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    5618 results match your criteria ANZ Journal of Surgery[Journal]

    1 OF 113

    Acute lumbar paraspinal compartment syndrome: a systematic review.
    ANZ J Surg 2018 Jan 8. Epub 2018 Jan 8.
    Department of Plastic Surgery, Monash Health, Melbourne, Victoria, Australia.
    While still a rare entity, acute lumbar paraspinal compartment syndrome has an increasing incidence. Similar to other compartment syndromes, acute lumbar paraspinal compartment syndrome is defined by raised pressure within a closed fibro-osseous space, limiting tissue perfusion within that space. The resultant tissue ischaemia presents as acute pain, and if left untreated, it may result in permanent tissue damage. Read More

    Usefulness of fluorescence vascular imaging for evaluating splenic perfusion.
    ANZ J Surg 2018 Jan 8. Epub 2018 Jan 8.
    Department of Digestive Surgery, Breast and Thyroid Surgery, Graduate School of Medical Sciences, Kagoshima University, Kagoshima, Japan.
    Background: The aim of this study was to confirm whether intraoperative fluorescence vascular imaging using indocyanine green (FVI-ICG) is useful for evaluating splenic perfusion after spleen-preserving distal pancreatectomy (SPDP) performed with the Warshaw technique (SPDP-W).

    Methods: We evaluated the blood perfusion of the spleen with an intraoperative FVI-ICG system after SPDP-W. All of the patients underwent dynamic computed tomography (CT) scans at one post-operative week and one post-operative month to evaluate the post-operative blood perfusion of the spleen. Read More

    Transrectal prostate biopsy sepsis rate following reduced quinolone antibiotic prophylaxis from six doses to single dose.
    ANZ J Surg 2018 Jan 8. Epub 2018 Jan 8.
    UWA Medical School, The University of Western Australia, Perth, Western Australia, Australia.
    Background: This study aimed to evaluate the rates of infective complication related to transrectal prostate biopsy (TRPB) as our centre changed its protocol from six doses over 3 days to a single pre-procedure prophylactic dose.

    Methods: This prospective cohort study identified infective complication in patients who attended and subsequently underwent TRPB at the time of their one-stop prostate clinic at our public tertiary hospital between August 2011 and April 2017. Patients who underwent TRPB between August 2011 and November 2014 received six doses of 500 mg of ciprofloxacin, taken twice daily over 3 days. Read More

    Solid pseudopapillary tumour of the pancreas: clinicopathological analysis.
    ANZ J Surg 2018 Jan 8. Epub 2018 Jan 8.
    Barts and the London HPB Centre, Department of Surgery, The Royal London Hospital, Barts Health NHS Trust, London, UK.
    Background: We report on our experience of the surgical management and outcomes of 11 patients with solid pseudopapillary tumour of the pancreas (SPT). We sought to correlate the immunohistochemical staining of these tumours with that previously reported in the literature.

    Methods: A retrospective analysis of the clinical presentation, radiological findings, surgical treatment, histopathological characteristics and outcomes for patients surgically managed with SPT at The Royal London Hospital. Read More

    Robotic-assisted radical cystectomy with intracorporeal urinary diversion versus open: early Australian experience.
    ANZ J Surg 2018 Jan 8. Epub 2018 Jan 8.
    Department of Urology, The Royal Melbourne Hospital, Melbourne, Victoria, Australia.
    Background: The aim of this study was to describe our initial Australian single surgeon experience with robotic-assisted radical cystectomy (RARC) and intracorporeal urinary diversion (ICUD) and to compare the outcomes with open radical cystectomy (ORC).

    Methods: Between January 2014 and June 2016, consecutive patients diagnosed with muscle invasive and high-risk non-muscle invasive bladder cancer undergoing radical cystectomy were included. Treatment modalities included either RARC with ICUD or ORC. Read More

    Get SET: aligning anatomy demonstrator programmes with Surgical Education and Training selection criteria.
    ANZ J Surg 2017 Dec 21. Epub 2017 Dec 21.
    Department of Anatomy and Developmental Biology, Center for Human Anatomy Education, Monash University, Melbourne, Victoria, Australia.
    Background: Prevocational doctors aspiring to surgical careers are commonly recruited as anatomy demonstrators for undergraduate and graduate medical programmes. Entry into Surgical Education and Training (SET) is highly competitive and a unique opportunity exists to align anatomy demonstrator programmes with the selection criteria and core competencies of SET programmes. This study used a qualitative approach to (i) determine what criteria applicants for SET are assessed on and (ii) identify criteria that could be aligned with and enhanced by an anatomy demonstrator programme. Read More

