27 JULAI 2022 LAYOUT IOES CENSUS REPORT PDF

GENERAL SURGERY

INPATIENT, OUTPATIENT, ENDOSCOPY AND SURGERY (IOES)

CENSUS REPORT 2016 - 2019

HIGH SAPHENOUS VEIN LIGATION & STRIPPING

NO HOSPITALS 2017 2018 2019 MEAN NO. OF
PROCEDURES
1 Hospital Umum Sarawak 10 29 15
2 Hospital Kuala Lumpur 18
3 Hospital Seberang Jaya 17 9 14 13
4 Hospital Serdang 10
5 HTAA Kuantan 14 16 0 9
6 Hospital Sibu 8
7 HSA Johor Bahru 17 10 0 6
8 HRPZ Kota Bahru 3
9 Hospital Ampang 3 15 5 3
10 Hospital Langkawi 3
11 HSAH Sungai Petani 8 73 3
12 Hospital Queen Elizabeth 2
13 Hospital Miri 8 10 2
14 Hospital Pulau Pinang 2
15 HPSF Muar 1 17 2
16 Hospital Shah Alam 2
17 Hospital Port Dickson 0 81 2
18 HEBHK Kluang 2
19 HSB Alor Setar 2 33 1
20 HTAR Klang 1
21 HSI Johor Bahru 1 15 1
22 HoSHAS Temerloh 1
23 Hospital DoK Sandakan 1 32 1
24 Hospital Kuala Lipis 1
25 HTJ Seremban 2 13 1
26 Hospital Selayang 0
27 HSNI Batu Pahat 0 50 0
28 Hospital Bintulu 0
3 02 0
TOTAL
3 20 94

0 14

1 02

0 11

0 20

0 02

1 01

0 02

2 00

0 10

1 00

0 10

1 00

95 116 72

Table 7.11.7 : HSVL and Stripping by Hospital Category

General Surgery Services Ministry of Health Malaysia 251

GENERAL SURGERY

INPATIENT, OUTPATIENT, ENDOSCOPY AND SURGERY (IOES)

GGeenneerraall SSuurrggeerryy:: IInnCppEaaNttiieSennUttS,, OORuuEtPtppOaattRiieeTnn2tt,,0EE1nn6dd-oo2ss0cco1op9pyy,, SSuurrggeerryy ((IIOOEESS)) CCeennssuuss RReeppoorrtt227733

77..1111..44 EEmmbboolleeccttoommiieess

aa7)).1TT1oo.t4taallEmbolectomies
a. Total

EEmmbboolleeccttoommiieess

115555
115500

115500

NNo.o.ofofPrProocceeddurureess 114455

114400 113377 113333
113355

113300

112255

112200 22001188 22001199
22001177

FigFFuiirggeuur7ree.1771..11.111-1-111:1T::oTTtoaottalalNlNNuuummmbbbeeerrrooofffEEEmmmbbobolloeeclcettoocmmtoiieemss ies

bb)) BByy BBMMb.SSBCCyaatBteegMgooSrryyCategory

EEmmbboolleeccttoommiieess

NNo.o.ofofPrProocceeddurureess 112200 9966 9988 8877
110000

8800

6600 3355 4411
2211
4400 66 1144 2222
MMeeddiiuumm SSmmaallll
2200 HHoossppiittaall CCaatteeggoorryy

00
BBiigg

22001177 22001188 22001199

FiguFFriigeguu7rre.e1771..1.11112--11:22E::mEEbmmobboloelleeccctttooommmiieieesssbbybyByBMMBSMSCCSaaCtteeaggotoerrygy ory

252 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 Report274

c. By BMS Hospital Category

c) By BMS Hospital Category

25 24 Embolectomies
(2017 - 2019)

Mean Total Procedures : 140

Mean No. of Procedures20 15
Hospital Kuala Lumpur
15
HSA Johor Bahru10
Hospital Serdang
5
HTJ Seremban
HSNZ Kuala

Hospital Pulau Pinang
Hospital Umum
HTAR Klang
HSB Alor Setar

HRPZ Kota Bahru
Hospital Sibu

Hospital Segamat
Hospital Miri

Hospital Kemaman
Hospital Bintulu
Hospital Queen
HTAA Kuantan
HEBHK Kluang

HoSHAS Temerloh
Hospital Melaka
HRPB Ipoh

Hospital Teluk Intan
Hospital DoK Sandakan

Hospital Queen
HTF Kangar

HSAH Sungai Petani
Hospital Tawau
Hospital Kulim
Hospital Sarikei

Hospital Seberang Jaya
Hospital Taiping
HSI Johor Bahru
HPSF Muar

Hospital Port Dickson
Hospital Sungai Buloh

Hospital Kuala Pilah
HSNI Batu Pahat

Hospital Langkawi
Hospital Shah Alam

Hospital Labuan
10 10 9 8 7 6 5 4 4 4 3 3 3 2 2 2 2 2 1 1 1 1 1 1 1 1 1 1 1 1 1 1 0 0 0 0 0 0

0

FiguFriegu7re.17.11.11-133::EEmmbboolelcetocmtioesmbyieBsMbS yHoBsMpitSalHCoatsepgoirtay l Category

EMBOLECTOMIES

Hospital Category 2017 2018 2019
87
EMBOLECTBOig MIES 96 98 41
35 21
Medium 202218
19580
HOSPITAL CASTEmGaOll RY 2017 6 14 2019
21 87
Big TOTAL 96 137 133 41
Medium
Table 7.11-8 : Embolecto3m5ies by BMS Category 22

Small 6 14 Mean No.1o5f0
EMBOLECTOMIES 133 Procedures
TOTAL
No. Hospitals 137 24
15
Table 7.11.8 : Emb2o0l1e7ctomies2b0y18BMS Cat2e0g1o9ry 10
10
1 Hospital Kuala Lumpur 21 23 27 9
8
2 HSA Johor Bahru 25 13 7 7
6
3 Hospital Serdang 21 6 4 5
4
4 HTJ Seremban 11 15 3 4
4
5 HSNZ Kuala Terengganu 4 13 10 3

6 Hospital Pulau Pinang 8 6 10

7 Hospital Umum Sarawak 10 6 5

8 HTAR Klang 396

9 HSB Alor Setar 744

10 HRPZ Kota Bahru 355

11 Hospital Sibu 634

12 Hospital Segamat 236

13 Hospital Miri 325

General Surgery Services Ministry of Health Malaysia 253

GENERAL SURGERY

INPATIENT, OUTPATIENT, ENDOSCOPY AND SURGERY (IOES)

CENSUS REPORT 2016 - 2019

EMBOLECTOMIES

NO HOSPITALS 2017 2018 2019 MEAN NO. OF

1 Hospital Kuala Lumpur 21 23 27 PROCEDURES
2 HSA Johor Bahru 24
25 13 7 15
3 Hospital Serdang
4 HTJ Seremban 21 6 4 10
5 HSNZ Kuala Terengganu 10
6 Hospital Pulau Pinang 11 15 3 9
7 Hospital Umum Sarawak 8
8 HTAR Klang 4 13 10 7
9 HSB Alor Setar 6
10 HRPZ Kota Bahru 8 6 10 5
11 Hospital Sibu 4
12 Hospital Segamat 10 6 5 4
13 Hospital Miri 4
14 Hospital Kemaman 3 96 3
15 Hospital Bintulu 3
16 Hospital Queen Elizabeth 2 7 44 3
2
17 HTAA Kuantan 3 55
18 HEBHK Kluang 2
19 HoSHAS Temerloh 6 34 2
20 Hospital Melaka 2
21 HRPB Ipoh 2 36 2
22 Hospital Teluk Intan 1
23 Hospital DoK Sandakan 3 25 1
24 Hospital Queen Elizabeth 1
25 HTF Kangar 0 71 1
26 HSAH Sungai Petani 3 14 1
27 Hospital Tawau 1
28 Hospital Kulim 0 07 1
29 Hospital Sarikei 1
30 Hospital Seberang Jaya 4 02 1
0 24 1
31 Hospital Taiping 0 24
32 HSI Johor Bahru 0 14 1
33 HPSF Muar 0 04 1
34 Hospital Port Dickson 0 04 1
35 Hospital Sungai Buloh 1 12 1
36 Hospital Kuala Pilah 0 30 0
37 HSNI Batu Pahat 0 03 0
38 Hospital Langkawi 2 01 0
39 Hospital Shah Alam 0 30 0
40 Hospital Labuan 0 03 0
0 03 0
TOTAL
1 10 140

0 20
0 02
1 01
0 11
0 01
0 01
1 00
0 01
0 10
0 01

137 133 150

Table 7.11.9 : Embolectomies by Hospital Category

254 General Surgery Services Ministry of Health Malaysia

GENERAL SURGERY

INPATIENT, OUTPATIENT, ENDOSCOPY AND SURGERY (IOES)

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77..1122 SSpplleeeenn ((EElleeccttiivvee oonnllyy))

7.12 Spleen (Elective only)

77..1122..11 EElleeccttiivvee SSpplleenneeccttoommyy
7.12.1 Elective Splenectomy
aa)) TToottaall
a. Total

EElleeccttiivvee SSpplleenneeccttoommyy

NoN.o.ofofPrPorcoecdeudruerses 330000 220088 119977
225500 224499 22001199
220000

115500

110000

5500

00 22001177 22001188

FiguFFreiigg7uu.rr1ee277...111:22T--1o1::taTTlootNtaaull NmNuubmmebbreerrooof ffEEElelleeccctttiiivvveee SSSppplleelenneneccettoocmmtoyymy

bb)) BByy BBMMb.SSBCCyaatBteeMggooSrryyCategory

EElleeccttiivvee SSpplleenneeccttoommyy

NoN.o.ofofPrPorcoecdeudruerses 111111111182642046860446228800000000000000000000 115555 113377 111177 6677 4477 5577 2277 2244 2233
BBiigg MMeeddiiuumm SSmmaallll

HHoossppiittaall CCaatteeggoorryy

22001177 22001188 22001199

FigurFFeiigg7uu.r1ree277.2..11:22-E-22le::cEEtllieveccettiivvSeepSSlepplnleeennececctttooommmyyybbbyyyBBMBMMSS SCCaaCtteeaggtooerrgyyory

cc)) BByy BBMMSS HHoossppiittaall CCaatteeggoorryy

General Surgery Services Ministry of Health Malaysia 255

GENERAL SURGERY

INPATIENT, OUTPATIENT, ENDOSCOPY AND SURGERY (IOES)

CENSUS REPORT 2016 - 2019

General Surgery: Inpatient, Outpatient, Endoscopy, Surgery (IOES) Census Report277

c. By BMS Hospital Category

25 21 Elective Splenectomy
(2017 - 2019)

Mean Total Procedures : 218

Mean No. of Procedures20 16 15 15 14
Hospital Queen Elizabeth15
10
HTJ Seremban
Hospital Melaka5

HRPB Ipoh
HRPZ Kota Bahru
Hospital Kuala Lumpur
Hospital Umum Sarawak
Hospital Selayang
Hospital Seberang Jaya

HTAA Kuantan
Hospital Ampang
HSAH Sungai Petani
Hospital Taiping

Hospital Miri
Hospital Tawau

HTAR Klang
HoSHAS Temerloh
HSNZ Kuala Terengganu

HSIP Kuala Krai
HSA Johor Bahru
Hospital Shah Alam
Hospital Pulau Pinang

HTF Kangar
Hospital Seri Manjung
Hospital DoK Sandakan

Hospital Kajang
HSI Johor Bahru
HSB Alor Setar
Hospital Putrajaya
Hospital Kuala Pilah
Hospital Segamat
Hospital Sarikei
Hospital Kemaman
Hospital Bintulu

Hospital Sibu
Hospital Keningau
Hospital Lahad Datu
HSNI Batu Pahat

HEBHK Kluang
Hospital Sungai Buloh
Hospital Queen Elizabeth

Hospital Kulim
Institut Kanser Negara
11 11 9 8
6655555544444444332222211111110000

0

Figure 7.12-3: Elective Splenectomy by BMS Hospital Category

Figure 7.12.3: Elective Splenectomy by BMS Hospital Category

ELECTIVE SPLENECTOMY

Hospital Category 2017 2018 2019

ELECMBTiIegVdiEumSPLENECTOMY 155 137 117
67 47 57

Small 27 24 23
HOSPITTAOLTCAALTEGORY 2017 249 208 2018197 2019
Big Table 7.12-1 : Total Number of Electi1ve5S5plenectomy by BMS Cate1g3or7y 117
57
Medium 67 47

Small ELECTIVE SPL2E7NECTOMY 24 23

No. Hospitals TOTAL 2017249 2018 2200189 Mean No. of197
1 Hospital QuTeaebnleEl7iz.1a2b.e1th: o2f 2Elective CPartoecgeodru2yr1es
Total Number Sp1le6nectomy b2y6 BMS

2 HTJ Seremban 17 18 13 16

3 Hospital Melaka 19 23 4 15

4 HRPB Ipoh 23 17 4 15

5 HRPZ Kota Bahru 13 12 17 14

6 Hospital Kuala Lumpur 9 4 19 11

7 Hospital Umum Sarawak 15 16 1 11

8 Hospital Selayang 11 3 13 9

9 Hospital Seberang Jaya 789 8

10 HTAA Kuantan 584 6

11 Hospital Ampang 746 6

12 HSAH Sungai Petani 457 5

13 Hospital Taiping 655 5

14 Hospital Miri 754 5

15 Hospital Tawau 817 5

256 General Surgery Services Ministry of Health Malaysia

GENERAL SURGERY

INPATIENT, OUTPATIENT, ENDOSCOPY AND SURGERY (IOES)

CENSUS REPORT 2016 - 2019

ELECTIVE SPLENECTOMY

NO HOSPITALS 2017 2018 2019 MEAN NO. OF

1 Hospital Queen Elizabeth 22 16 26 PROCEDURES
2 HTJ Seremban 21
17 18 13 16
3 Hospital Melaka
4 HRPB Ipoh 19 23 4 15
5 HRPZ Kota Bahru 15
6 Hospital Kuala Lumpur 23 17 4 14
7 Hospital Umum Sarawak 11
8 Hospital Selayang 13 12 17 11
9 Hospital Seberang Jaya 9
10 HTAA Kuantan 9 4 19 8
11 Hospital Ampang 6
12 HSAH Sungai Petani 15 16 1 6
13 Hospital Taiping 5
14 Hospital Miri 11 3 13 5
15 Hospital Tawau 5
16 HTAR Klang 7 89 5
5
17 HoSHAS Temerloh 5 84
18 HSNZ Kuala Terengganu 5
19 HSIP Kuala Krai 7 46 4
20 HSA Johor Bahru 4
21 Hospital Shah Alam 4 57 4
22 Hospital Pulau Pinang 4
23 HTF Kangar 6 55 4
24 Hospital Seri Manjung 7 54 4
25 Hospital DoK Sandakan 8 17 4
26 Hospital Kajang 7 61 4
27 HSI Johor Bahru 3
28 HSB Alor Setar 11 2 1 3
29 Hospital Putrajaya 3 55 2
30 Hospital Kuala Pilah 2 65 2
3 45 2
31 Hospital Segamat 4 35
32 Hospital Sarikei 6 23 2
33 Hospital Kemaman 2
34 Hospital Bintulu 0 47 1
35 Hospital Sibu 1
36 Hospital Keningau 5 60 1
37 Hospital Lahad Datu 2 27 1
38 HSNI Batu Pahat 6 40 1
39 HEBHK Kluang 0 08 1
40 Hospital Sungai Buloh 2 32 1
41 Hospital Queen Elizabeth 2 5 20 0
42 Hospital Kulim 0
43 Institut Kanser Negara 4 21 0
0
TOTAL 4 20
2 21 218
3 10

2 20
1 11
3 00
0 03
0 11
1 10

0 10
0 10
0 01

0 01

249 208 197

Table 7.12.2 : Elective Splenectomy by Hospital Category

General Surgery Services Ministry of Health Malaysia 257

GENERAL SURGERY

INPATIENT, OUTPATIENT, ENDOSCOPY AND SURGERY (IOES)
CENSUS REPORT 2016 - 2019

GGeenneerraall SSuurrggeerryy:: IInnppaattiieenntt,, OOuuttppaattiieenntt,, EEnnddoossccooppyy,, SSuurrggeerryy ((IIOOEESS)) CCeennssuuss RReeppoorrtt227799

