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Article: Self-inserted foreign bodies during COVID-19: two case reports.

Fung, A C H / Tsui, B S Y / Wong, S Y S / Tam, Y H

Hong Kong medical journal = Xianggang yi xue za zhi

2021 Volume 27, Issue 2, Page(s) 142–144

MeSH term(s)	Adolescent ; COVID-19/epidemiology ; COVID-19/prevention & control ; Child ; Communicable Disease Control/methods ; Constipation/therapy ; Education, Distance ; Education, Nonprofessional ; Foreign Bodies/diagnostic imaging ; Foreign Bodies/etiology ; Foreign Bodies/psychology ; Foreign Bodies/surgery ; Humans ; Male ; Psychological Tests ; Rectum ; SARS-CoV-2 ; Self Care/adverse effects ; Self Care/psychology ; Treatment Outcome ; Urethra ; Urologic Surgical Procedures, Male/methods
Language	English
Publishing date	2021-04-07
Publishing country	China
Document type	Case Reports
ZDB-ID	1239255-8
ISSN	1024-2708
ISSN	1024-2708
DOI	10.12809/hkmj208858
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Article: Hypospadias surgery in children: improved service model of enhanced recovery pathway and dedicated surgical team.

Wong, Y S / Pang, K K / Tam, Y H

Hong Kong medical journal = Xianggang yi xue za zhi

2018 Volume 24, Issue 3, Page(s) 238–244

Abstract: Introduction: Children in Hong Kong are generally hospitalised for 1 to 2 weeks after hypospadias repairs. In July 2013, we introduced a new service model that featured an enhanced recovery pathway and a dedicated surgical team responsible for all ... ...

Abstract	Introduction: Children in Hong Kong are generally hospitalised for 1 to 2 weeks after hypospadias repairs. In July 2013, we introduced a new service model that featured an enhanced recovery pathway and a dedicated surgical team responsible for all perioperative services. In this study, we investigated the outcomes of hypospadias repair after the introduction of the new service model. Methods: We conducted a retrospective study on consecutive children who underwent primary hypospadias repair from January 2006 to August 2016, comparing patients under the old service with those under the new service. Outcome measures included early morbidity, operative success, and completion of enhanced recovery pathway. Results: The old service and new service cohorts comprised 176 and 126 cases, respectively. There was no difference between the two cohorts in types of hypospadias and surgical procedures performed. The median hospital stay was 2 days in the new service cohort compared with 10 days in the old service cohort (P<0.001). Patients experienced less early morbidity (5.6% vs 15.9%; P=0.006) and had a lower operative failure rate (20.2% vs 44.2%; P<0.001) under the new service than the old service. Multivariable analysis revealed that the new service significantly reduced the odds of early morbidity (odds ratio=0.35, 95% confidence interval=0.15-0.85; P=0.02) and operative failure (odds ratio=0.32, 95% confidence interval=0.17-0.59; P<0.001) in comparison with the old service. Of the new service cohort, 111(88.1%) patients successfully completed the enhanced recovery pathway. Conclusions: The enhanced recovery pathway can be implemented safely and effectively to primary hypospadias repair. A dedicated surgical team may play an important role in successful implementation of the enhanced recovery pathway and optimisation of surgical outcomes.
MeSH term(s)	Child, Preschool ; Critical Pathways ; Hong Kong ; Humans ; Hypospadias/surgery ; Infant ; Length of Stay/statistics & numerical data ; Logistic Models ; Male ; Multivariate Analysis ; Perioperative Care/methods ; Postoperative Complications/etiology ; Reconstructive Surgical Procedures/adverse effects ; Retrospective Studies ; Treatment Failure
Language	English
Publishing date	2018-05-21
Publishing country	China
Document type	Comparative Study ; Journal Article
ZDB-ID	1239255-8
ISSN	1024-2708
ISSN	1024-2708
DOI	10.12809/hkmj177039
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Article: Dysregulation of miR223 and miR431 expression in intestinal tissues of preterm infants with necrotising enterocolitis: abridged secondary publication.

Wu, Y Z / Chan, K Y Y / Leung, K T / Lam, H S / Tam, Y H / Lee, K H / Li, K / Ng, P C

Hong Kong medical journal = Xianggang yi xue za zhi

2021 Volume 26 Suppl 8, Issue 6, Page(s) 46–47

Language	English
Publishing date	2021-01-27
Publishing country	China
Document type	Journal Article
ZDB-ID	1239255-8
ISSN	1024-2708
ISSN	1024-2708
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Article: Substance abuse effects on urinary tract: methamphetamine and ketamine.

