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    5541 results match your criteria ANZ Journal of Surgery[Journal]

    1 OF 111

    Suspended animation: the past, present and future of major cardiothoracic trauma.
    ANZ J Surg 2017 Nov 18. Epub 2017 Nov 18.
    Department of Cardiothoracic Surgery, Morriston Hospital, Swansea, UK.
    About 50% of the trauma victims die at the scene mostly because of exsanguinating haemorrhage. Most trials of resuscitation fail in face of the ongoing bleeding. Ongoing research/studies to save these victims by inducing rapid hypothermia using cardiopulmonary bypass as an emergency initial measure along with delayed resuscitation show improved outcomes. Read More

    Systematic review of disparities in surgical care for Māori in New Zealand.
    ANZ J Surg 2017 Nov 18. Epub 2017 Nov 18.
    Department of Surgery, The University of Auckland, Middlemore Hospital, Auckland, New Zealand.
    Background: Health equity for Indigenous peoples in the context of surgery has recently become topical amongst surgeons in Australasia. Health inequities are amongst the most consistent and compelling disparities between Māori and New Zealand Europeans (NZE) in New Zealand (NZ). We aimed to investigate where ethnic disparities in surgical care may occur and highlight some of the potential contributing factors, over all surgical specialties, between Māori and NZE adults in NZ. Read More

    Supraclavicular flap repair in the free flap era.
    ANZ J Surg 2017 Nov 17. Epub 2017 Nov 17.
    Division of Surgery, Wollongong Hospital, Wollongong, New South Wales, Australia.
    Background: Supraclavicular flap (SCF) repair is widely reported in head and neck surgery in select patients and defects. The authors' objective is to present our series of 30 patients who underwent SCF repair for varying defects and to review the scope and outcome of SCF repair in the literature.

    Methods: The authors contributed primary evidence of 30 cases of SCF repair. Read More

    Quality of handwritten surgical operative notes from surgical trainees: a noteworthy issue.
    ANZ J Surg 2017 Nov 17. Epub 2017 Nov 17.
    Department of Surgery, Austin Hospital, The University of Melbourne, Melbourne, Victoria, Australia.
    Background: Surgical operation notes are crucial for medical record keeping and information flow in continued patient care. In addition to inherent medical implications, the quality of operative notes also has important economic and medico-legal ramifications. Further, well-documented records can also be useful for audit purposes and propagation of research, facilitating the improvement of delivery of care to patients. Read More

    Carotid endarterectomy: the change in practice over 11 years in a stroke centre.
    ANZ J Surg 2017 Nov 13. Epub 2017 Nov 13.
    Department of Neurosciences, Eastern Health, Melbourne, Victoria, Australia.
    Background: Recent research evidence has impacted the practice of carotid endarterectomy (CEA). We aim to characterize changes in the practice and outcome of CEA over time in a single large-volume stroke centre.

    Methods: All patients who underwent CEA from 2004 to 2014 and carotid angioplasty and stenting (CAS) from 2003 to 2008 at an Australian metropolitan tertiary stroke centre hospital were included. Read More

    Current evidence for the use of N-acetylcysteine following liver resection.
    ANZ J Surg 2017 Nov 13. Epub 2017 Nov 13.
    Department of Hepatobiliary and Pancreatic Surgery, Queen's Medical Centre, Nottingham University Hospitals NHS Trust, Nottingham, UK.
    Background: N-acetylcysteine (NAC) has many uses in medicine; notable in the management of paracetamol toxicity, acute liver failure and liver surgery. The aim of this review was to critically appraise the published literature for the routine use of NAC in liver resection surgery.

    Methods: An electronic search was performed of EBSCOhost (Medline and CINAHL database), PubMed and the Cochrane Library for the period 1990-2016. Read More

    Development of a surgical trainer assessment questionnaire.
    ANZ J Surg 2017 Nov 13. Epub 2017 Nov 13.
    Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, Botnar Research Centre, Oxford, UK.
    Background: The assessment of surgical trainees has become well-established in practice; however, this is not yet the case for surgical trainers. The aim of this study was to develop a trainer assessment questionnaire (OxTrAQ) based on the 12 key trainer attributes identified by a previous systematic review, to then explore this questionnaire's potential domains and test its reliability.

    Methods: The OxTrAQ was piloted at two surgical training centres in two surgical sub-specialities. Read More

    Impact of web-based clinical practice guidelines on paediatric fracture clinics.
    ANZ J Surg 2017 Nov 12. Epub 2017 Nov 12.
    Department of Surgery, The Royal Children's Hospital, Melbourne, Victoria, Australia.
    Background: In an effort to standardize management and reduce over-treatment of uncomplicated paediatric fractures, the Victorian Pediatric Orthopaedic Network and the Royal Children's Hospital, Melbourne, created publically available web-based paediatric fracture pathways. The aim of this study was to determine the impact of web-based fracture pathways on the clinic volume at a tertiary-care paediatric fracture clinic.