77..1133 7AA.pp1pp3eennAddiixpx pendix

LLiisstt ooff pprroocceeddLuuirsrteessofsspeellreeoccctteeeddduffrooerrs AAseppleppceetnnedddiixxfowwr Aoorrpkkpllooeaandddimmx weeaaossrkuulrroeeammdeemnntteaaarrseeu::rement are:
ii.. MLLLMLaaaaiinpnpddazzalliirrnnaaooiiippeei.issi. .p pcc LLooeeaaLMLnnppaappddiiiccnpaadiicrcrzalAAiooeenrattoccppeoopttsppomompLceeammeonynypnpdydyawwdiiicrccioicieettAtehhccopcttmAApootommeyppmnppwyydyeeiinntchddeAiicccpteeopccmettoonymmdiyycectomy
iiii..
iiiiii..
iivv.. MMiiddlliinnieev.LL aaMppiaadrrlioontteoommLayypawwroiittthhomLLiiymmwiittiteehddLRRimiiggitehhdtt HHRieegmmhtiiccHooellmeeccicttooommleyyctomy

aa)) TToottaall a. Total

AAppppeennddiicceeccttoommyy

2200000000 1188003344 1188229955 1188116622
1188000000
NNo.o.ooffPPrroocceedduurreess 1166000000
1144000000
1122000000 22001177 22001188 22001199
1100000000
88000000
66000000
44000000
22000000

00

FiguFFriiegguu7rree.1773...11133:--11To:: TTtaoolttaaNll uNNmuummbbbeeerrr ooofff AAAppppppeenneddniicdceeiccctteoommcytyomy

bb)) BByy BBMMbSS. CCBayatteeBggMoorrSyy Category

AAppppeennddiicceeccttoommyy

NNo.o.ooffPPrroocceedduurreess 1100000000 88008877 77991100 77339966 77002277 77224400 77771166
88000000
66000000 22992200 33114455 33005500
44000000
22000000 BBiigg MMeeddiiuumm SSmmaallll

00

HHoossppiittaall CCaatteeggoorryy

22001177 22001188 22001199

FiguFFrieigguu7rr.ee1377...11233:--22A::pAApppeppneenndddiciicceeeccctttooommmyy ybbyybBByMMBSSMCCSaattCeeggaootrreyygory

258 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 Report280

c.cB) yBBy BMMSSHHoossppitailtaCalteCgoarytegory

Appendicectomy
(2017 - 2019)

1000 Mean Total Procedures : 18164

900
800
700
600
500
400
300
200
100

0
Mean No. of Procedures
HSAH Sungai Petani

HSB Alor Setar
Hospital Umum Sarawak
HSNZ Kuala Terengganu
Hospital Queen Elizabeth

Hospital Melaka
HSA Johor Bahru

HTJ Seremban
HoSHAS Temerloh

HSNI Batu Pahat
HRPB Ipoh

HTAR Klang
Hospital Sungai Buloh

HSI Johor Bahru
HTAA Kuantan
Hospital Selayang
Hospital Kuala Lumpur
Hospital Shah Alam
Hospital Seberang Jaya

Hospital Sibu
Hospital Taiping
HRPZ Kota Bahru
Hospital Kajang
Hospital Serdang
Hospital Pulau Pinang
Hospital Bintulu

Hospital Miri
HPSF Muar
Hospital Teluk Intan
HTF Kangar
Hospital Seri Manjung
Hospital Kulim
Hospital DoK Sandakan
Hospital Putrajaya
Hospital Ampang
Hospital Segamat
HEBHK Kluang
Hospital Tawau
HSIP Kuala Krai
Hospital Kemaman
Hospital Kuala Pilah
Hospital Tanah Merah
Hospital Keningau
Hospital Sarikei
Hospital Queen Elizabeth 2
Hospital Kuala Lipis
Hospital Langkawi
Hospital Lahad Datu
Hospital Labuan
Hospital Port Dickson
Hospital Banting
Hospital Kapit
Institut Kanser Negara

General Surgery: InpFaigtiuFeringeut,r7eO.71.u133t.p-33a::tAAieppnpeptn,edEincendcdtiocomesyccboytopBymM,SySHuborsygpieBtarMlyCSa(ItHeOgooErsypSi)taCleCnasutesgRoeryport281

d) BydM. oBdyaliMty oofdAapplirtoyacohf Approach

Appendicectomy

20000 18034 18295 18162
18000
No. of Procedures 16000
14000
12000
10000

8000
6000
4000
2000

0

2017 2018 2019

Midline Laparotomy and Limited Right Hemicolectomy
Midline Appendicectpomy
Laparoscopic Appendicectomy
Lanz Appendicectomy
TOTAL

FigurFeig7ur.e173..143-:4T:yTpypeess oof fAApppenpdeicnecdtoicmyectomy

APPENDICECTOMY

Hospital Category 2017 2018 201M9inistry of Health Malaysia 259
Big 7396
Medium General Surgery Services
8087 7910

7027 7240 7716

GENERAL SURGERY

INPATIENT, OUTPATIENT, ENDOSCOPY AND SURGERY (IOES)

CENSUS REPORT 2016 - 2019

APPENDICECTOMY

HOSPITAL CATEGORY 2017 2018 2019
Big 8087 7910 7396
Medium 7027 7240 7716

Small 2920 3145 3050

TOTAL 18034 18295 18162

Table 7.13.1: Total Number of Appendicectomy by BMS Category

APPENDICECTOMY

PROCEDURE TYPE 2017 (%) 2018 (%) 2019 (%)
Lanz Appendicectomy 13069 72% 13135 72% 12171 67%
Laparoscopic Appendicectomy 3731 21% 3870 21% 4570 25%
1086 6% 1144 6% 1230 7%
Midline Appendicectpomy
Midline Laparotomy and Limited 148 1% 146 1% 191 1%
Right Hemicolectomy
100% 18162 100%
TOTAL 18034 100% 18295

Table 7.13.2: Types of Appendicectomy

260 General Surgery Services Ministry of Health Malaysia

GENERAL SURGERY

INPATIENT, OUTPATIENT, ENDOSCOPY AND SURGERY (IOES)

CENSUS REPORT 2016 - 2019

APPENDICECTOMY

MEAN NO. OF PROCEDURES

NO HOSPITALS LANZ LAPAROSCOPIC MIDLINE MIDLINE TOTAL MEAN
APPENDICECTOMY APPENDICECTOMY LAPAROTOMY AND LAPAROTOMY PROCEDURES
1 HSAH Sungai Petani APPENDICECTOMY AND LIMITED
2 HSB Alor Setar (a) (b) (a+b+c+d)
3 Hospital Umum Sarawak (c) RIGHT
780 85 HEMICOLECTOMY 889
561 176 20 741
400 237 1 (d) 680
40 4

3

4

4 HSNZ Kuala Terengganu 400 228 30 0 657

5 Hospital Queen Elizabeth 250 343 59 2 653

6 Hospital Melaka 621 12 15 2 651

7 HSA Johor Bahru 421 89 76 5 591

8 HTJ Seremban 98 452 27 4 580

9 HoSHAS Temerloh 454 67 49 8 579

10 HSNI Batu Pahat 461 44 30 6 541

11 HRPB Ipoh 169 270 86 7 533

12 HTAR Klang 401 55 67 4 527

13 Hospital Sungai Buloh 448 44 30 0 522

14 HSI Johor Bahru 456 46 13 1 516

15 HTAA Kuantan 418 44 46 2 510
16 Hospital Selayang 298 163 17 8 486
17 Hospital Kuala Lumpur 385 52 19 10 466
18 Hospital Shah Alam 419 31 0 456
19 Hospital Seberang Jaya 327 7 17 4 445
20 Hospital Sibu 232 98 23 2 419
21 Hospital Taiping 165 162 31 3 410
22 HRPZ Kota Bahru 153 211 36 3 409
23 Hospital Kajang 291 217 17 12 409
24 Hospital Seri Manjung 304 89 15 2 356
25 Hospital Serdang 225 35 16 5 327
26 Hospital Pulau Pinang 160 81 23 3 313
27 Hospital Bintulu 182 127 17 2 301
28 Hospital Miri 194 100 16 23 297
29 HPSF Muar 201 64 39 3 294
30 Hospital Teluk Intan 227 52 23 2 280
31 HTF Kangar 243 27 20 3 271
32 Hospital Kulim 214 5 15 3 261
33 Hospital DoK Sandakan 184 29 34 3 254
34 Hospital Putrajaya 191 34 12 1 221
35 Hospital Ampang 185 17 10 2 221
36 Hospital Segamat 176 23 13 1 218
37 HEBHK Kluang 161 27 32 2 209
38 Hospital Tawau 162 14 12 1 193
39 HSIP Kuala Krai 138 18 17 0 181
40 Hospital Kemaman 172 27 5 0 181
41 Hospital Kuala Pilah 124 4 7 2 179
42 Hospital Tanah Merah 156 46 8 3 171
43 Hospital Keningau 141 4 2 0 166
44 Hospital Sarikei 128 22 7 1 141
45 Hospital Queen Elizabeth 2 44 4 4 0 104
46 Hospital Kuala Lipis 84 56 6 1 100
47 Hospital Langkawi 61 8 8 3 83
48 Hospital Lahad Datu 57 11 8 1 67
49 Hospital Labuan 49 2 1 0 52
50 Hospital Port Dickson 21 2 3 0 51
51 Hospital Banting 45 26 2 0 47
52 Hospital Kapit 42 0 0 0 43
53 Institut Kanser Negara 1 0 00
0 0

TOTAL 12881 4057 1153 162 18253

Table 7.13.3: Types of Appendicectomy by Hospitals

General Surgery Services Ministry of Health Malaysia 261

GENERAL SURGERY

INPATIENT, OUTPATIENT, ENDOSCOPY AND SURGERY (IOES)
CENSUS REPORT 2016 - 2019

General Surgery: Inpatient, Outpatient, Endoscopy, Surgery (IOES) Census Report286
General Surgery: Inpatient, Outpatient, Endoscopy, Surgery (IOES) Census Report286

77..11337..11.1LL3aa.n1nzzLAAappnppzeennAddpiiccpeeeccttnoomdmiyycectomy

a) TToottaalla. Total
a)

LLaannzz AAppppeennddeecceeccttoommyy
14000 13069 13135
14000
13069 13135 12171
12000 12171
12000
No.No.f oPfroPcreodceurdeusres
10000
10000 2017 2018 2019

8000
8000

6000
6000

4000
4000

2000
2000

0
0

2017 2018 2019
FiguFrFeiigg7uu.rr1ee377..5.1133:--T55o::taTTolotNtaalulNmNuubmmebbreerorofoffLLaLaannnzzzAAAppppppeeenndndidicceieccctetoocmmtyoy my

b) By BMS Category
b) By BMb.SBCyatBeMgoSryCategory

6000 LLaannzz AApppp5ee5nn89dd5ii4cc8ee3cc5tt6oo48mmyy
6000 5051 5031 5589 5483 5648
5000 5051 5031 4123
5000
4000 4123

No.No.f oPfroPcreodceurdeusres 4000 2429 2621 2400
3000 2429 2621 2400

3000
2000

2000
1000

1000
0

0 Big Medium Small
Small
Big HospiMtaeldCiuamtegory
Hospital Category

2017 2018 2019
2017 2018 2019

FigurFFeiigg7uu.r1ree37.76..11:33-L-6a6:n:LzLaaAnnzpzApApepppneednndidciiceceeccctttooommmyyybbybyByBMMBSMSCCSaaCtteeaggotoerrygy ory

262 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 Report287

c. cB) yBBy MBMSSHHoossppitaitlaClatCegaortyegory

Lanz Appendicectomy
(2017 - 2019)

900 Mean Total Procedures : 12792

800
700
600
500
400
300
200
100

0
No. of Procedures
HSAH Sungai Petani

Hospital Melaka
HSB Alor Setar
HSNI Batu Pahat
HSI Johor Bahru
HoSHAS Temerloh
Hospital Sungai Buloh
HSA Johor Bahru
Hospital Shah Alam
HTAA Kuantan

HTAR Klang
Hospital Umum Sarawak
HSNZ Kuala Terengganu

Hospital Kuala Lumpur
Hospital Seberang Jaya
Hospital Seri Manjung

Hospital Selayang
Hospital Kajang

Hospital Queen Elizabeth
HTF Kangar
Hospital Sibu

Hospital Teluk Intan
Hospital Serdang
Hospital Kulim
HPSF Muar
Hospital Miri
Hospital Putrajaya
Hospital Ampang

Hospital DoK Sandakan
Hospital Bintulu

Hospital Segamat
Hospital Kemaman

HRPB Ipoh
Hospital Taiping
Hospital Tawau
HEBHK Kluang
Hospital Pulau Pinang
Hospital Tanah Merah
HRPZ Kota Bahru
Hospital Keningau
HSIP Kuala Krai
Hospital Sarikei
Hospital Kuala Pilah

HTJ Seremban
Hospital Kuala Lipis

Hospital Langkawi
Hospital Lahad Datu

Hospital Labuan
Hospital Banting
Hospital Queen Elizabeth

Hospital Kapit
Hospital Port Dickson
Institut Kanser Negara

FigurFeig7ur.e173..173-:7 L:aLannzz AApppepnedincedctiocmeycbtyoBmMSyHboyspBitaMl cSatHegoorsypital category

LANZ APPENDICECTOMY

Hospital Category 2017 2018 2019

Big 5051 5031 4123

LANZMAedPiuPmENDICECTOMY 5589 5483 5648

Small 2429 2621 2400

HOSPITTAOLTCAALTEGORY 201137069 13135 201182171 2019
4123
Big Table 7.13-4 : Lanz Append5ic0e5ct1omy by BMS category 5031

Medium LANZ APPEN5D5I8C9ECTOMY 5483 5648

SmNaol.l Hospital 20172429 2018 22602119 Mean No.2o4f00
1 HSAHTOSuTAngLai Petani 67113069 816 13815345 Procedures

780 12171

2 Hospital MelTaakbale 7.13.4 : Lanz A7p7p6endicecto5m10y by BMS c5a78tegory 621

3 HSB Alor Setar 557 684 443 561

4 HSNI Batu Pahat 340 443 600 461

5 HSI Johor Bahru 546 421 402 456

6 HoSHAS Temerloh 400 558 405 454

7 Hospital Sungai Buloh 340 449 554 448

8 HSA Johor Bahru 513 476 274 421

9 Hospital Shah Alam 327 464 465 419

10 HTAA Kuantan 431 481 342 418

11 HTAR Klang 399 362 441 401

12 Hospital Umum Sarawak 343 481 376 400

13 HSNZ Kuala Terengganu 478 434 287 400

14 Hospital Kuala Lumpur 390 356 409 385

General Surgery Services Ministry of Health Malaysia 263

GENERAL SURGERY

INPATIENT, OUTPATIENT, ENDOSCOPY AND SURGERY (IOES)

CENSUS REPORT 2016 - 2019

LANZ APPENDICECTOMY

NO HOSPITALS 2017 2018 2019 MEAN NO. OF

1 HSAH Sungai Petani 671 816 854 PROCEDURES
2 Hospital Melaka 776 510 578 780
621
3 HSB Alor Setar 557 684 443
4 HSNI Batu Pahat 340 443 600 561
5 HSI Johor Bahru 546 421 402 461
6 HoSHAS Temerloh 400 558 405 456
7 Hospital Sungai Buloh 340 449 554 454
8 HSA Johor Bahru 513 476 274 448
9 Hospital Shah Alam 327 464 465 421
10 HTAA Kuantan 431 481 342 419
11 HTAR Klang 399 362 441 418
12 Hospital Umum Sarawak 343 481 376 401
13 HSNZ Kuala Terengganu 478 434 287 400
14 Hospital Kuala Lumpur 390 356 409 400
15 Hospital Seberang Jaya 324 300 358 385
16 Hospital Seri Manjung 196 213 235 327
304
17 Hospital Selayang 293 309 292
18 Hospital Kajang 361 285 227 298
19 Hospital Queen Elizabeth 196 325 228 291
20 HTF Kangar 230 253 247 250
21 Hospital Sibu 330 209 156 243
22 Hospital Teluk Intan 289 235 158 232
23 Hospital Serdang 199 164 312 227
24 Hospital Kulim 328 169 145 225
25 HPSF Muar 177 201 225 214
26 Hospital Miri 166 192 224 201
27 Hospital Putrajaya 179 193 201 194
28 Hospital Ampang 164 172 219 191
29 Hospital DoK Sandakan 194 179 179 185
30 Hospital Bintulu 197 219 129 184
182
31 Hospital Segamat 244 154 131
32 Hospital Kemaman 147 183 186 176
33 HRPB Ipoh 162 216 130 172
34 Hospital Taiping 188 151 155 169
35 Hospital Tawau 221 157 109 165
36 HEBHK Kluang 202 147 135 162
37 Hospital Pulau Pinang 175 161 144 161
38 Hospital Tanah Merah 145 172 150 160
39 HRPZ Kota Bahru 206 155 98 156
40 Hospital Keningau 156 148 120 153
41 HSIP Kuala Krai 88 164 161 141
42 Hospital Sarikei 94 172 119 138
43 Hospital Kuala Pilah 190 97 86 128
44 HTJ Seremban 132 81 81 124
98
45 Hospital Kuala Lipis 79 90 84
46 Hospital Langkawi 60 59 64 84
47 Hospital Lahad Datu 52 46 72 61
48 Hospital Labuan 43 48 55 57
49 Hospital Banting 48 44 42 49
50 Hospital Queen Elizabeth 2 72 40 21 45
51 Hospital Kapit 30 56 40 44
52 Hospital Port Dickson 1 40 23 42
53 Institut Kanser Negara 0 1 0 21
0
TOTAL 13069 13135 12171
12792

