKSSuBaiblAaulLorumSeptuarr
50 0
HRPZ Kota Bahru
0
Hospital UmuHmospSitaarlaPwulaaku Pinang Mean NO. of Procedures No. of Procedures 2000 2500 3000b) By BMS Category
HTAR KHTlaJnSgeremban No. of Colorectal surgeons
No. of Procedures
HSNI BatuHPTAahAaKt uantan 1500
HSNZ Kuala TerengHgoasnpuital Sibu 1000
500
HSHIoJspoihtaol rUBmauhmruSarawak
Hospital TaiHpiTnAgR Klang 0
HSAH SungaHi SPNeItaBnaitu Pahat
Figure 7.10-3 : Colorectal Surgery by BMS Hospital Category HoHspSNitaZlKSuearlda aTnergengganuCenters with 1500 2000 25003000 2442 992 1117 1237 1902
Hospital SHuoHnsSgpAaiHHtiHaSoBlSIsuMpuJiolntoaihgrlhoaiTri aPBiepatihanrnguiColorectal Surgeons
Figure 7.10-3 : Colorectal SurgeCryebnytBerMwS HitohspGitaelnCearteagloSryurgeon Hospital AHmosppiatanlgSerdang 1000 Big 2180
Figure 7.10.3 : Colorectal Surgery by BMS Hospital Category Hospital SeHboesrpaitnagl SJuanygaai Buloh
Hospital DoK SandaHkoaspnital Miri 500
Colorectal Surgeon HoSHHoHsAHopoSsipstapiTtilaHetlaMmolDsSeeoperlKibtalaoekSlrhaAaannmgdapJkaaanynga
Hospital SHhaoShHAAlSamTemerloh 0
HTF HKoasnpgitalrMelaka 1902 2442 Colorectal Surgery
HHPSosFpiMtaluSahrah Alam
HHosopsiptaitlaPl uBHtorinaspHjtHauiTtPyalFuSlaFBKiManntuugalaurr 992 1117 1237 2180
HospitHaloTspaitwalaPuutrajaya
Center with General Surgeon Hospital KHaojsapnitgal Tawau Col(o2Cr0eo1cl(o72tr0ae-1lc72tSa0-ul12Sr90ug1)re9gr)eyry Medium Colorectal Surgery
Colorectal Surgeon HoHspoistaplitTaHelolSHuspHekoigstoaIpasnlipmtTtaiatelaanlSltueKkgaIanjmatnaangt Hospital Category
Institut KaInnssteitruNt Keagnasrear Negara Mean TMoetaanlTPortoalcPerdouceredusr:es3:6366060
HEBHK HKEluBaHnKgKluang Total CTotlaolrCecoltoarleSctualrgSeurogneson:s :1616 Big Medium
Hospital SHeroispMitaalnSjeurni Mg anjung
HospiHtaolsKpHiuotaaspHllaiHKStaPIoluPsiKlplKiaiumthuaaallalKaPuKilliramahi 2017 201H8ospi2ta0l1C9ategory
HSIP KHuoaslpaitaKl rKaeimaman
HospitaHl oKspeimtalaPmoratnDickson 308 369 433
Hospital Port DHicokspsiotanl Sarikei 308Sm36a9ll 433
HospHitoaslpKHituaHoalsoHplSsaioptaasiLrtlpaiiKiklptaKueilasieLlnaaiLbnugipaainus
HHoossppitiatlaQl LueaebnuEalnizabeth 2 Small
HospitaHl Kosepnitianl gLahuad Datu
Hospital Queen ElHizoaspbietathl L2angkawi 3
HoHsopsiptailtaHLloaLshpaaiHtndaogHlsDTkpoaaisatnpwataiulthiaBlMaKnetaripanihgt 2
Hospital Tanah Merah 1
0
Hospital Banting
Hospital Kapit
3
2
1
0
No. of Colorectal surgeons
GENERAL SURGERY
INPATIENT, OUTPATIENT, ENDOSCOPY AND SURGERY (IOES)
CENSUS REPORT 2016 - 2019
General Surgery: Inpatient, Outpatient, Endoscopy, Surgery (IOES) Census Report221
d) Tdy.pTeyspoef Cs oolof rCecotalol SreucrgtearlySurgery
Types of Colorectal Surgery
4500
4112
4000 3666
3500
3000 3202
No. of Procedures 2500
2000
1500
1000
500
0 2018 2019
2017
Colectomy (Right /Left/Sigmoid) Anterior Resection Fistula-in-Ano Surgery
Hartmann's Procedure Low Anterior Resection Abdomino-Perineal Resection
Stapler Hemorrhoidectomy Ultra Low Anterior Resection Total Colectomy
TOTAL
FigFuirgeur7e.17.01.04-4: T:yTpypeessooff CCoolloorreectcatlaSluSguergyery
General Surgery Services Ministry of Health Malaysia 207
GENERAL SURGERY
INPATIENT, OUTPATIENT, ENDOSCOPY AND SURGERY (IOES)
CENSUS REPORT 2016 - 2019
COLORECTAL SURGERY
HOSPITAL CATEGORY 2017 2018 2019
Big 1902 2180 2442
Medium 992 1117 1237
Small 308 369 433
TOTAL 3202 3666 4112
Table 7.10.1 : Colorectal Surgery by BMS Category
COLORECTAL SURGERY
PROCEDURE TYPE 2017 (%) 2018 (%) 2019 (%)
Colectomy (Right /Left/Sigmoid) 1231 38% 1482 40% 1515 37%
Anterior Resection 516 16% 594 16% 689 17%
Fistula-in-Ano Surgery 451 14% 529 14% 607 15%
Hartmann's Procedure 440 14% 520 14% 594 14%
Low Anterior Resection 167 5% 143 4% 179 4%
Abdomino-Perineal Resection 125 4% 147 4% 170 4%
Stapler Hemorrhoidectomy 117 4% 100 3% 124 3%
Ultra Low Anterior Resection 3% 2%
86 3% 101 98
100% 100%
TOTAL 3202 100% 3666 4112
Table 7.10.2 : Types of Colorectal Sugery
208 General Surgery Services Ministry of Health Malaysia
GENERAL SURGERY
INPATIENT, OUTPATIENT, ENDOSCOPY AND SURGERY (IOES)
CENSUS REPORT 2016 - 2019
COLORECTAL SURGERY
NO HOSPITALS 2017 2018 2019 MEAN NO. OF HPB
1 Hospital Selayang 241 256 275 PROCEDURES SURGEON
2 HRPB Ipoh 168 241 256 257 2
222 1
3 HSA Johor Bahru 185 218 208
4 Hospital Umum Sarawak 175 173 178 204 1
5 Hospital Queen Elizabeth 130 159 212 175 2
6 HSB Alor Setar 150 148 197 167 1
7 Hospital Kuala Lumpur 156 127 196 165 2
8 HRPZ Kota Bahru 127 138 198 160 2
9 Hospital Pulau Pinang 141 156 160 154 2
10 HTJ Seremban 141 150 162 152 1
11 HTAR Klang 118 149 119 151 2
12 HSNI Batu Pahat 98 147 106 129 1
13 HSNZ Kuala Terengganu 63 130 114 117 2
14 HSI Johor Bahru 113 80 108 102
15 Hospital Taiping 80 78 121 100 1
16 HSAH Sungai Petani 92 87 88 93 2299
89
17 HTAA Kuantan 75 90 101 1
18 Hospital Sibu 61 77 84 89
19 Hospital Serdang 58 80 68 74 1
20 Hospital Sungai Buloh 58 70 62 69 1
21 Hospital Miri 54 56 62 63 1931
22 Hospital Ampang 35 54 76 57 1884
23 Hospital Seberang Jaya 42 54 60 55 1877
24 Hospital DoK Sandakan 37 68 48 52 1861
25 HoSHAS Temerloh 44 64 41 51 1716
26 Hospital Melaka 32 45 66 50 1707
27 Hospital Shah Alam 34 61 41 48 1640
28 HTF Kangar 30 41 57 45 1589
29 HPSF Muar 31 31 65 43 1430
30 Hospital Bintulu 30 25 63 42 1300
39 2299
31 Hospital Putrajaya 36 29 47 2157
32 Hospital Tawau 41 37 32 37
33 Hospital Kajang 33 26 50 37 2055
34 Hospital Teluk Intan 35 31 41 36 1967
35 Hospital Segamat 31 31 35 36 1931
36 Institut Kanser Negara 39 21 29 32 1884
37 HEBHK Kluang 19 28 41 30 1877
38 Hospital Seri Manjung 28 24 36 29 1861
39 Hospital Kuala Pilah 20 34 24 29 1716
40 Hospital Kulim 27 17 28 26 1707
41 HSIP Kuala Krai 11 18 25 24 1640
42 Hospital Kemaman 5 20 22 18 1589
43 Hospital Port Dickson 12 20 8 16 1430
44 Hospital Sarikei 12 12 13 13 1300
12 2299
45 Hospital Kuala Lipis 6 18 10 2157
46 Hospital Labuan 10 9 12 11
47 Hospital Keningau 4 4 22 10 2055
48 Hospital Queen Elizabeth 2 12 13 4 10 1967
49 Hospital Lahad Datu 4 9 12 10 1931
50 Hospital Langkawi 4 0 17 8 1884
51 Hospital Tanah Merah 8 4 6 7 1877
52 Hospital Banting 4 7 6 6 1861
53 Hospital Kapit 2 1 0 6 1716
1 1707
TOTAL 3202 3666 4112 1640
3660
16
Table 7.10.3 : Colorectal Surgery by Hospital Category
General Surgery Services Ministry of Health Malaysia 209
GENERAL SURGERY
INPATIENT, OUTPATIENT, ENDOSCOPY AND SURGERY (IOES)
CENSUS REPORT 2016 - 2019
GGeenneerraall SSuurrggeerryy:: IInnppaattiieenntt,, OOuuttppaattiieenntt,, EEnnddoossccooppyy,, SSuurrggeerryy ((IIOOEESS)) CCeennssuuss RReeppoorrtt222244
77..11007..11.1AA0b.b1ddooWmmhiinniopo--pPPeleerri’insneePaalrloRRceeseseedcctutiioroenn ((AAPPRR))
aa)) TToottaall
a. Total
AAbbddoommiinnoo--PPeerriinneeaall RReesseeccttiioonn
118800 117700
22001199
116600 114477
NoN.o.ofofPrPorcoecdeudruerses 114400 112255
112200
110000
8800
6600
4400
2200
00 22001177 22001188
FigFFuiigrgeuurr7ee.717..0110.05--55: :T:oTTotoattaalllNNNuuummmbbbeeerrroooffAfAAPPRPRR
bb)) BByy MMbood.daaBlliyittyyMiiffoAAdppapprrloiotaaycchihf Approach
AAbbddoommiinnoo--PPeerriinneeaall RReesseeccttiioonn 117700
4488
118800 114477
116600 4444
NoN.o.ofofPrPorcoecdeudruerses 114400 112255
112200 3311
110000
8800
6600 110033 112222
4400 9944
2200
00 22001177
22001188 22001199
OOppeenn LLaappaarroossccooppiicc TToottaall
FiguFFrieigguu7rr.ee1707...11600-:-66A::PAARPPbRRybbMyy MMoododdaaallilititytyyooff AAApppppprrooraoacachhch
210 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 Report225
c) By BMc.SBCyatBeGMgeonSreyrCalaSuterggeroyr: yInpatient, Outpatient, Endoscopy, Surgery (IOES) Census Report225
c) By BMS CategAorybdomino-Perineal Resection
140 124Abdomino-Perineal Resection
120 106
No. of Procedures 140 124
106
No. of Procedures100 81620
80 100 86
60 80 32 30 37
40 60 32 30 37 7 11 9
20 40
7 11 9
20
00
Big Big MediMumedium SSmmaallll
HospiHtaolspCitaatleCgaotergyory
2017 20210718 201280192019
Figure 7.10-7 : APR By BMS Category
FFiigguurree77.1.100-7.7: :AAPPRRBByyBMBMS SCaCteagtoergyory
d. dB)yBBy MBMSSHHoossppitailtaCalteCgoarytegory
d) By BMS Hospital Category
Abdomino-Perineal Resection
30 (2017 - 2019) 3
25 2
Abdomino-Perineal Resection
25 (2017 - 2019)Mean Total Procedures :147
Total Colorectal Surgeons : 16
Mean No. of Procedures
30 No. of Colorectal Surgeons20 3
Mean No. of Procedures 25 14 Mean Total Procedures :147 2 No. of Colorectal Surgeons
Total Colorectal Surgeons : 16 1
25 15 11 0
20 10 76655444 7 1
55554432222111111110000
15 14 5
11
00
Hospital Kuala Lumpur Hospital Selayang HTAA Kuantan HTJ Seremban Hospital Umum Sarawak HRPZ Kota Bahru Hospital SerdHaonsgpital Umum Sarawak HSNZ Kuala TerengganuHSAH Sungai Petani HSNI Batu Pahat HoSHAS Temerloh Institut Kanser Negara HSNI Batu PahatHospital Shah Ala ImnstHitosutpitKaalnSsherahNeAlgaarma HPSF Muar Hospital DoK SandakHaonspital DoK Sandakan Hospital Lahad DatuHospital Lahad Datu HSI Johor Bahru Hospital Kajang Hospital Putrajaya Hospital Miri Hospital Miri Hospital Melaka Hospital Port Dickson Hospital Keningau
10 76655444 HSA Johor Bahru HSB Alor Setar Hospital Queen ElizabetHhospital Pulau Pinang 7 HTAR Klang Hospital Serdang Hospital Tawau
5 HRPB Ipoh 55554432222111111110000 Hospital Labuan Hospital Port Dickson
Hospital Kuala Lumpur Hospital Seberang JHaSyaNZ Kuala Terengganu Hospital Kajang
HSAH Sungai Petani Hospital Melaka Hospital Bintulu
0 Hospital Selayang HSB Alor Setar HTJ Seremban Hospital Pulau Pinang Hospital Sibu HSA Johor Bahru HTAR Klang HPSF Muar HSI Johor Bahru Hospital Putrajaya Hospital Bintulu Hospital Keningau
