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    5470 results match your criteria ANZ Journal of Surgery[Journal]

    1 OF 110

    Benchmarking against the National Emergency Laparotomy Audit recommendations.
    ANZ J Surg 2017 Sep 19. Epub 2017 Sep 19.
    Department of Surgery, Logan Hospital, Logan City, Queensland, Australia.
    Background: The Royal College of Anaesthetists published the National Emergency Laparotomy Audit (NELA) to describe and compare inpatient care and outcomes of major emergency abdominal surgery in England and Wales in 2015 and 2016. The purpose of this article is to compare emergency abdominal surgical care and mortality in a regional hospital (Logan Hospital, Queensland, Australia) with NELA results.

    Methods: Data were extracted from two databases. Read More

    Paediatric mild head injury: is routine admission to a tertiary trauma hospital necessary?
    ANZ J Surg 2017 Sep 18. Epub 2017 Sep 18.
    Department of Neurosurgery, Children's Hospital, Westmead Public and Private Hospitals, Sydney, New South Wales, Australia.
    Background: Previous studies have shown that children with isolated linear skull fractures have excellent clinical outcomes and low risk of surgery. We wish to identify other injury patterns within the spectrum of paediatric mild head injury, which need only conservative management. Children with low risk of evolving neurosurgical lesions could be safely managed in primary hospitals. Read More

    Non-drainage versus drainage in tourniquet-free knee arthroplasty: a prospective trial.
    ANZ J Surg 2017 Sep 18. Epub 2017 Sep 18.
    Department of Orthopaedics, West China Hospital, Sichuan University, Chengdu, China.
    Background: It is still unknown whether drainage is necessary and non-drainage is safe and acceptable after tourniquet-free total knee arthroplasty (TKA). We aim to investigate whether non-drainage use is accepted in TKA that is performed without a tourniquet.

    Methods: Clinical data of 80 adult patients who did or did not receive drainage in our centres from August 2015 to December 2015 were prospective investigated. Read More

    Functional outcome of low rectal resection evaluated by anorectal manometry.
    ANZ J Surg 2017 Sep 18. Epub 2017 Sep 18.
    Department of Surgical Studies, Faculty of Medicine, University of Ostrava, Ostrava, Czech Republic.
    Background: Low anterior resection syndrome (LARS) covers disordered bowel function after rectal resection, leading to deterioration in patients' quality of life. The aim of this study was to evaluate anorectal function after laparoscopic low anterior resection (LAR) by means of standardized instruments.

    Methods: This was a prospective clinical cohort study conducted in a single institution to assess functional outcome of patients 1 year after laparoscopic LAR by means of LARS score and high-resolution anorectal manometry. Read More

    From ancient to avant-garde: a review of traditional and modern multimodal approaches to surgical anatomy education.
    ANZ J Surg 2017 Sep 18. Epub 2017 Sep 18.
    Department of Surgery, Flinders Medical Centre, Adelaide, South Australia, Australia.
    The landscape of surgical anatomy education is progressively changing. Traditional methods, such as cadaveric dissection and didacticism are being increasingly phased out in undergraduate courses for multimodal approaches incorporating problem-based learning, radiology and computer-based simulations. Although effective at clinically contextualizing and integrating anatomical information, these approaches may be a poor substitute for fostering a grasp of foundational 'pure' anatomy. Read More

    Unicortical and bicortical plating in the fixation of comminuted fractures of the clavicle: a biomechanical study.
    ANZ J Surg 2017 Sep 18. Epub 2017 Sep 18.
    Department of Biomedical Engineering, The University of Melbourne, Melbourne, Victoria, Australia.
    Background: Intraoperative neurovascular complications with clavicle fracture fixation are often due to far cortex penetration by drills and screws, but could be avoided using a unicortical construct. The objective of this study was to compare the bending and torsional strength of a unicortical locking screw plate construct and a hybrid (with central locked and outer non-locked long oblique screws) unicortical plate construct for clavicle fracture fixation with that of a conventional bicortical locking screw construct of plate fixation.