Table 7.13.5 : Lanz Appendicectomy by Hospital category

264 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 Report289
General Surgery: Inpatient, Outpatient, Endoscopy, Surgery (IOES) Census Report289

7.13.2 Laparoscopic Appendicectomy
7.137.2.1L3.a2paLraosnczopAicpAppepnednidciececcttoommyy

a) Total
a) Totala. Total

LLaappaarroossccooppiicc AAppppeennddiicceeccttoommyy

No.N o.f oPfrcPercdeurdeusres 5000 3731 3870 4570
45500000 3731 3870 4570
44050000 2017 2018 2019
34500000 2017 2018 2019
33050000
23500000
22050000
12500000
11050000
1500000

5000
0

Figure 7.13-8 : Total Number of Laparoscopic Appendicectomy
FigureF7ig.u1r3e.87.:1T3o-8ta:lTNotuaml Nbuemrboefr Loaf pLaapraorsocscooppiicc AAppppenednicdeiccteomcytomy

b) By BBMMb.SSBCCyaaBtteeMggooSrryyCategory
b) By

LLaappaarroossccooppiicc AAppppeennddiicceeccttoommyy

3000 2428 2648
3000 2428 2648
No.N o.f oPfroPrceocdeurdeusres 2500 2317
2500 2317
2000
2000 1511 313 308 411
1500 1245 1511 313 308 411
1500 990 1245
1000 Big 990 Small
1000 Big Medium Small
500 HospiMtaeldCiuamtegory
500 Hospital Category

0
0

2017 2018 2019
2017 2018 2019
FigureFF7iig.g1uu3rree.977:..11L33a--99pa:: LrLoaasppcaaroroopssccicooppAiiccpAApppeppneenndddiciicceeecccttotoommmyy ybbyybBByMMBSSMccaSatteceggaootrreyygory

General Surgery Services Ministry of Health Malaysia 265

GENERAL SURGERY

INPATIENT, OUTPATIENT, ENDOSCOPY AND SURGERY (IOES)
CENSUS REPORT 2016 - 2019

General Surgery: Inpatient, Outpatient, Endoscopy, Surgery (IOES) Census Report290

c. cB)yBByMBMS SHHoossppitiatal ClaCtegaotrey gory

Laparoscopic Appendicectomy
(2017 - 2019)

500 452 Mean Total Procedures : 4057
450
Mean No. of Procedures
HTJ Seremban400 343
Hospital Queen
350
HRPB Ipoh300
Hospital Umum250
200
HSNZ Kuala150
HRPZ Kota Bahru100
50
Hospital Taiping
HSB Alor Setar
Hospital Selayang

Hospital Sibu
Hospital Pulau Pinang

Hospital Bintulu
Hospital Seberang Jaya

HSA Johor Bahru
Hospital Kajang

HSAH Sungai Petani
Hospital Serdang

HoSHAS Temerloh
Hospital Miri

Hospital Queen
HTAR Klang

Hospital Kuala Lumpur
HPSF Muar

Hospital Kuala Pilah
HSI Johor Bahru

Hospital Sungai Buloh
HTAA Kuantan

HSNI Batu Pahat
Hospital Seri Manjung
Hospital DoK Sandakan

Hospital Kulim
Hospital Teluk Intan

Hospital Segamat
HSIP Kuala Krai
Hospital Port Dickson
Hospital Ampang
Hospital Keningau

Hospital Tawau
Hospital Putrajaya

HEBHK Kluang
Hospital Melaka
Hospital Langkawi
Hospital Kuala Lipis
Hospital Shah Alam

HTF Kangar
Hospital Tanah Merah

Hospital Sarikei
Hospital Kemaman

Hospital Labuan
Hospital Lahad Datu

Hospital Kapit
270237228217211
176163162
12710098 89 89 85 81 67 64 56 55 52 52 46 46 44 44 44 35 34 29 27 27 27 26 23 22 18 17 14 12 11 8 7 5 4 4 4 2 2 1

0

Figure 7.13-10 : Laparoscopic Appendicectomy by BMS Hospital Category

Figure 7.13.10 : Laparoscopic Appendicectomy by BMS Hospital Category

LAPAROSCOPIC APPENDICECTOMY

Hospital Category 2017 2018 2019

LAPAROBiSg COPIC APPENDICE24C28TOMY2317 2648
Medium 990 1245 1511

HOSPITALSmCaAllTEGORY 2013173 308 2018411 2019
2648
Big TOTAL 24327831 3870 23174570 1511
Medium
Table 7.13-6 : Total Number of Laparoscopic Appendicectomy by BMS Category
990 1245

Small LAPAROSCOPIC A3P1P3ENDICECTOMY308 411

No. HospitTaOl TAL 23017731 2018 38702019 Mean N45o7. o0f
Procedures
Table 7.13.6 : Total Number of Laparoscopic Appendicectomy by BMS Category
1 HTJ Seremban 557 427 371 452

2 Hospital Queen Elizabeth 335 325 368 343

3 HRPB Ipoh 349 204 258 270

4 Hospital Umum Sarawak 231 231 249 237

5 HSNZ Kuala Terengganu 259 220 204 228

6 HRPZ Kota Bahru 177 188 287 217

7 Hospital Taiping 174 246 213 211

8 HSB Alor Setar 140 161 226 176

9 Hospital Selayang 105 175 210 163

10 Hospital Sibu 118 177 191 162

11 Hospital Pulau Pinang 128 112 142 127

12 Hospital Bintulu 83 76 141 100
13 Hospital Seberang Jaya 64 93 136 98

266 General Surgery Services Ministry of Health Malaysia

GENERAL SURGERY

INPATIENT, OUTPATIENT, ENDOSCOPY AND SURGERY (IOES)

CENSUS REPORT 2016 - 2019

LAPAROSCOPIC APPENDICECTOMY

NO HOSPITALS 2017 2018 2019 MEAN NO. OF

1 HTJ Seremban 557 427 371 PROCEDURES
2 Hospital Queen Elizabeth 335 325 368 452
343
3 HRPB Ipoh 349 204 258
4 Hospital Umum Sarawak 231 231 249 270
5 HSNZ Kuala Terengganu 259 220 204 237
6 HRPZ Kota Bahru 177 188 287 228
7 Hospital Taiping 174 246 213 217
8 HSB Alor Setar 140 161 226 211
9 Hospital Selayang 105 175 210 176
10 Hospital Sibu 118 177 191 163
11 Hospital Pulau Pinang 128 112 142 162
12 Hospital Bintulu 83 76 141 127
13 Hospital Seberang Jaya 64 93 136 100
14 HSA Johor Bahru 33 87 148 98
15 Hospital Kajang 35 93 140 89
16 HSAH Sungai Petani 76 70 110 89
85
17 Hospital Serdang 78 59 106
18 HoSHAS Temerloh 67 61 73 81
19 Hospital Miri 47 63 82 67
20 Hospital Queen Elizabeth 2 83 49 37 64
21 HTAR Klang 41 53 70 56
22 Hospital Kuala Lumpur 33 57 65 55
23 HPSF Muar 37 31 87 52
24 Hospital Kuala Pilah 42 55 40 52
25 HSI Johor Bahru 15 50 72 46
26 Hospital Sungai Buloh 56 27 50 46
27 HTAA Kuantan 37 66 28 44
28 HSNI Batu Pahat 32 79 20 44
29 Hospital Seri Manjung 53 30 22 44
30 Hospital DoK Sandakan 10 39 52 35
34
31 Hospital Kulim 38 21 27
32 Hospital Teluk Intan 13 29 40 29
33 Hospital Segamat 11 47 24 27
34 HSIP Kuala Krai 21 20 39 27
35 Hospital Port Dickson 18 19 42 27
36 Hospital Ampang 18 20 32 26
37 Hospital Keningau 27 13 26 23
38 Hospital Tawau 21 19 14 22
39 Hospital Putrajaya 7 20 24 18
40 HEBHK Kluang 3 4 34 17
41 Hospital Melaka 3 11 22 14
42 Hospital Langkawi 8 7 19 12
43 Hospital Kuala Lipis 14 10 1 11
44 Hospital Shah Alam 12 8 1 8
7
45 HTF Kangar 4 0 10
46 Hospital Tanah Merah 11 2 0 5
47 Hospital Sarikei 5 4 4 4
48 Hospital Kemaman 1 7 4 4
49 Hospital Labuan 0 2 5 4
50 Hospital Lahad Datu 1 1 4 2
51 Hospital Kapit 0 2 0 2
52 Institut Kanser Negara 0 0 0 1
53 Hospital Banting 0 0 0 0
0
TOTAL 3731 3870 4570
4057

Table 7.13.7 : Laparoscopic Appendicectomy by Hospital Category

General Surgery Services Ministry of Health Malaysia 267

GENERAL SURGERY

INPATIENT, OUTPATIENT, ENDOSCOPY AND SURGERY (IOES)

CENSUS REPORT 2016 - 2019
GGeenneerraall SSuurrggeerryy:: IInnppaattiieenntt,, OOuuttppaattiieenntt,, EEnnddoossccooppyy,, SSuurrggeerryy ((IIOOEESS)) CCeennssuuss RReeppoorrtt229922

77..11337..33.1MM3.ii3ddlliiMnneeidLLlaainppeaarrLooattoopmmayyraaonntodd mAAppyppaeennndddiiccAeeccpttoopmmeyyndicectomy
aa)) TToottaalla. Total

MMiiddlliinnee LLaappaarroottoommyy aanndd AAppppeennddiicceeccttoommyy

11440000 11114444 11223300
11220000
11008866

NoN.o.ofofPrPorcoecdeudruerses 11000000

880000

660000

440000

220000

00 22001177 22001188 22001199

FigureFF7ii.gg1uu3rr.ee1771..11: 33T--o11t11a::lTTNoouttaamll NNbuuemmrbboeefrr MooffidMMliiinddlleiinnLeeaLLpaaappaarorrootttooommmyyyaaannndddAAppApppeennpddeiiccneedcctticoommeyyctomy

bb)) BByy BBMMb.SSBCCyaattBeeMggooSrryyCategory

MMiiddlliinnee AAppppeennddiicceeccttoommyy

NoN.o.ofofPrPorcoecdeudruerses 660000 555588 551133 555544 337755 443355 445544
550000
440000

330000 115533 119966 222222
220000

110000

00 BBiigg MMeeddiiuumm SSmmaallll
HHoossppiittaall CCaatteeggoorryy

22001177 22001188 22001199
Figure FF7ii.gg1uu3rr.ee1277..11: 33M--11id22l::inMMeiiddLllaiinnpeeaLLraaopptaaorrmoottyoommayynaadnnddAAAppppppeeennndddiiiccceeeccttcoommtoyymbbyyy BBbMMySSBCCMaaStteeCggooarrtyyegory

268 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 Report293

c.cB) yBBy MBMSSHHoossppitailtaCalteCgoarytegory

Midline Appendicectomy

100 (2017 - 2019)
90 86
80 76
No. of Procedures 67 Mean Total Procedures : 1153

70 59

60 49 46
50 40 39 36 34 32 31 31 30 30 30 27 23 23 23 20 20 19 17 17 17 17 17 16 16 15 15 15 13 13 12 12 10 8 8 8 7 7 6 5 4 3 2 2 1 1 0 0
40
30
20
10

0 HRPB Ipoh
HSA Johor Bahru

HTAR Klang
Hospital Queen Elizabeth

HoSHAS Temerloh
HTAA Kuantan

Hospital Umum Sarawak
HPSF Muar

HRPZ Kota Bahru
Hospital DoK Sandakan

HEBHK Kluang
Hospital Taiping
Hospital Shah Alam
HSNZ Kuala Terengganu
Hospital Sungai Buloh
HSNI Batu Pahat

HTJ Seremban
Hospital Pulau Pinang

Hospital Teluk Intan
Hospital Sibu
HTF Kangar

HSAH Sungai Petani
Hospital Kuala Lumpur

Hospital Selayang
Hospital Seberang Jaya

Hospital Kajang
HSIP Kuala Krai
Hospital Bintulu
Hospital Serdang

Hospital Miri
Hospital Melaka
Hospital Seri Manjung
Hospital Kulim
HSI Johor Bahru
Hospital Segamat
Hospital Putrajaya
Hospital Tawau
Hospital Ampang
Hospital Tanah Merah
Hospital Langkawi
Hospital Lahad Datu
Hospital Kuala Pilah
Hospital Sarikei
Hospital Kuala Lipis
Hospital Kemaman
Hospital Queen Elizabeth
Hospital Port Dickson
Hospital Keningau
Hospital Banting
HSB Alor Setar
Hospital Labuan
Institut Kanser Negara

Hospital Kapit

FigureFi7g.1u3-r1e3:7T.o1t3al.1N3um:bTeor otaf Ml Nidluinme Lbaeparrootof mMy iwdilthinAeppLeandpicaecrototmoymbyyBMwSitHhoAsppitapl eCnadtegicoreyctomy
by BMS Hospital Category

MIDLINE LAPAROTOMY WITH APPENDICECTOMY

Hospital Category 2017 2018 2019

Big 558 513 554
MIDLMINedEiumLAPAROTOMY WITH 375 435 454
APPESNmaDllICECTOMY
153 196 222

HOSPTITTabAOleLT7.C1A3AL-8T; EToGtaOl NRumYber of Midline Laparo2to0m1y 7w1it0h8A6ppendice1ct1om44y by2B0M1S81C2a3te0gory 2019
Big 558 513 554

Medium 375 435 454

Small MIDLINE LAPAROTOMY W1I5T3H APPENDICEC1T9O6MY 222

No. TOTAL 1086 2018 1144 Mean No.1o2f30
Table Hospital Category 2017 2019 bPyroBcMedSuCraestegory
7.13.8 : Total Number Laparotomy
of Midline with Appendicectomy

1 HRPB Ipoh 83 77 99 86

2 HSA Johor Bahru 89 62 77 76

3 HTAR Klang 56 80 66 67

4 Hospital Queen Elizabeth 107 35 35 59

5 HoSHAS Temerloh 48 59 40 49

6 HTAA Kuantan 44 51 42 46

7 Hospital Umum Sarawak 38 36 45 40

8 HPSF Muar 36 27 53 39

9 HRPZ Kota Bahru 28 22 58 36

10 Hospital DoK Sandakan 35 36 31 34

General Surgery Services Ministry of Health Malaysia 269

GENERAL SURGERY

INPATIENT, OUTPATIENT, ENDOSCOPY AND SURGERY (IOES)

CENSUS REPORT 2016 - 2019

MIDLINE LAPAROTOMY WITH APPENDICECTOMY

NO HOSPITALS 2017 2018 2019 MEAN NO. OF

1 HRPB Ipoh 83 77 99 PROCEDURES
2 HSA Johor Bahru 89 62 77 86
76
3 HTAR Klang 56 80 66
4 Hospital Queen Elizabeth 107 35 35 67
5 HoSHAS Temerloh 48 59 40 59
6 HTAA Kuantan 44 51 42 49
7 Hospital Umum Sarawak 38 36 45 46
8 HPSF Muar 36 27 53 40
9 HRPZ Kota Bahru 28 22 58 39
10 Hospital DoK Sandakan 35 36 31 36
11 HEBHK Kluang 20 43 34 34
12 Hospital Taiping 43 13 37 32
13 Hospital Shah Alam 15 42 35 31
14 HSNZ Kuala Terengganu 31 37 21 31
15 Hospital Sungai Buloh 31 32 26 30
16 HSNI Batu Pahat 26 22 41 30
30
17 HTJ Seremban 20 39 21
18 Hospital Pulau Pinang 19 22 29 27
19 Hospital Teluk Intan 19 32 19 23
20 Hospital Sibu 16 27 27 23
21 HTF Kangar 0 30 31 23
22 HSAH Sungai Petani 22 24 13 20
23 Hospital Kuala Lumpur 27 10 21 20
24 Hospital Selayang 5 21 24 19
25 Hospital Seberang Jaya 22 12 16 17
26 Hospital Kajang 19 19 12 17
27 HSIP Kuala Krai 12 18 20 17
28 Hospital Bintulu 18 11 21 17
29 Hospital Serdang 17 19 13 17
30 Hospital Miri 2 20 26 16
16
31 Hospital Melaka 11 21 13
32 Hospital Seri Manjung 13 13 19 15
33 Hospital Kulim 14 15 15 15
34 HSI Johor Bahru 15 10 15 15
35 Hospital Segamat 8 16 14 13
36 Hospital Putrajaya 14 10 13 13
37 Hospital Tawau 0 23 14 12
38 Hospital Ampang 6 4 21 12
39 Hospital Tanah Merah 9 11 5 10
40 Hospital Langkawi 4 4 15 8
41 Hospital Lahad Datu 6 8 9 8
42 Hospital Kuala Pilah 12 5 3 8
43 Hospital Sarikei 7 3 10 7
44 Hospital Kuala Lipis 6 3 10 7
6
45 Hospital Kemaman 2 9 4
46 Hospital Queen Elizabeth 2 7 4 0 5
47 Hospital Port Dickson 0 3 6 4
48 Hospital Keningau 0 0 7 3
49 Hospital Banting 2 3 1 2
50 HSB Alor Setar 0 0 3 2
51 Hospital Labuan 2 1 0 1
52 Institut Kanser Negara 0 0 0 1
53 Hospital Kapit 0 0 0 0
0
TOTAL 1086 1144 1230
1153