HRPZ Kota Bahru HTAA Kuantan Hospital Tawau
Centers with Colorectal Hospital TaipiHnogspital Seberang JayaCenter with General Surgeon Hospital Labuan
Surgeons HRPB IHpoosphital Queen Elizabeth HoSHAS Temerloh Hospital TaipingColorectal Surgeon
Figure 7.10-8 : APR by BMS Hospital CategoryHospital Sibu
Figure 7.10.8 : APR by BMS Hospital Category
Centers with Colorectal Center with General Surgeon
Surgeons Colorectal Surgeon
Figure 7.10-8 : APR by BMS Hospital Category
General Surgery Services Ministry of Health Malaysia 211
GENERAL SURGERY
INPATIENT, OUTPATIENT, ENDOSCOPY AND SURGERY (IOES)
CENSUS REPORT 2016 - 2019
General Surgery: Inpatient, Outpatient, Endoscopy, Surgery (IOES) Census Report226
Abdomino-Perineal Resection
(2017 - 2019)
30 3
25 2
1
25 0
Mean No. of Procedures Mean Total Procedures :147
Hospital Selayang Total Colorectal Surgeons : 16
HSB Alor Setar20
HTJ Seremban14
Hospital Pulau Pinang
Hospital Kuala Lumpur15 11
HSA Johor Bahru
HTAA Kuantan76655444
Hospital Queen Elizabeth
Hospital Sibu
HRPZ Kota Bahru
HRPB Ipoh
Hospital Umum Sarawak
HSAH Sungai Petani
Hospital Serdang
HSNZ Kuala Terengganu
HTAR Klang
Hospital Seberang Jaya
Hospital Taiping
HoSHAS Temerloh
HSNI Batu Pahat
Institut Kanser Negara
Hospital Shah Alam
HPSF Muar
Hospital DoK Sandakan
Hospital Lahad Datu
HSI Johor Bahru
Hospital Tawau
Hospital Labuan
Hospital Kajang
Hospital Putrajaya
Hospital Miri
Hospital Melaka
Hospital Port Dickson
Hospital Bintulu
Hospital Keningau
No. of Colorectal Surgeons
10 7
5 55554432222111111110000
0
Centers with Colorectal Center with General Surgeon
Surgeons Laparoscopic APR Colorectal Surgeon
Open APR
FiFgiugurree 77.1.10-09.9: A:PARPbRy MboydaMlityoodf aApliptryoaocfh Approach
ABDOMINO-PERINEAL RESECTION
Hospital category 2017 2018 2019
ABDOBiMg INO-PERINEAL RESE8C6 TION 106 124
Medium 32 30 37
HOSPITSAmLaCll ATEGORY 20717 11 20189 2019
124
Big TOTAL 18265 147 101670 37
Medium
Figure 7.10-10 : Total Number 3of2APR by BMS Category 30
Small 7 11 9
170
TOTAL ABDOMINO-PERINE12A5L RESECTION 147 (%)
Procedure Type Figure 7.10.12001:7Total N(%um) ber o2f0A1P8R by B(M%S) Categ20o1ry9
APR - Open 94 75% 103 70% 122 72%
APR - Laparoscopic 31 25% 44 30% 48 28%
TOTAALBDOMINO-PERINE12A5L RE1S00E%CTIO14N7 100% 170 100%
Figure 7.10-11 : APR by Modality of Approach (%)
PROCEDURE TYPE 2017 (%) 2018 70% 2019 (%)
103 30% 122 72%
APR - Open 94 75% 44 48 28%
APR - Laparoscopic 31 25%
TOTAL 125 100% 147 100% 170 100%
Figure 7.10.11 : APR by Modality of Approach
212 General Surgery Services Ministry of Health Malaysia
ABDOMINO-PERINEAL RESECTION
OPEN LAPAROSCOPIC TOTAL NO. OF
MEAN COLORECTAL
NO HOSPITALS 2017 2018 2019 MEAN NO. OF 2017 2018 2019 MEAN NO. OF PROCEDURES
PROCEDURES PROCEDURES (a+b) SURGEONS
1 Hospital Selayang 12 13 30 5 7 7
GENERAL SURGERY2 HSB Alor Setar4216(a) 3 6 12 (b) 25 2
3 HTJ Seremban 7 2 3 18 8 8 6 6 14 2
INPATIENT, OUTPATIENT, ENDOSCOPY AND SURGERY (IOES)4 Hospital Umum Sarawak25374717 11 2
CENSUS REPORT 2016 - 20195 Hospital Pulau Pinang91124 0 0 0 7 7
6 Hospital Kuala Lumpur 2 2 6 3 2 1 5 4 71
General Surgery Services Ministry of Health Malaysia 2137 HSA Johor Bahru5857 0 0 0 0 62
8 HTAA Kuantan 6 8 2 3 0 0 0 3 61
9 Hospital Queen Elizabeth 5 5 1 6 0 2 3 0 51
10 HSAH Sungai Petani 11 1 4 5 0 0 0 0 51
11 Hospital Serdang 6 6 4 4 0 0 0 2 5
12 HSNZ Kuala Terengganu 0 5 5 5 1 0 3 0 5
13 HTAR Klang 3 0 3 5 3 3 2 0 5
14 Hospital Sibu 0 3 0 3 1 2 7 1 5
15 HRPZ Kota Bahru 0 7 6 2 0 0 0 3 41
16 HRPB Ipoh 3 0 3 1 2 3 0 3 42
17 Hospital Seberang Jaya 2 6 3 4 0 0 0 0 41
18 Hospital Taiping 2 0 7 2 2 0 0 2 4
19 HoSHAS Temerloh 1 3 4 4 0 0 0 0 4
20 HSNI Batu Pahat 3 2 2 3 0 0 0 1 3
21 Institut Kanser Negara 5 0 2 3 0 0 0 0 2
22 Hospital Shah Alam 0 4 0 2 0 2 0 0 2
23 HPSF Muar 1 4 0 2 0 0 0 0 2
24 Hospital DoK Sandakan 1 0 0 1 0 1 2 1 2
25 Hospital Lahad Datu 0 1 3 2 0 0 0 0 1
26 HSI Johor Bahru 0 0 2 0 0 1 0 1 1
27 Hospital Tawau 1 0 2 1 0 0 0 0 1
28 Hospital Labuan 0 2 1 1 0 0 0 0 1
29 Hospital Kajang 1 1 0 1 0 0 0 0 1
30 Hospital Putrajaya 0 1 1 1 0 0 0 0 1
31 Hospital Miri 1 0 1 1 0 0 0 0 1
32 Hospital Melaka 0 0 0 1 0 1 0 0 1
33 Hospital Port Dickson 0 1 0 1 0 0 0 0 0
34 Hospital Bintulu 0 0 1 0 0 0 0 0 0
35 Hospital Keningau 1 0 0 0 0 0 0 0 0
0 0 0
TOTAL 94 103 122 0 31 44 48 0
147 16
106 41
Table 7.10.4 : Total Number of APR by Modality of Approach by Hospitals
GENERAL SURGERY
INPATIENT, OUTPATIENT, ENDOSCOPY AND SURGERY (IOES)
CENSUS REPORT 2016 - 2019
GGeenneerraallSSuurrggeerryy::IInnppaattiieenntt,,OOuuttppaattiieenntt,,EEnnddoossccooppyy,,SSuurrggeerryy((IIOOEESS))CCeennssuussRReeppoorrtt222299
77..11007..2.21U0U.llt2trraaULLltoorwawALAonntwteerrAiioonrrtRReeresisoeeccrttiRiooenns((eUUcLLtAAioRRn)) (ULAR)
aa)) TToottaall
a. Total
UUllttrraa LLoowwAAnntteerriioorr RReesseeccttiioonn 9988
22001199
110055 110011
110000
NNo.o.ofofPrProcoecedduruerses 9955
9900 8866
8855
8800
7755 22001177 22001188
FigFFuiigrgeuurr7ee.717.0.11.001--21122: :T:oTTotoattaalllNNNuuummmbbbeeerrroooffUfUULLLAAARRR
bb)) BByyMMbood.daBallyiittyyMoofofAdApappplrirotoyaaccohhf Approach
UUllttrraa LLoowwAAnntteerriioorr RReesseeccttiioonn
NNo.o.ofofPrProcoecedduruerses 112200 110011 9988
110000 8866
8800 4455 4422
6600 4422
4400
2200 4444 5566 5566
00 22001177 22001188 22001199
OOppeenn LLaappaarroossccooppiicc TToottaall
FiguFFrieigguu7rr.e1e707...111030--1:133U:L:UAULRLAAbRRybbMyyMoMdoodadalailtliyittyyooofffAAApppppprrorooaacachhch
214 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 Report230
c) By BMS Category
c. By BGMeSnerCalaStuerggeroyr: yInpatient, Outpatient, Endoscopy, Surgery (IOES) Census Report230
c) By BMS CategUoryltra Low Anterior Resection
80 76 73
70 65
No. of Procedures Ultra Low Anterior Resection
No. of Procedures60 80 76 73
50 70 65
40 60
30 50 16 19 23
40
20 30 16 19 23 562
10 20 562
0 10
0 Big Medium Small
Big HospiHtaolspCiMtaaetldeCiguamotergyory
Small
2017 20210718 201820192019
FFigiguurree 77..F11i0g0-u.1r1e447:.:U1U0L-L1AA4RR:UbbLyAyRBBMbyMSBSMCCSatCaeagtteeogrgoyroyry
d. Bd)yBByMBMSSHHoossppitaitlaCaltCegoarytegory
d) By BMS Hospital Category
Ultra Low Anterior Resection
20 19 Ultra LoT(wo2Mta0elAaC1n(on2T7lo0otrt1-aeelc7rt2Paril-0ooSc21uer0rd9gu1eRr)o9ens)es: s:95e16ction 3 No. of Colorectal Surgeons
18
Mean No. of Procedures 18 No. of Colorectal Surgeons
16
Mean No. of Procedures 14 Mean Total Procedures : 95
20 19 Total Colorectal Surgeons : 16 2
18
16 12 18 3
14 10 2
12 66 1
8 554433222 1 0
6 3222111111
4
20
10 0 0
8 554433222 66
6
4 3222111111
20
0
Centers with Colorectal Surgeons Center with General Surgeon
Colorectal Surgeon
Figure 7.10-15 : ULAR by BMS Hospital Category
Figure 7.10.15 : ULAR by BMS Hospital Category
Centers with Colorectal Surgeons Center with General Surgeon
Colorectal Surgeon
Figure 7.10-15 : ULAR by BMS Hospital Category
General Surgery Services Ministry of Health Malaysia 215
GENERAL SURGERY
INPATIENT, OUTPATIENT, ENDOSCOPY AND SURGERY (IOES)
CENSUS REPORT 2016 - 2019
General Surgery: Inpatient, Outpatient, Endoscopy, Surgery (IOES) Census Report231
Ultra Low Anterior Resection
(2017 - 2019)
Mean Total Procedures : 95
Total Colorectal Surgeons : 16
19 18 3
20
2
66
3 2 2 2 1 1 1 1 11
0
Mean No. of Procedures18
o. of Colorectal Surgeons
16
14
12
10
8 55 4 43 32 2 2
6
4
20
0
Centers with Colorectal Surgeons Center with General Surgeon
Open ULAR Laparoscopic ULAR Colorectal Surgeon
FiFgiugurree 77..110-01.61:6U:LUARLAbyRMbodyalMityoodf Aaplpitryoacohf Approach
ULTRA LOW ANTERIOR RESECTION
ULTRAHoLspOitaWl caAtegNorTyERIOR RES2E01C7 TION2018 2019
73
Big 65 76
HOSPITMAeLdCiuAmTEGORY 201617 19 201283 2019
1796928 73
Big Small 655 6 23
TOTAL 81U66LAR 101 2
Medium 98
Table 7.10-5 : Total Number of by BMS Category
(%)
Small 56 57%
43%
TOTAL ULTRA LOW ANTERI8O6R RESECTION 101 100%
Procedure Type Table 7.10.250:1T7otal Nu(%mb) er of U2L0A1R8 by BM(%S C) atego2r0y19
ULAR - Open 44 51% 56 55% 56
ULAR - Laparoscopic 42 49% 45 45% 42
TOTAL ULTRA LOW ANTER8I6OR R1E0S0E%CTIO10N1 100% 98
Table 7.10-6 : ULAR by Modality of Approach
PROCEDURE TYPE 2017 (%) 2018 (%) 2019 (%)
APR - Open 44 51% 56 55% 56 57%
APR - Laparoscopic 42 49% 45 45% 42 43%
98 100%
TOTAL 86 100% 101 100%
Table 7.10.6 : ULAR by Modality of Approach
216 General Surgery Services Ministry of Health Malaysia
ULTRA LOW ANTERIOR RESECTION
OPEN LAPAROSCOPIC TOTAL NO. OF
MEAN COLORECTAL
NO HOSPITALS 2017 2018 2019 MEAN NO. OF 2017 2018 2019 MEAN NO. OF PROCEDURES
PROCEDURES PROCEDURES (a+b) SURGEONS
1 Hospital Selayang 2 14 10 10 13 7
GENERAL SURGERY2 Hospital Umum Sarawak1146(a) 16 14 2 (b) 19 2
3 Hospital Taiping 3 3 6 9 4 1 2 10 18
INPATIENT, OUTPATIENT, ENDOSCOPY AND SURGERY (IOES)4 HTAR Klang0307347 11 6
CENSUS REPORT 2016 - 20195 HSA Johor Bahru4654 0 0 0 2 6
6 HRPZ Kota Bahru 4 4 6 1 0 0 0 5 51
General Surgery Services Ministry of Health Malaysia 2177 HSB Alor Setar0055 0 1 7 0 52
8 Hospital Sibu 1 1 1 5 2 5 1 0 42
9 Hospital Kuala Lumpur 4 2 0 2 3 1 0 3 41
10 HSNZ Kuala Terengganu 4 2 2 1 1 0 0 3 32
11 Hospital Queen Elizabeth 0 3 2 2 1 3 0 1 3
12 Hospital Seberang Jaya 1 2 2 3 0 0 2 0 31
13 Hospital Pulau Pinang 0 0 3 2 0 0 4 1 2
14 HRPB Ipoh 2 2 2 2 0 0 0 1 21
15 Hospital Kajang 1 2 2 1 0 0 1 1 21
16 Hospital DoK Sandakan 1 1 0 2 0 3 1 0 2
17 HTJ Seremban 0 0 0 2 0 0 5 0 2
18 HSI Johor Bahru 1 0 1 1 0 0 2 1 22
19 Institut Kanser Negara 2 2 0 0 0 0 0 2 1
20 HoSHAS Temerloh 1 1 1 1 0 0 0 1 1
21 HSAH Sungai Petani 0 1 0 1 1 0 0 0 1