    Improved perioperative outcomes of laparoscopic distal pancreatosplenectomy: modified lasso technique.
    ANZ J Surg 2017 Dec 20. Epub 2017 Dec 20.
    Division of Hepatobiliary and Pancreatic Surgery, Department of Surgery, Yonsei University College of Medicine, Seoul, South Korea.
    Background: Simultaneous division of the splenic artery, splenic vein and pancreatic parenchyma during laparoscopic distal pancreatosplenectomy (LDPS) is known as the lasso technique, which is considered to be simple to perform. However, the original lasso technique carries a risk of post-operative bleeding from the splenic artery. We modified the original lasso technique to improve its technical safety and compared the perioperative outcomes of LDPS performed with the modified lasso technique (ml-LDPS) with those of conventional LDPS (c-LDPS). Read More

    Surgical management of plunging ranulas: a 10-year case series in South East Queensland.
    ANZ J Surg 2017 Dec 21. Epub 2017 Dec 21.
    Department of Otolaryngology and Head and Neck Surgery, Logan Hospital, Logan City, Queensland, Australia.
    Background: Plunging ranulas are rare mucous extravasation pseudocysts that arise in the floor of the mouth and pass into the submandibular space of the neck. The aim of this study was to investigate the diagnosis, surgical management and outcomes of patients with a plunging ranula at our institution in South East Queensland over a 10-year period.

    Methods: A retrospective analysis of adult patients diagnosed with and treated for plunging ranula between 2006 and 2016 at Logan Hospital was conducted. Read More

    Radial nerve palsy in mid/distal humeral fractures: is early exploration effective?
    ANZ J Surg 2017 Dec 20. Epub 2017 Dec 20.
    Orthopaedic Department, Hornsby Ku-ring-gai Hospital, Sydney, New South Wales, Australia.
    Background: Radial nerve palsies are a common complication with displaced distal humeral fractures. This case series examines the outcomes of early operative exploration and decompression of the nerve with fracture fixation with the view that this provides a solid construct for optimisation of nerve recovery.

    Methods: A total of 10 consecutive patients with a displaced distal humeral fracture and an acute radial nerve palsy were treated by the senior author by open reduction and internal fixation of the distal humerus and exploration and decompression of the radial nerve. Read More

    Application of three-dimensional print in minor hepatectomy following liver partition between anterior and posterior sectors.
    ANZ J Surg 2017 Dec 20. Epub 2017 Dec 20.
    Division of Surgical Oncology, Department of Surgery, Nagoya University Graduate School of Medicine, Nagoya, Japan.
    Background: Minor hepatectomy following liver partition between the right anterior and posterior sectors requires technical ingenuities. In such hepatectomy, we used three-dimensional (3D) print; therefore, our procedure was introduced.

    Methods: Digital segmentation of anatomical structures from multidetector-row computed tomography images utilized the original software 'PLUTO', which was developed by Graduate School of Information Science, Nagoya University. Read More

    Randomized clinical trial to assess the ideal mode of delivery for local anaesthetic abdominal wall blocks.
    ANZ J Surg 2017 Dec 19. Epub 2017 Dec 19.
    The University of Newcastle, Newcastle, New South Wales, Australia.
    Background: Adequate post-operative analgesia is essential for recovery following abdominal surgery. Abdominal wall nerve blocks have been shown to be beneficial in this respect following surgery. The purpose of this trial was to examine the efficacy of infusional versus intermittent bolus delivery of abdominal wall blocks in patients undergoing abdominal resectional gastrointestinal surgery. Read More

    Selecting a suitable surgical treatment for hepatic angiomyolipoma: a retrospective analysis of 92 cases.
    ANZ J Surg 2017 Dec 14. Epub 2017 Dec 14.
    Department of Liver Surgery, West China Hospital of Sichuan University, Chengdu, China.
    Background: Hepatic angiomyolipoma (HAML) is a rare and difficult-to-diagnose liver tumour. The aim of this study was to summarize experiences in the management of HAML and to recommend a practical treatment strategy.

