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    5795 results match your criteria ANZ Journal of Surgery[Journal]

    1 OF 116

    Mobility scores as a predictor of length of stay in general surgery: a prospective cohort study.
    ANZ J Surg 2018 May 22. Epub 2018 May 22.
    Hunter Surgical Clinical Research Unit, Division of Surgery, John Hunter Hospital, Newcastle, New South Wales, Australia.
    Background: Post-operative length of stay (LOS) is an increasingly important clinical indicator in general surgery. Despite this, no tool has been validated to predict LOS or readiness for discharge in general surgical patients. The de Morton Mobility Index (DEMMI) is a functional mobility assessment tool that has been validated in rehabilitation patient populations. Read More

    Factors influencing reoperation following breast-conserving surgery.
    ANZ J Surg 2018 May 15. Epub 2018 May 15.
    The Breast Service, The Royal Melbourne and The Royal Women's Hospital, Melbourne, Victoria, Australia.
    Background: Reoperation rates after breast-conserving surgery are highly variable and the best techniques for optimizing margin clearance are being evaluated. The aim was to identify the reoperation rate at our centre and identify influential factors, including a change in guidelines on margin recommendations and the introduction of in-theatre specimen X-ray.

    Methods: A retrospective review of medical records was undertaken to identify 562 patients who underwent breast conservation at The Royal Melbourne Hospital and Royal Women's Hospital between 2013 and 2015. Read More

    Laparoscopic versus open approach to neurolytic celiac plexus block in inoperable pancreatic cancer.
    ANZ J Surg 2018 May 15. Epub 2018 May 15.
    Department of Surgery, General Hospital of Ioannina 'G. Hatzikosta', Ioannina, Greece.
    Background: Neurolytic celiac plexus block (NCPB) is an effective method of palliative pain control. The purpose of this study was to evaluate the feasibility and effectiveness of the laparoscopic NCPB versus open approach.

    Methods: Eight patients (Group A) underwent diagnostic laparoscopy which revealed an inoperable pancreatic cancer. Read More

    Bone graft in posterior spine fusion for adolescent idiopathic scoliosis: a meta-analysis.
    ANZ J Surg 2018 May 15. Epub 2018 May 15.
    Orthopaedic Department, Alfred Hospital, Melbourne, Victoria, Australia.
    Backgrounds: The aim of this study was to systematically analyse and perform a meta-analysis on the current available literature comparing the fusion rates and complications associated with use of autograft, allograft and bone substitutes to supplement posterior spinal fusion for adolescent idiopathic scoliosis (AIS).

    Methods: The electronic databases including Embase, PubMed, Medline, Cinahl and Cochrane Library were searched to identify relevant studies. A total of 12 studies with 2389 patients were included for meta-analysis. Read More

    Euthanasia and surgeons: an overview of the Victorian Voluntary Assisted Dying Act 2017 and its relevance to surgical practice in Australia.
    ANZ J Surg 2018 May 14. Epub 2018 May 14.
    Department of Upper GI Surgery, Royal Prince Alfred Hospital, Sydney, New South Wales, Australia.
    Surgeons play a significant role in the treatment of patients with many types of cancer, including the management of advanced and recurrent disease after long periods of apparent remission. The recently introduced Victorian Voluntary Assisted Dying (VAD) Act represents a shift in paradigm in Australian medical practice. To be eligible for VAD, the new legislation requires patient assessment by a physician with at least 5 years post-fellowship experience and relevant expertise in the patient's condition. Read More

    Non-operative management of isolated single abdominal stab wound: is it safe?
    ANZ J Surg 2018 May 14. Epub 2018 May 14.
    Trauma and Surgical Oncology Unit, Department of Surgery, Royal Adelaide Hospital, Adelaide, South Australia, Australia.
    Background: This is a retrospective review of prospectively collected data on our hospital, a Level 1 trauma centre, where stable patients with single abdominal stab wounds are considered for non-operative (conservative) management if they fulfil the criteria with the aid of computed tomography. The aim is to review our current approach in managing these patients.