22 HPSF Muar 1 1 0 1 0 0 0 0 1
23 HSNI Batu Pahat 0 2 0 0 0 0 0 0 1
24 HTF Kangar 0 0 1 1 0 0 0 0 1
25 Hospital Miri 0 0 0 1 0 0 1 0 0
26 Hospital Kulim 0 0 0 0 1 0 0 0 0
27 Hospital Bintulu 1 0 0 0 0 0 0 0 0
28 Hospital Banting 0 0 1 0 0 0 0 0 0
29 Hospital Melaka 0 0 0 0 0 0 0 0 0
30 HTAA Kuantan 0 0 0 0 0 0 0 0 0
0 0 01
TOTAL 44 56 56 0 42 45 42 0
95 16
52 43
Table 7.10.7 : ULAR by Modality of Approach by Hospitals
GENERAL SURGERY
INPATIENT, OUTPATIENT, ENDOSCOPY AND SURGERY (IOES)
CENSUS REPORT 2016 - 2019
GGeenneerraall SSuurrggeerryy:: IInnppaattiieenntt,, OOuuttppaattiieenntt,, EEnnddoossccooppyy,, SSuurrggeerryy ((IIOOEESS)) CCeennssuuss RReeppoorrtt223344
77..11007..33.1L0L.oo3wwLAAonnwtteerrAiioonrrteRRreeissoeerccttRiiooenns(e(LLcAAtiRRo))n (LAR)
aa)) TToottaall
a. Total
LLooww AAnntteerriioorr RReesseeccttiioonn
NNo.o.ofofPrProocceeddurureses 220000 114433 117799
118800 116677 22001188 22001199
116600
114400
112200
110000
8800
6600
4400
2200
00 22001177
FigFFuiirggeuurr7ee.177.0.11.001--71177: :T:oTTtooattaal llNNNuuummmbbbeeerrroooff fLLLAAARRR
bb)) BByy MMboo.ddaBallyiittyyMoooff AdAppapplrritooyaaccohhf Approach
LLooww AAnntteerriioorr RReesseeccttiioonn
220000 116677 117799
118800 22001199
116600 114433
NNo.o.ofofPrProocceeddurureses 114400 22001188
112200
110000
8800
6600
4400
2200
00 22001177
OOppeenn LLaappaarroossccooppiicc TToottaall
FigurFeFiig7guu.1rree0.771..18100:--11T8o8t::aTTlooNttaaullmNNubummebbreeorrfooLffALLRAARRbbybyyMMMooodddaaallliiitttyyyoooff fAAAppppprrpooaraocchhach
218 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 Report235
c) By BcM.SBCyaBteMGgoeSnreyCraal Stuerggeoryr:yInpatient, Outpatient, Endoscopy, Surgery (IOES) Census Report235
c) By BMS Category Low Anterior Resection
160 138
127
140 114 Low Anterior Resection
No. of Procedures
120 160 138
No. of Procedures
100 140 127
80 120 114
60 100 36 25 30 4 4 11
40 80 4 Sm4all 11
20 60 36 25 30 Small
40
0 Medium
20
0 Big
Big Hospital CMateedgiuomry
Hospital Category
2017 2018 2019
2017 2018 2019
FiFgiugurere77..1F10i0g.-u11r99e 7::.1LL0AA-1RR9 b:bLyyABRBMMbySSBCMCaSateCtgaeotegrgyoorryy
d) By BdM.SBdH)yoBBsypMBitSMalSHCHoaotsseppgitoiatrlayClaCtegaortyegory
Low Anterior Resection
Low Ante(r2i0o1r7 R- 2e0s1e9c)tion
Mean No. of Procedures 25 22 (2M0ea1n7Tot-al2Pr0oc1ed9u)res : 163 3 No. of Colorectal Surgeons
Mean No. of Procedures25 22 20 17 Total Colorectal Surgeons : 16 2 No. of Colorectal Surgeons3
20 17 15 15 2
15 1510 Mean Total Procedures : 163 1
10 Total Colore1c3tal Surgeons : 16 0
5 510 10 9 9 8 8
5 13 76544333 1
0 0
9 9 88 21 6544333 21111 1 111
5
7 2111 1
21 1111
0
Centers with Colorectal Surgeons Center with General Surgeon
Colorectal Surgeon
Centers with Colorectal SurgeonFsigFuigruere77..1100-.2200: L:ALRAbRy BbMySBHMosSpitHalCoCseapntetigteoarrlywCiathteGgeonreyral Surgeon
Colorectal Surgeon
Figure 7.10-20 : LAR by BMS Hospital Category
General Surgery Services Ministry of Health Malaysia 219
GENERAL SURGERY
INPATIENT, OUTPATIENT, ENDOSCOPY AND SURGERY (IOES)
CENSUS REPORT 2016 - 2019
General Surgery: Inpatient, Outpatient, Endoscopy, Surgery (IOES) Census Report236
25 22 Low Anterior Resection 3
20 17 (2017 - 2019) 2
15 1
10 Mean Total Procedures : 163 0
Total Colorectal Surgeons : 16
5
0 13
Mean No. of Procedures15
No. of Colorectal Surgeons10 9 9 8 8
76
5 544333211111111
21
Centers with Colorectal Surgeons Center with General Surgeon
Open LAR Laparoscopic LAR Colorectal Surgeon
FigFiugurere 77..1100-2.12:1L:ARLAbyRMboydaMlityoodf Aaplpitryoaochf Approach
LOW ANTERIOR RESECTION
Hospital category 2017 2018 2019
138
LOW ABMiNegdTiuEmRIOR RESECTION13267 114 30
25 11
2011879
Small 44 114 2019
HOSPITATOL TCAALTEGORY 2016177 25 138
Big Table 7.10-8 : Total1N2u7mber of LAR 143 30
11
Medium 36 179
%
Small LOW ANTERIOR 4RESECTION 4
TOTAL 65%
167 143 2019
Procedure Type 2017 % 2018 % 117 35%
LAR - Open Table 7.10.8 : Total Number of LAR 100%
127 76% 97 68%
LAR - Laparoscopic 40 24% 46 32% 62
TOTALLOW ANTERIOR R1E6S7 ECT1IO00%N 143 100% 179
Table 7.10-9 : LAR by Modality of Approach
PROCEDURE TYPE 2017 (%) 2018 (%) 2019 (%)
LAR - Open 127 76% 97 68% 117 65%
LAR - Laparoscopic 40 24% 46 32% 62 35%
179 100%
TOTAL 167 100% 143 100%
Table 7.10.9 : LAR by Modality of Approach
220 General Surgery Services Ministry of Health Malaysia
LOW ANTERIOR RESECTION
OPEN LAPAROSCOPIC TOTAL NO. OF
MEAN COLORECTAL
NO HOSPITALS 2017 2018 2019 MEAN NO. OF 2017 2018 2019 MEAN NO. OF PROCEDURES
PROCEDURES PROCEDURES (a+b) SURGEONS
1 HSA Johor Bahru 19 16 24 5 1 0
GENERAL SURGERY2 HSB Alor Setar14117(a) 4 8 8 (b) 22 1
3 Hospital Selayang 8 4 11 20 6 8 9 2 17 2
INPATIENT, OUTPATIENT, ENDOSCOPY AND SURGERY (IOES)4 Hospital Umum Sarawak59911844715 2
CENSUS REPORT 2016 - 20195 Hospital Pulau Pinang111248 0 0 2 8 13
6 Hospital Kuala Lumpur 1 3 6 8 4 4 8 5 10 1
General Surgery Services Ministry of Health Malaysia 2217 HTJ Seremban9119 6 6 3 1 92
8 HRPB Ipoh 10 4 7 3 1 2 0 5 92
9 HRPZ Kota Bahru 9 7 7 4 0 0 0 5 81
10 HTAR Klang 2 3 3 7 0 6 6 1 82
11 Hospital Taiping 5 5 4 8 1 0 4 0 7
12 Hospital Queen Elizabeth 2 3 6 3 0 0 5 4 6
13 HSI Johor Bahru 8 2 3 5 0 0 1 2 51
14 HSNZ Kuala Terengganu 1 1 4 4 2 1 2 2 5
15 Hospital Seberang Jaya 3 3 4 4 0 0 1 0 4
16 HSNI Batu Pahat 7 0 2 2 0 0 0 2 4
17 HSAH Sungai Petani 3 1 1 3 2 1 0 0 3
18 Institut Kanser Negara 3 2 1 3 0 0 2 0 3
19 Hospital Sibu 1 0 0 2 1 4 0 1 3
20 Hospital Kajang 0 3 1 2 0 0 1 1 21
21 Hospital Teluk Intan 0 1 3 0 0 0 0 2 2
22 HPSF Muar 2 2 0 1 0 0 0 0 1
23 Hospital Ampang 1 1 0 1 0 0 1 0 1
24 Hospital Serdang 0 2 1 1 0 0 0 0 1
25 Hospital Bintulu 0 0 0 1 0 0 3 0 1
26 Hospital DoK Sandakan 1 0 0 1 0 1 1 0 1
27 HTAA Kuantan 0 0 2 0 0 0 0 1 1
28 Hospital Miri 1 0 0 0 0 0 1 1 11
29 Hospital Seri Manjung 0 0 2 1 0 0 0 0 1
30 HTF Kangar 0 0 1 0 0 0 0 0 1
31 Hospital Putrajaya 0 0 1 1 0 0 0 0 0
32 HoSHAS Temerloh 1 0 0 0 0 0 0 0 0
33 Hospital Kulim 0 1 0 0 0 0 0 0 0
34 Hospital Segamat 0 0 1 0 0 0 0 0 0
35 HSIP Kuala Krai 0 0 1 0 0 0 0 0 0
0 0 0
TOTAL 127 97 117 0 40 46 62 0
163 16
114 49
Table 7.10.10 : LAR by Modality of Approach by Hospitals
GENERAL SURGERY
INPATIENT, OUTPATIENT, ENDOSCOPY AND SURGERY (IOES)
CENSUS REPORT 2016 - 2019
General Surgery: Inpatient, Outpatient, Endoscopy, Surgery (IOES) Census Report239
7.107.4.1A0n.4terAionrtRereisoecrtRioens(eAcRti)on (AR)
a) Total a. Total
Anterior Resection
No. of Procedures 800
689
700
594
600 516
500
400
300
200
100
0 2018 2019
2017
FiguFriegu7r.e107..1-20-222: T:oTtoatlaNl Nuummbbeerr ooffAAnntetreioriroRr eRseecsteiocntion
b) By Mbod.aBliytyMofoAdpaplriotaycohf Approach
Anterior Resection
No. of Procedures 800 594 689
700 167 244
600 516
500 427 445
2018 2019
133
400
300
200 383
100
0
2017
Open Laparoscopic Total
Figure 7.10-23 : Anterior Resection by Modality of Approach
Figure 7.10.23 : Anterior Resection by Modality of Approach
222 General Surgery Services Ministry of Health Malaysia
Mean No. of Procedures d) By BMS Hospital Category c) By BcM.SBCyaBteMGgoeSnreyCraal Stuerggeoryr:yInpatient, Outpatient, Endoscopy, Surgery (IOES) Census Report240
0 70
60
50
40
30
20
10
Centers with Colorectal Hospital Selayang 61 57 GENERAL SURGERY
Surgeons 42
HSA Johor Bahru INPATIENT, OUTPATIENT, ENDOSCOPY AND SURGERY (IOES)
CENSUS REPORT 2016 - 2019
HRPZ Kota Bahru d. dB)yBByMBMSSHHoossppitaitlaClatCegaortyegory
General Surgery: Inpatient, Outpatient, Endoscopy, Surgery (IOES) Census Report240
Hospital Kuala Lumpur 30 29025 24 22 21Mean No. of Procedures No. of Procedures c) By BMS Category
HRPB Ipoh 12 10
50 70 No. of Procedures Anterior Resection
HSB Alor Setar 40 60 100 100 300 400 325 400 325050 500 428 Anterior Resection
30
20 300 392
10
200
Hospital Queen Elizabeth Hospital Selayang 61 57 00
Centers with ColorectalHTJ Seremban HSA Johor Bahru Big Big
Hospital Pulau PinaHngospiHtaRl PKZuaKlaotLauBmaphururSurgeons 42
Figure 7.10-25 : Anterior Resection by BMS Hospital Category HTAA Kuantan
HRPB Ipoh 30 29 2017 2018 2019
25 24 22 21
Hospital Sibu HSB Alor Setar 12 10 2017 2018 2019 200 147 157
Figure 7.10-25 : Anterior Resection by BMS Hospital Category Hospital Queen Elizabeth Figure 7.10-24 : Anterior Resection by BMS Category
Figure 7.10.25 : Anterior Resection by BMS Hospital Category Hospital Umum Sarawak HTJ Seremban FigFuirgeur7e.170.1.02-424: A: AnnteterrioiorrRReesseecctitoionnbybByMBSMCSaCteagoterygory
Center with General Surgeon HSAH Sungai PetanHiospitaHlTPAulAauKPuiannatnagn
HSNI Batu Pahat Hospital Sibu
Colorectal Surgeon HSI Johor Bahru
0
HSNZ Kuala TerenggHaonsupital Umum Sarawak 22 21 18 17 16 15 11 11 10 10 9 9 8 8 7 7 7 6 6 5 5 5 5 4 4 3 3 2 2 1 1 1 1 1 1 1 22 428
392
HTAR KlangHSAH Sungai Petani 21
Hospital Ampang HSNI Batu Pahat Total Mean Total Procedures :600 AnterMioearn TRotealsPerocctediourens :600
HSI Johor Bahru (2T0o1ta7l C-olo2re0ct1al9S)urgeons : 16
Hospital SerdHaSnNgZ Kuala Terengganu 18 17 16
HospitHaol sCpiatatel gCoatreygory
Hospital Miri HTAR Klang Colorectal Anterior Resection 147 157
Hospital Taiping Hospital Ampang 15 11 11 10 10 9 MediuMmedium
Institut Kanser Negara Hospital Serdang
General Surgery Services Ministry of Health Malaysia 223 Hospital Miri (2017 - 2019)
Hospital Seberang JayaCenter with General SurgeonHospital Taiping
Colorectal Surgeon
HPSF MuaInrstitut Kanser Negara Surgeons
HoSHAS TemerloHhospital Seberang Jaya 9 8877 213
HEBHK Kluang HPSF Muar
Hospital Melaka HoSHAS Temerloh 213
HEBHK Kluang
Hospital DoK Sandakan Hospital Melaka