Yee, C H / Ng, C F / Hong, Y L / Lai, P T / Tam, Y H

Hong Kong medical journal = Xianggang yi xue za zhi

2019 Volume 25, Issue 6, Page(s) 438–443

Abstract: Introduction: Ketamine is known to cause urinary tract dysfunction. Recently, methamphetamine (MA) abuse has become a growing problem in Asia. We investigated the symptomatology and voiding function in patients who abused MA and ketamine and compared ... ...

Abstract	Introduction: Ketamine is known to cause urinary tract dysfunction. Recently, methamphetamine (MA) abuse has become a growing problem in Asia. We investigated the symptomatology and voiding function in patients who abused MA and ketamine and compared their urinary tract toxicity profiles. Methods: In the period of 23 months from 1 October 2016, all consecutive new cases of patients presenting with MA- or ketamine-related urological disorder were recruited into a prospective cohort. Polysubstance abuse patients were excluded. Data were analysed by comparison between patients with ketamine abuse and MA abuse. Basic demographic data and initial symptomatology were recorded, and questionnaires on urinary symptoms and the Montreal Cognitive Assessment (MoCA) were used as assessment tools. Results: Thirty-eight patients were included for analysis. There was a statistically significant difference in mean age between patients with MA and ketamine abuse (27.2 ± 7.2 years and 31.6 ± 4.8 years, respectively, P=0.011). Urinary frequency was the most common urological symptom in our cohort of patients. There was a significant difference in the prevalence of dysuria (ketamine 43.5%, MA 6.7%, P=0.026) and a significant trend in the difference in hesitancy (ketamine 4.3%, MA 26.7%, P=0.069). Overall, questionnaires assessing urinary storage symptoms and voiding symptoms did not find a statistically significant difference between the two groups. The MoCA revealed that both groups had cognitive impairment (ketamine 24.8 ± 2.5, MA 23.6 ± 2.9, P=0.298). CONCLUCSIONS. Abuse of MA caused urinary tract dysfunction, predominantly storage symptoms. Compared with ketamine abuse, MA abuse was not commonly associated with dysuria or pelvic pain.
MeSH term(s)	Adult ; Cohort Studies ; Female ; Hong Kong ; Humans ; Ketamine/adverse effects ; Lower Urinary Tract Symptoms/chemically induced ; Lower Urinary Tract Symptoms/pathology ; Male ; Methamphetamine/adverse effects ; Prospective Studies ; Substance-Related Disorders ; Surveys and Questionnaires ; Urodynamics
Chemical Substances	Methamphetamine (44RAL3456C) ; Ketamine (690G0D6V8H)
Language	English
Publishing date	2019-12-04
Publishing country	China
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	1239255-8
ISSN	1024-2708
ISSN	1024-2708
DOI	10.12809/hkmj198154
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Article: Management of complications of ketamine abuse: 10 years' experience in Hong Kong.

Hong, Y L / Yee, C H / Tam, Y H / Wong, J Hm / Lai, P T / Ng, C F

Hong Kong medical journal = Xianggang yi xue za zhi

2018 Volume 24, Issue 2, Page(s) 175–181

Abstract: Ketamine is an N-methyl-d-aspartate receptor antagonist, a dissociative anaesthetic agent and a treatment option for major depression, treatment-resistant depression, and bipolar disorder. Its strong psychostimulant properties and easy absorption make it ...