    Methods: Twenty-four human clavicle specimens were harvested and fractured in a comminuted mid-shaft butterfly configuration. Read More

    Survival improvements with adjuvant therapy in patients with glioblastoma.
    ANZ J Surg 2017 Sep 18. Epub 2017 Sep 18.
    Northern Sydney Cancer Centre, Royal North Shore Hospital, Sydney, New South Wales, Australia.
    Background: Evaluate survival of patients diagnosed with glioblastoma multiforme (GBM) managed with adjuvant intensity modulated radiation therapy and temozolomide since the introduction of the European Organisation for Research and Treatment of Cancer and National Cancer Institute of Canada Clinical Trials Group (EORTC-NCIC) protocol.

    Methods: All patients with GBM managed between May 2007 and December 2014 with EORTC-NCIC protocol were entered into a prospective database. The primary endpoint was the median survival. Read More

    Wound tension and 'closability' with keystone flaps, V-Y flaps and primary closure: a study in fresh-frozen cadavers.
    ANZ J Surg 2017 Sep 18. Epub 2017 Sep 18.
    School of Biomedical Sciences and Pharmacy, The University of Newcastle, Newcastle, New South Wales, Australia.
    Background: Previous publications have implied that the keystone flap provides mechanical benefits compared to primary closure. This has not been objectively demonstrated.

    Methods: Elliptical defects were created in 'fresh-frozen' cadaveric specimens. Read More

    Changing face of robot-assisted radical prostatectomy in Melbourne over 12 years.
    ANZ J Surg 2017 Sep 18. Epub 2017 Sep 18.
    Division of Cancer Surgery, Department of Genitourinary Oncology, Peter MacCallum Cancer Centre, Melbourne, Victoria, Australia.
    Background: This study aims to characterize the trends in disease presentation for robot-assisted radical prostatectomy (RARP) over a 12-year period in Melbourne, Australia.

    Methods: All patients undergoing an RARP between 2004 and October 2016 while under the care of six high-volume surgeons were included in this study. Data were collected prospectively regarding patient demographics and clinical details of their cancer. Read More

    Medium-term outcomes of fenestrated endovascular repair of juxtarenal abdominal aortic aneurysms.
    ANZ J Surg 2017 Sep 18. Epub 2017 Sep 18.
    Department of Vascular Surgery, Royal Prince Alfred Hospital, Sydney, New South Wales, Australia.
    Background: Abdominal aortic aneurysms pose a substantial clinical burden, and a significant proportion are not anatomically suitable for open repair or standard endovascular aneurysm repair (EVAR), instead requiring fenestrated EVAR (fEVAR). We sought to compare clinical outcomes and trends over time in patients undergoing fEVAR in Australia.

    Methods: We conducted a retrospective analysis of all patients undergoing fEVAR at a tertiary referral centre between 2010 and 2015, including outcomes and complications, both as inpatients and after discharge. Read More

    Comparison of perioperative, renal and oncologic outcomes in robotic-assisted versus open partial nephrectomy.
    ANZ J Surg 2017 Sep 18. Epub 2017 Sep 18.
    Department of Urology, Cabrini Healthcare, Melbourne, Victoria, Australia.
    Background: To compare perioperative, renal and oncological outcomes after robotic-assisted partial nephrectomy (RAPN) versus open partial nephrectomy (OPN) for the treatment of renal tumours.

    Methods: All partial nephrectomies performed at a Metropolitan Urology Centre between 2010 and 2016 were analysed. Baseline data was collected for patient demographics, tumour characteristics (tumour size, laterality and polarity, RENAL scores), and perioperative variables (e. Read More

    Survival outcomes in elderly men undergoing radical prostatectomy in Australia.
    ANZ J Surg 2017 Sep 18. Epub 2017 Sep 18.
    Urology Unit, Austin Health, Melbourne, Victoria, Australia.
    Background: To investigate the outcomes of patients older than 75 years of age in Victoria undergoing radical prostatectomy for prostate cancer.