HTF KangHaorspital DoK Sandakan :
7
Hospital Seri Manjung HTF Kangar 16
Hospital Teluk IntaHnospital Seri Manjung 66
Hospital KajangHospital Teluk Intan 5 4444 4455 4488
SSmmaallll
Hospital Kajang 5
Hospital Segamat
Hospital Segamat 5
Hospital Tawau Hospital Tawau 5
Hospital Sungai BuloHhospital Sungai Buloh 4
Hospital Shah Alam Hospital Shah Alam 4
Hospital Bintulu Hospital Bintulu
3
Hospital PutrajayaHoHspoistpalitKaluPaulatrPajialayha
Hospital Kuala Pilah HSIP Kuala Krai 3
HSIP Kuala KraHiospital Port Dickson 2
2
1
Hospital Port Dickson Hospital Sarikei 1
Hospital Sarikei Hospital Kulim 1
Hospital Langkawi 1
Hospital Kemaman
Hospital Kulim 1
Hospital Langkawi Hospital Labuan 1
Hospital Kemaman Hospital Banting 1
Hospital Labuan 2 3
1
Hospital Banting No. of Colorectal Surgeons
3
2
1
0
No. of Colorectal Surgeons
GENERAL SURGERY
INPATIENT, OUTPATIENT, ENDOSCOPY AND SURGERY (IOES)
CENSUS REPORT 2016 - 2019
General Surgery: Inpatient, Outpatient, Endoscopy, Surgery (IOES) Census Report241
70 61 57 Anterior Resection 3
60 (2017 - 2019) 2
1
50 42 Mean Total Procedures :600 0
Total Colorectal Surgeons : 16
40 30 29
30 25 24 22 21 22 21 18 17 16 15
20 12 10 11 11 10 10 9 9 8 8 7 7 7 6 6 5 5 5 5 4 4 3 3 2 2 1 1 1 1 1 1 1
10
0
Mean No. of Procedures
Hospital Selayang
HSA Johor Bahru
HRPZ Kota Bahru
Hospital Kuala Lumpur
HRPB Ipoh
HSB Alor Setar
Hospital Queen Elizabeth
HTJ Seremban
Hospital Pulau Pinang
HTAA Kuantan
Hospital Sibu
Hospital Umum Sarawak
HSAH Sungai Petani
HSNI Batu Pahat
HSI Johor Bahru
HSNZ Kuala Terengganu
HTAR Klang
Hospital Ampang
Hospital Serdang
Hospital Miri
Hospital Taiping
Institut Kanser Negara
Hospital Seberang Jaya
HPSF Muar
HoSHAS Temerloh
HEBHK Kluang
Hospital Melaka
Hospital DoK Sandakan
HTF Kangar
Hospital Seri Manjung
Hospital Teluk Intan
Hospital Kajang
Hospital Segamat
Hospital Tawau
Hospital Sungai Buloh
Hospital Shah Alam
Hospital Bintulu
Hospital Putrajaya
Hospital Kuala Pilah
HSIP Kuala Krai
Hospital Port Dickson
Hospital Sarikei
Hospital Kulim
Hospital Langkawi
Hospital Kemaman
Hospital Labuan
Hospital Banting
No. of Colorectal Surgeons
Centers with Colorectal Center with General Surgeon
Surgeons Laparoscopic LAR Colorectal Surgeon
Open LAR
Figure 7.10-26 : Anterior Resection by Modality of Approach
Figure 7.10.26 : Anterior Resection by Modality of Approach
ANTERIOR RESECTION
ANTERHIoOspRitalRcaEtSegEoCryTION 2017 2018 2019
428
Big 325 392 2012813
39248
HOSPITAMLedCiuAmTEGORY 2140717 157 157689 2019
428
Big Small 43425 45 45 213
TOTAL Re5s1e1c46ti7on 594
Medium 48
Table 7.10-11 : Anterior by BMS Category
Small 44
TOTAL ANTERIOR5R1E6SECTION 594 689
Procedure Type Table 7.10.11 : Anterior Resection by BMS Category
2017 (%) 2018 (%) 2019 (%)
AR - Open 383 74% 427 72% 445 65%
244 35%
AR - LapAarNosTcoEpRicIOR RESECT15I13O63 N 26% 167 28% 689 100%
100% 594 100%
TOTAL (%)
72%
Table 7.10-12 : Anterior Resection by Modality of Approach 28%
100%
PROCEDURE TYPE 2017 (%) 2018 2019 (%)
445 65%
LAR - Open 383 74% 427 244 35%
689 100%
LAR - Laparoscopic 133 26% 167
TOTAL 516 100% 594
Table 7.10.12 : Anterior Resection by Modality of Approach
224 General Surgery Services Ministry of Health Malaysia
ANTERIOR RESECTION
OPEN LAPAROSCOPIC TOTAL NO. OF
MEAN COLORECTAL
GENERAL SURGERYNO HOSPITALS201720182019MEAN NO. OF 2017 2018 2019 MEAN NO. OF PROCEDURES
PROCEDURES PROCEDURES (a+b) SURGEONS
INPATIENT, OUTPATIENT, ENDOSCOPY AND SURGERY (IOES)1 Hospital Selayang363727342523 2
CENSUS REPORT 2016 - 20192 HSA Johor Bahru383935(a) 14 23 23 (b) 61 1
3 HRPZ Kota Bahru 31 21 50 33 5 8 10 27 57 2
General Surgery Services Ministry of Health Malaysia 2254 Hospital Kuala Lumpur15161837 10 15 15 20 42 2
5 HRPB Ipoh 13 24 34 34 2 8 6 8 30 1
6 HSB Alor Setar 13 17 19 16 6 9 10 13 29 2
7 Hospital Queen Elizabeth 2 10 13 24 17 7 23 5 25 1
8 HTJ Seremban 12 16 6 16 7 12 12 8 24 2
9 Hospital Umum Sarawak 6 12 10 8 13 10 14 16 22 1
10 Hospital Pulau Pinang 15 17 14 11 0 0 18 10 22 1
11 HSAH Sungai Petani 14 15 13 9 3 8 10 12 21 1
12 HSNI Batu Pahat 17 13 20 15 1 3 0 6 21
13 HSI Johor Bahru 10 6 8 14 1 4 21 7 18 16
14 HSNZ Kuala Terengganu 6 21 7 17 3 2 8 1 17
15 HTAR Klang 6 10 6 8 7 11 6 9 16
16 HTAA Kuantan 10 15 11 11 0 0 0 4 15
17 Hospital Ampang 12 7 9 7 0 2 4 8 12
18 Hospital Serdang 6 11 15 12 0 0 0 0 11
19 Hospital Sibu 1 8 7 9 3 6 6 2 11
20 Hospital Miri 13 5 8 11 0 0 4 0 10
21 Hospital Taiping 7 5 9 5 1 0 7 5 10
22 Institut Kanser Negara 10 1 7 9 1 5 4 1 10
23 Hospital Seberang Jaya 8 8 7 7 0 0 4 3 9
24 HPSF Muar 7 6 5 6 0 0 7 3 9
25 HoSHAS Temerloh 12 8 5 8 0 0 0 1 8
26 HEBHK Kluang 3 9 10 6 0 0 0 2 8
27 Hospital Melaka 4 2 6 8 0 5 4 0 7
28 Hospital DoK Sandakan 4 6 4 7 1 3 2 0 7
29 HTF Kangar 8 5 5 4 0 0 1 3 7
30 Hospital Seri Manjung 4 4 8 5 1 0 0 2 6
31 Hospital Teluk Intan 5 6 5 6 0 0 0 0 6
32 Hospital Kajang 1 6 8 5 0 0 1 0 5
33 Hospital Segamat 7 4 5 5 0 0 0 0 5
34 Hospital Tawau 7 4 4 5 0 0 0 0 5
35 Hospital Sungai Buloh 5 2 6 5 0 0 0 0 5
36 Hospital Shah Alam 0 3 7 5 2 0 0 0 4
37 Hospital Bintulu 3 5 0 4 1 0 1 0 4
38 Hospital Putrajaya 0 4 4 3 0 0 0 1 3
39 Hospital Kuala Pilah 1 6 0 3 0 0 0 1 3
40 HSIP Kuala Krai 1 5 1 3 0 0 0 0 2
41 Hospital Port Dickson 3 0 0 2 0 1 0 0 2
42 Hospital Sarikei 3 0 1 2 0 0 0 0 1
43 Hospital Kulim 0 0 3 1 0 0 0 0 1
44 Hospital Langkawi 2 0 1 1 0 0 0 0 1
45 Hospital Kemaman 0 2 1 1 0 0 0 0 1
46 Hospital Labuan 1 2 0 1 0 0 0 0 1
47 Hospital Banting 0 2 1 1 0 0 0 0 1
48 Hospital Queen Elizabeth 2 1 0 0 1 0 0 0 0 1
49 Hospital Tanah Merah 0 1 0 1 0 0 0 0 0
50 Hospital Keningau 0 0 1 0 0 0 0 0 0
51 Hospital Lahad Datu 0 0 1 0 0 0 0 0 0
52 Hospital Kuala Lipis 0 1 0 0 0 0 0 0 0
53 Hospital Kapit 0 0 0 0 0 0 0 0 0
383 427 445 0 133 167 244 0 0
TOTAL 0 0 600
418 181
Table 7.10.13 : Anterior Resection by Modality of Approach by Hospitals
GENERAL SURGERY
INPATIENT, OUTPATIENT, ENDOSCOPY AND SURGERY (IOES)
CENSUS REPORT 2016 - 2019
GGeneenrearlaSl uSrugregreyr:y:InIpnaptaietinetn,tO, Outuptaptaietinetn,tE, Endnodsocsocpoyp,yS, uSrugregreyry(I(OIOEES)S)CCenesnussusRRepeoprotr2t42545
7.71.01.057.5.H1H0ar.a5trmtmHanaannr’ntsm’sPaPronrconec’desudPruerroe cedure
a)a)TTotoatlala. Total
HHaartrmtmaannnn's'sPProrocecdeduurere
707000 595494
606000
505000 525020
404000
NNo.o.ofofPrProocceeddurureess303000 444040
202000
101000 20210717 20210818 20210919
00
FigFuiFgreiugrue7r.7e1.0170..12-027-72: :7TTo:otTatoaltlaNNluuNmmubmbebererorofoHff HaHraatmrrttammnaann’nnsn’Ps’rsPoPrcoreocdecudreuerdeure
b)b)BBy yMMobdoad.laBitlyiytyoMfofAoApdpparpolriaotcyahcohf Approach
HHaartrmtmaannnn's'sPProrocecdeduurere
707000 595494
606000
525020
NNo.o.ofofPrProocceeddurureess505000 444040
404000
303000
202000
101000
00 20210818 20210919
20210717
OpOepnen LaLpaapraorsocsocpoipcic ToTtoaltal
FiguFrieFgiug7ru.e1r7e0..1720.81-02:-82H:8aH:rtaHmratamrtnamnnan’ns’nsP’PsrorPocrcoeecddeuudrureerbebybyMy MModooadldaitalyitloiytfyoAfopAfpprAporpaocpahrcohach
226 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 Report246
c) By BMc.SBCyatBeGgMeonSreyrCalaSuterggeroy:rIynpatient, Outpatient, Endoscopy, Surgery (IOES) Census Report246
c) By BMS Category Hartmann's Procedure
No. of Procedures 350 251 282 296 Hartmann's Procedure
300
No. of Procedures250 350 282 296 237
200 300 251
150 250 164 237
128
200 164
61 74 61
100 150 128
61 74 61
50 100
SSmmalalll
0 50
0 Big
Big MediMumedium
HospiHtaolspCitaalteCgaotergyory
2017 20210718 201820129019
Figure 7.10-29 :Hartmann’s Procedure by BMS Category
FigFuigreur7e.71.01.02-929:H:Haartrmtmaannnn’’ssPPrroocceedudruerbeybByMBSMCSatCegaotrey gory
d. dB) yBBy MBMSSHHoossppitailtCaalteCgoarytegory
d) By BMS Hospital Category
Hartmann's Procedures
(2017 - 2019)
Hartmann's Procedures40
35 33
Mean No. of Procedures 37 Mean Total Procedures : 518 3 No. of Colorectal Surgeons
Total Colorectal Surgeons : 16
Mean No. of Procedures(2017 - 2019)40 No. of Colorectal Surgeons
30 252423
35
30
25
20
15
10
5
25 21 37 26 2 3
33 20 1 2
18 21201T8M1o4t1ea2al12nC12To1l0oo1t0rae9lcP8tar8ol cS7eu7drug7re7eos7n:s65:6118666 1
252423 15 6 5 5 0
2110 14131226
158 62152018 4 3 3 3 3 3 2 1 1 1 1 1 1
1 1 0
0 141312 141212121010 9 8 8 7 7 7 7 7 6 6 6 6 6 0
65 1
5 5 4 3 3 3 3 3
2
1 1 1 1 1 1 1 0
0
Centers with Colorectal Center with General Surgeon
Surgeons Colorectal Surgeon
Centers with Colorectal Figure 7.10-30 : Hartman’s Procedure by BMS Hospital Category
Surgeons
Figure 7.10.30 : Hartman’s Procedure by BMS Hospital Category
Center with General Surgeon
Colorectal Surgeon
Figure 7.10-30 : Hartman’s Procedure by BMS Hospital Category
General Surgery Services Ministry of Health Malaysia 227
GENERAL SURGERY
INPATIENT, OUTPATIENT, ENDOSCOPY AND SURGERY (IOES)
CENSUS REPORT 2016 - 2019
General Surgery: Inpatient, Outpatient, Endoscopy, Surgery (IOES) Census Report247
40 33 Hartmann's Procedure 3
35 (2017 - 2019) 2
30 25 2423 21 1
25 18 37 0
20 14
15 13 12 Mean Total Procedures : 518
10 6 5
5 26 Total Colorectal Surgeons : 16
0
21 20 18
14 12 12 12 10 10 9 8 8 7 7 7 7 7 6 6 6 6 6 5 5 4 3 3 3 3 3 2 1 1 1 1 1 1 1 1 0
HRPB Ipoh
Hospital Pulau Pinang
Hospital Kuala Lumpur
Hospital Selayang
HTJ Seremban
Hospital Queen Elizabeth
Hospital Sibu
HSA Johor Bahru
HTAA Kuantan
HSB Alor Setar
HRPZ Kota Bahru
Hospital Umum Sarawak
HTAR Klang
HSNZ Kuala Terengganu
Hospital Serdang
Hospital Taiping
HSNI Batu Pahat
Hospital Melaka
HSAH Sungai Petani
HSI Johor Bahru
Hospital Shah Alam
HTF Kangar
Hospital Kuala Pilah
HoSHAS Temerloh