    Methods: Patients' data were obtained from January 2005 to June 2016. Read More

    Current management of adhesive small bowel obstruction.
    ANZ J Surg 2018 May 14. Epub 2018 May 14.
    Rural Clinical School, The University of New South Wales, Sydney, New South Wales, Australia.
    Small bowel obstruction is a common and significant surgical presentation. Approximately 30% of presentations will require surgery during admission. The great challenge of adhesive small bowel obstruction (ASBO) management is the early detection of silent intestinal ischaemia in patients initially deemed suitable for conservative therapy. Read More

    Impact of serious mental illness on surgical patient outcomes.
    ANZ J Surg 2018 May 14. Epub 2018 May 14.
    RPA Institute of Academic Surgery, Royal Prince Alfred Hospital and The University of Sydney, Sydney, New South Wales, Australia.
    Background: People with comorbid mental illness have poorer health status and disparate access to healthcare. Several studies internationally have reported mixed findings regarding the association between mental illness and surgical patient outcomes. This study examines the surgical outcomes in people with decompensated serious mental illness (SMI) within the setting of the Australian universal healthcare system. Read More

    Impact of graft-to-recipient weight ratio on small-for-size syndrome following living donor liver transplantation.
    ANZ J Surg 2018 May;88(5):415-420
    Department of Hepatobiliary and Transplant Surgery, St James University Hospital, Leeds, UK.
    Background: This meta-analysis aimed to compare living donor liver transplantation (LDLT) grafts with a graft-to-recipient weight ratio (GRWR) of <0.8 to grafts with a GRWR ≥0.8 with regards to small-for-size syndrome (SFSS) and short and longer term outcomes. Read More

    Otoplasty techniques in children: a comparative study of outcomes.
    ANZ J Surg 2018 May 8. Epub 2018 May 8.
    Department of Plastic and Reconstructive Surgery, Women's and Children's Hospital, Adelaide, South Australia, Australia.
    Background: Numerous otoplasty techniques have been described in the literature to correct prominent ears; however, few have focused on the complication rates. We reviewed our experience aiming to assess peri-operative care requirements and complication rates.

    Method: We conducted a retrospective review of 207 otoplasty procedures performed in 119 patients over a 5-year period (2009-2014) at the Women's and Children's Hospital, Adelaide. Read More

    Role of the ultrasonographic 'whirlpool sign' in intestinal volvulus: a systematic review and meta-analysis.
    ANZ J Surg 2018 May 8. Epub 2018 May 8.
    Department of Emergency Medicine, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.
    Background: Intestinal volvulus is a potentially life-threatening condition that occurs when loops of bowel twist around its supporting mesentery and associated vasculature. Clinicians often rely on various radiological investigations for prompt diagnosis to avoid complications such as bowel infarction. This review assesses the clinical reliability of the ultrasonographic whirlpool sign (WS) in the diagnosis of intestinal volvulus. Read More

    Incidence, timing and impact of comorbidity on second hip fracture: a population-based study.
    ANZ J Surg 2018 May 8. Epub 2018 May 8.
    Falls, Balance and Injury Research Centre, Neuroscience Research Australia, Sydney, New South Wales, Australia.
    Background: To quantify the incidence and timing of second hip fracture, and to evaluate the relative impact of comorbidities on risk of second hip fracture.

    Methods: Hospitalization records for individuals aged ≥65, admitted to a New South Wales hospital for fall-related hip fracture between 1 January 2005 and 31 December 2009 were linked. Comorbidities were identified from the records using a 1-year look-back period. Read More

    Method of pedicle division during laparoscopic right hemicolectomy affects lymph node yield and short-term outcomes.
    ANZ J Surg 2018 Apr 27. Epub 2018 Apr 27.
    Department of Surgery, Norfolk and Norwich University Hospital, Norwich, UK.
    Background: Several ways of performing laparoscopic right hemicolectomy (RHC) have evolved. The vascular pedicle can be divided into extracorporeal (RHC-EC) or intracorporeal (RHC-IC). It is not known whether vessel ligation during RHC-EC is as central as during RHC-IC. Read More

    Microscopic positive margins in papillary thyroid cancer do not impact disease recurrence.
    ANZ J Surg 2018 Apr 27. Epub 2018 Apr 27.
    Department of Head and Neck Surgery, Liverpool Hospital, Sydney, New South Wales, Australia.
    Background: The prognostic significance of microscopic positive margins in papillary thyroid carcinoma (PTC) remains unclear. The aim of this study was to determine if microscopic positive margins are associated with increased risk of disease recurrence.

    Methods: This is a retrospective analysis of 610 patients with PTC using multivariate Cox regression to evaluate the association between microscopic positive margins and disease-free survival. Read More

    Total 5-mm port approach: a feasible technique for both elective and emergency laparoscopic cholecystectomy.
    ANZ J Surg 2018 Apr 24. Epub 2018 Apr 24.
    Upper GI Surgical Unit, Royal North Shore Hospital and North Shore Private Hospital, The University of Sydney, Sydney, New South Wales, Australia.
    Background: The laparoscopic approach is considered the standard of care for cholecystectomy. Attempts to minimize incisions with single site and natural orifice approaches have shown promise but also have limitations. Technological advances have facilitated decreased port size, which may have a variety of benefits. Read More

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