Table 7.13.9: Midline Laparotomy with Appendicectomy by Hospital

270 General Surgery Services Ministry of Health Malaysia

General Surgery: Inpatient, Outpatient, Endoscopy, Surgery (IOES) Census Report295
General Surgery: Inpatient, Outpatient, Endoscopy, Surgery (IOES) Census Report295

53 Hospital KapGit ENERAL SU0 RGER0Y 0 0
11053
53 HINosPpAitTaTIlEOKNTTa,pAOiLt UTPATIENT, ENDOSC1O008P6Y AND SU11R04G4ERY (IO1E2S03)0 1153

TOTTaAblLe 7.13C-9E: MNSidUliSneRLEaPpaOroRtTom120y08w16i6th-A2p0p1e9nd1ic1e4c4tomy by Ho1s2pi3ta0l

Table 7.13-9: Midline Laparotomy with Appendicectomy by Hospital

7.13.4 Midline Laparotomy and Limited Right Hemicolectomy
7.13.4 Midline Laparotomy and Limited Right Hemicolectomy

a7).1T3o.4talMidline Laparotomy and Limited Right Hemicolectomy
a) Total

a. Total

Midline Laparotomy with Limited Right
Midline LapHareomtoimcoylewctiothmLyimited Right

Hemicolectomy

250

No.Nofo.PorfocPerdocureedsures 250
200 191
200 148 146 191
150 148
146
150

100

100

50

50

0

0 2017 2018 2019

Figure 7.13-14: Tota2l0N17umber of Midline Lapar2o0to1m8 y with Limited Right H2e0m19icolectomy

Figure 7.13-14: Total Number of Midline Laparotomy with Limited Right Hemicolectomy
Figure 7.13.14: Total Number of Midline Laparotomy with Limited Right Hemicolectomy

b) By BBMMb.SSBCCyaatBteeMggooSrryyCategory
b) By

Midline Appendicectomy with Limited Right
Midline AppenHdiecmecitcoomleyctwomithy Limited Right
Hemicolectomy
No.Nofo.PorfocPerdocureedsures
120 103

1020 73 77 103
1800 71 73 77
680 50 49 71

460 50 49 25 20 17
240 25 20 17
20

0 Big Medium Small

Big HospiMtaeldCiuamtegory Small

Hospital Category

2017 2018 2019

2017 2018 2019
Figure F7i.g1u3r.e157.1: 3M-1id5l:inMeidLlainpeaLraoptaormotyomwyitwhitLhimLiimteitdedRRigighhttHHeemmiiccoolelectcomtoymbyyBbMySBCMaSteCgoartyegory

Figure 7.13-15 : Midline Laparotomy with Limited Right Hemicolectomy by BMS Category

General Surgery Services Ministry of Health Malaysia 271

GENERAL SURGERY

INPATIENT, OUTPATIENT, ENDOSCOPY AND SURGERY (IOES)
CENSUS REPORT 2016 - 2019

General Surgery: Inpatient, Outpatient, Endoscopy, Surgery (IOES) Census Report296

c. Bc)yBByMBMSSHHoossppitiatlaClatCegaortyegory

25 23 Midline Appendicectomy with Limited Right Hemicolectomy
(2017 - 2019)

Mean
 Total
 Procedures
 :
 162
 

No. of Procedures20

Hospital Miri15 12 10
Hospital Kajang
Hospital Kuala Lumpur
HoSHAS Temerloh
Hospital Selayang

HRPB Ipoh
HSNI Batu Pahat
HSA Johor Bahru
Hospital Serdang

HTAR Klang
HTJ Seremban
HSAH Sungai Petani
Hospital Umum Sarawak
Hospital Seberang Jaya
Hospital Taiping
Hospital Kulim

HTF Kangar
HPSF Muar
Hospital Langkawi
HSB Alor Setar
Hospital Pulau Pinang
HRPZ Kota Bahru
Hospital Tanah Merah
Hospital DoK Sandakan
Hospital Melaka
HTAA Kuantan
Hospital Ampang
Hospital Kuala Pilah
Hospital Bintulu
Hospital Queen Elizabeth
Hospital Teluk Intan
Hospital Sibu
HEBHK Kluang
Hospital Seri Manjung
Hospital Segamat
Hospital Sarikei
Hospital Putrajaya
Hospital Lahad Datu
HSI Johor Bahru
Hospital Tawau
Hospital Kuala Lipis
HSNZ Kuala Terengganu
Hospital Port Dickson
HSIP Kuala Krai
10 88765544444333333333322222222221111111000
5

0

Figure 7.13-16: Midline Laparotomy with Limited Right Hemicolectomy by BMS Category

Figure 7.13.16: Midline Laparotomy with Limited Right Hemicolectomy by BMS Category

Midline laparotomy with Limited Right Hemicolectomy

Hospital Category 2017 2018 2019

MIDBLigINE LAPAROTOMY WITH LI5M0 ITED R49IGHT 71
HEMMIeCdiuOm LECTOMY 73 77 103

Small 25 20 17

HOSPTIOTATLACL ATEGORY 2017 148 1462018 191 2019
71
Big Table 7.13-10: Midline Laparotomy with Limit5ed0Right Hemicolectomy by B4M9S Category

MediumMIDLINE LAPAROTOMY WITH LIM7I3TED RIGHT HEM7I7COLECTOMY 103

NSmo.all Hospitals 2017 25 2018 220019 Mean No.1o7f
TOTAL 148 146 Procedur1e9s1
1 Hospital Miri 24 24 21 23
2 TaHbolesp7it.a1l3K.1a0j:aMngidline Laparotomy wi1th3 Limited Rig1h9t Hemicolec4tomy by BMS C12ategory

3 Hospital Kuala Lumpur 5 3 23 10

4 HoSHAS Temerloh 2 12 11 8

5 Hospital Selayang 5 11 7 8

6 HRPB Ipoh 677 7

7 HSNI Batu Pahat 1 6 12 6

8 HSA Johor Bahru 645 5

9 Hospital Serdang 159 5

10 HTAR Klang 931 4

11 HTJ Seremban 255 4

12 HSAH Sungai Petani 318 4

13 Hospital Umum Sarawak 650 4

272 General Surgery Services Ministry of Health Malaysia

GENERAL SURGERY

INPATIENT, OUTPATIENT, ENDOSCOPY AND SURGERY (IOES)

CENSUS REPORT 2016 - 2019

MIDLINE LAPAROTOMY WITH LIMITED RIGHT
HEMICOLECTOMY

NO HOSPITALS 2017 2018 2019 MEAN NO. OF

1 Hospital Miri 24 24 21 PROCEDURES
2 Hospital Kajang 13 19 4 23
12
3 Hospital Kuala Lumpur 5 3 23
4 HoSHAS Temerloh 2 12 11 10
5 Hospital Selayang 5 11 7 8
6 HRPB Ipoh 6 7 7 8
7 HSNI Batu Pahat 1 6 12 7
8 HSA Johor Bahru 6 4 5 6
9 Hospital Serdang 1 5 9 5
10 HTAR Klang 9 3 1 5
11 HTJ Seremban 2 5 5 4
12 HSAH Sungai Petani 3 1 8 4
13 Hospital Umum Sarawak 6 5 0 4
14 Hospital Seberang Jaya 7 1 3 4
15 Hospital Taiping 5 0 5 4
16 Hospital Kulim 6 2 2 3
3
17 HTF Kangar 0 0 9
18 HPSF Muar 1 4 4 3
19 Hospital Langkawi 6 3 0 3
20 HSB Alor Setar 0 0 8 3
21 Hospital Pulau Pinang 4 2 2 3
22 HRPZ Kota Bahru 4 4 0 3
23 Hospital Tanah Merah 0 3 5 3
24 Hospital DoK Sandakan 2 3 3 3
25 Hospital Melaka 2 0 5 3
26 HTAA Kuantan 0 3 4 2
27 Hospital Ampang 1 0 6 2
28 Hospital Kuala Pilah 5 2 0 2
29 Hospital Bintulu 5 0 2 2
30 Hospital Queen Elizabeth 1 2 3 2
2
31 Hospital Teluk Intan 5 0 1
32 Hospital Sibu 2 0 4 2
33 HEBHK Kluang 3 2 0 2
34 Hospital Seri Manjung 2 3 0 2
35 Hospital Segamat 1 3 0 2
36 Hospital Sarikei 2 1 1 1
37 Hospital Putrajaya 0 1 2 1
38 Hospital Lahad Datu 0 0 3 1
39 HSI Johor Bahru 0 0 2 1
40 Hospital Tawau 0 0 2 1
41 Hospital Kuala Lipis 1 1 0 1
42 HSNZ Kuala Terengganu 0 0 1 1
43 Hospital Port Dickson 0 1 0 0
44 HSIP Kuala Krai 0 0 1 0
0
45 Hospital Sungai Buloh 0 0 0
46 Hospital Queen Elizabeth 2 0 0 0 0
47 Hospital Shah Alam 0 0 0 0
48 Institut Kanser Negara 0 0 0 0
49 Hospital Kemaman 0 0 0 0
50 Hospital Kapit 0 0 0 0
51 Hospital Keningau 0 0 0 0
52 Hospital Labuan 0 0 0 0
53 Hospital Banting 0 0 0 0
0
TOTAL 148 146 191
162

Table 7.13.11: Midline Laparotomy with Limited Right Hemicolectomy by Hospital

General Surgery Services Ministry of Health Malaysia 273

GENERAL SURGERY

INPATIENT, OUTPATIENT, ENDOSCOPY AND SURGERY (IOES)
GGeenneerraall SSuurrggeerryy:: IInnppCaatEtiiNeennSttU,, OOS uuRttEppPaaOttiieeRnnTtt,,2EE0nn1dd6oo-ss2cc0oopp1yy9,, SSuurrggeerryy ((IIOOEESS)) CCeennssuuss RReeppoorrtt229988

77..11447II.nn1gg4uuiinnIaanllgHHueerrinnniiaaa lSSuuHrreggeerrrnyyia Surgery

LLiiiiiiiiiivvssiiiiii........tt ooff ppIIIIIIIInnnnnnnnrrooggggggggccuuuuuuuueeiiiiiiiidnnnndnnnnLiiiiiv.iuaaaauaaaai.i s. .llllllllrr t eeHHHHHHHHoIIIIssnnnnfeeeeeeeesggggsprrrrrrrreeuuuunnnnnnnnrlloiiiiiiiiiiiieennnnaaaaaaaacccaaaaettRRRRRRRRlllleedHHHHeeeeeeeedduppppeeeepppprffaaaaaaaarrrreoonnnniiiiiiiisrrrrrrrrrriiiiaaaasHHuuuuuuuueRRRRnnnnnnnnleeeeeeeddddddddrrcppppnneeeeeeeetaaaairrrrirrrreaaiiiiGGLLGGLLrrrrdwwuuuuooooeeeefnnnnoccoccnnnnddddaaaarrreeeekkeeeellllHrrrrlaalaarrrrAAAAeoollllLLGGraannnnoonAAAAeeddaaaacciannnnnneeeeaammeeattaaattwllhhhheeeerreeAAaaeeoeettttaahhhhnnssssllrsskiiiieeeeAAaauuaaaalosssseennrriiii((((aeettaaaaaaLLLLhhmmdeeee((((AAAAttGGGGeemsshh))))iinnaaeeAAAAe––t––tssa(())))iiaaaLaLDIDIsrr----AAnnuee((aaLOpLOp))rGG::eyyaa––aappAAcmcttppDIeieiaa))neeaaennrrap--nnrreenyooattLOtcsastapicaceproeorenaeppnt:roiiccscopic
aa)) TToottaall
a. Total

IInngguuiinnaall HHeerrnniiaa SSuurrggeerryy

77000000 66000011 66001111 66226644
66000000

NoN.o.ofofPrPorcoecdeudruerses 55000000

44000000

33000000

22000000

11000000

00 22001177 22001188 22001199

FiguFFriiegguu7rre.e1774...11144--:11To:: TTtaoolttaaNll uNNmuummbbbeeerrroooff IInnggguuuiinninaaall HHl HeerrennriinaaiaSSuuSrrgugeergrryyery

bb)) BByy BBMMb.SSBCCyaattBeeggMooSrryyCategory

IInngguuiinnaall HHeerrnniiaa SSuurrggeerryy

33000000 22559933 22662255 22779922 22444455 22441155 22339977
22550000
NoN.o.ofofPrPorcoecdeudruerses
22000000

11550000 996633 997711 11007755
11000000

550000

00 BBiigg MMeeddiiuumm SSmmaallll

22001177 22001188 22001199

FiguFFrieigguu7rr.ee1477..11244: --I22n::gIIunngginuuaiinnlaaHll eHHreenrrinnaiiaaSSSuuurrrgggeeerryy bbbyyyBBBMMMSSSCCCaattaeeggteoorrgyyory

274 General Surgery Services Ministry of Health Malaysia

Mean No. of Procedures
150 200 300
Figure 7.14-3 : Inguinal Hernia Surgery by BMS Hospital Category Hospital Umum 00 250 300 c. cB)yBByMBMSSHHoossppitiatlaClaCteIganortgyeugionrayl Hernia Surgery GENERAL SURGERY
150 200 250
FigureFi7g.u14re-37:.1In4g.u3in: aInl HguerinniaalSHuergrneriay bSyuBrgMeSryHobsypiBtaMl CS aHteogsopriytal CategoryHRPZ Kota Bahru General SINuPrgAeTrIyE:NITn, pOaUtiTenPAt, TOIEuNtpTa, tEieNnDt,OESnCdoOsPcoYpAy,NSDurSgUerRyG(EIORYES()IOCEeSn)sus Report299
100 CENSUS REPORT 2016 - 2019
d) Types of Hernia Surgery HTAR Klang
100 c) By BMS HosGpietnaelrCalaSteugrgoerryy: Inpatient, Outpatient, Endoscopy, Surgery (IOES) Census Report299
d) Typesdo.fTHyperensiaoSfuHrgeerrnyia Surgery Hospital Selayang
50 50
Hospital Queen Mean No. of Procedures

No. of Procedures 6000 7000 HSA Johor Bahru

No. of Procedures HHoossppitall UKmuuamla
5000 HRPHZSKNoZta KBauharlua
4000 HSI JHoThAorRBKalahnrgu
3000 HHoHsSpoiAstpaHiltaSlSeQluauyneagenangi
2000 HHoSsApiJtoahl oTraBipahinrug
1000
HHosPpSitFal MKuuaalar
0
HospHitSaNl MZ Keluaaklaa
FigFuirgeu7re.174.1.44:-4T:yTpyepsesooffInIngguuiinnaallHHeerrnniaiaSuSrugregrey ry 0 1000 2000 3000 4000 5000 6000 7000 Types of Hernia Surgery HSIHJoRhPorBBIaphoruh
2017
TOTAL Inguinal Hernia Repair under GA - Open Inguinal Hernia Repair under GA - Lapaaroscopic Inguinal HeTrOnTiaALRepair under LA - Inpatient 2017 6001 HSHHNooHIssSppBHiAitaPtaHatSlulFTSPaPuMiupanluihganaaagurit
InguinalFHigeurrneia7.R14e-p4a:irTuypnedseor fLIAng-uDinaayl cHaerrenia Surgery HHSoBspAitalol rMSeelatkaar
Inguinal Hernia Repair under LA - Inpatient 6001 Types of Hernia Surgery HosHpRitPaBl SIpibohu MeaIn(n2
 Tg0out1ian7l
a Plr-oH2cee0dr1unr9iea)s
 :S
 6u0r9g2e
  ry
Inguinal Hernia Repair under LA - Daycare HSHNTI BFaKtuaPnaghaart
General Surgery Services Ministry of Health Malaysia 275 Inguinal Hernia Repair under GA - Lapaaroscopic 2018 6011 HoHspoistpailtaSl uPnulgaaui Mean(2
 T0ot1a7l
 Pr-o2ce0d1ur9e)s
 :
 6092
 
HHSHoBosspApilitotaarllSSMeitbaiurri
Inguinal Hernia Rep2a0ir1u8nder GA - Open 6011
HospitHaTl AF Kmapnagnarg
2019 2019 6264 HHoossppiittaallSTuenlguaki