Hospital DoK Sandakan
Hospital Miri
Hospital Teluk Intan
Hospital Ampang
Hospital Seri Manjung
Institut Kanser Negara
Hospital Seberang Jaya
Hospital Sungai Buloh
HPSF Muar
Hospital Tawau
Hospital Kulim
Hospital Kajang
Hospital Segamat
Hospital Bintulu
HEBHK Kluang
HSIP Kuala Krai
Hospital Sarikei
Hospital Kuala Lipis
Hospital Putrajaya
Hospital Keningau
Hospital Langkawi
Hospital Kemaman
Hospital Lahad Datu
Hospital Queen Elizabeth 2
Hospital Port Dickson
Hospital Banting
Hospital Tanah Merah
Hospital Labuan
Hospital Kapit
Centers with Center with General Surgeon
Colorectal Surgeons
Laparoscopic Hartmann's Procedure Colorectal Surgeon
Open Hartmann's Procedure
Figure 7.10-31 : Hartmann’s Procedure by Modality of Approach
Figure 7.10.31 : Hartmann’s Procedure by Modality of Approach
HARTMANN'S PROCEDURE
Hospital category 2017 2018 2019
HARTBMigANN’S PROCEDURE251 282 296
Medium 128 164 237
HOSPITSAmLaCll ATEGORY 206117 74 201681 2019
245410 520 285294 296
Big TOTAL 237
Medium 61
Table 7.10-14 : Hartman’s Procedure by BMS Hospital Category %594
128 164 98%
Small HARTMANN’S P6R1OCEDURE 74 2%
Procedure Type TOTAL 2017 % 440 2018 % 520 2019 100%
Hartmann Procedure T-aObpleen7.10.144:2H9artman9’s8P%rocedur5e0b0y BMS H9o6%spital Ca5te8g3ory
Hartmann Procedure - 11 3% 20 4% 11
Laparoscopic
TOTAL HARTMANTNab’leS7.1P0-R145 4O: 0HaCrtmEanDn’1sU0P0rRo%cEedure 520 100% 594
by Modality of Approach
PROCEDURE TYPE 2017 (%) 2018 (%) 2019 (%)
Hartmann Procedure - Open 429 98% 500 96% 583 98%
Hartmann Procedure - Laparoscopic 11 3% 20 4% 11 2%
440 100% 520 100% 594 100%
TOTAL
Table 7.10.15 : Hartmann’s Procedure by Modality of Approach
228 General Surgery Services Ministry of Health Malaysia
HARTMANN’S PROCEDURE
OPEN LAPAROSCOPIC TOTAL NO. OF
MEAN COLORECTAL
GENERAL SURGERYNO HOSPITALS201720182019MEAN NO. OF 2017 2018 2019 MEAN NO. OF PROCEDURES
PROCEDURES PROCEDURES (a+b) SURGEONS
INPATIENT, OUTPATIENT, ENDOSCOPY AND SURGERY (IOES)1 Hospital Umum Sarawak373836000 1
CENSUS REPORT 2016 - 20192 HRPB Ipoh263043(a) 0 0 0 (b) 37 1
3 HTAR Klang 36 27 12 37 0 1 1 0 33 2
General Surgery Services Ministry of Health Malaysia 2294 Hospital Pulau Pinang33271533 0 0 0 0 26 2
5 Hospital Kuala Lumpur 21 26 20 25 2 2 1 1 25 2
6 Hospital Selayang 12 23 26 25 2 1 5 0 24 1
7 HTJ Seremban 12 18 24 22 5 5 0 2 23 1
8 HSNZ Kuala Terengganu 11 29 23 20 0 0 0 3 21 1
9 Hospital Serdang 4 19 38 18 0 0 0 3 21 1
10 Hospital Queen Elizabeth 9 19 27 21 0 0 0 0 20
11 Hospital Taiping 18 23 12 20 1 0 0 0 18 2
12 HSNI Batu Pahat 10 18 13 18 0 0 1 0 18 2
13 Hospital Sibu 7 14 21 18 0 0 0 0 14
14 HSA Johor Bahru 12 7 18 14 1 0 0 0 14 16
15 Hospital Melaka 8 11 17 14 0 1 0 0 13
16 HSAH Sungai Petani 14 9 14 12 0 0 0 0 12
17 HSI Johor Bahru 14 4 18 12 0 0 0 0 12
18 HTAA Kuantan 13 12 10 12 0 0 0 0 12
19 Hospital Shah Alam 11 15 5 12 0 0 0 0 12
20 HTF Kangar 4 8 18 12 0 0 0 0 10
21 Hospital Kuala Pilah 5 8 14 10 0 0 0 0 10
22 HoSHAS Temerloh 2 13 9 10 0 0 0 0 9
23 Hospital DoK Sandakan 6 10 7 9 0 0 0 0 8
24 Hospital Miri 1 9 12 8 0 0 0 0 8
25 Hospital Teluk Intan 10 3 8 8 0 0 0 0 7
26 Hospital Ampang 5 9 7 7 0 0 0 0 7
27 Hospital Seri Manjung 10 10 1 7 0 0 0 0 7
28 Institut Kanser Negara 8 1 2 7 0 9 0 0 7
29 Hospital Seberang Jaya 0 9 10 7 0 0 0 0 7
30 Hospital Sungai Buloh 3 8 8 4 0 0 0 3 6
31 HPSF Muar 4 2 10 6 0 0 3 0 6
32 Hospital Tawau 13 5 1 6 0 0 0 0 6
33 Hospital Kulim 5 1 13 5 0 0 0 1 6
34 HSB Alor Setar 5 1 12 6 0 0 0 0 6
35 HRPZ Kota Bahru 6 4 6 6 0 0 0 0 6
36 Hospital Kajang 7 2 6 6 0 0 0 0 5
37 Hospital Segamat 3 8 4 5 0 0 0 0 5
38 Hospital Bintulu 3 3 7 5 0 0 0 0 5
39 HEBHK Kluang 0 0 10 5 0 0 0 0 4
40 HSIP Kuala Krai 2 2 4 4 0 1 0 0 3
41 Hospital Sarikei 2 4 3 3 0 0 0 0 3
42 Hospital Kuala Lipis 1 5 3 3 0 0 0 0 3
43 Hospital Putrajaya 3 1 4 3 0 0 0 0 3
44 Hospital Keningau 0 0 5 3 0 0 0 0 3
45 Hospital Langkawi 2 0 2 3 0 0 0 0 2
46 Hospital Kemaman 3 1 0 2 0 0 0 0 1
47 Hospital Lahad Datu 2 2 0 1 0 0 0 0 1
48 Hospital Queen Elizabeth 2 3 0 0 1 0 0 0 0 1
49 Hospital Port Dickson 0 0 3 1 0 0 0 0 1
50 Hospital Banting 1 2 0 1 0 0 0 0 1
51 Hospital Tanah Merah 1 0 1 1 0 0 0 0 1
52 Hospital Labuan 1 0 1 1 0 0 0 0 1
53 Hospital Kapit 0 0 0 1 0 0 0 0 1
429 500 583 1 11 20 11 0 0
TOTAL 0 0 518
504 14
Table 7.10.16 : Hartman’s Procedure by Modality of Approach by Hospitals
GENERAL SURGERY
INPATIENT, OUTPATIENT, ENDOSCOPY AND SURGERY (IOES)
GGeenneerraallSSuurrggeerryy::IInCnppEaaNttiiSeenUntSt,,OROuEuPttppOaatRtiieTenn2tt,0,E1En6nd-do2os0scc1oo9ppyy,,SSuurrggeerryy((IIOOEESS))CCeennssuussRReeppoorrtt225511
77..11007..6.61H0H.ee6mmiHiccoeollemecctitocomomylye(c(RRtioigghmhtty//L(LeRefiftgt//hSStiig/gmmLooeiidfdt))/ Sigmoid)
aa)) TToottaall
a. Total
HHeemmiiccoolleeccttoommyy((RRiigghhtt//LLeefftt//SSiiggmmooiidd))
1600 1482 1515
1600 1482 1515
1400
NoN.o.ofofPrPorcoecdeudruerses1400 1231
1200 1231
1200
1000 2017 2018 2019
1000 2017 2018 2019
800
800
600
600
400
400
200
200
0
0
FiguFFriegiguu7rre.e1707.1..13002--33:22T:o:TtTaootlataNllNuNmuummbbbeeerrrooofffHHHeeemmmiciicocoloeleclcetotcommtyoymy
bb)) BByyBBMbM.SSBCCyaatBteeMggooSrryyCategory
HHeemmiiccoolleeccttoommyy((RRiigghhtt//LLeefftt//SSiiggmmooiidd))
900 778 817
890000 778 817
780000
NoN.o.ofofPrPorcoecdeudruerses 670000 657
657
560
560000 452 560 507
452 507
450000
340000
230000 144 191
122 144 191
122
120000
1000
0 Big
Big Medium Small
Medium Small
HHoossppitiatallCCaateteggoorryy
2017 2018 2019
2017 2018 2019
Figure 7.10-33 : Hemicolectomy by BMS Category
FigurFeig7u.r1e07.3.130-:3H3e:mHiecmoicleocletcotommyy bbyyBBMMSSCCataetgeogryory
230 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 Report252
c. Bc)yBByMBMSSHHoossppitailtaCalteCgoarytegory
100 Hemicolectomy (Right / Left/ Sigmoid) 3
90 87 (2017 - 2019) 2
1
Mean Total Procedures : 1409 0
Total Colorectal Surgeons : 16
58 58
53 52
44
37 37 35 31
27 26 26 25 24 21 20 17 17 17 15 15 14 14 13 11 11 10 10 9 8 7 7 5 4 4 3 3 3 3 1 1 1
Mean No. of Procedures80 68 67
No. of Colorectal Surgeons70 62 61 60
60 55
46 44
50 39
40
30 25
20
10
0
Centers with Center with General Surgeon
Colorectal Surgeons
Colorectal Surgeon
Figure 7.10-34 : Hemicolectomy by BMS Hospital Category
Figure 7.10.34 : Hemicolectomy by BMS Hospital Category
HEMICOLECTOMY
Hospital category 2017 2018 2019
657 778
BHigEMICOLECTOMY 817
507
Medium 452 560 191
1515
SHmOaSllPITAL CATEGORY 210212 7 144 2018 2019
817
Big TOTAL 1625317 1482 778 507
Medium Table 7.10-17 : Hemicolecto4m5y2by BMS Category
560 191
Small 122 144 1515
TOTAL 1231 1482
Table 7.10.14 : Hartman’s Procedure by BMS Hospital Category
General Surgery Services Ministry of Health Malaysia 231
GENERAL SURGERY
INPATIENT, OUTPATIENT, ENDOSCOPY AND SURGERY (IOES)
CENSUS REPORT 2016 - 2019
HEMICOLECTOMY (RIGHTL/ LEFT/ SIGMOID)
NO HOSPITALS 2017 2018 2019 MEAN NO. OF COLORECTAL
1 HRPB Ipoh 59 130 71 PROCEDURES SURGEON
2 HSA Johor Bahru 63 75 65 87 1
68 1
3 Hospital Kuala Lumpur 74 38 90
4 HSB Alor Setar 80 70 35 67 2
5 Hospital Queen Elizabeth 55 56 72 62 2
6 Hospital Selayang 48 52 79 61 1
7 Hospital Umum Sarawak 54 58 61 60 2
8 HSNI Batu Pahat 47 72 54 58 2
9 Hospital Pulau Pinang 44 55 66 58 2
10 HSI Johor Bahru 68 58 32 55 1
11 Hospital Sungai Buloh 48 59 48 53 2
12 HTJ Seremban 48 44 47 52 1
13 HTAR Klang 29 44 58 46 2
14 HTAA Kuantan 38 42 51 44
15 HRPZ Kota Bahru 29 40 48 44 1
16 Hospital Taiping 35 29 48 39 2
37 1
17 HSAH Sungai Petani 32 41 38
18 HSNZ Kuala Terengganu 17 51 37 37 1
19 Hospital Miri 30 34 30 35 1
20 HoSHAS Temerloh 24 35 21 31 1931
21 Hospital Melaka 19 23 37 27 1884
22 Hospital Ampang 10 29 39 26 1877
23 Hospital Sibu 27 28 20 26 1861
24 Hospital DoK Sandakan 19 29 27 25 1
25 HTF Kangar 18 27 26 25 1707
26 Hospital Seberang Jaya 19 23 20 24 1640
27 Hospital Tawau 18 23 18 21 1589
28 Hospital Shah Alam 11 26 14 20 1430
29 Hospital Teluk Intan 13 21 16 17 1300
30 Hospital Bintulu 17 6 27 17 2299
17 2157
31 HPSF Muar 10 10 26
32 HEBHK Kluang 11 15 18 15 2055
33 Hospital Segamat 12 15 15 15 1967
34 Hospital Putrajaya 8 9 24 14 1931
35 Hospital Kemaman 2 17 21 14 1884
36 HSIP Kuala Krai 7 10 17 13 1877
37 Hospital Kulim 12 10 10 11 1861
38 Hospital Kajang 12 8 11 11 1716
39 Hospital Kuala Pilah 9 14 8 10 1707
40 Hospital Serdang 7 14 6 10 1640
41 Hospital Seri Manjung 7 5 13 9 1589
42 Institut Kanser Negara 10 1 11 8 1430
43 Hospital Queen Elizabeth 2 6 11 4 7 1300
44 Hospital Sarikei 4 5 6 7 2299
5 2157
45 Hospital Tanah Merah 7 3 3
46 Hospital Kuala Lipis 2 7 4 4 2055
47 Hospital Labuan 3 3 4 4 1967
48 Hospital Port Dickson 2 2 5 3 1931
49 Hospital Lahad Datu 2 2 4 3 1884
50 Hospital Banting 3 3 2 3 1877
51 Hospital Langkawi 0 0 4 3 1861
52 Hospital Keningau 0 0 4 1 1716
53 Hospital Kapit 2 0 0 1 1707
1 1640
TOTAL 1231 1482 1515
1409 16
Table 7.10.18 : Hemicolectomy by Hospitals category
232 General Surgery Services Ministry of Health Malaysia
51 Hospital Langkawi 004 1
52 Hospital Keningau 1
1
GENERAL SURGERY53 Hospital Kapit
004
200
TOTAL INPATIENT, OUTPATIEN1T2, 3E1NDOSC1O4P8Y2 AND S1U5R1G5 ERY (IOE1S4)09 16
CTaEblNe S7.U10S-18R:EHPeOmiRcoTle2ct0om1y6b-y2H0os1p9itals category
7.10.77.1T0o.t7al TCootlaecltComoylectomy
a) Total a. Total
Total Colectomy
160
140 136
No. of Procedures 120 50
100
80 69
60
40
20
0 2018 2019
2017
General Surgery:FIignFupirgaeutri7ee.1n70.t1.,03-O535:uT:topTtoaattalilnenunumtm,bbEeernroodf foTTosotcatoal Cpl Coyl,oecSletoucmrtyogmeryy (IOES) Census Report255
b) By BMbS. BCyateBgMorSy Category
Total Colectomy