Abstract	Ketamine is an N-methyl-d-aspartate receptor antagonist, a dissociative anaesthetic agent and a treatment option for major depression, treatment-resistant depression, and bipolar disorder. Its strong psychostimulant properties and easy absorption make it a favourable candidate for substance abuse. Ketamine entered Hong Kong as a club drug in 2000 and the first local report of ketamine-associated urinary cystitis was published in 2007. Ketamine-associated lower-urinary tract symptoms include frequency, urgency, nocturia, dysuria, urge incontinence, and occasionally painful haematuria. The exact prevalence of ketamine-associated urinary cystitis is difficult to assess because the abuse itself and many of the associated symptoms often go unnoticed until a very late stage. Additionally, upper-urinary tract pathology, such as hydronephrosis, and other complications involving neuropsychiatric, hepatobiliary, and gastrointestinal systems have also been reported. Gradual improvement can be expected after abstinence from ketamine use. Sustained abstinence is the key to recovery, as relapse usually leads to recurrence of symptoms. Both medical and surgical management can be used. The Youth Urological Treatment Centre at the Prince of Wales Hospital, Hong Kong, has developed a four-tier treatment protocol with initial non-invasive investigation and management for these patients. Multidisciplinary care is essential given the complex and diverse psychological factors and sociological background that underlie ketamine abuse and abstinence status.
MeSH term(s)	Gastrointestinal Diseases/chemically induced ; Humans ; Ketamine/adverse effects ; Substance-Related Disorders/therapy ; Urologic Diseases/chemically induced
Chemical Substances	Ketamine (690G0D6V8H)
Language	English
Publishing date	2018-04-06
Publishing country	China
Document type	Journal Article ; Review
ZDB-ID	1239255-8
ISSN	1024-2708
ISSN	1024-2708
DOI	10.12809/hkmj177086
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Article ; Online: Clinical heterogeneity in children with gonadal dysgenesis associated with non-mosaic 46,XY karyotype.

Wong, Y S / Tam, Y H / Pang, K K Y / To, K F / Chan, S S C / Chan, K W / Lee, K H

Journal of pediatric urology

2017 Volume 13, Issue 5, Page(s) 508.e1–508.e6

Abstract: Introduction: Gonadal dysgenesis is unique in disorders of sex development (DSD), in that it can be associated with 46,XX, 46,XY or mosaic 45,X/46,XY karyotypes. Gonadal dysgenesis can be partial or complete. Gonadal dysgenesis associated with the Y- ... ...

Abstract	Introduction: Gonadal dysgenesis is unique in disorders of sex development (DSD), in that it can be associated with 46,XX, 46,XY or mosaic 45,X/46,XY karyotypes. Gonadal dysgenesis can be partial or complete. Gonadal dysgenesis associated with the Y-chromosome has increased risk of gonadal germ cell neoplasms. Most of the literature focus on 45,X/46,XY gonadal dysgenesis, while there are scanty data on the condition when the karyotype is non-mosaic 46,XY. Objective: To investigate the diversity of clinical pictures of children presenting with 46,XY DSD due to gonadal dysgenesis. Methods: A retrospective study on consecutive patients diagnosed with 46,XY gonadal dysgenesis at age ≤18 years in a tertiary center from 1985 to 2015. The clinical presentations, phenotypes, gonadal features and associated anomalies were investigated. Results: Twenty-eight patients with Y-chromosome gonadal dysgenesis were identified during the study period and six (21.4%) had non-mosaic 46,XY karyotype. Three had complete gonadal dysgenesis (CGD) with normal female phenotype, while the other three had partial gonadal dysgenesis (PGD). Of the three patients with CGD, two presented with the classical Swyer syndrome at adolescence, while the third presented at birth with multiple congenital anomalies. The three PGD patients presented with ambiguous genitalia at birth (n = 2), and isolated hypospadias (n = 1), which was associated with Frasier syndrome. Three patients had germ cell neoplasms: bilateral gonadoblastoma (n = 1), bilateral intratubular germ cell neoplasia unclassified (n = 1), and dysgerminoma + gonadoblastoma (n = 1). Two patients had global developmental delay with other congenital anomalies, and another patient had learning difficulties with borderline intelligence (Table). Discussion: The findings suggest that 46,XY gonadal dysgenesis is much rarer than 45,X/46,XY gonadal dysgenesis. Patients differed in their clinical presentations and well-established syndromes happened in half of them. Overall, the risk of germ cell neoplasms and the association with other somatic anomalies appeared to be high. The study was limited by: its small number, single-center experience, and the possibility of missing the diagnosis in some male patients with mild undervirilization. Conclusion: Heterogeneity was noted in the clinical, phenotypic and gonadal features among pediatric patients with 46,XY gonadal dysgenesis.
MeSH term(s)	Abnormal Karyotype ; Adolescent ; Age Factors ; Child ; Child, Preschool ; Cohort Studies ; Female ; Follow-Up Studies ; Genetic Heterogeneity ; Gonadal Dysgenesis, 46,XY/diagnosis ; Gonadal Dysgenesis, 46,XY/epidemiology ; Hong Kong ; Humans ; Incidence ; Male ; Monitoring, Physiologic/methods ; Mosaicism ; Retrospective Studies ; Risk Assessment ; Tertiary Care Centers
Language	English
Publishing date	2017-10
Publishing country	England
Document type	Journal Article
ZDB-ID	2237683-5
ISSN	1873-4898 ; 1477-5131
ISSN (online)	1873-4898
ISSN	1477-5131
DOI	10.1016/j.jpurol.2017.03.021
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Article: Population-based survey of the prevalence of lower urinary tract symptoms in adolescents with and without psychotropic substance abuse.