    Methods: A comparative retrospective review was performed at a large, urban, tertiary-care children's hospital. Read More

    Ischaemic colitis: uncertainty in diagnosis, pathophysiology and management.
    ANZ J Surg 2017 Nov 9. Epub 2017 Nov 9.
    Department of Colon and Rectal Surgery, St Vincent's Hospital, Melbourne, Victoria, Australia.
    Ischaemic colitis is the most common form of gastrointestinal ischaemia, but may be confused with acute mesenteric ischaemia, inflammatory bowel disease or infectious colitis. This review article outlines the current classification, epidemiology and risk factors, as well as approaches about diagnosis and management to guide clinical practice. It also identifies areas for further research. Read More

    Safety of single-incision laparoscopic cholecystectomy for acute cholecystitis.
    ANZ J Surg 2017 Nov 9. Epub 2017 Nov 9.
    Department of Surgery, Damsoyu Hospital, Seoul, Korea.
    Background: Single-incision laparoscopic cholecystectomy (SILC) is a common procedure performed worldwide. In this study, we evaluated the safety and efficacy of SILC for acute cholecystitis.

    Methods: Patients who underwent SILC between September 2012 and December 2016 were retrospectively enrolled and divided into acute and chronic groups. Read More

    Reconstructive options for large back free flap donor sites.
    ANZ J Surg 2017 Nov 9. Epub 2017 Nov 9.
    Department of Surgery, St Vincent's Hospital, Melbourne, Victoria, Australia.
    Background: Reconstruction of posterior thoracic and trunk defects can prove challenging even to the most seasoned surgeons. Many commonly used techniques for closing back defects include primary closure and split skin grafts. Often times, however, other techniques are needed in order to give the patient the best aesthetic and functional outcome. Read More

    Lower risk of pelvic metalware infection with operative repair of concurrent bladder rupture.
    ANZ J Surg 2017 Nov 9. Epub 2017 Nov 9.
    Department of Urology, The Alfred Hospital, Melbourne, Victoria, Australia.
    Background: Patients with traumatic bladder rupture frequently have associated pelvic fracture. With increasing numbers of pelvic fractures fixed internally, there are concerns that conservative management of bladder rupture may increase the risk of pelvic metalware infection. This study aims to determine if operative repair of bladder rupture in comparison to conservative management with catheter drainage alone is associated with a lower rate of infection of internal fixation device for concurrent pelvic fracture. Read More

    Splenic vessel preservation versus splenic vessel resection in laparoscopic spleen-preserving distal pancreatectomy.
    ANZ J Surg 2017 Nov 9. Epub 2017 Nov 9.
    General Surgery Department, Guangdong General Hospital, Guangdong Academy of Medical Sciences, Guangzhou, China.
    Background: Laparoscopic spleen-preserving distal pancreatectomy for low-grade malignant pancreas tumours was recently demonstrated and can be performed with splenic vessel preservation (SVP) or splenic vessel resection (SVR). Whether one approach is superior to another is still a matter of debate.

    Methods: A systematic literature search (PubMed, Embase, Science Citation Index, Springer-Link and Cochrane Central Register of Controlled Trials) was performed. Read More

    How should new orthopaedic implants be introduced: an example and recommendations for best practice.
    ANZ J Surg 2017 Nov 9. Epub 2017 Nov 9.
    Department of Orthopaedics, Royal Hobart Hospital, Hobart, Tasmania, Australia.
    Continued advancements in orthopaedics have led to the development of many new implants; many of these are being utilized in clinical practice with little or no evidence base for their safety or effectiveness. Highly publicized failures in orthopaedic technology have led to an increased awareness of this issue in both medical and non-medical circles. In most cases, the significant harm caused to the public could have been avoided by the appropriately staged implementation of new implants. Read More

    Outcomes of percutaneous cholecystostomy and predictors of subsequent cholecystectomy.
    ANZ J Surg 2017 Oct 20. Epub 2017 Oct 20.
    Department of General Surgery, Sunshine Coast University Hospital, Sunshine Coast, Queensland, Australia.
    Background: The use of a percutaneous cholecystostomy (PC) in the management of severe acute cholecystitis is a well recognized alternative to acute cholecystectomy. The need for definitive surgical management remains controversial.

    Methods: A retrospective analysis of hospital records at Nambour General Hospital between 2012 and 2016 was conducted and data relating to indications, demographics, comorbidities and outcomes were collected. Read More

    Trends in non-lactation breast abscesses in a tertiary hospital setting.
    ANZ J Surg 2017 Oct 18. Epub 2017 Oct 18.
    Department of Surgery, The University of Queensland, Princess Alexandra Hospital, Brisbane, Queensland, Australia.
    Background: The aim of this paper was to retrospectively review non-lactation breast abscesses treated in Princess Alexandra Hospital over a 10-year period and to illustrate the trends in size, risk factors, microbiological profile and management.