No. of Procedures 120 110 15 9 21 855
Small
100 Medium
Hospital Category
80
60 46 36
40
20
0
Big
2017 2018 2019
Figure 7.10-36 : Total Colectomy by BMS Category
Figure 7.10.36 : Total Colectomy by BMS Category
c) By BMS Hospital Category
an No. of Procedures 30 Total Colectomy 3
24 (2017 - 2019) 2
25 Mean Total Procedures : 85
Total Colorectal Surgeons : 16
20
15
10 8 4 4 General Surgery Services Ministry of Health Malaysia 233 1
5 553322110 32211111111 000
111111000 0 0 0 0
No. of P 60 46 36
40
20 15 9 21 855
GENERAL SURGERY0
Big
Medium Small
INPATIENT, OUTPATIENT, ENDHoOspSitaCl COatePgYoryAND SURGERY (IOES)
CENSUS REPORT 2016 - 2019
2017 2018 2019
Figure 7.10-36 : Total Colectomy by BMS Category
c. Bc)yBByMBMSSHHoossppitaitl aCalteCgoarytegory
30 Total Colectomy 3
24 (2017 - 2019) 2
25 Mean Total Procedures : 85
Total Colorectal Surgeons : 16
Mean No. of Procedures
20
HRPB Ipoh
15 Hospital Pulau Pinang
10 Hospital Selayang8 1
5 HRPZ Kota Bahru553322110 0
Hospital Kuala Lumpur
HSA Johor Bahru
HTJ Seremban
HSB Alor Setar
HTAA Kuantan
Hospital Queen Elizabeth
Hospital Sibu
Hospital Umum Sarawak
HSNI Batu Pahat
HTAR Klang
HPSF Muar
HSNZ Kuala Terengganu
Hospital Kulim
Hospital Melaka
Hospital Sungai Buloh
Hospital Ampang
HEBHK Kluang
HSIP Kuala Krai
Hospital DoK Sandakan
Hospital Kuala Lipis
HSAH Sungai Petani
Hospital Taiping
Hospital Teluk Intan
Hospital Serdang
HSI Johor Bahru
Hospital Shah Alam
HTF Kangar
Hospital Seberang Jaya
Hospital Kajang
Hospital Putrajaya
Hospital Kuala Pilah
HoSHAS Temerloh
Hospital Miri
Hospital Seri Manjung
Hospital Keningau
Hospital Lahad Datu
No. of Colorectal Surgeon
44322111111111111110000000000
0
Centers with Colorectal Center with General Surgeon
Surgeons Colorectal Surgeon
Figure 7.10-37 : Total Colectomy by BMS Hospital Category
Figure 7.10.37 : Total Colectomy by BMS Hospital Category
TOTAL COLECTOMY
HOSPITAL CATEGORY 2017 2018 2019
Big 46 36 110
Medium 15 9 21
Small 8 5 5
TOTAL 69 50 136
Table 7.10.19 : Total Colectomy by BMS Category
234 General Surgery Services Ministry of Health Malaysia
GENERAL SURGERY
INPATIENT, OUTPATIENT, ENDOSCOPY AND SURGERY (IOES)
CENSUS REPORT 2016 - 2019
TOTAL COLECTOMY
NO HOSPITALS 2017 2018 2019 MEAN NO. OF COLORECTAL
1 HRPB Ipoh 9 3 60 PROCEDURES SURGEON
2 Hospital Pulau Pinang 8 11 5 24 1
8 1
3 Hospital Selayang 7 1 7
4 HRPZ Kota Bahru 4 3 7 5 2
5 Hospital Umum Sarawak 4 1 8 5 2
6 HSNI Batu Pahat 2 4 6 4 1
7 Hospital Kuala Lumpur 6 0 4 4 2
8 HTAR Klang 1 2 6 3 2
9 HSA Johor Bahru 2 4 2 3 2
10 HTJ Seremban 3 3 0 3 1
11 HPSF Muar 2 0 4 2 2
12 HSB Alor Setar 1 1 3 2 1
13 HSNZ Kuala Terengganu 0 4 1 2 2
14 HTAA Kuantan 0 0 4 2
15 Hospital Queen Elizabeth 0 1 3 1 1
16 Hospital Kulim 2 0 2 1 1
1 1
17 Hospital Melaka 1 2 0
18 Hospital Sungai Buloh 2 1 0 1 1
19 Hospital Ampang 0 1 2 1 1
20 HEBHK Kluang 0 1 2 1 1931
21 HSIP Kuala Krai 1 0 2 1 1884
22 Hospital DoK Sandakan 1 2 0 1 1877
23 Hospital Kuala Lipis 1 2 0 1 1861
24 HSAH Sungai Petani 1 0 1 1 1
25 Hospital Taiping 0 1 1 1 1707
26 Hospital Teluk Intan 2 0 0 1 1640
27 Hospital Serdang 1 0 1 1 1589
28 HSI Johor Bahru 1 0 1 1 1430
29 Hospital Shah Alam 1 0 1 1 1300
30 HTF Kangar 0 1 0 1 2299
0 2157
31 Hospital Seberang Jaya 0 0 1
32 Hospital Kajang 0 0 1 0 2055
33 Hospital Putrajaya 1 0 0 0 1967
34 Hospital Kuala Pilah 1 0 0 0 1931
35 HoSHAS Temerloh 1 0 0 0 1884
36 Hospital Sibu 1 0 0 0 1877
37 Hospital Miri 0 0 1 0
38 Hospital Seri Manjung 1 0 0 0 1
39 Hospital Keningau 1 0 0 0 1716
40 Hospital Lahad Datu 0 1 0 0 1707
41 Hospital Queen Elizabeth 2 0 0 0 0 1640
42 Hospital Tawau 0 0 0 0 1589
43 Hospital Langkawi 0 0 0 0 1430
44 Institut Kanser Negara 0 0 0 0 1300
0 2299
45 Hospital Port Dickson 0 0 0 2157
46 Hospital Segamat 0 0 0 0
47 Hospital Kemaman 0 0 0 0 2055
48 Hospital Tanah Merah 0 0 0 0 1967
49 Hospital Bintulu 0 0 0 0 1931
50 Hospital Sarikei 0 0 0 0 1884
51 Hospital Kapit 0 0 0 0 1877
52 Hospital Labuan 0 0 0 0 1861
53 Hospital Banting 0 0 0 0 1716
0 1707
TOTAL 69 50 136 1640
85
16
Table 7.10.20 : Total Colectomy by Hospital Category
General Surgery Services Ministry of Health Malaysia 235
51 Hospital Kapit 000 0
000
000
52 Hospital Labuan 0
0
GENERAL SURGERY53 Hospital Banting
TOTALINPATIENT, OUTPATIENT, E6N9 DOSCOP5Y0 AND SUR13G6ERY (IOES) 85 16
TCabEleN7S.1U0-S20R:ETPotOal RCoTle2ct0om1y6b-y2H0o1sp9ital Category
7.107.8.1S0t.a8plSertaHpelmeor rHrheomidoercrthomoiydectomy
a) Totala. Total
Stapler Hermorrhoidectomy
140 124
117
120
No. of Procedures 100
100
80
60
40
20
0
General Surgery: In2p0a1t7ient, Outpatient, 2E0n18doscopy, Surgery2(0I1O9 ES) Census Report258
Figure 7.10-38 : Total Number of Stapler Hemorrhoidectomy
Figure 7.10.38 : Total Number of Stapler Hemorrhoidectomy
b) By BMb.SBCyaBteMgoSryCategory
Stapler Hermorrhoidectomy
No. of Procedures 70 63 64 55 16
60 53 50 43
50
40 33 Small
30
20 Medium
10 Hospital Category
0
Big
2017 2018 2019
FigureFig7u.1re0.73.910:-3S9ta:pSltearplHereHmeomrorhrrohiodiedeccttoommyybby yBMBMS SCaCteagtoergy ory
c) By BMS Hospital Category
Stapler Hemorrhoidectomy
(2017 - 2019)
. of Procedure 16 15 Mean Total Procedures : 114 3
2
14 11 11 Total Colorectal Surgeons : 16
12
236 Ge1n0eral Surgery S8ervices Ministry of Health Malaysia
8 654 6
6 544
20
10 4 3
Mean No. of Procedure
GENERAL SURGERY0
HSA Johor Bahru Big
Hospital Selayang Medium Small
Hospital Queen Elizabeth No.
Hospital Sibu
HSB Alor Setar
Hospital Kuala Lumpur
Hospital Pulau Pinang
HRPB Ipoh
HTAA Kuantan
HTJ Seremban
HRPZ Kota Bahru
HSNI Batu Pahat
HSI Johor Bahru
Hospital Kajang
Hospital Ampang
Hospital Seberang Jaya
Hospital Miri
HSAH Sungai Petani
Hospital Taiping
Hospital Serdang
HSNZ Kuala Terengganu
Hospital Putrajaya
Hospital Segamat
Hospital Umum Sarawak
HPSF Muar
Hospital Langkawi
Hospital Shah Alam
Hospital Bintulu
Hospital Teluk Intan
Hospital Queen Elizabeth 2
Hospital Port Dickson
Hospital Banting
HoSHAS Temerloh
Hospital Kapit
No. of Colorectal Surgeons
INPATIENT, OUTPATIENT, ENHDoOspiStaCl COatePgoYry AND SURGERY (IOES)
CENSUS 2R01E7PO20R18T 2200119 6 - 2019
Figure 7.10-39 : Stapler Hemorrhoidectomy by BMS Category
c.cB) yBBy BMMSS HHoosspiptailtCaalteCgoarytegory
Stapler Hemorrhoidectomy
(2017 - 2019)
16 15 Mean Total Procedures : 114 3
Total Colorectal Surgeons : 16
14 11 11
12
2
10 8 1
8 654 6
6 3 5444322222211111111100
4 2
2 00
00
Centers with Colorectal Center with General Surgeon
Surgeons Colorectal Surgeon
FiguFreigu7re.170.1.04-040::SSttaapplelreHreHmoermrhooidrerchtoomidy beycBtMoSmHyosbpiytalBCMateSgoHryospital Category
STAPLER HEMORRHOIDECTOMY
HOSPITAL CATEGORY 2017 2018 2019
Big 63 64 53
Medium 50 33 55
Small 43 16
TOTAL 117 100 124
Table 7.10.21: Stapler Hemorrhoidectomy by BMS Category
General Surgery Services Ministry of Health Malaysia 237
GENERAL SURGERY
INPATIENT, OUTPATIENT, ENDOSCOPY AND SURGERY (IOES)
CENSUS REPORT 2016 - 2019
STAPLER HEMORRHOIDECTOMY
NO HOSPITALS 2017 2018 2019 MEAN NO. OF COLORECTAL
1 HSA Johor Bahru 9 21 14 PROCEDURES SURGEON
2 Hospital Selayang 18 12 4 15 1
11 2
3 Hospital Queen Elizabeth 16 15 2
4 Hospital Sibu 7 1 17 11 1
5 HSNI Batu Pahat 1 15 3 8 1
6 HSB Alor Setar 5 5 7 6 1
7 Hospital Kuala Lumpur 7 5 3 6 2
8 HSI Johor Bahru 4 2 8 5 2
9 Hospital Pulau Pinang 2 3 8 5 2
10 Hospital Kajang 8 0 4 4 1
11 Hospital Ampang 7 2 3 4 2
12 Hospital Seberang Jaya 7 2 2 4 1
13 HRPB Ipoh 1 1 7 4 2
14 Hospital Miri 3 5 0 3
15 HSAH Sungai Petani 2 1 4 3 1
16 Hospital Taiping 1 0 6 2 1
2 1
17 Hospital Serdang 6 0 1
18 HSNZ Kuala Terengganu 4 2 0 2 1
19 Hospital Putrajaya 1 3 2 2 1
20 Hospital Segamat 1 0 5 2 1931
21 HTAA Kuantan 0 0 5 2 1884
22 Hospital Umum Sarawak 1 0 3 2 1
23 HPSF Muar 0 0 4 1 1861
24 Hospital Langkawi 0 0 4 1 1
25 Hospital Shah Alam 1 2 1 1 1707
26 Hospital Bintulu 0 0 4 1 1640
27 Hospital Teluk Intan 2 0 1 1 1589
28 Hospital Queen Elizabeth 2 1 1 0 1 1430
29 Hospital Port Dickson 2 0 0 1 1300
30 Hospital Banting 0 0 2 1 2299
1 2157
31 HoSHAS Temerloh 0 1 0
32 Hospital Kapit 0 1 0 0 2055
33 HTJ Seremban 0 0 0 0 1967
34 HRPZ Kota Bahru 0 0 0 0
0 2
TOTAL 117 100 124 2
114
16
Table 7.10.22: Stapler Hemorrhoidectomy by Hospital Category
238 General Surgery Services Ministry of Health Malaysia
31 HosSpHitAalSKTaepmiterloh 01 0 0
0
332 HoTsJpSitearleKmabpaint 0 01 0 0 2
1104 2
343 HRTJPZSeKreomtabBanahru 00 0 114 126
GENERAL SURGERY34 HRPZITTNKOOPoATTtaTAAIBELLaNhTr,uOTUabTlPeCA7E.T1N0IE-S2N2U:TSS,taERpN11Ele110PDr77HOOeRmSoTCrr2Oh0oPi1dYe6ct11A-o2000mN000yDb1y9SHUosRpiGtalECRa11Yt202eg44(oIrOy ES) 16
Table 7.10-22: Stapler Hemorrhoidectomy by Hospital Category
7.10.9 Fistula-in-ano Surgery
7.10a.79) .1TF0ios.tt9aullFai-sintu-alano-inSu-argneorySurgery
a) Total Fistula-in-ano Surgery
a. Total
700 Fistula-in-ano Surgery 607
607
760000 529
No. ofNo.ProofcePrdourcesdures 560000 451 529
450000 451
340000
230000
120000
1000
2017 2018 2019
0
Figu2r0e177.10-41 : Total Number2o0f1F8istula-in-ano Surgery 2019
Figure 7.10-41 : Total Number of Fistula-in-ano Surgery
Figure 7.10.41 : Total Number of Fistula-in-ano Surgery
b) By BMS Category
b) By BMbS. BCyatBegMorSy Category
Fistula-in-Ano Surgery
450 F4i0s3tula-in-Ano Surgery
No. ofNo.ProofcePrdourcesdures 400 332 403
345500 282
430000
235500 332
230000 282
125500 116 120 114 53 77 90
210000 116 120 114 53 77 90
15500
1000 Medium Small
50 Big HospiMtaeldCiuamtegory
0 Small
Big
Hospital Category
2017 2018 2019
FiguFriegu7re.170..1402-4:2F:isFtui2slta0u1-la7in-i-na-a2nn0oo18SSuurrgg2ee0rry1y9bbyyBMBMS SCaCteagtoergyory