6264 HEBHHoKspKitalluManirgi
HHoTspJiStael rAemmpbaanng

HoHsHEHpBToitJHsaHpSKlietoKarKSleamlTHujeabaAlnnaungSgk
Hospital HSoeSrdHaAnSg

HHoospsiptaitlaKl aDjaonKg
HHToAspAitaKl Sueardnatnagn

HHoossppiittaall DSoeKri
HosHpiTtHAaolAsSpKeitugaalanSmteaarnit

HHosopsiptailtaSlegSahmaaht
HoHsopsiptaitlalKSuhalha

HospiHtaolspPituatlrKajuaaylaa
HoHspositpaitlaSl Peubterarjaanyga

HHHoooHHsspsooppisstiaippttliiaattSaallellTKbTKaeauurwwalliinaammguu
HoHsopsiptiatlalBBiinnttuulluu
HSHISPIPKKuuaallaa KKraaii
HoHsopsiptiatal lSSaarriikkeeii

HoHsopsiptiatallTTaannaahh
HoHspositpHaitloasKlpKietemaml aKammuaaalnna

HHoossppitiatlaBl Kanutianlga
HospiHtaolspBitaanl tPionrgt

HosHpitoaslpLiatnagl kPaowrit
HospiHtaolspLiatanl gLkaahwadi
HoHsHopHsiooptHsasitpoplasiilKtptaKaieltlaenLLlniaiKnabnghaugpaaaainuudt

HoHspoistpailtaLl Qabuueeann
HIonsptitiutat lKKanaspeirt

Hospital Queen

Institut Kanser

GENERAL SURGERY

INPATIENT, OUTPATIENT, ENDOSCOPY AND SURGERY (IOES)

CENSUS REPORT 2016 - 2019

TOTAL INGUINAL HERNIA SURGERY

HOSPITAL CATEGORY 2017 2018 2019
Big 2593 2625 2792
Medium 2445 2415 2397

Small 963 971 1075

TOTAL 6001 6011 6264

Table 7.14.1: Total Number of Inguinal Hernia surgery by BMS Category

TYPES OF INGUINAL HERNIA SURGERY

PROCEDURE TYPE 2017 (%) 2018 (%) 2019 (%)
712 12% 670 11% 643 15%
Inguinal Hernia Repair under LA - 204 3% 279 5% 98 1%
Daycare 4391 73% 4360 73% 4636 10%
694 12% 702 12% 887 74%
Inguinal Hernia Repair under LA - 6264 100%
Inpatient

Inguinal Hernia Repair under GA -
Open

Inguinal Hernia Repair under GA -
Laparoscopic

TOTAL 6001 100% 6011 100%

Table 7.14.2: Types of Inguinal Hernia Surgery

276 General Surgery Services Ministry of Health Malaysia

GENERAL SURGERY

INPATIENT, OUTPATIENT, ENDOSCOPY AND SURGERY (IOES)

CENSUS REPORT 2016 - 2019

INGUINAL HERNIA SURGERY

NO HOSPITALS 2017 2018 2019 MEAN NO. OF

1 Hospital Umum Sarawak 291 283 276 PROCEDURES
2 HRPZ Kota Bahru 261 293 260 283
271
3 HTAR Klang 252 222 244
4 Hospital Selayang 183 154 313 239
5 Hospital Queen Elizabeth 207 198 223 217
6 HSA Johor Bahru 172 229 225 209
7 Hospital Kuala Lumpur 151 231 239 209
8 HSNZ Kuala Terengganu 216 197 207 207
9 HSI Johor Bahru 169 154 277 207
10 HSAH Sungai Petani 200 235 159 200
11 Hospital Taiping 171 209 214 198
12 HPSF Muar 199 190 194 198
13 Hospital Melaka 193 176 124 194
14 HRPB Ipoh 202 142 132 164
15 HSNI Batu Pahat 174 150 147 159
16 Hospital Pulau Pinang 144 143 162 157
150
17 HSB Alor Setar 158 168 121
18 Hospital Sibu 147 120 128 149
19 HTF Kangar 128 122 128 132
20 Hospital Sungai Buloh 123 129 122 126
21 Hospital Miri 124 132 106 125
22 Hospital Ampang 117 149 95 121
23 Hospital Teluk Intan 95 114 125 120
24 HEBHK Kluang 94 116 123 111
25 HTJ Seremban 89 122 107 111
26 HoSHAS Temerloh 114 76 118 106
27 Hospital Kajang 101 102 103 103
28 Hospital Serdang 146 105 53 102
29 Hospital DoK Sandakan 112 89 102 101
30 HTAA Kuantan 74 67 159 101
100
31 Hospital Seri Manjung 85 86 104
32 Hospital Segamat 94 93 74 92
33 Hospital Shah Alam 55 85 112 87
34 Hospital Kuala Pilah 95 87 64 84
35 Hospital Putrajaya 84 80 79 82
36 Hospital Seberang Jaya 81 60 89 81
37 Hospital Tawau 78 82 70 77
38 Hospital Kulim 74 61 92 77
39 Hospital Bintulu 100 47 77 76
40 HSIP Kuala Krai 48 74 84 75
41 Hospital Sarikei 73 66 58 69
42 Hospital Tanah Merah 70 39 43 66
43 Hospital Kemaman 39 47 64 51
44 Hospital Kuala Lipis 39 56 53 50
49
45 Hospital Banting 40 37 34
46 Hospital Port Dickson 16 45 44 37
47 Hospital Langkawi 27 36 37 35
48 Hospital Lahad Datu 29 32 39 33
49 Hospital Keningau 33 30 26 33
50 Hospital Labuan 19 28 21 30
51 Hospital Kapit 7 17 9 23
52 Hospital Queen Elizabeth 2 5 3 3 11
53 Institut Kanser Negara 3 3 2 4
3
TOTAL 6001 6011 6264
6092

Table 7.14.3: Total Inguinal Hernia Surgery by Hospitals

General Surgery Services Ministry of Health Malaysia 277

GENERAL SURGERY

INPATIENT, OUTPATIENT, ENDOSCOPY AND SURGERY (IOES)
CENSUS REPORT 2016 - 2019

GGeenneerraallSSuurrggeerryy::IInnppaatiteiennt,t,OOuutptpaatiteiennt,t,EEnnddoossccooppyy, ,SSuurrggeerryy(I(IOOEESS))CCeennssuussRReeppoorrt3t30022

77.1.144.71.1.1IIn4ng.g1uuiniInnaalglHuHeienrrnanialiaHRReeeprpnaaiirairuuRnneddeperarLiLrAAunder LA
aa)) TTootatalla. Total

IInngguuininaallHHeerrnniaiaRReeppaairirUUnnddeerrLLAA

11000000 991166 994499
990000
NoN.o.ofofPrPorcoecdeudruerses 880000 774411
770000
660000 22001177 22001188 22001199
550000
440000
330000
220000
110000

00

FigFuFirgeigu7urer.1e747.1..514:4-5-T5:o:TtaTootlatNal lNuNmuumbmbeberreroooff fIInnInggguuuiniinnaalalHl HHereenrrninaiaiRaReRpepaeaiprirauunirnduderenrLdLAeAr LA

bb)) BByyBBMMbS.SCBCayatetBegMgoorSryyCategory

IInngguuininaallHHeerrnniaiaRReeppaairiruunnddeerrLLAA

NoN.o.ofofPrPorcoecdeudruerses660000 446600 550011 445522 335566 331155 226644 110000 113333
550000 BBigig MMedediuiumm 2255
440000
330000 HHoospspitiatlalCCataetgegooryry SSmmalalll
220000
110000

00

22001177 22001188 22001199
FiguFrFiegigu7ur.er1e747..16.14:4-I6-n6:g:InuInginguuianilnaHal lHeHernreniraniaiaRReReppepaaaiirriruuunnndddereerLr LALAAbbybyByBMBMSMSCSCaCatetgaegoteoryrgyory

278 General Surgery Services Ministry of Health Malaysia

GENERAL SURGERYGeneral Surgery: Inpatient, Outpatient, Endoscopy, Surgery (IOES) Census Report303

INPATIENT, OUTPATIENT, ENDOSCOPY AND SURGERY (IOES)

CENSUS REPORT 2016 - 2019
c) By Hospital Category

General Surgery: Inpatient, Outpatient, Endoscopy, Surgery (IOES) Census Report303

c. cB) yBBy MHoSspHitaol sCpatietIganorlgyCuMianetaaenlgTHooteraylrDnaiyacaRreePproaceirduurens :d6e7r5 LA
160 143
134 Mean Total Inpatient Procedures : 194

140 Inguinal Hernia Repair under LA
Mean No. of Procedures
HTAR Klang12091760 143 Mean Total Daycare Procedures : 675
Hospital Umum SarawakMean No. of Procedures134 Mean Total Inpatient Procedures : 194
100 14079 HSA Johor Bahru
Hospital Miri
HSHITJAoRhoKrlanBgahru80 120 63 97
HospitalHSUAmJuomhHoSrParSBaaFwhraukMuar100 52 5079
60 Hospital HKouspailtaalLMuirimpur3683
40 HospitHaSlI JSoehroir BMaahnrjuung803530 29
20 HospHiPtSalF SMeuradrang6050
0 HospitalHKousalpaitLalumBpiunrtulu40523516301413
HospitHalosHSpEietriaBlHMSaeKrnjduaKlnngguang20
HHoosspiptitalalBiAntumlpuang3829129 7 6 6
HHREPBZHKKoKtlauaBngahru
HHooSspHitaAlSATmepamnegrloh 6
HospitaHlRPQZueKeontaElBiazhraubeth
HoHsopiStHalASPuTleamuerlPionhang

Hospital Queen Elizabeth

HospitaHlosPupliatualPiSneagnagmat
HoHspoistaplitSaelgaTamiatping
HospitaHlTTaFipiKnagngar
HTFHRKaPnBgaIrpoh

Hospital SHeRbePrBaInpgohJaya
Hospital SHeobHseropiastnapligtJSaialbyuaSibu

HoHsopsitpailtaTlawTaauwau
HHosopsitpiatlalLanLgaknagwkiawi

HSHBSBAloArlSoretaSretar
HHosopsitpailtaSlelSaeylaanygang

HoHsopistpailtaKlapiKtapit

Hospital Keningau

HosHpiotsalpitKaulalaKeLinpiinsgau
HosHpSiItPalKuKaluaalKaraLiipis

HHosSIpitPalKSuaarlikaeiKrai
HSNZ KualHaosTepritenalggSaanruikei
HSNZ KHuaTlAaATeKrueanntganganu

HospitaHlTTeAluAk IKnutaanntan
Hospital Teluk Intan
16 14 13 12 9 7 55532222221 111 1

6555322222211 111

0

DaycarDeaycareInpatIinepnattient

FigurFeig7.u1r4eF-7ig7u:.r1Ien47g..7u14i:n-7aInl: gIHnugeuirninnaiaall HRHeeerpnrainaiiraRuepnRadeierpruanLdiArerubLynAdHbeyorsHpLoiAstpailbtaCyl aCHtaetogegosoprryyital Category

d) By Type of Surgery

d) By Tydp.eBoyf STuyrpgeeryof Surgery

Inguinal Hernia Repair Under LA

10I0n0 guinal 9H16 ernia Repair949Under LA

1000 900 949 741
900
No. of Procedures 800 800 916 741
700
No. of Procedures 600 700 2019
500
400 600
300
200 500
100
400
0
300

200

100

0

2017 2018

Daycare Inpatient TOTAL

Figure 7.14-8: Types of Inguinal Hernia Repair under LA

2017 2018 2019

Daycare Inpatient TOTAL

Figure 7.14-8: Types of Inguinal Hernia Repair under LA
Figure 7.14.8: Types of Inguinal Hernia Repair under LA

General Surgery Services Ministry of Health Malaysia 279

GENERAL SURGERY

INPATIENT, OUTPATIENT, ENDOSCOPY AND SURGERY (IOES)

CENSUS REPORT 2016 - 2019

INGUINAL HERNIA REPAIR UNDER LA

HOSPITAL CATEGORY 2017 2018 2019
Big 460 501 452
Medium 356 315 264

Small 100 133 25

TOTAL 916 949 741

Table 7.14.4: Total Number of Inguinal Hernia Repair under LA by BMS Category

INGUINAL HERNIA REPAIR UNDER LA

PROCEDURE TYPE 2017 (%) 2018 (%) 2019 (%)
Daycare Inguinal Hernia Repair 712 78% 670 71% 643 87%
Inpatient Inguinal Hernia Repair 204 22% 279 29% 98 13%

TOTAL 916 100% 949 100% 741 100%

Table 7.14.5: Types of Inguinal Hernia Repair under LA

280 General Surgery Services Ministry of Health Malaysia

GENERAL SURGERY

INPATIENT, OUTPATIENT, ENDOSCOPY AND SURGERY (IOES)

CENSUS REPORT 2016 - 2019

INGUINAL HERNIA REPAIR UNDER LA

NO HOSPITALS DAYCARE MEAN NUMBER

1 HTAR Klang (a) INPATIENT TOTAL MEAN
2 Hospital Umum Sarawak
140 (b) PROCEDURES
3 HSA Johor Bahru 134
4 Hospital Miri (a + b)
5 HSI Johor Bahru 97 3 143
6 HPSF Muar 77 0 134
7 Hospital Kuala Lumpur 63
8 Hospital Seri Manjung 52 0 97
9 Hospital Serdang 0 2 79
10 Hospital Bintulu 0 0 63
11 HEBHK Kluang 24 0 52
12 Hospital Ampang 0 50 50
13 HRPZ Kota Bahru 28 38 38
14 HoSHAS Temerloh 16 11 35
15 Hospital Queen Elizabeth 0 30 30
16 Hospital Pulau Pinang 9 1 29
0 0 16
17 Hospital Segamat 2 14 14
18 Hospital Taiping 4 13
19 HTF Kangar 7 12 12
20 HRPB Ipoh 4 79
21 Hospital Seberang Jaya 3
22 Hospital Sibu 5 07
23 Hospital Tawau 2 26
24 Hospital Langkawi 1 36
25 HSB Alor Setar 2 05
26 Hospital Selayang 1 35
27 Hospital Kapit 2 45
28 Hospital Keningau 2 13
29 Hospital Kuala Lipis 2 12
30 HSIP Kuala Krai 0 02
31 Hospital Sarikei 2 02
32 HSNZ Kuala Terengganu 0 02
33 HTAA Kuantan 0 22
34 Hospital Teluk Intan 0 02
35 HTJ Seremban 1 11
36 Hospital Kulim 0 11
37 Hospital DoK Sandakan 0 11
38 Hospital Melaka 0 01
39 HSAH Sungai Petani 0 11
40 Hospital Kajang 0 00
41 Hospital Sungai Buloh 0 00
42 Hospital Putrajaya 0 00
43 Hospital Kuala Pilah 0 00
44 HSNI Batu Pahat 0 00
0 00
45 Hospital Queen Elizabeth 2 0 00
46 Hospital Shah Alam 00
47 Institut Kanser Negara 0 00
48 Hospital Port Dickson 0 00
49 Hospital Kemaman 0
50 Hospital Tanah Merah 0 00
51 Hospital Lahad Datu 0 00
52 Hospital Labuan 0 00
53 Hospital Banting 0 00
0 00
TOTAL 0 00
00
675 00
00

194 869

Table 7.14.6: Total Number of Inguinal Hernia Repair under LA by Hospital Category

General Surgery Services Ministry of Health Malaysia 281

GENERAL SURGERY

INPATIENT, OUTPATIENT, ENDOSCOPY AND SURGERY (IOES)
CENSUS REPORT 2016 - 2019

General Surgery: Inpatient, Outpatient, Endoscopy, Surgery (IOES) Census Report306

7.71.144..11..11DaDycaaryecare
a) By BaM.SBHyoBspMitaSl CHaotesgopriytal Category

Inguinal Hernia Repair under LA - Daycare
(2017 - 2019)

160 140 134 Mean Total Procedures : 675
140
Mean No. of Procedures
120 97

100 77 63 52
80 28 24 16 9 7 5 4 3 2 2 2 2 2 2 2 1 1 1 0 0
60
40
20

0

FigurFeig7ur.1e 47..194-:9I:nIgnguuiinnaallHHerenrina iRaepRaeirpUanidreUr LnAd(eDraLyAcar(eD) abyyHcoaspreita)lby Hospital