Tam, Y H / Ng, C F / Wong, Y S / Pang, K Ky / Hong, Y L / Lee, W M / Lai, P T

Hong Kong medical journal = Xianggang yi xue za zhi

2016 Volume 22, Issue 5, Page(s) 454–463

Abstract: Objective: To investigate the prevalence of lower urinary tract symptoms in adolescents and the effects of psychotropic substance use.: Methods: This was a population-based cross-sectional survey using a validated questionnaire in students from 45 ... ...

Abstract	Objective: To investigate the prevalence of lower urinary tract symptoms in adolescents and the effects of psychotropic substance use. Methods: This was a population-based cross-sectional survey using a validated questionnaire in students from 45 secondary schools in Hong Kong randomly selected over the period of January 2012 to January 2014. A total of 11 938 secondary school students (response rate, 74.6%) completed and returned a questionnaire that was eligible for analysis. Individual lower urinary tract symptoms and history of psychotropic substance abuse were documented. Results: In this study, 11 617 non-substance abusers were regarded as control subjects and 321 (2.7%) were psychotropic substance users. Among the control subjects, 2106 (18.5%) had experienced at least one lower urinary tract symptom with urinary frequency being the most prevalent symptom (10.2%). Females had more daytime urinary incontinence (P<0.001) and males had more voiding symptoms (P=0.01). Prevalence of lower urinary tract symptoms increased with age from 13.9% to 25.8% towards young adulthood and age of ≥18 years (P<0.001). Among the substance users, ketamine was most commonly abused. Substance users had significantly more lower urinary tract symptoms than control subjects (P<0.001). In multivariate analysis, increasing age and psychotropic substance abuse increased the odds for lower urinary tract symptoms. Non-ketamine substance users and ketamine users were respectively 2.8-fold (95% confidence interval, 2.0-3.9) and 6.2-fold (4.1-9.1) more likely than control subjects to develop lower urinary tract symptoms. Females (odds ratio=9.9; 95% confidence interval, 5.4-18.2) were more likely to develop lower urinary tract symptoms than males (4.2; 2.5-7.1) when ketamine was abused. Conclusions: Lower urinary tract symptoms are prevalent in the general adolescent population. It is important to obtain an accurate history regarding psychotropic substance use when treating teenagers with lower urinary tract symptoms.
Language	English
Publishing date	2016-10
Publishing country	China
Document type	Journal Article
ZDB-ID	1239255-8
ISSN	1024-2708
ISSN	1024-2708
DOI	10.12809/hkmj154806
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Article ; Online: Randomized comparison of closed-loop feedback computer-controlled with manual-controlled infusion of phenylephrine for maintaining arterial pressure during spinal anaesthesia for caesarean delivery.

Ngan Kee, W D / Khaw, K S / Ng, F F / Tam, Y H

British journal of anaesthesia

2013 Volume 110, Issue 1, Page(s) 59–65

Abstract: Background: Closed-loop feedback computer-controlled infusion has not been described for administering phenylephrine to maintain arterial pressure (AP) during spinal anaesthesia for caesarean delivery. We aimed to compare AP control using this automated ...