Figure 7.10-42 : Fistula-in-ano Surgery by BMS Category
General Surgery Services Ministry of Health Malaysia 239
GENERAL SURGERY
INPATIENT, OUTPATIENT, ENDOSCOPY AND SURGERY (IOES)
CENSUS REPORT 2016 - 2019
General Surgery: Inpatient, Outpatient, Endoscopy, Surgery (IOES) Census Report261
c. cB) yBBy MBMSSHHoossppitaitl aCalteCgoarytegory
50 47 Fistula-in-Ano Surgery 3
(2017 - 2019) 2
1
Mean Total Procedures : 529 0
Total Colorectal Surgeons : 16
24
19161515121110 9 7 7 7 7 7 6 6 6 5 5 5 4 4 4 4 4 3 3 3 2 2 2 2 2 1 1 1
Mean no. of Procedures45393838
40 3229
HRPZ Kota Bahru35
Hospital Selayang30
25 19161212
HTJ Seremban20 6
Hospital Queen Elizabeth15
10
HRPB Ipoh5
HSB Alor Setar0
Hospital Pulau Pinang
HSA Johor Bahru
Hospital Kuala Lumpur
HTAA Kuantan
Hospital Sibu
HTAR Klang
Hospital Serdang
HSNZ Kuala Terengganu
Hospital Umum Sarawak
Hospital Putrajaya
Hospital Bintulu
HSNI Batu Pahat
Hospital Shah Alam
Hospital Taiping
Hospital Seri Manjung
HSAH Sungai Petani
Hospital Kajang
Hospital Port Dickson
HSI Johor Bahru
Hospital DoK Sandakan
Hospital Keningau
Hospital Segamat
HPSF Muar
Hospital Ampang
Hospital Tawau
Hospital Labuan
Hospital Kuala Pilah
Hospital Miri
Hospital Kulim
Hospital Teluk Intan
HEBHK Kluang
Hospital Sarikei
Hospital Kuala Lipis
Hospital Seberang Jaya
Hospital Lahad Datu
HoSHAS Temerloh
Hospital Langkawi
HTF Kangar
Hospital Melaka
Hospital Queen Elizabeth 2
Hospital Tanah Merah
No. of Colorectal Surgeons
Centers with Colorectal Center with General Surgeon
Surgeons Colorectal Surgeon
FiguFrigeur7e.71.010.4-433 :: FFiisstutulal-ain--ainno-aSunrogerSyubrygBeMrSyHboyspiBtaMl CSatHegoosrypital Category
OPEN FISTULA-IN-ANO
HOSPITAL CATEGORY 2017 2018 2019
Big 282 332 403
116 120 114
OPENMeFdIiSumTULA-IN-ANO
Small 53 77 90
HOSPITTAOLTCAALTEGORY 2017 451 529 2018607 2019
403
Big Table 7.10-23 : Fistula-in-ano2S8ur2gery by BMS Category 332
Medium OPEN FISTULA IN11A6NO PROCEDUR1E2S0 114
NoS.maHllospitals 2017 53 2018 201977 Mean No. of C90olorectal
1 HRPZ KotaTBOaThAruL 39 451 44 58 529 Procedures 60S7ur2geon
47 2
2 Hospital Selayang Table 7.10.23 : Fis4t1ula-in-ano S4u6rgery by BM30S Category 39
3 HTJ Seremban 24 35 55 38 2
4 Hospital Queen Elizabeth 23 35 55 38 1
5 HRPB Ipoh 40 34 23 32 1
6 HSB Alor Setar 15 17 56 29 2
7 HTAR Klang 28 35 9 24
8 Hospital Pulau Pinang 19 20 19 19 1
9 Hospital Serdang 28 28 2 19
10 HSA Johor Bahru 13 18 17 16 1
240 General Surgery Services Ministry of Health Malaysia
GENERAL SURGERY
INPATIENT, OUTPATIENT, ENDOSCOPY AND SURGERY (IOES)
CENSUS REPORT 2016 - 2019
OPEN FISTULA IN ANO PROCEDURES
NO HOSPITALS 2017 2018 2019 MEAN NO. OF COLORECTAL
1 HRPZ Kota Bahru 39 44 58 PROCEDURES SURGEON
2 Hospital Selayang 41 46 30 47 2
39 2
3 HTJ Seremban 24 35 55
4 Hospital Queen Elizabeth 23 35 55 38 2
5 HRPB Ipoh 40 34 23 38 1
6 HSB Alor Setar 15 17 56 32 1
7 HTAR Klang 28 35 9 29 2
8 Hospital Pulau Pinang 19 20 19 24 2
9 Hospital Serdang 28 28 2 19 1
10 HSA Johor Bahru 13 18 17 19 1
11 HSNZ Kuala Terengganu 13 12 22 16 1
12 Hospital Umum Sarawak 14 11 21 16 1
13 Hospital Putrajaya 23 11 11 15 2
14 Hospital Kuala Lumpur 5 12 20 15
15 HTAA Kuantan 8 13 16 12 2
16 Hospital Bintulu 5 11 20 12 1
12 1
17 HSNI Batu Pahat 10 18 5
18 Hospital Shah Alam 8 9 13 11 1
19 Hospital Taiping 0 11 15 10 1
20 Hospital Seri Manjung 5 5 12 9 1931
21 HSAH Sungai Petani 9 9 3 7 1884
22 Hospital Kajang 3 4 14 7 1877
23 Hospital Port Dickson 5 16 0 7 1861
24 HSI Johor Bahru 6 3 11 7 1
25 Hospital DoK Sandakan 3 12 4 7 1707
26 Hospital Sibu 9 5 4 6 1640
27 Hospital Keningau 2 4 12 6 1
28 Hospital Segamat 8 4 5 6 1430
29 HPSF Muar 4 6 6 6 1300
30 Hospital Ampang 0 3 11 5 2299
5 2157
31 Hospital Tawau 2 5 7
32 Hospital Labuan 5 2 6 5 2055
33 Hospital Kuala Pilah 4 6 2 4 1967
34 Hospital Miri 5 3 4 4 1931
35 Hospital Kulim 7 5 0 4 1884
36 Hospital Teluk Intan 3 0 8 4 1877
37 HEBHK Kluang 5 3 1 4
38 Hospital Sarikei 3 3 3 3 1
39 Hospital Kuala Lipis 2 3 3 3 1716
40 Hospital Seberang Jaya 2 1 4 3 1707
41 Hospital Lahad Datu 0 3 4 2 1640
42 HoSHAS Temerloh 2 3 1 2 1589
43 Hospital Langkawi 0 0 6 2 1430
44 HTF Kangar 0 0 5 2 1300
2 2299
45 Hospital Melaka 0 0 2 2157
46 Hospital Queen Elizabeth 2 1 1 0 1
47 Hospital Tanah Merah 0 0 2 1 2055
48 Hospital Sungai Buloh 0 0 0 1 1967
49 Institut Kanser Negara 0 0 0 0 1931
50 Hospital Kemaman 0 0 0 0 1884
51 HSIP Kuala Krai 0 0 0 0 1877
52 Hospital Kapit 0 0 0 0 1861
53 Hospital Banting 0 0 0 0 1716
0 1707
TOTAL 451 529 607 1640
529
16
Table 7.10.24 : Fistula-in-ano Surgery by Hospital Category
General Surgery Services Ministry of Health Malaysia 241
GENERAL SURGERY
INPATIENT, OUTPATIENT, ENDOSCOPY AND SURGERY (IOES) Census
General SSuurrCggeeErrNyyS:: UIInnSppRaaEttiiPeennOttR,, OOT uu2tt0pp1aatt6iiee-nn2tt0,,1EE9nnddoossccooppyy,, Surgery (IOES) Census RReeppoorrtt226644
General Surgery (IOES)
7.11 Vascular
7.17L1.i1st1VoafVpsracosccueudlluaarrers selected for Vascular workload measurement are:
Liisiii...tLoisft opCCBrfrhhopaeecrcmmoehdcioouoeppr-dooeCusrrerttespiiesnnhlsssaeeeelclirretctteiicdooFtnneifsdoturfolVaraV(sBacsCuclFua)lraawrnwodorkRrklaloodaaidod-mCmeeeapashusaurlreiemcmFeeninstttuaarlaere:(:RCF) Creation
iiiii..i. HBCrhiagechmhSiooap-poChretepinnhosaeulrsitciVoFneiisntuLlaig(aBtiConF)(HanSdVRLa)dainod-CSetprihpapliincgFistula (RCF) Creation
iiivi..ii. EHBrmiagcbhhoSiloea-cpCthoeempnhioeausliscVFiestiunlaL(igBCatFi)oann(dHRSaVdLio)-CanedphSatrliicppFiisntugla (RCF) Creation
iv.iii. EHimghboSlaepchtoemnoieuss Vein Ligation (HSVL) and Stripping
7.11i.v1. CEmhbemoleocptoormtieIns sertion
7.11.1 Chemoport Insertion
a7).1T1o.1talChemoport Insertion
a) Total
a. Total
VVaassccuullaarr SSuurrggeerryy
6000 4652 4911 4979
6000 4652 4911 4979
5000
No.No.f oPfroPrceocdeurdeusres 5000
4000
4000
3000
3000
2000
2000
1000
1000
0
0 2017
2018 2019
2017 2018 2019
Figure 7.11-1 : Total Number of Vascular Surgery
FiguFriegu7r.e171..111:-1To: tTaoltaNluNmumbbeerrooff VVaassccuulalar Sr uSrugregrey ry
b) By BBMMb.SSBCCyaaBtteeMggooSrryyCategory
b) By
VVaassccuullaarr SSuurrggeerryy
No.No.f oPfroPrceocdeurdeusres 3500 3047 3010 2986
33500000 3047 3010 2986
23050000
22050000 1479 1494
21050000 1225 1479 1494
11050000 1225
1050000
380 422 499
380 422 499
5000
0 Big
Big Medium Small
HospiMtaeldCiuamtegory Small
Hospital Category
2017 2018 2019
2017 2018 2019
FiguFFreiigguu7rr.1ee177...21111:--V22 a:: VVscaaussccluuallraaSrr uSSruugrrggeeerrryyy bbbyyyBBBMMMSSSCCCaaatteetggeoogrryyory
242 General Surgery Services Ministry of Health Malaysia
1000 2000 No. of Procedures30004000 6000 d) dT.yTpeyspoef sVaoscfuVlaarsScuurglaerry SuTrgypeersyof Vascular Surgery FigFiugurere 77..1111-3.3: :VaVsacuslcaruSluarrgeSruy rbgyeBrMySbHyosBpiMtaSl CHaotegsopriytal Category Mean No. of Procedures700 c) cB.ycB)ByMBBSyMBHMSosSpHiHtoaolssCppiatiattealgCloarCtyegaotrey gory General Surgery: Inpatient, Outpatient, Endoscopy, Surgery (IOES) Census Report265
1000 No. of Procedures20003000 5000 700 600 General Surgery: Inpatient, Outpatient, Endoscopy, Surgery (IOES) Census Report265
d) Types of VascuFilgaurreS7u.1r1g-e3r:yVascular Surgery by BMS Hospital Category Hospital Pulau Pinang Mean No. of Procedures
5000 600 500
4000 HSB Alor Setar500 400
Hospital Kuala Lumpur400 300
300 200
HospHitRalPPBulIapuoPhinang200 100
Hospital Queen ElHizSaBbeAthlo2r Setar100 0
HHRoPsZpitKaloKtauBalaahLruumpur0
HSNZ Kuala TerengHgRaPnBu Ipoh
Embolectomies BCF/ RTCOFTCArLeation 0 BCF/ RCF Creation 0 6000 Types of Vascular Surgery GENERAL SURGERY
TOTAL Embole2c0to1m7 ies HospitalHQouspeeitnalESliizbaubeth 2
4652 HospHitRalPSZeKrdoatnagBahru INPATIENT, OUTPATIENT, ENDOSCOPY AND SURGERY (IOES)
FigurFeig7u.r1e17..411:-4Ty: pTeypsesooffVVaasscculualraSruSrguerrgy ery 2017 4652 Vascular Surgery (2017 - 2019)
HSNHZTAKAuaKlauTaenrteanngganu Vascular Surgery (2017 - 2019) CENSUS REPORT 2016 - 2019
General Surgery Services Ministry of Health Malaysia 243 High Saphenous Vein Ligation and Strippin Chemoport insertion Chemoport insertion 2018 4911 HoIsnHpsitHStiatAoulHStHUHSHHKmoISHHSAasuuJnAoopSoHnmHsSsiHhgeHHtTopSHaoraSsieToISlHHritApNamaAsuKJPiBroopSlotenaeAsaeusiaMhggwrtpTpltlhaolaaaKiiieSoalirmtrritnrmauhakeauKiiPBllraeeduSaMnrtalhlitaiobnairmnrunhugii
Figure 7.11-4 : Types of Vascular Surgery 2018High Saphenous Vein Ligatio2n0a1n9d Strippin 4911 Mean
Total
Procedures
:
4847
HISnAstiJtuothKoranBsaehr rNuegara Mean
Total
Procedures
:
4847
4979 HosHpoitsapl iUtaml TumawSaaurawak
2019 4979 HospitaHl KSAemJoamhoarnBahru
HPHSoFspMitaulaTr awau
Hospital DHoKosSpiatnadl aKkeamnaman
Hospital THaiPpSinFgMuar
HospiHtaol sSpeitbael rDanogKJSaaynadakan
HospitalHLoasnpgitkaalwTiaiping
HHoossppitiatal lSMebeelraaknag Jaya
HHToAspRitaKl lLaannggkawi
Hospital QueenHEolsipziatableMthelaka
HSNI BatuHTPAahRatKlang
HoHspoitsapliQtaul eBeinntEulliuzabeth
HTJHSSeNrIemBabtaunPahat
HSIP KHuoaslpaitKalrBaiintulu
Hospital KuHalTaJLSiepriesmban
HospiHtaSlIKP aKjaunalga Krai
HospitalHSoesrpiiMtalaKnjuuanlag Lipis
HHoHHossopopHsHisiptHHptoaHoiailstooHstlHoapaSpssPsloiHlppoiuptHsLotiiTsanaiTpttrpHtolaaaelgtiaFihllstlSoAtlaDaupaaSSesiKPlkiHmldpiuegtBLocTaarinaTIpDrktilanuenmgatFashMlSglatlaDunooaaataeiKKkgunhnadtigrBcnaaaIDknujjnmuasglatnoonaatagunhgntr
HEBHHoKspKitlaulaAnmg pang
HospitaHl SEeBlaHyKanKgluang
HospitalHKousapliataPl iSlaehlayang
HospiHtaol sSphitaahl KAulaamla Pilah
HoHsopsitpailtaLl aSbhuaahnAlam
HospitalHPoustpriatjaalyLaabuan
HoHsopsitpailtaKl aPpuittrajaya
HospitaHl oSsapriitkaeliKapit