INGUINAL HERNIA REPAIR UNDER LA - DAYCARE

HOSPITALS 2017 2018 2019 Mean Number

HTINARGKUlaInNgAL HERNIA RE1P5A9 IR UN1D37ER LA 124 140

Ho- sDpiAtalYUCmAumRSEarawak 146 127 129 134

HSA Johor Bahru 57 104 131 97 MEAN NO. OF
103
NOHospital Miri HOSPITALS 52 1200017 227018 201977 PROCEDURES
51 140
1 HSHITJAoRhKolraBngahru 25 62159 75137 124 63 134
2 HPHHSSoFAspMJitoauhlaoUrrmBuamhruSarawak 52 5615476 48110274 129
3 21 19103 41100 131 52 97
22 77
4 HEHBoHspKitaKl Mluiaring 3 27 28 63
9 52
5 HoHsSpIitJaolhSoerrBdaahnrgu 0 1952 1 62 75 24 28
6 HoHHsEPpBSitFHaKMl AKulamurapnagng 0 192551 56 48 24
7 2 052 7 19 41 16 16
0 9
8 HoHSoHspAitSalTSeemrdearnlogh 5 5 19 19 7
0 5
9 HoHsopsitpailtaSl eAgmampaant g 4 1721 0 19 77 4
10 HRHHPooBSspHIiAtpaSol hTSeemgaemrloaht 0 3232 0 5 3
11 0 29 3 17 0 5 2
0 2
12 HoHsRpPitBalIpToahiping 93 34
2
13 HHTSHHHBFoTSFBsKApKAaliatolnaonrglrgSaTSaareerittpaairnr g 00 92 93 2
14 0 0 9 2
15 1 2 3 1 3 2 2
2
16 HoHsopsitpailtaSl eSlealyaaynagng 00 60 62 1
1
17 HoHsopsitpailtaSl eSbeebrearnagngJaJyaaya 15 01 02 1
18 HoHHsoopssitppaiilttaaTll aTKawawpaauitu 0 0 6 0
19 0 4 6 1 1 2 0

20 HoHsopsitpailtaKl Paupliat u Pinang 10 12 32

21 HHooHHHssTooppAssiittppAaaiillttKaaKPull uaSKulinuabataluuaalanPLiLinippaiisnsg 20 30 52
22 0 0 3
23 0 0 5 0 3 2

24 HTHAosApiKtaul aLantnagnkawi 00 30 31

25 HTJ Seremban 1 0 0
0 0 1
26 Hospital DoK Sandakan

TOTAL 712 670 643 675

Table 7.14.7 : Inguinal Hernia Repair Under LA (Daycare) by Hospital

282 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 Report306

7.71.144..11..12DaIyncaprae tient
a) By BaM.SBHyoBspMitaSl CHaotesgopriytal Category

Inguinal Hernia Repair under LA - Daycare

(2017 - 2019)

160 140 134 Mean Total Procedures : 675
140
Mean No. of Procedures
120 97

100 77 63 52
80 28 24 16 9 7 5 4 3 2 2 2 2 2 2 2 1 1 1 0 0
60
40
20

0

FigureFig7u.r1e47..1104-9: :InIngguuiinnaal Hl HereniranRiaepRaier pUandierruLnAd(eDrayLcAare()Inbpy aHotisepnitat)l by Hospital

INGUINAL HERNIA REPAIR UNDER LA - DAYCARE

HOSPITALS 2017 2018 2019 Mean Number

HH-IoTNsAIpNGRitaPKUlAUlIaTNmngIuAEmNLSTHaraEwRaNk IA RE11P45A69 IR UN11D3277ER LA 124 140
129
HSA Johor Bahru 57 104 131 134

97

NOHospital Miri HOSPITALS 103 1200017 227018 201977 MEAN NO. OF

1 HSHIoJsophitoarl KBuaahlrauLumpur 52 6259 7591 0 63 PROCEDURES
51 50
2 HPHSoFspMitaulaSreri Manjung 25 5649 4864 0 52 38
3 HEHHBoRPHspZKiKtaoKltBaluinBatanuhgluru 52
4 21 119942121 41114479 2 28 30
5 HoHsopsitpailtaSl eQrduaenegn Elizabeth 22 2 24 14
3 30 12
9 11
6 HoHsopsitpailtaAl Smeprdaanngg 0 1912 7 15 5 16 7
7 HoHHSooHsSpHAiAtSaSlTTPeeummlaeeurrllPooinhhang 0 0 7 15 4
8 2 0 1 5 11 1 9 4
0 3
8 HoHsopsitpailtaSl eSgibaumat 5 177 05 07 3
0 2
10 HRHPoBspIitpaol hSeberang Jaya 4 33 36 05 2
11 HoHHsTopFsitpKaialtanTlgaTaaipripiningg 0 0 0 8 2
12 0 2 0 9 0 7 4 1
0 1
13 HTHFosKpaitnagl aMriri 00 90 63
1
14 HHSoHHHsBSoopIssiPAtppaKliilttouaaSrall eSKLlalaeeantKnyagriarnakngiagawui 10 30 62 1
15 0 0 4 1
16 0 0 6 3 1 2 1
1
17 HoHsopsitpailtaSl eSbaerirkaenig Jaya 12 01 12 0
0
18 HoHsSpNitZalKTuaalwaaTuerengganu 00 60 32
19 HoHHsoEpBsitpHaiKltaKKl lTauepaliuntkg Intan 1 0 2 194
20 1 1 1 0 2 2

21 HoHsopsitpailtaPl uTalawuaPuinang 20 30 22

22 HHToHHsAoopssAitppaiiKlttaaKull aKKunuuatallaiamlnaLLiippiTissOTAL 01 50 02
23 02004 32709 1
98 1

Table 7.14.8 : Inguinal Hernia Repair under LA (Inpatient) by Hospital

General Surgery Services Ministry of Health Malaysia 283

21 Hospital Tawau 002 1
0
22 Hospital Kulim 100 0
GENERAL SURGERY23 HIoNsPpAitaTlIEKNuTa,lOa LUiTpPisATIENT, ENDOSCO0 PY AND SU0RGERY (IO1ES) 194

TOTAL CENSUS REPORT2200416 - 2019279 98

Table 7.14-8: Inguinal Hernia Repair under LA (Inpatient) by Hospital

7.147.2.1I4n.g2uiInnagl uHienranliaHReerpnaiair uRnedpear iGr Aunder GA
a) Totala. Total

Inguinal Hernia Repair Under GA

6000 5523
5000
5085 5062

N. of Procedures 4000

3000

2000

1000

0 2018 2019
2017

General SuFriggueFrreigy7u:.r1eI4n7..1p114a-:t1iT1eo:ntaTto,l tNOaluumNtupbmaebtreioer nfoIftn,IgnEguuniinndaaoll HsHceeorrnnpiiaya,RRSeepupairargiurenurdnyedr(GeIrAOGEAS) Census Report309

b) By BMbS. BCyatBegMorSyCategory

Inguinal Hernia Repair Under GA

2500 2340 2089 2100 2133
2000 2133 2124

No. of Procedures 1500 1050
1000 863 838

500

0 Medium Small
Big Hospital Category

2017 2018 2019
FigurFeig7u.r1e47.1.124-:1I2ng: Iunignuainl aHleHrnerianiaReRpepaaiirruunnddeerrGGAAbybByMBSMCSaCteagoterygory

c) By BMS Hospital Categoryres

Inguinal Hernia Repair Under GA
(2017 - 2019)

284 Gen3e0r0al Surgery Services Ministry of MHeeaaltnh MTaoltaaylsOiapen Hernia Repair : 4462
Mean Total Laparoscopic Repair: 761

250

Big Medium Small

Hospital Category

GENERAL SURGERY
2017 2018 2019

INPATIENT, OUTPATIENT, ENDOSCOPY AND SURGERY (IOES)

CENSUS REPORT 2016 - 2019

Figure 7.14-12 : Inguinal Hernia Repair under GA by BMS Category

c. Bc)y BByMBSMHSoHsopspititaall CCaatetgeorgyory

Inguinal Hernia Repair Under GA
(2017 - 2019)

300 Mean Total Open Hernia Repair : 4462
Mean Total Laparoscopic Repair: 761

250
200
150
100

50
0
Mean No. of Procedures

HRPZ Kota Bahru
Hospital Selayang
HSNZ Kuala Terengganu
HSAH Sungai Petani
Hospital Queen Elizabeth

Hospital Taiping
Hospital Melaka
Hospital Kuala Lumpur
HSNI Batu Pahat

HRPB Ipoh
Hospital Umum Sarawak

HSB Alor Setar
HPSF Muar

Hospital Pulau Pinang
HSI Johor Bahru
Hospital Sibu

Hospital Sungai Buloh
HTF Kangar

HSA Johor Bahru
Hospital Teluk Intan

HTJ Seremban
Hospital Ampang

Hospital Kajang
Hospital DoK Sandakan

HTAA Kuantan
HTAR Klang

HoSHAS Temerloh
Hospital Shah Alam
Hospital Kuala Pilah

HEBHK Kluang
Hospital Putrajaya
Hospital Segamat

Hospital Kulim
Hospital Tawau
Hospital Seberang Jaya
HSIP Kuala Krai
Hospital Serdang
Hospital Sarikei
Hospital Seri Manjung
Hospital Tanah Merah
Hospital Kemaman
Hospital Kuala Lipis
Hospital Bintulu

Hospital Miri
Hospital Banting
Hospital Port Dickson
Hospital Lahad Datu
Hospital Langkawi
Hospital Keningau
Hospital Labuan

Hospital Kapit
Hospital Queen Elizabeth 2

Institut Kanser Negara

Open Laparoscopic Total

General Surgery: IFnigpuarteieF7ni.g1tu,4r.Oe173u.1:t4pI-n1a3gt:uieIinnngautl,inHEaelnHrndeiraonisaRceRoepppaayiir,r uuSnnudderregGreAGrbyAy (HbIoyOspHEitoaSlssp) iCtaelsnsus Report310

d) Typeds .ofTyInpgeusinoafl HInegrnuiianRaelpHaierrunniadeRr GepAair under GA

Inguinal Hernia Repair under GA

6000 5085 5523

5062

No. of procedures 5000

4000

3000

2000

1000

0 2018 2019
2017

Open Inguinal Hernia Repair Laparoscopic Inguinal Hernia Repair TOTAL

FiguFriegu7re.174.1.144-1: 4T:yTpyepsesooffInIngguuiinnaallHHeerrnniaiaRRepeapirauirnudenrdGeAr GA

INGUINAL HERNIA REPAIR UNDER GA

Hospital Category 2017 2018 2019

Big 2133 2124 2340

Medium 2089 2100 2133

Small 863 838 1050

TOTAL 5085 General Surge5r0y6S2ervices 5523Ministry of Health Malaysia 285

Table 7.14-9 : Total Number of Inguinal Hernia Repair under GA

GENERAL SURGERY

INPATIENT, OUTPATIENT, ENDOSCOPY AND SURGERY (IOES)

CENSUS REPORT 2016 - 2019

INGUINAL HERNIA REPAIR UNDER GA

HOSPITAL CATEGORY 2017 2018 2019
Big 2133 2124 2340
Medium 2089 2100 2133

Small 863 838 1050

TOTAL 5085 5062 5523

Table 7.14.9 : Total Number of Inguinal Hernia Repair under GA

INGUINAL HERNIA REPAIR UNDER GA

PROCEDURE TYPE 2017 (%) 2018 (%) 2019 (%)
84%
Open Inguinal Hernia Repair 4391 86% 4360 86% 4636 16%

Laparoscopic Inguinal Hernia Repair 694 14% 702 14% 887 100%

TOTAL 5085 100% 5062 100% 5523

Table 7.14.10: Inguinal Hernia Repair under GA by Modality of Approach

286 General Surgery Services Ministry of Health Malaysia

GENERAL SURGERY

INPATIENT, OUTPATIENT, ENDOSCOPY AND SURGERY (IOES)

CENSUS REPORT 2016 - 2019

INGUINAL HERNIA REPAIR UNDER GA

NO HOSPITALS OPEN MEAN NUMBER TOTAL
LAPAROSCOPIC
257
1 HRPZ Kota Bahru 173 84 215
2 Hospital Selayang 201 13
206
3 HSNZ Kuala Terengganu 200 5 198
4 HSAH Sungai Petani 174 24 198
5 Hospital Queen Elizabeth 169 29 192
6 Hospital Taiping 136 56 164
7 Hospital Melaka 154 10 157
8 Hospital Kuala Lumpur 144 13 157
9 HSNI Batu Pahat 135 22 154
10 HRPB Ipoh 75 78 149
11 Hospital Umum Sarawak 109 40 147
12 HSB Alor Setar 146 1 143
13 HPSF Muar 140 3 141
14 Hospital Pulau Pinang 128 13 137
15 HSI Johor Bahru 106 31 127
16 Hospital Sibu 88 39
125
17 Hospital Sungai Buloh 95 30 120
18 HTF Kangar 120 0 111
19 HSA Johor Bahru 87 24 110
20 Hospital Teluk Intan 80 30 106
21 HTJ Seremban 85 21 105
22 Hospital Ampang 94 10 102
23 Hospital Kajang 89 13 101
24 Hospital DoK Sandakan 89 12 99
25 HTAA Kuantan 85 14 96
26 HTAR Klang 83 13 89
27 HoSHAS Temerloh 85 4 84
28 Hospital Shah Alam 80 4 82
29 Hospital Kuala Pilah 74 8 82
30 HEBHK Kluang 76 6 81
31 Hospital Putrajaya 77 4 80
32 Hospital Segamat 72 8 75
33 Hospital Kulim 68 8 74
34 Hospital Tawau 69 5 72
35 Hospital Seberang Jaya 52 20 67
36 HSIP Kuala Krai 67 0 67
37 Hospital Serdang 54 13 64
38 Hospital Sarikei 64 0 54
39 Hospital Seri Manjung 30 24 51
40 Hospital Tanah Merah 51 0 50
41 Hospital Kemaman 50 0 47
42 Hospital Kuala Lipis 44 4 45
43 Hospital Bintulu 35 10 42
44 Hospital Miri 40 2
37
45 Hospital Banting 37 0 35
46 Hospital Port Dickson 31 4 33
47 Hospital Lahad Datu 33 0 31
48 Hospital Langkawi 24 7 28
49 Hospital Keningau 28 0 23
50 Hospital Labuan 23 0 9
51 Hospital Kapit 8 1 4
52 Hospital Queen Elizabeth 2 3 1 3
53 Institut Kanser Negara 2 1
5223
TOTAL 4462 761

Table 7.14.11: Inguinal Hernia Repair under GA by Hospital

General Surgery Services Ministry of Health Malaysia 287

49 Hospital Keningau 28 0 28

50 GENERALHospital Labuan SU23RGER0Y 23

51 HHINoossPppAiittaaTllIKQENuapeTiet,nOElUizTaPbCeAtEhTNI2ESNUTS, ERNEPDOORSTC2O380P1Y6A- 2N0D19SUR11GERY (IOES)94
52

53 Institut Kanser Negara 21 3

TOTAL 4462 761 5223

Table 7.14-11: Inguinal Hernia Repair under GA by Hospital

77..114.42..12O.1pen Open
a) By BMaS H. BosypitBalMCSateHgooryspital Category

Inguinal Hernia Repair under GA - Open
(2017 - 2019)

250 Mean Total Procedures : 4462

200

150

100

50

0
Mean No. of Procedures
Hospital Selayang
HSNZ Kuala Terengganu
HSAH Sungai Petani
HRPZ Kota Bahru
Hospital Queen Elizabeth

Hospital Melaka
HSB Alor Setar
Hospital Kuala Lumpur

HPSF Muar
Hospital Taiping
HSNI Batu Pahat
Hospital Pulau Pinang

HTF Kangar
Hospital Umum Sarawak

HSI Johor Bahru
Hospital Sungai Buloh

Hospital Ampang
Hospital DoK Sandakan

Hospital Kajang
Hospital Sibu

HSA Johor Bahru
HTAA Kuantan

HoSHAS Temerloh
HTJ Seremban
HTAR Klang

Hospital Teluk Intan
Hospital Shah Alam

Hospital Putrajaya
HEBHK Kluang
HRPB Ipoh

Hospital Kuala Pilah
Hospital Segamat
Hospital Tawau
Hospital Kulim
HSIP Kuala Krai
Hospital Sarikei
Hospital Serdang

Hospital Seberang Jaya
Hospital Tanah Merah
Hospital Kemaman
Hospital Kuala Lipis
Hospital Miri
Hospital Banting
Hospital Bintulu
Hospital Lahad Datu
Hospital Port Dickson
Hospital Seri Manjung
Hospital Keningau
Hospital Langkawi
Hospital Labuan
Hospital Kapit

Hospital Queen Elizabeth
Institut Kanser Negara

Figure 7.14-15: Open Inguinal Hernia Repair under GA by BMS Hospital Category

Figure 7.14.15 : Open Inguinal Hernia Repair under GA by BMS Hospital Category

INGUINAL HERNIA REPAIR UNDER GA – OPEN

No. Hospitals 2017 2018 2019 Mean No. of
Procedures
1 Hospital Selayang 174 138 292
201
2 HSNZ Kuala Terengganu 208 193 200 200
174
3 HSAH Sungai Petani 180 213 128 173
169
4 HRPZ Kota Bahru 171 173 175 154
146
5 Hospital Queen Elizabeth 176 181 149 144
140
6 Hospital Melaka 193 168 101 136

7 HSB Alor Setar 156 167 116

8 Hospital Kuala Lumpur 92 125 216

9 HPSF Muar 148 134 137

10 Hospital Taiping 123 166 119

288 General Surgery Services Ministry of Health Malaysia

GENERAL SURGERY

INPATIENT, OUTPATIENT, ENDOSCOPY AND SURGERY (IOES)