    Methods: We retrospectively studied 92 patients who were diagnosed with HAML and analysed the clinical presentation, histopathological features and treatment of the tumours encountered at our institute from May 2009 to June 2016. Read More

    Extra-corporeal normothermic machine perfusion of the porcine kidney: working towards future utilization in Australasia.
    ANZ J Surg 2017 Dec 14. Epub 2017 Dec 14.
    Department of Surgery, Westmead Hospital, Sydney, New South Wales, Australia.
    Background: The ongoing supply-demand gap with respect to donor kidneys for transplantation necessitates the increased use of higher kidney donor profile index and/or donation after circulatory death (DCD) kidneys. Machine perfusion (MP) preservation has become increasingly popular as a means to preserve such organs. Human data regarding normothermic kidney MP (NMP) is in its infancy, and such a system has not been established in the Australasian clinical setting. Read More

    High incidence of biliary stricture after associating liver partition and portal vein ligation for staged hepatectomy.
    ANZ J Surg 2017 Dec 14. Epub 2017 Dec 14.
    Division of Surgery, Department of Clinical Science, Intervention and Technology, Karolinska Institutet, Stockholm, Sweden.
    Background: Associating liver partition and portal vein ligation for staged hepatectomy (ALPPS) is a two-stage procedure most frequently applied in the setting of an extended right-sided hemi-hepatectomy. Initial reports of high mortality have sparked debate regarding the safety and efficacy of the procedure. We describe a higher incidence of early post-operative bile duct strictures after ALPPS, a complication rarely seen after conventional liver resection. Read More

    Gait speed predicts post-operative medical complications in elderly gastric cancer patients undergoing gastrectomy.
    ANZ J Surg 2017 Dec 11. Epub 2017 Dec 11.
    Department of Gastrointestinal Surgery, Second Affiliated Hospital and Yuying Children's of Wenzhou Medical University, Wenzhou, China.
    Background: Gait speed is a clinical outcome that can measure the physical performance of elderly gastric patients. The purpose of this study was to determine the importance of gait speed in predicting post-operative morbidities in elderly patients undergoing curative gastrectomy.

    Methods: We conducted a prospective study of 357 elderly patients (≥65 years old) undergoing curative gastrectomy. Read More

    Surgical management decreases disease recurrence risk in recurrent pyogenic cholangitis.
    ANZ J Surg 2017 Dec 11. Epub 2017 Dec 11.
    Department of Hepatopancreatobiliary and Transplant Surgery, Singapore General Hospital, Singapore.
    Background: Recurrent pyogenic cholangitis (RPC) has a high risk of disease recurrence. We present our experience with RPC and examine the factors associated with disease recurrence.

    Methods: We performed a retrospective review of all patients with RPC treated at two tertiary institutions between January 1990 and December 2013. Read More

    Personalized stepwise vascular control during complex hepatectomy involving hepatocaval confluence.
    ANZ J Surg 2017 Dec 10. Epub 2017 Dec 10.
    Department of Surgery, Tongji Hospital, Tongji Medical college, Huazhong University of Science and Technology, Wuhan, China.
    Background: This study introduces an innovative stepwise vascular control technique to address the high risk of massive bleeding from main hepatic veins and the retro-hepatic inferior vena cava during hepatectomy involving hepatocaval confluence.

    Methods: From January 2010 to July 2016, 80 patients underwent stepwise vascular occlusion during complex liver resection involving hepatocaval confluence. Relevant clinical data were collected and compared with those obtained in parallel studies. Read More

    Similar length of colon is removed regardless of localization in right-sided colonic cancer surgery.
    ANZ J Surg 2017 Dec 8. Epub 2017 Dec 8.
    Colorectal Unit, General Surgery Department, Grenoble University Hospital, Grenoble, France.
    Background: Colorectal cancers represent a heterogenous group of tumours. While left segmental colectomy is an accepted and oncologically safe practice for left-sided colonic cancer (CC), some authors suggest that limited segmental resection of right-sided cancer should be debated in order to preserve length of the resected colon. To our knowledge, caecum and ascending CC have not been analysed as different groups of tumours. Read More

    Patient compliance with surveillance colonoscopy: patient factors and the use of a graded recall system.
    ANZ J Surg 2017 Dec 7. Epub 2017 Dec 7.
    Department of Colorectal Surgery, St George Hospital, Sydney, New South Wales, Australia.
    Background: Surveillance colonoscopy allows for the early detection and improved treatment outcomes in colorectal neoplasms but compliance rates and factors require further investigation.

    Methods: This is a retrospective cohort study examining 816 patients recalled for surveillance colonoscopy at an Australian colorectal practice over a 6-month period. Primary outcome was compliance with colonoscopy within 12 months of recall. Read More

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