    Methods: Data on all men undergoing radical prostatectomy in Victoria between 1 January 2004 and 31 December 2014 were obtained from the Victorian Cancer Registry. Tumour characteristics including Gleason grade, stage of disease and cause of death were obtained. Read More

    Neoadjuvant systemic therapy for breast cancer: the Westmead experience.
    ANZ J Surg 2017 Sep 18. Epub 2017 Sep 18.
    Department of Surgery, Westmead Hospital, Sydney, New South Wales, Australia.
    Background: Neoadjuvant systemic therapy (NAST) can be used to treat breast cancer. Pathologic complete response (pCR) is a surrogate marker for improved survival. This study examined response in the breast and axilla to NAST and identified features associated with pCR. Read More

    Why do surgeons receive more complaints than their physician peers?
    ANZ J Surg 2017 Sep 9. Epub 2017 Sep 9.
    Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, Victoria, Australia.
    Background: Compared with other doctors, surgeons are at an increased risk of medicolegal events, including patient complaints and negligence claims. This retrospective study aimed to describe the frequency and nature of complaints involving surgeons compared with physicians.

    Methods: We assembled a national data set of complaints about surgeons and physicians lodged with medical regulators in Australia from 2011 to 2016. Read More

    Transperineal rectocele repair: a systematic review.
    ANZ J Surg 2017 Sep 4. Epub 2017 Sep 4.
    Colorectal Surgery, Redcliffe Hospital, Redcliffe, Queensland, Australia.
    Background: Transperineal rectocele repairs, either as isolated fascial repair or in combination with mesh augmentation, are hypothesized to reduce the risk of complications compared with alternative techniques.

    Aim: The aim of this study was to ascertain long-term success and complication rates following transperineal rectocele repairs.

    Method: A literature search of PubMed and Embase was performed using the terms 'transperineal rectocele', 'rectocele', 'transperineal' and 'repair'. Read More

    Risk factors for multidrug-resistant Gram-negative infection in burn patients.
    ANZ J Surg 2017 Aug 29. Epub 2017 Aug 29.
    School of Pharmacy, The University of Queensland, Brisbane, Queensland, Australia.
    Background: Infection with multidrug-resistant (MDR) Gram-negative organisms leads to poorer outcomes in the critically ill burn patient. The aim of this study was to identify the risk factors for MDR Gram-negative pathogen infection in critically ill burn patients admitted to a major tertiary referral intensive care unit (ICU) in Australia.

    Methods: A retrospective case-control study of all adult burn patients admitted over a 7-year period was conducted. Read More

    Resection accuracy of patient-specific cutting guides in total knee replacement.
    ANZ J Surg 2017 Aug 29. Epub 2017 Aug 29.
    Department of Orthopaedics, Sydney Knee Specialists, Sydney, New South Wales, Australia.
    Background: Patient-specific guides (PSGs) have been thoroughly investigated with regards to reconstitution of mechanical alignment in total knee arthroplasty (TKA). The ability to replicate the preoperative surgical plan is essential for optimal outcomes but intraoperative measurements to confirm accurate progression through the operation are limited. This leads to our clinical question: can PSGs replicate the planned bone resection depth during TKA?

    Methods: This is a prospective case series of 118 patients who underwent TKA using magnetic resonance imaging-based patient-specific cutting guides. Read More

    Left renal vein ligation for large splenorenal shunt during liver transplantation.
    ANZ J Surg 2017 Aug 29. Epub 2017 Aug 29.
    Department of Hepatopancreatobiliary Surgery, Beijing Tsinghua Changgung Hospital, Medical Center, Tsinghua University, Beijing, China.
    Adequate hepatopetal portal vein blood flow is obligatory to ensure proper liver function after liver transplantation. Large collateral veins as shunts impair portal vein flow and even cause hepatofugal blood flow and portal steal syndrome. In particular, splenorenal shunts in liver transplant recipients can lead to allograft dysfunction and possible allograft loss or hepatic encephalopathy. Read More

    Mental training in surgical education: a systematic review.
    ANZ J Surg 2017 Aug 29. Epub 2017 Aug 29.
    MRC Centre for Transplantation, Division of Transplantation Immunology and Mucosal Biology, Faculty of Life Sciences and Medicine, King's College London, Guy's Hospital, London, UK.
    Background: Pressures on surgical education from restricted working hours and increasing scrutiny of outcomes have been compounded by the development of highly technical surgical procedures requiring additional specialist training. Mental training (MT), the act of performing motor tasks in the 'mind's eye', offers the potential for training outside the operating room. However, the technique is yet to be formally incorporated in surgical curricula. Read More