Hospital Sarikei
GENERAL SURGERY
INPATIENT, OUTPATIENT, ENDOSCOPY AND SURGERY (IOES)
CENSUS REPORT 2016 - 2019
VASCULAR SURGERY
HOSPITAL CATEGORY 2017 2018 2019
Big 3047 3010 2986
Medium 1225 1479 1494
Small 380 422 499
TOTAL 4652 4911 4979
Table 7.11.1 Vascular Surgery by BMS Category
VASCULAR SURGERY BY GENERAL SURGEONS
PROCEDURE TYPE 2017 (%) 2018 (%) 2019 (%)
Chemoport insertion 1013 22% 1135 23% 1258 25%
3406 73% 3526 72% 3499 70%
BCF/ RCF Creation
High Saphenous Vein Ligation and 96 2% 117 2% 72 1%
Stripping
Embolectomies 137 3% 133 3% 150 3%
100% 4979 100%
TOTAL 4652 1.0 4911
Table 7.11.2 : Types of Vascular Surgery
244 General Surgery Services Ministry of Health Malaysia
GENERAL SURGERY
INPATIENT, OUTPATIENT, ENDOSCOPY AND SURGERY (IOES)
CENSUS REPORT 2016 - 2019
VASCULAR SURGERY BY GENERAL SURGEONS
MEAN NO. OF PROCEDURES TOTAL MEAN
PROCEDURES
NO HOSPITALS CHEMOPORT BCF /RCF HSVL & EMBOLECTOMIES
INSERTION CREATION STRIPPING (d) (a+b+c+d)
1 Hospital Pulau Pinang (a)
2 HSB Alor Setar 139 (b) (c) 8 637
3 Hospital Kuala Lumpur 173 489 2 5 492
17 314 1 24 489
4 HRPB Ipoh 435 13
5 Hospital Queen Elizabeth 2 18 0 374
6 HRPZ Kota Bahru 9 355 1 2 345
7 HSNZ Kuala Terengganu 101 334 0 4 293
8 Hospital Sibu 43 186 2 3 270
9 Hospital Serdang 0 223 0 4 196
10 HTAA Kuantan 0 185 6 10 181
11 Hospital Kulim 34 161 9 2 125
12 HoSHAS Temerloh 10 81 8 1 122
13 HSAH Sungai Petani 9 111 0 1 110
14 HSI Johor Bahru 38 98 2 2 91
15 Hospital Miri 86 51 0 1 87
16 Institut Kanser Negara 4 1 3 85
17 Hospital Umum Sarawak 84 0 2 0 84
18 HSA Johor Bahru 3 76 0 7 72
19 Hospital Tawau 12 0 18 15 65
20 Hospital Kemaman 23 44 3 1 62
21 HPSF Muar 13 35 0 3 54
22 Hospital DoK Sandakan 44 39 0 1 51
23 Hospital Taiping 5 38 2 1 50
24 Hospital Seberang Jaya 36 5 1 1 49
25 Hospital Langkawi 1 43 0 1 48
26 Hospital Melaka 1 12 10 0 37
27 HTAR Klang 33 36 3 2 35
28 Hospital Queen Elizabeth 25 34 0 6 32
29 HSNI Batu Pahat 23 0 1 1 26
30 Hospital Bintulu 23 0 2 0 24
31 HTJ Seremban 15 1 0 0 16
32 HSIP Kuala Krai 5 0 0 3 15
33 Hospital Kuala Lipis 5 1 0 10 15
34 Hospital Kajang 2 8 0 0 14
35 Hospital Seri Manjung 11 0 0 0 11
36 Hospital Segamat 5 12 0 4
37 Hospital Port Dickson 0 0 0 1 9
38 HTF Kangar 3 0 2 1 9
39 Hospital Sungai Buloh 8 6 0 0 8
40 Hospital Lahad Datu 2 4 0 0 8
41 Hospital Teluk Intan 2 0 1 0 8
42 Hospital Ampang 4 6 0 1 6
43 HEBHK Kluang 0 4 0 0 5
44 Hospital Selayang 2 0 3 2 5
45 Hospital Kuala Pilah 1 2 1 0 5
46 Hospital Shah Alam 2 0 0 0 2
47 Hospital Labuan 0 1 0 0 2
48 Hospital Putrajaya 0 0 2 0 2
49 Hospital Kapit 1 0 0 0 2
50 Hospital Sarikei 0 2 0 1 1
51 Hospital Tanah Merah 0 0 0 0 1
52 Hospital Keningau 0 0 0 0 0
53 Hospital Banting 0 0 0 0 0
0 0 0 0 0
TOTAL 0 0 0
1135 0 140
95 4847
3477
Table 7.11.3 : Vascular Surgery by Hospitals
General Surgery Services Ministry of Health Malaysia 245
GENERAL SURGERY
INPATIENT, OUTPATIENT, ENDOSCOPY AND SURGERY (IOES)
CENSUS REPORT 2016 - 2019
GGeenneerraall SSuurrggeerryy:: IInnppaattiieenntt,, OOuuttppaattiieenntt,, EEnnddoossccooppyy,, SSuurrggeerryy ((IIOOEESS)) CCeennssuuss RReeppoorrtt226688
77..11117..22.1BB1CC.2FF//BRRCCCFFF/CCRrrCeeaaFttiiCoonnreation
aa)) TToottaalla. Total
3540 BBCCFF // RRCCFF CCrreeaattiioonn
33552400
33550200 3526
33458000 3526
33446800
33444600 3499
33442400 3499
33440200
No.Noo.foPfroPrcoecdeurdeusres 33348000 3406
33336800 3406
33334600
3340 2017 2018 2019
2017 2018 2019
FigFFuiirggeuurr7ee.1771..11.511--:55T::oTTtaoottlaaNll NNuuummmbbbeeerrr ooofffBBBCCCFFF///RRRCCCFFFCCCrreeraeattaiiootnnion
bb)) BByy BBMMb.SSBCCyaattBeegMgooSrryyCategory
BBCCFF //RRCCFF CCrreeaattiioonn
No.Noo.foPfroPrcoecdeurdeusres 2500 2218 2145 2199
2500 2218 2145 2199
2000
2000
1500 955 1123 1013
1500 955 1123 1013
1000
1000 287
287
500 233 258
500 233 258
0 Medium Small
0 Big HospiMtaeldCiuamtegory Small
Hospital Category
Big
2017 2018 2019
2017 2018 2019
FiguFFriiegguu7rre.e1771...11611--:66B::CBBFCC/FFR//CRRFCCFCF rCCerraeeaatittoiioonnnbbbyyy BBBMMMSSSCCCaaatteetggeoogrryoy ry
246 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 Report269
c. cB)yBByMBMS SHHoossppitiatal ClaCtegaotrey gory
BCF / RCF Creation
(2017 - 2019)
600 Mean Total Procedures : 3477
489
500 435
Mean No. of Procedures
400 355 334 314
Hospital Pulau Pinang
Hospital Kuala Lumpur300
200
HRPB Ipoh100
Hospital Queen Elizabeth 2
HSB Alor Setar
HSNZ Kuala Terengganu
HRPZ Kota Bahru
Hospital Sibu
Hospital Serdang
Hospital Kulim
HSAH Sungai Petani
HTAA Kuantan
Hospital Miri
HoSHAS Temerloh
Hospital Umum Sarawak
Hospital DoK Sandakan
Hospital Tawau
Hospital Kemaman
Hospital Seberang Jaya
HSA Johor Bahru
Hospital Langkawi
Hospital Taiping
Hospital Kajang
Hospital Kuala Lipis
Hospital Bintulu
Hospital Port Dickson
HPSF Muar
Hospital Lahad Datu
HTF Kangar
Hospital Ampang
Hospital Labuan
Hospital Kapit
Hospital Queen Elizabeth
Hospital Selayang
223 210 185 161
111 98 81 76 67 44 43 39 38 36 35 34 12 12 12 8 6 5 4 4 2 2 1 1 1
0
Figure 7.11-7 : BCF / RCF Creation by BMS Hospital Category
Figure 7.11.7 : BCF / RCF Creation by BMS Hospital Category
BCF / RCF CREATION
Hospital Category 2017 2018 2019
Big 2218 2145 2199
955 1123 1013
BCF /MReCdiuFmCREATION
Small 233 258 287
HOSPITATLOCTAATLEGORY 2017 3406 35262018 3499 2019
2199
Big Table 7.11-4: BCF / RCF2C2r1ea8tion by BMS Category2145
Medium BCF / RCF 9C5R5EATION 1123 1013
SNmoa.ll Hospitals 2017233 2018 2205189 Mean No. 2o8f 7
Procedur3e4s99
TOTAL 3406 3526
1 Hospital Pulau Pinang 456 460 550 489
2 Hospital Kuala LuTambpluer7.11.4 : BCF /4R8C0F Creatio3n94by BMS C4a3t1egory 435
3 HRPB Ipoh 423 329 314 355
4 Hospital Queen Elizabeth 2 261 336 404 334
5 HSB Alor Setar 330 350 261 314
6 HSNZ Kuala Terengganu 173 207 290 223
7 HRPZ Kota Bahru 206 213 210 210
8 Hospital Sibu 177 183 196 185
9 Hospital Serdang 259 202 23 161
10 Hospital Kulim 107 123 103 111
11 HSAH Sungai Petani 49 135 109 98
12 HTAA Kuantan 63 81 100 81
13 Hospital Miri 79 88 60 76
14 HoSHAS Temerloh 51 70 80 67
General Surgery Services Ministry of Health Malaysia 247
GENERAL SURGERY
INPATIENT, OUTPATIENT, ENDOSCOPY AND SURGERY (IOES)
CENSUS REPORT 2016 - 2019
BCF / RCF CREATION
NO HOSPITALS 2017 2018 2019 MEAN NO. OF
1 Hospital Pulau Pinang 456 460 550 PROCEDURES
2 Hospital Kuala Lumpur 480 394 431 489
435
3 HRPB Ipoh 423 329 314
4 Hospital Queen Elizabeth 2 261 336 404 355
5 HSB Alor Setar 330 350 261 334
6 HSNZ Kuala Terengganu 173 207 290 314
7 HRPZ Kota Bahru 206 213 210 223
8 Hospital Sibu 177 183 196 210
9 Hospital Serdang 259 202 23 185
10 Hospital Kulim 107 123 103 161
11 HSAH Sungai Petani 49 135 109 111
12 HTAA Kuantan 63 81 100 98
13 Hospital Miri 79 88 60 81
14 HoSHAS Temerloh 51 70 80 76
15 Hospital Umum Sarawak 45 46 41 67
16 Hospital DoK Sandakan 44 41 43 44
43
17 Hospital Tawau 36 16 64
18 Hospital Kemaman 32 42 41 39
19 Hospital Seberang Jaya 28 72 8 38
20 HSA Johor Bahru 40 65 0 36
21 Hospital Langkawi 35 31 35 35
22 Hospital Taiping 5 7 25 34
23 Hospital Kajang 0 14 23 12
24 Hospital Kuala Lipis 4 3 30 12
25 Hospital Bintulu 7 6 10 12
26 Hospital Port Dickson 0 0 19 8
27 HPSF Muar 0 0 14 6
28 Hospital Lahad Datu 0 12 1 5
29 HTF Kangar 10 0 2 4
30 Hospital Ampang 0 0 5 4
2
31 Hospital Labuan 0 0 5
32 Hospital Kapit 4 0 0 2
33 Hospital Queen Elizabeth 2 0 0 1
34 Hospital Selayang 0 0 2 1
1
TOTAL 3406 3526 3499
3477
Table 7.11.5: BCF / RCF Creation by Hospital Category
248 General Surgery Services Ministry of Health Malaysia
31 Hospital Labuan 005 2
1
32 Hospital Kapit 40 0 1
33 GENERALHospital Queen Elizabeth SU2 RGE0RY 0 1
3477
34 HoINspPiAtaTlISEeNlaT,yaOnUgTPATIENT, ENDOSC0OPY AND S0URGERY (2IOES)
TOTAL CENSUS REPOR3T4200616 - 20139526 3499
Table 7.11-5: BCF / RCF Creation by Hospital Category
7.117.3.1H1i.g3h HSaigphheSnaoupshVeeninoLusigVateioinn (LHigSaVtLio) nan(dHSStVriLp)pianngd Stripping
a) Total a. Total
HSVL & Stripping
140 117
No. of Procedures 120
100 96
80 72
60
40
20
0 2018 2019
2017
General Surgery:FigIFnuirpgeuar7tei.1e71n.1.t81,-8:OT:ouTttoaptlaaNltNuieummnbbt,eerEr oonffHdHSoSVsVLcLoaanpndydS,tSSritpurippringpgeinrgy (IOES) Census Report271
b) By BMbS. BCyatBegMorSyCategory
HSVL & Stripping
80
70 67
No. of Procedures 60
50 41 44 47 44
40 19
30 Medium
20 869
Small
10
0
Big
2017 2018 2019
FiguFriegu7re.171.1.91-:9H:SHVSLVaLnadndStSrtirpipppiningg bbyyBBMMSSCCataetgeogryory
c) By BMS Hospital Category
Procedures 20 18 HSVL and Stripping 249
(2017 - 2019)
18
Mean Total Procedures : 95
16 13
14 General Surgery Services Ministry of Health Malaysia
12 10 9
Mean No. of Procedures 30 19
No. 20
8 9
10 GENERAL 6
0 SURGERY
INPATIENT, OUTPBAigTIENT, ENDOSMCeOdiuPmY AND SURGSmEaRllY (IOES)
CENSUS R2E01P7OR20T1820210169- 2019
Figure 7.11-9 : HSVL and Stripping by BMS Category
c. cB) yBByMBMSSHHoossppitiatlaClaCtegaotrey gory
HSVL and Stripping
(2017 - 2019)
20 18 Mean Total Procedures : 95
18
16 13
14
12 10 9 8
10
86
6 3333222222211111110000
4
2
0
FiguFriegu7re.171.1.11-100::HHSSVVLL aannd dStrSiptpriipngpbiny gBMbSyHBosMpiStalHCoastepgiotrayl Category
HIGH SAPHENOUS VEIN LIGATION & STRIPPING
Hospital Category 2017 2018 2019
Big 41 67 44
HIGH SMAedPiuHmENOUS VEIN LIGATIO4N7 & STR44IPPING19
Small 869
HOSPITTAOL CTATLEGORY 2017 96 1172018 72 2019
44
Big Table 7.11-6: HSVL and St4ri1pping by BMS Category 67 19
Medium 47 44 9
Small 86 72
TOTAL 96 117
Table 7.11.6: HSVL and Stripping by BMS Category
250 General Surgery Services Ministry of Health Malaysia
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