CENSUS REPORT 2016 - 2019

INGUINAL HERNIA REPAIR UNDER GA
– OPEN

NO HOSPITALS 2017 2018 2019 MEAN NO. OF

1 Hospital Selayang 174 138 292 PROCEDURES
2 HSNZ Kuala Terengganu 208 193 200 201
200
3 HSAH Sungai Petani 180 213 128
4 HRPZ Kota Bahru 171 173 175 174
5 Hospital Queen Elizabeth 176 181 149 173
6 Hospital Melaka 193 168 101 169
7 HSB Alor Setar 156 167 116 154
8 Hospital Kuala Lumpur 92 125 216 146
9 HPSF Muar 148 134 137 144
10 Hospital Taiping 123 166 119 140
11 HSNI Batu Pahat 152 124 130 136
12 Hospital Pulau Pinang 140 118 125 135
13 HTF Kangar 128 122 111 128
14 Hospital Umum Sarawak 109 114 104 120
15 HSI Johor Bahru 110 87 121 109
16 Hospital Sungai Buloh 80 103 102 106
95
17 Hospital Ampang 82 127 74
18 Hospital DoK Sandakan 106 78 83 94
19 Hospital Kajang 91 84 91 89
20 Hospital Sibu 105 74 84 89
21 HSA Johor Bahru 95 95 72 88
22 HTAA Kuantan 57 67 132 87
23 HoSHAS Temerloh 91 55 109 85
24 HTJ Seremban 67 98 89 85
25 HTAR Klang 71 70 107 85
26 Hospital Teluk Intan 73 92 76 83
27 Hospital Shah Alam 55 77 108 80
28 Hospital Putrajaya 81 76 75 80
29 HEBHK Kluang 68 90 70 77
30 HRPB Ipoh 93 46 87 76
75
31 Hospital Kuala Pilah 79 80 62
32 Hospital Segamat 86 66 65 74
33 Hospital Tawau 74 79 55 72
34 Hospital Kulim 68 60 75 69
35 HSIP Kuala Krai 48 70 83 68
36 Hospital Sarikei 71 65 57 67
37 Hospital Serdang 58 57 47 64
38 Hospital Seberang Jaya 50 42 63 54
39 Hospital Tanah Merah 70 39 43 52
40 Hospital Kemaman 39 47 64 51
41 Hospital Kuala Lipis 38 46 47 50
42 Hospital Miri 21 32 68 44
43 Hospital Banting 40 37 34 40
44 Hospital Bintulu 38 0 66 37
35
45 Hospital Lahad Datu 29 32 39
46 Hospital Port Dickson 15 36 42 33
47 Hospital Seri Manjung 11 11 67 31
48 Hospital Keningau 33 30 20 30
49 Hospital Langkawi 22 28 22 28
50 Hospital Labuan 19 28 21 24
51 Hospital Kapit 3 14 8 23
52 Hospital Queen Elizabeth 2 3 3 3 8
53 Institut Kanser Negara 1 3 2 3
2
TOTAL 4391 4360 4636
4462

Table 7.14.12 : Open Inguinal Hernia Repair under GA by Hospital Category

General Surgery Services Ministry of Health Malaysia 289

GENERAL SURGERYGeneral Surgery: Inpatient, Outpatient, Endoscopy, Surgery (IOES) Census Report314

INPATIENT, OUTPATIENT, ENDOSCOPY AND SURGERY (IOES)

53 Institut Kanser CENSUS REPOR1T 2016 - 20319 2 2
Negara

TOTAL 4391 4360 4636 4462

Table 7.14-12 : Open Inguinal Hernia Repair under GA by Hospital Category

77..114.42..22L.2aparLoascpopaicroscopic
a) By BMaS .HBosypiBtaMl CSateHgoorsypital Category

Inguinal Hernia Repair under GA - Laparoscopic
(2017 - 2019)

Mean Total Procedures : 761
90
80
70
60
50
40
30
20
10
0
Mean No. of Procedures

HRPZ Kota Bahru
HRPB Ipoh

Hospital Taiping
Hospital Umum

Hospital Sibu
HSI Johor Bahru
Hospital Teluk Intan
Hospital Sungai Buloh

Hospital Queen
HSAH Sungai Petani
Hospital Seri Manjung

HSA Johor Bahru
HSNI Batu Pahat

HTJ Seremban
Hospital Seberang Jaya

HTAA Kuantan
HTAR Klang

Hospital Selayang
Hospital Kajang

Hospital Pulau Pinang
Hospital Kuala Lumpur

Hospital Serdang
Hospital DoK Sandakan

Hospital Melaka
Hospital Ampang
Hospital Bintulu
Hospital Kuala Pilah
Hospital Segamat

Hospital Kulim
Hospital Langkawi

HEBHK Kluang
HSNZ Kuala

Hospital Tawau
HoSHAS Temerloh
Hospital Shah Alam
Hospital Port Dickson
Hospital Putrajaya
Hospital Kuala Lipis

HPSF Muar
Hospital Miri
HSB Alor Setar
Hospital Queen
Institut Kanser Negara
Hospital Kapit
HSIP Kuala Krai

Figure 7.14-16 : Laparoscopic Inguinal Hernia Repair under GA by BMS Hospital Category

Figure 7.14.16 : Laparoscopic Inguinal Hernia Repair under GA by BMS Hospital Category

INGUINAL HERNIA REPAIR UNDER GA - LAPAROSCOPIC

No. Hospitals 2017 2018 2019 Mean No. of
Procedures

1 HRPZ Kota Bahru 68 101 83 84
2 HRPB Ipoh 100 93 42 78
3 Hospital Taiping 48 41 79 56
4 Hospital Umum Sarawak 36 42 43 40
5 Hospital Sibu 35 41 41 39
6 HSI Johor Bahru 75 81 31
7 Hospital Teluk Intan 21 22 47 30
8 Hospital Sungai Buloh 43 26 20 30
9 Hospital Queen Elizabeth 30 13 44 29
10 HSAH Sungai Petani 20 22 31 24
11 Hospital Seri Manjung 25 11 37 24
12 HSA Johor Bahru 20 30 22 24
13 HSNI Batu Pahat 22 26 17 22
14 HTJ Seremban 21 24 18 21
15 Hospital Seberang Jaya 23 11 26 20
16 HTAA Kuantan 17 0 24 14

290 General Surgery Services Ministry of Health Malaysia

GENERAL SURGERY

INPATIENT, OUTPATIENT, ENDOSCOPY AND SURGERY (IOES)

CENSUS REPORT 2016 - 2019

INGUINAL HERNIA REPAIR UNDER GA
- LAPAROSCOPIC

NO HOSPITALS 2017 2018 2019 MEAN NO. OF

1 HRPZ Kota Bahru 68 101 83 PROCEDURES
2 HRPB Ipoh 100 93 42 84
78
3 Hospital Taiping 48 41 79
4 Hospital Umum Sarawak 36 42 43 56
5 Hospital Sibu 35 41 41 40
6 HSI Johor Bahru 7 5 81 39
7 Hospital Teluk Intan 21 22 47 31
8 Hospital Sungai Buloh 43 26 20 30
9 Hospital Queen Elizabeth 30 13 44 30
10 HSAH Sungai Petani 20 22 31 29
11 Hospital Seri Manjung 25 11 37 24
12 HSA Johor Bahru 20 30 22 24
13 HSNI Batu Pahat 22 26 17 24
14 HTJ Seremban 21 24 18 22
15 Hospital Seberang Jaya 23 11 26 21
16 HTAA Kuantan 17 0 24 20
14
17 HTAR Klang 18 9 13
18 Hospital Selayang 9 16 15 13
19 Hospital Kajang 10 18 12 13
20 Hospital Pulau Pinang 4 16 19 13
21 Hospital Kuala Lumpur 0 15 23 13
22 Hospital Serdang 24 14 0 13
23 Hospital DoK Sandakan 6 11 18 13
24 Hospital Melaka 0 8 23 12
25 Hospital Ampang 14 3 14 10
26 Hospital Bintulu 21 0 9 10
27 Hospital Kuala Pilah 16 7 2 10
28 Hospital Segamat 5 10 9 8
29 Hospital Kulim 5 1 17 8
30 Hospital Langkawi 5 8 8 8
7
31 HEBHK Kluang 0 7 10
32 HSNZ Kuala Terengganu 8 4 4 6
33 Hospital Tawau 4 3 7 5
34 HoSHAS Temerloh 0 10 3 5
35 Hospital Shah Alam 0 8 4 4
36 Hospital Port Dickson 1 9 2 4
37 Hospital Putrajaya 3 4 4 4
38 Hospital Kuala Lipis 1 10 0 4
39 HPSF Muar 0 0 9 4
40 Hospital Miri 0 0 5 3
41 HSB Alor Setar 0 0 2 2
42 Hospital Queen Elizabeth 2 2 0 0 1
43 Institut Kanser Negara 2 0 0 1
44 Hospital Kapit 0 2 0 1
1
45 HSIP Kuala Krai 0 1 0
0
TOTAL 694 702 887
761

Table 7.14.13: Laparoscopic Inguinal Hernia Repair under GA by Hospital Category

General Surgery Services Ministry of Health Malaysia 291

GENERAL SURGERY

INPATIENT, OUTPATIENT, ENDOSCOPY AND SURGERY (IOES)
CENSUS REPORT 2016 - 2019

GGeenneerraall SSuurrggeerryy:: IInnppaattiieenntt,, OOuuttppaattiieenntt,, EEnnddoossccooppyy,, SSuurrggeerryy ((IIOOEESS)) CCeennssuuss RReeppoorrtt331166

77..1155 7PP.ee1dd5iiaattrPriicec HHdeeiarrnntiiraaicaanndHd SSeccrrrnootitaaall SSauunrrggdeerrSyycrotal Surgery

List of procedures selected for Pediatric’s workload measurement are:

LLiisstt ooff pprroocceedduurreess sseelleecctteedd ffoorr PPeeddiiaattrriicc’’ss wwoorrkkllooaadd mmeeaassuurreemmeenntt aarree::
ii.. UUnniillaatteie.r raallUHHneielarrnnteiioorattool mHmeyyrniotomy
iiii.. BBiillaatteerriaia. ll HHBeeilrarnnteiioorattool mmHeyyrniotomy

iiiiii.. OOrrcchhiiddiiooi.p peeOxxryychidopexy
iivv.. OOrrcchhiiddivee.cc ttooOmmrcyyhidectomy

aa)) TToottaall a. Total

PPeeddiiaattrriicc HHeerrnniiaa && SSccrroottaall SSuurrggeerryy

22550000 22220022 22221144 22331155

NNo.o.ofofPrProocceeddurureses 22000000

11550000

11000000

550000

00 22001177 22001188 22001199

FiguFFreiigguu7rr.e1e577...11155:--1T1o::tTTaoolttnaalul nnmuumbmbebeerrrooofffPPPeeedddiiiaaatttrrriiicccHHHeeerrnnriniaaiaaannaddnSSdccrrSoocttaarlol SStuaurrlggSeeurryrygery

bb)) BByy BBMMSS CCaatteeggoorryy
b. By BMS Category

PPeeddiiaattrriicc HHeerrnniiaa && SSccrroottaall SSuurrggeerryy

NNo.o.ofofPrProocceeddurureses 11220000 11111111 993344 991100 882222
11000000 889900 990088
880000

660000 337788 339966 338822
440000

220000

00 BBiigg MMeeddiiuumm SSmmaallll
HHoossppiittaall CCaatteeggoorryy

22001177 22001188 22001199
FiguFrFeiigg7uu.rr1ee577...211:55P--22e::dPPieaeddtiriaaicttrriiHcceHHrenerrinaniiaaaaannnddd SSScccrrroootttaaalllSSSuuurrggrgeerreyyrbybyybBByMMBSSMCCSaattCeeggaootrreyygory

292 General Surgery Services Ministry of Health Malaysia

GENERAL SURGERY

General SIuNrPgAerTyIE: NInT,paOtiUeTnPtC,AOETNIuEStNpUaTS,tiEeRnNEtPD, OEOnRSdTCo2Osc0Po1Yp6yA-,2SN0uD1rg9SeUryRG(IEOREYS() ICOeEnSs)us Report317

General Surgery: Inpatient, Outpatient, Endoscopy, Surgery (IOES) Census Report317

c) By BMS Hospital Category

c. cB)yBByMBMSSHHoossppitiatlaClaCtegaortyegory

Pediatric Hernia and Scrotal Surgery by General Surgeons

Pediatric Hernia(a2n0d1S7c-ro2ta0l1S9u)rgery by General Surgeons

350 323 Mean Total P(2ro0c1ed7u-re2s0: 12924)4
Mean No. of Procedures
300 350 323 Mean Total Procedures : 2244
HRPZ Kota Bahru
HSNZ Kuala Terengganu250 300
184177 250
HSHBTAAlRorKSleatnagrMean No. of Procedures200200184177
Hospital Pulau Pinang
150 1101950090 79 110 90 90
100 HoSHAS Temerloh100
50 HRPHZPSKFotaMBuaahrru61 59
50
HSNHZSKNuHIaHolsBSaHapBtiTTteurAAalleRPonraSgiKhSglbeaaattunnaurg
HospHitTalJ PSuelraeu Pmibnaanng

HospitalHSoeSbHerAaSnTge Jmaerylaoh
HospHitPaSlFMMiuriar

HoHsSpNitIalBatTua Pwaahuat
HospitHaoHlsopsiDtpaoiltKaHSleHTSboJSasereSpniaegtdrnaaaelgkmmJSaiaabtnabyanu

HospitalHPosutpritaajlayMiari
HSAH SuHnosgpaiitalPeTtaawniau

HosHopistpiatlalTaSiepgianmgat
HHoosspHpiHiSttoHaaAllsoHsHHpoiDpKstiTSotupauFailKaltnlagSlPaKKaauiaatTnPjrnaiPdiaalgeajptnaiaakarnghayngani
HospitHalosSpietrail KMuaalnajuPinlgah
HospitalHoTselpiutakl IKnatjaanng

Hospital KHeTFmaKamnagnar
HHosHoHHposisootpspsaiiltptpiiaatStllaelarlTiAeKleKumMkaupmlnIaaijnnutmmganangn
Hospital SuHnosgpaiitalBuKluloihm

HosHpoistpailtalBiAntmuplaung
HoHsopsiptiatlalSShuanhgaiAlBaulmoh

HospHiotsaplitaBlaBnitintnulgu
HosHHpoEistHBpHaioltEHsalpBLiKtaHSahlnKKalghBuKkalaaAnultnaiawgninmgg

HoHsospiptitaall LLaanbgukaanwi
HospHitosalpitSalerLdaabnugan
HSIHPosKpituaallaSerKdraanig
HospitHaSlIPKeKunialnagaKruai
HoHsopsiHtpoHiastolpHsailotpTisatalpLainltaTaaahlLhnaaaKhdheaMndeDiMraneDatrgahautahuu
HospiHtoaslpitQauleQeuneeEnliEzliazbaebtehth
HosHpiotsaplitalMelMealkaaka
HospHitosalpitaKluaKluaalaLiLpiipsis
HHooHssSppIHiitoHtJaslSaopIliPhtJoaSoolrrethlSoareDBliyaacBahykarnsahougrnnug
Hospital PHoorstpitDailcSkasrioknei
HospiHtoaslpitSaalriKkaepiit
Hospital QHuoesepnitEallizaKbaeptiht 2
Hospital Queen Elizabeth 2
71 65 7598751565556155094598 4585 5455540549444844354415 4440 443043104028402360 2268 2264 226124212117211177 1147

1142 1121119 9 99 99 88 88 77 6 6 6 66 64 42 2

00

Figure 7.15-3: Pediatric Hernia and Scrotal Surgery by BMS Hospital Category

Figure 7.15.3: Pediatric Hernia and Scrotal Surgery by BMS Hospital Category

d) TFyigpuerse o7f.1P5-e3d:iPaterdiicatSriucrHgeerrnyiabaynGd eSncreortaal SSuurrggeeryonby BMS Hospital Category

d) Typesdof. TPyepdieatsrioc fSPuregderiayTtbyryipcGeseSonuferrPgaeeldSriyautrrbgieycoHGneernniearaanldSSucrrgoetaolnSurgery

Typ2e5s00of Pedia22t0r2ic Hernia and221S4crotal Surger2y315

2500 2315

2000 2202 2214

2000No. of Proceures 1500

1500 No. of Proceures 1000

500

1000

0

2017 2018 2019

500

Unilateral Herniotomy Orchidopexy Bilateral Herniotomy Orchidectomy TOTAL

Figure 7.15-4: Types of Pediatric Hernia and Scrotal Surgery

0 2018 2019
2017

Unilateral Herniotomy Orchidopexy Bilateral Herniotomy Orchidectomy TOTAL

FFiigguurree7.71.51-54.:4T: yTpyepseosf PoefdPiaetdriicaHtreicrnHiaearnndiaSacrnodtalSScurrogtearlySurgery