    The Perth Emergency Laparotomy Audit.
    ANZ J Surg 2017 Aug 23. Epub 2017 Aug 23.
    Department of General Surgery, Sir Charles Gairdner Hospital, Perth, Western Australia, Australia.
    Background: Emergency laparotomies (ELs) are associated with high mortality and substantial outcome variation. There is no prospective Australian data on ELs. The aim of this study was to audit outcome after ELs in Western Australia. Read More

    National surgical mortality audit may be associated with reduced mortality after emergency admission.
    ANZ J Surg 2017 Aug 20. Epub 2017 Aug 20.
    Western Australian Audit of Surgical Mortality, Royal Australasian College of Surgeons, Perth, Western Australia, Australia.
    Background: The Western Australian Audit of Surgical Mortality was established in 2002. A 10-year analysis suggested it was the primary driver in the subsequent fall in surgeon-related mortality. Between 2004 and 2010 the Royal Australasian College of Surgeons established mortality audits in other states. Read More

    Ilizarov technique and limited surgical methods for correction of post-traumatic talipes equinovarus in children.
    ANZ J Surg 2017 Aug 16. Epub 2017 Aug 16.
    Department of Orthopaedics, Second Hospital of Shanxi Medical University, Shanxi Key Laboratory of Bone and Soft Tissue Injury Repair, Taiyuan, China.
    Background: The objective of this study was to evaluate the efficacy and safety of using Ilizarov invasive distraction technique combined with limited surgical operations in the treatment of post-traumatic talipes equinovarus in children.

    Methods: Eighteen cases of post-traumatic deformed feet in 15 patients who received the treatment of Ilizarov frame application, limited soft-tissue release or osteotomy were selected in this study. After removal of the frame, an ankle-foot orthosis was used continuously for another 6-12 months. Read More

    Pancreatico-jejunostomy decreases post-operative pancreatic fistula incidence and severity after central pancreatectomy.
    ANZ J Surg 2017 Aug 15. Epub 2017 Aug 15.
    Clinique de Chirurgie Digestive et Endocrinienne, CHU de Nantes, Nantes, France.
    Backgrounds: Central pancreatectomy (CP) is an alternative to pancreaticoduodenectomy and distal pancreatectomy in benign tumours of pancreatic isthmus management. It is known for a high post-operative pancreatic fistula (POPF) rate. The purpose of this study was to compare POPF incidence between pancreatico-jejunostomy (PJ) and pancreatico-gastrostomy (PG). Read More

    Who, where, what and where to now? A snapshot of publishing patterns in Australian orthopaedic surgery.
    ANZ J Surg 2017 Aug 15. Epub 2017 Aug 15.
    Department of Orthopaedics, John Hunter Hospital, Newcastle, New South Wales, Australia.
    Background: Development of core research competency is a principle of orthopaedic surgical training in Australia. This paper aims to provide an objective snapshot of publications by Australian orthopaedic trainees and surgeons, to contribute to the discussion on how to identify and build on research capability in the Australian Orthopaedic Association (AOA).

    Methods: By analysing journals with a journal impact factor >1 from 2009 to 2015, data were gathered to explore scientific journal publications by Australian orthopaedic surgeons and trainees in relation to who are the authors, what they are reporting and where they are publishing. Read More

    Development of a proficiency-based virtual reality simulation training curriculum for laparoscopic appendicectomy.
    ANZ J Surg 2017 Aug 13. Epub 2017 Aug 13.
    Academic Colorectal Unit, Sydney Medical School, The University of Sydney, Sydney, New South Wales, Australia.
    Background: Proficiency-based virtual reality (VR) training curricula improve intraoperative performance, but have not been developed for laparoscopic appendicectomy (LA). This study aimed to develop an evidence-based training curriculum for LA.