Abstract	Background: Closed-loop feedback computer-controlled infusion has not been described for administering phenylephrine to maintain arterial pressure (AP) during spinal anaesthesia for caesarean delivery. We aimed to compare AP control using this automated system with a previously described manual infusion system. Methods: We randomly allocated 222 healthy subjects having spinal anaesthesia for scheduled caesarean delivery to have systolic AP maintained near baseline with phenylephrine (100 µg ml(-1)) by computer-controlled infusion utilizing a proportional algorithm or manual-controlled infusion utilizing an on-off algorithm. AP control was assessed by comparing the proportion of systolic AP measurements within ±20% of baseline and by performance error (PE) calculations. Results: A total of 212 subjects finished the study. In the computer-control group, 97% of systolic AP recordings fell within ±20% of baseline compared with 95% in the manual-control group (P=0.0004). For computer-control compared with manual-control, wobble was smaller [median 3.5 (inter-quartile range 2.5-4.8)% vs 4.2 (3.3-5.9)%, P=0.003], but there was no difference in the median PE [2.9 (0.3-4.7)% vs 1.9 (0-4.2)%], median absolute PE [4.7 (3.5-5.6)% vs 4.7 (3.8-6.7)%], or divergence [-0.01 (-0.03-0)% vs -0.06 (-0.26-0.08)%]. Fewer interventions per subject for controlling AP were required in the computer-control group [2 (2-2) vs 10 (8-13), P<0.001]. There were no differences in measured clinical outcomes. Conclusions: Within the constraints of the studied algorithms, closed-loop feedback computer-controlled phenylephrine infusion provided better AP control with fewer interventions required compared with manual-controlled infusion.
MeSH term(s)	Adult ; Algorithms ; Anesthesia, Obstetrical/methods ; Anesthesia, Spinal/methods ; Arterial Pressure/drug effects ; Cesarean Section/methods ; Computers ; Female ; Humans ; Infant, Newborn ; Infusions, Intravenous ; Phenylephrine/administration & dosage ; Phenylephrine/therapeutic use ; Pregnancy ; Treatment Outcome ; Vasoconstrictor Agents/administration & dosage ; Vasoconstrictor Agents/therapeutic use ; Young Adult
Chemical Substances	Vasoconstrictor Agents ; Phenylephrine (1WS297W6MV)
Language	English
Publishing date	2013-01
Publishing country	England
Document type	Comparative Study ; Journal Article ; Randomized Controlled Trial ; Research Support, Non-U.S. Gov't
ZDB-ID	80074-0
ISSN	1471-6771 ; 0007-0912
ISSN (online)	1471-6771
ISSN	0007-0912
DOI	10.1093/bja/aes339
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Article: Seven-day is more effective than 4-day ranitidine bismuth citrate-based triple therapy in eradication of Helicobacter pylori in children: a prospective randomized study.

Tam, Y H / Yeung, C K / Lee, K H

Alimentary pharmacology & therapeutics

2006 Volume 24, Issue 1, Page(s) 81–86

Abstract: Background: Helicobacter pylori infection is common in paediatric population. To date, there is still no universally accepted recommendation on the treatment of this infection in children. Ranitidine bismuth citrate-based triple therapy has been shown ... ...

Abstract	Background: Helicobacter pylori infection is common in paediatric population. To date, there is still no universally accepted recommendation on the treatment of this infection in children. Ranitidine bismuth citrate-based triple therapy has been shown to be effective in H. pylori eradication in adults but its use has rarely been validated in children. Aim: To investigate the efficacy of ranitidine bismuth citrate-based triple therapy in eradication of H. pylori in children and to determine the shortest duration of treatment required. Patients and methods: We conducted a prospective randomized study comparing ranitidine bismuth citrate plus amoxicillin plus clarithromycin given for 4 days vs. 7 days in H. pylori-infected children diagnosed by (13)C-urea breath test. Eradication was evaluated by repeat (13)C-urea breath test at 6 weeks after treatment. Results: A total of 206 children were recruited (median age 12 years, 97 boys and 109 girls). Ninety-eight (47.6%) and 108 (52.4%) children were randomized to receive 7-day and 4-day regimen respectively. The eradication rate of 4-day treatment arm was 77.8% (both intention-to-treat and per protocol) compared with 88.8% (intention-to-treat, P = 0.036) and 89.7% (per protocol, P = 0.022) of 7-day regimen. There was no statistical difference in terms of side effects between the two groups. Conclusions: Seven-day ranitidine bismuth citrate-based triple therapy is an effective and well-tolerated treatment for eradication of H. pylori in children.
MeSH term(s)	Adolescent ; Amoxicillin/administration & dosage ; Anti-Bacterial Agents/administration & dosage ; Anti-Ulcer Agents/administration & dosage ; Bismuth/administration & dosage ; Child ; Clarithromycin/administration & dosage ; Drug Administration Schedule ; Drug Therapy, Combination ; Female ; Helicobacter Infections/drug therapy ; Helicobacter pylori ; Humans ; Male ; Peptic Ulcer/drug therapy ; Prospective Studies ; Ranitidine/administration & dosage ; Ranitidine/analogs & derivatives
Chemical Substances	Anti-Bacterial Agents ; Anti-Ulcer Agents ; ranitidine bismuth citrate (7AJ51I17KG) ; Amoxicillin (804826J2HU) ; Ranitidine (884KT10YB7) ; Clarithromycin (H1250JIK0A) ; Bismuth (U015TT5I8H)
Language	English
Publishing date	2006-07-01
Publishing country	England
Document type	Comparative Study ; Journal Article ; Randomized Controlled Trial
ZDB-ID	639012-2
ISSN	1365-2036 ; 0269-2813 ; 0953-0673
ISSN (online)	1365-2036
ISSN	0269-2813 ; 0953-0673
DOI	10.1111/j.1365-2036.2006.02969.x
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Article: Reconstructive surgery for females with congenital adrenal hyperplasia due to 21-hydroxylase deficiency: a review from the Prince of Wales Hospital.