    Methods: A computerized search of the medical records was undertaken to identify all adult patients with a diagnosis of breast abscesses during June 2005-June 2015. Patients concurrently breastfeeding were excluded. Read More

    Ethnic disparities in rates of publicly funded bariatric surgery in New Zealand (2009-2014).
    ANZ J Surg 2017 Oct 18. Epub 2017 Oct 18.
    Department of Surgery, South Auckland Clinical Campus, The University of Auckland, Auckland, New Zealand.
    Background: Publicly funded bariatric surgery in New Zealand (NZ) is steadily on the rise to meet the obesity epidemic. Ethnic disparities in obesity rates exist in NZ with Māori and Pacific people having three to five times higher rates than all other ethnic groups within NZ. Ethnic disparities in rates of bariatric surgery have been reported internationally. Read More

    Firework-related injury in the Top End: a 16-year review.
    ANZ J Surg 2017 Oct 18. Epub 2017 Oct 18.
    Department of Surgery, Royal Darwin Hospital, Darwin, Northern Territory, Australia.
    Background: On July 1st on 'Territory Day', the public in the Northern Territory are permitted to purchase and operate consumer fireworks without a licence. Serious permanent injuries from fireworks are well described, leading to their banning in many other jurisdictions. This study describes those seriously injured by fireworks in the Top End of the Northern Territory, with the aim of identifying opportunities for prevention and harm minimization. Read More

    Laparoscopic ventral hernia repair using only 5-mm ports.
    ANZ J Surg 2017 Oct 12. Epub 2017 Oct 12.
    Royal Brisbane and Women's Hospital, Brisbane, Queensland, Australia.
    Background: The technique of laparoscopic ventral hernia repair has been evolving since it was first described over 20 years ago. We report a new technique where polyester mesh was back loaded through a 5-mm port site, coming into contact with the skin. This avoids the need for any 10-12-mm ports. Read More

    Effect of a See and Treat clinic on skin cancer treatment time.
    ANZ J Surg 2017 Oct 11. Epub 2017 Oct 11.
    Faculty of Medical and Health Sciences, The University of Auckland, Auckland, New Zealand.
    Background: Many plastic surgery departments in Australasia have experienced increasing referrals for management of skin lesions. This has driven a demand for new strategies to decrease patient waiting time and administrative costs. The aim of this study was to determine if a purpose-built See and Treat skin cancer clinic could provide a faster skin cancer treatment pathway with comparable clinical outcomes and acceptability to patients. Read More

    Hepatic cystic echinococcosis in Australia: an update on diagnosis and management.
    ANZ J Surg 2017 Oct 11. Epub 2017 Oct 11.
    Department of Surgery, Eastern Health, Melbourne, Victoria, Australia.
    Background: Echinococcosis is an uncommonly encountered zoonotic disease caused by the taeniid Echinococcus. The only endemic species in Australia, Echinococcus granulosus, forms cysts in the liver in 70% of cases. The aim of this study was to review the literature to provide an evidence-based narrative update on the diagnosis and management of hepatic cystic echinococcosis in Australia. Read More

    Laparoscopic pancreaticoduodenectomy in Brisbane, Australia: an initial experience.
    ANZ J Surg 2017 Oct 11. Epub 2017 Oct 11.
    Hepatopancreatobiliary Unit, Department of General Surgery, Royal Brisbane and Women's Hospital, Brisbane, Queensland, Australia.
    Background: The role of minimally invasive approach for pancreaticoduodenectomy has not yet been well defined in Australia. We present our early experience with laparoscopic pancreaticoduodenectomy (LPD) from Brisbane, Australia.

    Methods: Retrospective review in a prospectively collected database of patients undergoing LPD between 2006 and 2016 was performed. Read More

    Revision gastric bypass after laparoscopic adjustable gastric band: a 10-year experience at a public teaching hospital.
    ANZ J Surg 2017 Oct 11. Epub 2017 Oct 11.
    Department of Surgery, Royal Brisbane and Women's Hospital, Brisbane, Queensland, Australia.
    Background: In Australia, there is limited access to public revisional bariatric procedures. However, the need for such procedures is rising. We investigated the safety and efficacy of band-to-bypass procedures in our experience at a public teaching hospital over a period of 10 years. Read More

    Natural history of endoscopically detected hiatus herniae at late follow-up.
    ANZ J Surg 2017 Oct 9. Epub 2017 Oct 9.
    Flinders University Department of Surgery, Flinders Medical Centre, Adelaide, South Australia, Australia.
    Background: Hiatus herniae are commonly seen at endoscopy. Many patients with a large hiatus hernia are endoscoped for symptoms associated with the hernia and many of these will progress to surgical treatment. However, little is known about the natural history of small to medium size hiatus herniae, and their risk of progressing to a larger hernia requiring surgery. Read More

    Review of appendicectomies over a decade in a tertiary hospital in New Zealand.
    ANZ J Surg 2017 Oct 9. Epub 2017 Oct 9.
    Department of General Surgery, Wellington Regional Hospital, Wellington, New Zealand.
    Background: Acute appendicectomy is the most common emergency operation for patients with abdominal pain. In the last decade, computed tomography (CT) scans have increasingly been used to aid in the diagnosis in order to reduce the negative appendicectomy rate. The aim of this study was to evaluate our institution's negative appendicectomy rate and the use of pre-operative imaging. Read More

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