    Methods: A total of 10 experienced (>50 LAs), eight intermediate (10-30 LAs) and 20 inexperienced (<10 LAs) operators performed guided and unguided LA tasks on a high-fidelity VR simulator using internationally relevant techniques. Read More

    Serum carbohydrate antigen 19-9 in pancreatic adenocarcinoma: a mini review for surgeons.
    ANZ J Surg 2017 Aug 13. Epub 2017 Aug 13.
    Hepato-Pancreato-Biliary and Transplant Unit, Austin Hospital, Melbourne, Victoria, Australia.
    The optimal management of oncological conditions is reflected by the careful interpretation of investigations for screening, diagnosis, staging, prognostication and surveillance. Serum tumour markers are examples of commonly requested tests in conjunction with other imaging and endoscopic tests that are used to help clinicians to stratify therapeutic decisions. Serum carbohydrate antigen 19-9 (CA19-9) is a key biomarker for pancreatic cancers. Read More

    Colonoscopic surveillance: quality, guidelines and effectiveness.
    ANZ J Surg 2017 Aug 13. Epub 2017 Aug 13.
    Division of Cancer Surgery, Peter MacCallum Cancer Centre, Melbourne, Victoria, Australia.
    Colonoscopic surveillance in patients with a personal or family history of colorectal carcinoma or colonic polyps represents a significant workload for endoscopy services. Effective colonoscopic surveillance relies on quality endoscopic examination and appropriate surveillance interval. This review will discuss quality in colonoscopy and review guidelines for surveillance. Read More

    Laparoscopic hepatectomy combined with endoscopic papillary balloon dilation for complex bile duct stones.
    ANZ J Surg 2017 Aug 13. Epub 2017 Aug 13.
    Department of Hepatobiliary Surgery, Taizhou Hospital of Zhejiang Province, Taizhou, China.
    Background: We evaluated the feasibility and efficacy of laparoscopic hepatectomy (LH) combined with endoscopic papillary balloon dilation (EPBD) for removing intra- and extrahepatic bile duct stones.

    Methods: A total of 26 patients with intra- and extrahepatic bile duct stones underwent LH and EPBD. Selective hemi-hepatic vascular occlusion was used to complete the LH. Read More

    Prospective comparison between magnetic resonance imaging and computed tomography in colorectal cancer staging.
    ANZ J Surg 2017 Aug 13. Epub 2017 Aug 13.
    Department of Diagnostic Imaging, National University Hospital, National University Health System, Singapore.
    Background: Diffusion-weighted (DW) imaging is a functional magnetic resonance imaging (MRI) technique that detects lesions with high cellularity, such as malignant tumours. This prospective study was performed to compare the accuracy of DW-MRI with multidetector computed tomography (MDCT) in staging of colorectal cancer.

    Methods: Thirty patients with histologically proven colorectal cancer were prospectively recruited. Read More

    Sclerosing peritonitis post liver transplantation: a rare condition where surgery is an important treatment option.
    ANZ J Surg 2017 Aug 7. Epub 2017 Aug 7.
    Australian National Liver Transplantation Unit, Royal Prince Alfred Hospital, Sydney, New South Wales, Australia.
    Background: Sclerosing peritonitis (SP) is a rare but potentially fatal complication following orthotopic liver transplantation (OLT). The definitive surgical management is via a laparotomy peritonectomy and enterolysis procedure, but this carries risks particularly in the immunosuppressed transplant patient population. The natural history of SP is known from a handful of case reports and series, which mostly report de novo cases arising early on following OLT. Read More

    Gallbladder mucosal lesions associated with high biliary amylase irrespective of pancreaticobiliary maljunction.
    ANZ J Surg 2017 Aug 7. Epub 2017 Aug 7.
    Upper Gastrointestinal Surgical Unit, Royal North Shore Hospital and North Shore Private Hospital, The University of Sydney, Sydney, New South Wales, Australia.
    Background: Previous studies have focused on the presence of reflux in selected cohorts with pancreaticobiliary maljunction (PBM), but little is known regarding the wider incidence of occult reflux and associated mucosal changes. We aimed to correlate gallbladder mucosal abnormalities with objective evidence of PBM and occult pancreaticobiliary reflux (PBR) in an Australian population undergoing cholecystectomy.

    Methods: Patients undergoing cholecystectomy between September 2010 and September 2012 were eligible for inclusion. Read More

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