Houben, C H / Tsui, S Y / Mou, J W / Chan, K W / Tam, Y H / Lee, K H

Hong Kong medical journal = Xianggang yi xue za zhi

2014 Volume 20, Issue 6, Page(s) 481–485

Abstract: Objectives: To present the results of feminising genitoplasty done in female patients with congenital adrenal hyperplasia due to 21-hydroxylase deficiency.: Design: Case series.: Setting: A tertiary referral centre in Hong Kong.: Patients: ... ...

Abstract	Objectives: To present the results of feminising genitoplasty done in female patients with congenital adrenal hyperplasia due to 21-hydroxylase deficiency. Design: Case series. Setting: A tertiary referral centre in Hong Kong. Patients: Female patients with congenital adrenal hyperplasia undergoing corrective surgery for virilisation between 1993 and 2012. Main outcome measures: The operative result was judged with a scoring system (1-3) for four areas: appearance of clitoris, labia and vagina, plus requirement for revision surgery. Results: A total of 23 female patients with congenital adrenal hyperplasia with a median age of 17.5 (range, 1.5-33.8) years were identified. Of these individuals, 17 presented in the neonatal period and early infancy, of which four had an additional salt-losing crisis. Six patients-including four migrants from mainland China-were late presenters at a median age of 2 (range, 0.5-14) years. Twenty-two patients had corrective surgery at a median age of 2 (range, 1-14) years. Clitoral reduction was performed in all, and further surgery in 21 patients. The additional surgery was flap vaginoplasty in 10 patients, a modified Passerini procedure in six, and a labial reconstruction in five; one patient with prominent clitoris was for observation only. Minor revision surgery (eg mucosal trimming) was required in three patients; a revision vaginoplasty was done in one individual. Of the 23 patients, 18 (78%) with a median age of 20 (range, 9.3-33.8) years participated in the outcome evaluation: a 'good' outcome (4 points) was seen in 12 patients and a 'satisfactory' (5-9 points) result in five patients. Conclusions: Nearly three quarters of our cohort (n=17) presented with classic virilising form of 21-hydroxylase deficiency. Only four (25%) patients experienced a salt-losing crisis. Female gender assignment at birth was maintained for all individuals in this group. 'Good' and 'satisfactory' outcomes of surgery were reported in nearly all participants.
MeSH term(s)	Adolescent ; Adrenal Hyperplasia, Congenital/surgery ; Adult ; Child ; Child, Preschool ; Cohort Studies ; Female ; Hong Kong ; Hospitals ; Humans ; Infant ; Reconstructive Surgical Procedures ; Steroid 21-Hydroxylase ; Treatment Outcome
Chemical Substances	Steroid 21-Hydroxylase (EC 1.14.14.16)
Language	English
Publishing date	2014-12
Publishing country	China
Document type	Journal Article
ZDB-ID	1239255-8
ISSN	1024-2708
ISSN	1024-2708
DOI	10.12809/hkmj144227
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In stock of ZB MED Cologne/Königswinter

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More links

Kategorien

In stock of ZB MED Cologne/Königswinter

Order via subito