General Surgery Services Ministry of Health Malaysia 293

GENERAL SURGERY

INPATIENT, OUTPATIENT, ENDOSCOPY AND SURGERY (IOES)

CENSUS REPORT 2016 - 2019

PEDIATRIC HERNIA AND SCROTAL SURGERY

HOSPITAL CATEGORY 2017 2018 2019
Big 890 908 1111
Medium 934 910 822

Small 378 396 382

TOTAL 2202 2214 2315

Table 7.15.1: Pediatric Hernia and Scrotal Surgery by BMS Category

PEDIATRIC HERNIA AND SCROTAL SURGERY

PROCEDURE TYPE 2017 (%) 2018 (%) 2019 (%)
Unilateral Herniotomy 1456 66% 1466 66% 1385 60%
Bilateral Herniotomy 122 6% 130 6% 211 9%
Orchidopexy 524 24% 507 23% 609 26%
Orchidectomy 100 5% 111 5% 110 5%
2315 100%
TOTAL 2202 100% 2214 100%

Table 7.15.2 : Types of Pediatric Hernia and Scrotal Surgery

294 General Surgery Services Ministry of Health Malaysia

GENERAL SURGERY

INPATIENT, OUTPATIENT, ENDOSCOPY AND SURGERY (IOES)

CENSUS REPORT 2016 - 2019

PAEDIATRIC HERNIA AND SCROTAL SURGERY

NO HOSPITALS 2017 2018 2019 MEAN

1 HRPZ Kota Bahru 365 302 303 NUMBER
2 HSNZ Kuala Terengganu 164 115 272 323
184
3 HSB Alor Setar 161 194 176
4 HTAR Klang 92 109 130 177
5 Hospital Pulau Pinang 80 86 105 110
6 HoSHAS Temerloh 92 88 90 90
7 HPSF Muar 76 88 72 90
8 HSNI Batu Pahat 72 67 75 79
9 Hospital Sibu 64 83 48 71
10 HTJ Seremban 9 74 101 65
11 Hospital Seberang Jaya 80 54 42 61
12 Hospital Miri 54 65 54 59
13 Hospital Tawau 60 70 35 58
14 Hospital Segamat 57 44 64 55
15 Hospital DoK Sandakan 46 59 44 55
16 Hospital Putrajaya 51 44 52 50
49
17 HSAH Sungai Petani 63 40 41
18 Hospital Taiping 32 41 63 48
19 Hospital Kuala Pilah 44 56 36 45
20 Hospital Kajang 38 46 47 45
21 HTF Kangar 67 23 40 44
22 Hospital Seri Manjung 46 53 24 43
23 Hospital Teluk Intan 41 51 29 41
24 Hospital Kemaman 56 40 24 40
25 Hospital Kulim 36 27 27 40
26 Hospital Ampang 16 24 44 30
27 Hospital Sungai Buloh 33 31 15 28
28 Hospital Bintulu 37 17 24 26
29 Hospital Shah Alam 16 21 34 26
30 Hospital Banting 12 22 30 24
21
31 HEBHK Kluang 15 24 23
32 Hospital Langkawi 10 13 28 21
33 Hospital Labuan 18 14 19 17
34 Hospital Serdang 17 12 14 17
35 HSIP Kuala Krai 6 10 19 14
36 Hospital Keningau 3 20 10 12
37 Hospital Tanah Merah 15 9 4 11
38 Hospital Lahad Datu 0 8 20 9
39 Hospital Queen Elizabeth 8 8 10 9
40 Hospital Melaka 4 14 5 9
41 Hospital Kuala Lipis 2 18 3 8
42 Hospital Selayang 7 6 9 8
43 HSI Johor Bahru 16 3 0 7
44 Hospital Port Dickson 6 9 3 6
6
45 Hospital Sarikei 12 5 1
46 Hospital Kapit 0 7 4 6
47 Hospital Queen Elizabeth 2 3 0 2 4
48 HRPB Ipoh 0 0 0 2
49 Hospital Kuala Lumpur 0 0 0 0
50 HSA Johor Bahru 0 0 0 0
51 HTAA Kuantan 0 0 0 0
52 Hospital Umum Sarawak 0 0 0 0
53 Institut Kanser Negara 0 0 0 0
0
TOTAL 2202 2214 2315
2244

Table 7.15.3 : Pediatric Hernia & Scrotal Surgery By Hospital Category

General Surgery Services Ministry of Health Malaysia 295

GENERAL SURGERY

INPATIENT, OUTPATIENT, ENDOSCOPY AND SURGERY (IOES)
CENSUS REPORT 2016 - 2019

GGeenneerraall SSuurrggeerryy:: IInnppaattiieenntt,, OOuuttppaattiieenntt,, EEnnddoossccooppyy,, SSuurrggeerryy ((IIOOEESS)) CCeennssuuss RReeppoorrtt332200

77..11557..11.1U5U.nn1iillaaUtteenrriaalall HHteeerrrannliiooHttooemmrnyyiotomy
aa)) TToottaalla. Total

UUnniillaatteerraall HHeerrnniioottoommyy

11448800 11445566 11446666
11446600

NNo.o.ofofPrProocceeddurureess 11444400

11442200

11440000 11338855
11338800

11336600

11334400 22001177 22001188 22001199

FiguFFrieigguu7rr.ee1577...11555:--T55o::tTTaoolttNaalluNNmuummbebbeerrrooofffUUUnnniiilllaaattteeerrraaalllHHHeeerrrnnniiooiottootmmomyy y

bb)) BByy BBMbM.SSBCCyaaBtteeMggooSrryyCategory

UUnniillaatteerraall HHeerrnniioottoommyy

NNo.o.ofofPrProocceeddurureess 770000 557777 556677 664400 661188 559999
660000 551144

550000 MMeeddiiuumm
HHoossppiittaall CCaatteeggoorryy
440000 226611 330000 223311
SSmmaallll
330000

220000

110000

00 BBiigg

22001177 22001188 22001199
FiguFFreiigguu7rr.e1e 577...61155:--66Un:: ilUUannteiillaraatteelrrHaalleHHrneeirronntiiooottmoommyyybbbyyy BBBMMMSSS CCCaaatteeteggoogrroyyry

296 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 Report321

c. cB)yBByMBMSSHHoossppitaitlaCal tCegoarytegory

250 227 Unilateral Herniotomy
200 (2017 - 2019)

Mean Total Procedures : 1436
mean No. of Procedures
HRPZ Kota Bahru
HSNZ Kuala Terengganu

HSB Alor Setar
HTAR Klang

HoSHAS Temerloh
HPSF Muar

HSNI Batu Pahat
Hospital Miri

Hospital Putrajaya
Hospital Sibu

Hospital Tawau
Hospital Pulau Pinang
Hospital DoK Sandakan

Hospital Kemaman
Hospital Seri Manjung

HTJ Seremban
Hospital Teluk Intan

Hospital Segamat
Hospital Kuala Pilah

Hospital Kajang
Hospital Sungai Buloh

Hospital Ampang
HSAH Sungai Petani
Hospital Seberang Jaya

Hospital Taiping
HTF Kangar

Hospital Kulim
HEBHK Kluang
Hospital Shah Alam
Hospital Bintulu
Hospital Serdang
Hospital Langkawi
Hospital Labuan
Hospital Tanah Merah
HSIP Kuala Krai
Hospital Lahad Datu
Hospital Kuala Lipis
Hospital Selayang
Hospital Banting
Hospital Keningau
Hospital Melaka
Hospital Port Dickson
HSI Johor Bahru

Hospital Kapit
Hospital Queen Elizabeth

Hospital Sarikei
150 108 95
100 80
50 57 51 44 42 40 40 40 37 35 35 34 33 31 29 28 26 26 24 23 23 23 21 21 18 16 16 14 12 12 9 9 8 8 7 7 6 6 5 4 2 2 1

0

Figure 7.15-7: Unilateral Herniotomy by BMS Hospital Category

Figure 7.15.7: Unilateral Herniotomy by BMS Hospital Category

Unilateral Herniotomy

Hospital Category 2017 2018 2019

Big 577 567 640

Medium 618 599 514

UNILATERSAmLallHERNIOTOMY 261 300 231
TOTAL 1456 1466 1385

Table 7.15-4: Total Number of Unilateral Herniotomy by BMS Category
HOSPITAL CATEGORY 2017 2018 2019
640
Big UNILATERAL H5E7R7NIOTOMY 567

MNeo.diumHospitals 2017 618 2018 2051999 Mean No. o5f 14
Small 261 300 Procedures231
190
1 HRPZ Kota Bahru 261 229 1174566 227
2 HSNZ KTuOalTaATLerengganu 89 1456 60 108 1385

3 HSB AlToarbSleeta7r.15.4: Total Number 9o8f Unilateral1H12erniotomy 7b6y BMS Catego9r5y

4 HTAR Klang 77 73 91 80

5 HoSHAS Temerloh 51 58 62 57

6 HPSF Muar 53 58 43 51

7 HSNI Batu Pahat 45 39 49 44

8 Hospital Miri 45 53 28 42

9 Hospital Putrajaya 40 38 42 40

10 Hospital Sibu 36 51 33 40

11 Hospital Tawau 50 44 25 40

12 Hospital Pulau Pinang 42 31 38 37

13 Hospital DoK Sandakan 29 49 27 35

General Surgery Services Ministry of Health Malaysia 297

GENERAL SURGERY

INPATIENT, OUTPATIENT, ENDOSCOPY AND SURGERY (IOES)

CENSUS REPORT 2016 - 2019

UNILATERAL HERNIOTOMY

NO HOSPITALS 2017 2018 2019 MEAN

1 HRPZ Kota Bahru 261 229 190 NUMBER
2 HSNZ Kuala Terengganu 89 60 175 227
108
3 HSB Alor Setar 98 112 76
4 HTAR Klang 77 73 91 95
5 HoSHAS Temerloh 51 58 62 80
6 HPSF Muar 53 58 43 57
7 HSNI Batu Pahat 45 39 49 51
8 Hospital Miri 45 53 28 44
9 Hospital Putrajaya 40 38 42 42
10 Hospital Sibu 36 51 33 40
11 Hospital Tawau 50 44 25 40
12 Hospital Pulau Pinang 42 31 38 40
13 Hospital DoK Sandakan 29 49 27 37
14 Hospital Kemaman 46 36 22 35
15 Hospital Seri Manjung 38 43 21 35
16 HTJ Seremban 1 42 55 34
33
17 Hospital Teluk Intan 29 39 25
18 Hospital Segamat 39 26 21 31
19 Hospital Kuala Pilah 30 37 17 29
20 Hospital Kajang 23 30 25 28
21 Hospital Sungai Buloh 32 30 15 26
22 Hospital Ampang 13 21 39 26
23 HSAH Sungai Petani 44 11 15 24
24 Hospital Seberang Jaya 32 21 17 23
25 Hospital Taiping 19 26 25 23
26 HTF Kangar 35 12 17 23
27 Hospital Kulim 22 19 21 21
28 HEBHK Kluang 14 17 23 21
29 Hospital Shah Alam 11 12 25 18
30 Hospital Bintulu 21 12 14 16
16
31 Hospital Serdang 16 12 14
32 Hospital Langkawi 10 13 14 14
33 Hospital Labuan 12 11 12 12
34 Hospital Tanah Merah 14 9 4 12
35 HSIP Kuala Krai 6 10 10 9
36 Hospital Lahad Datu 0 8 15 9
37 Hospital Kuala Lipis 2 18 3 8
38 Hospital Selayang 7 6 9 8
39 Hospital Banting 4 9 9 7
40 Hospital Keningau 0 13 6 7
41 Hospital Melaka 2 13 2 6
42 Hospital Port Dickson 6 7 3 6
43 HSI Johor Bahru 11 2 0 5
44 Hospital Kapit 0 3 3 4
2
45 Hospital Queen Elizabeth 0 1 4
46 Hospital Sarikei 1 2 1 2
47 HRPB Ipoh 0 0 0 1
48 Hospital Kuala Lumpur 0 0 0 0
49 HSA Johor Bahru 0 0 0 0
50 HTAA Kuantan 0 0 0 0
51 Hospital Umum Sarawak 0 0 0 0
52 Hospital Queen Elizabeth 2 0 0 0 0
53 Institut Kanser Negara 0 0 0 0
0
TOTAL 1456 1466 1385
1436

Table 7.15.5: Unilateral Herniotomy by Hospital Category

298 General Surgery Services Ministry of Health Malaysia

GENERAL SURGERY

INPATIENT, OUTPATIENT, ENDOSCOPY AND SURGERY (IOES)
General Surgery:CIEnNpaStUieSnRt,EOPuOtpRaTti2en0t1,6E-n2d0o1s9copy, Surgery (IOES) Census Report323

General Surgery: Inpatient, Outpatient, Endoscopy, Surgery (IOES) Census Report323

7.15.2 Bilateral Herniotomy

7.157a.2).1BT5o.il2taatleBrialal HteerranlioHtoemrnyiotomy

a) Totala. Total Bilateral Herniotomy
Bilateral Herniotomy
250

250 211
200 211

No. oNfo.ProofcPerdoucresdures 200

150 122 130
130
150 122
100

100
50

50

0

0 2017 2018 2019

Fi2g0u1re7 7.15-8: Total Number2o0f1B8ilateral Herniotomy 2019

FiguFriegu7r.e175..185:-T8o: tTaoltaNluNmumbbeerrooff BBiillaatteerraallHHeernrnioiototmomy y

b) By BMS Category

b) By BMb.SBCyaBteMgoSryCategory

Bilateral Herniotomy

160 1B47ilateral Herniotomy

No. oNfo.ProofcPerdoucresdures 11111116824460482406200000000000000 147 45 35 48
45 35 48
83
66 Medium
HospiMtaeldCiuamtegory
83
66

200 Big 11 12 16
0 11 12 16

Big Small

Small

Hospital Category

2017 2018 2019

2017 2018 2019
FiguFreig7ur.1e57..91:5-B9il:aBteilaratelrHaleHrnerionitootmomyybbyy BBMMSSCCaatetgeogroy ry

Figure 7.15-9: Bilateral Herniotomy by BMS Category

General Surgery Services Ministry of Health Malaysia 299

GENERAL SURGERY

INPATIENT, OUTPATIENT, ENDOSCOPY AND SURGERY (IOES)
CENSUS REPORT 2016 - 2019

General Surgery: Inpatient, Outpatient, Endoscopy, Surgery (IOES) Census Report324

c. cB) yBBy MBMSSHHoossppitaitl aCaltCegoarytegory

Bilateral Herniotomy
(2017 - 2019)

30 27 25 Mean Total Procedures : 154
25
20 18 16
Mean No. of Procedures
HRPZ Kota Bahru15
10
HSNZ Kuala5
HSB Alor Setar
Hospital Pulau
HTJ Seremban
HSNI Batu Pahat
HoSHAS Temerloh
Hospital Kuala Pilah
Hospital Taiping
Hospital Seberang
Hospital Kajang

Hospital Miri
Hospital Segamat

Hospital Sibu
Hospital DoK
Hospital Labuan
HTAR Klang
Hospital Banting
HSI Johor Bahru
Hospital Kemaman
Hospital Lahad Datu
HSAH Sungai Petani
Hospital Kulim
Hospital Melaka
Hospital Teluk Intan
Hospital Sungai
Hospital Putrajaya

HPSF Muar
Hospital Ampang
Hospital Serdang
HEBHK Kluang
Hospital Keningau
9976433332222211111111110000

0

FiguFreigu7r.e175.1.51-010::BBiillaatteeraral Hl eHrneiortnoimoytobymBMySbHyosBpMitalSCHatoegsopryital Category

Bilateral Herniotomy

Hospital Category 2017 2018 2019

Big 66 83 147

Medium 45 35 48
BILATSEmRalAl L HERNIOTOMY 11 12 16

TOTAL 122 130 211

HOSPITAL CATaTbEleG7.O15R-6Y: Total Number of Bilat2er0al1H7erniotomy by BMS cate2go0r1y 8 2019

Big BILATERAL HE6R6NIOTOMY 83 147
Medium 45 35 48
SmNaoll. Hospitals 210219 MPreoacnedNuor.eosf16
2017 11 2018

1 TOTAL 122 130 211
2 HHRSNPZZTaKKbouletaal7aB.T1a5eh.rr6eu:nTgogtaanluNumber o22f20Bilateral He2214rniotomy by3337BMS categor22y57

3 HSB Alor Setar 12 14 29 18

4 Hospital Pulau Pinang 11 12 25 16

5 HTJ Seremban 0 8 20 9

6 HSNI Batu Pahat 10 8 9 9

7 HoSHAS Temerloh 886 7

8 Hospital Kuala Pilah 657 6

9 Hospital Taiping 561 4

10 Hospital Seberang Jaya 5 0 3 3

11 Hospital Kajang 215 3

12 Hospital Miri 008 3

13 Hospital Segamat 026 3

14 Hospital Sibu 142 2

300 General Surgery Services Ministry of Health Malaysia