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ANZ J Surg 2022 May 27. Epub 2022 May 27.

Department of Epidemiology, ANU Medical School, ACT, Australia.

Background: Residual instability following anterior cruciate ligament (ACL) reconstruction is associated with disruption of the anterolateral complex (ALC). Our goal was to conduct a randomized controlled trial comparing the effectiveness of modified Iliotibial tenodesis (MITBT) versus lateral extracapsular tenodesis (LET) to correct this residual instability.

Methods: Group 1 underwent MITBT, Group 2 LET, added to the ACL reconstruction. Read More

ANZ J Surg 2022 May 27. Epub 2022 May 27.

Department of Orthopaedics and Traumatology, Acibadem University School of Medicine, Atasehir, Istanbul, Turkey.

Backgrounds: We aimed to compare the average 10-year results of patients treated with three different surgical methods, that is, extended curettage, extended curettage with grafting and extended curettage with cementation for the management of solitary enchondromas.

Methods: Two hundreds and three patients with a solitary enchondroma who underwent surgery at our department between 1990 and 2015 were evaluated retrospectively. Only extended curettage was performed in Group A (n: 75), extended curettage with grafting with autologous bone graft from the iliac crest in Group B (n: 58), and extended curettage with bone cement in Group C (n: 70). Read More

ANZ J Surg 2022 May 27. Epub 2022 May 27.

Epworth Eastern Private Hospital, Epworth HealthCare, Melbourne, Victoria, Australia.

ANZ J Surg 2022 May 26. Epub 2022 May 26.

Department of Surgery, Western District Health Service, Hamilton, Australia.

ANZ J Surg 2022 May 25. Epub 2022 May 25.

General Surgery, Bundaberg Base Hospital, Bundaberg, Queensland, Australia.

ANZ J Surg 2022 May 25. Epub 2022 May 25.

Personalised Oncology Division, The Walter and Eliza Hall Institute of Medical Research, Melbourne, Victoria, Australia.

Background: Computed tomography (CT) is the first-line staging imaging modality for pancreatic ductal adenocarcinoma (PDAC) which determines resectability and treatment pathways.

Methods: Between January 2016 and December 2019, prospectively collated data from two Australian cancer centres was extracted from the PURPLE Pancreatic Cancer registry. Real-world staging CTs and corresponding reports were blindly reviewed by a sub-specialist radiologist and compared to initial reports. Read More

ANZ J Surg 2022 May 23. Epub 2022 May 23.

Department of Colorectal Surgery, Western Health, Melbourne, Australia.

Background: Perineal wound morbidity following abdominoperineal resection (APR) is a significant challenge. Myocutaneous flap-based techniques have been developed to overcome morbidity associated with perineal reconstruction. We reviewed outcomes for patients undergoing APR in a hospital that performs inferior gluteal artery myocutaneous (IGAM) island transposition flaps and primary closure (PC) for perineal reconstruction. Read More

ANZ J Surg 2022 May 23. Epub 2022 May 23.

Section of Bariatric Surgery, The Medical City/Ateneo School of Medicine and Public Health, Pasig, Philippines.

Introduction: Obesity is common and adversely impacts quality-of-life and healthcare cost. In Australia, less than 10% of bariatric surgeries are performed in the public sector. This study reports our 10-year experience from a high volume public bariatric service which delivers multi-disciplinary care for primary and revisional procedures with mid- to long-term follow-up. Read More

ANZ J Surg 2022 May 23. Epub 2022 May 23.

Cardiothoracic Surgery, Division of Surgery & Perioperative Medicine, Flinders Medical Centre, Southern Adelaide Local Health Network, Adelaide, South Australia, Australia.

Background: Due to the nature of border closures and quarantine requirements in Australia during the COVID-19 pandemic, the feasibility of interstate travel for organ retrieval created complex logistics. An organ procurement service in South Australia, to procure heart and lungs of local donors, was commenced to mitigate the impact of the travel restrictions imposed due to COVID-19. The purpose of this review was to examine the initial data and feasibility of the service. Read More

ANZ J Surg 2022 May 20. Epub 2022 May 20.

Department of Obstetrics and Gynecology, Zhongda Hospital, School of Medicine, Southeast University, Nanjing, Jiangsu, China, 210009.

Background: Because of special technical challenges, laparoendoscopic single-site surgery (LESS) has been introduced into surgical practice, with surgeons required to have adequate training. The COVID-19 pandemic has significantly affected every aspect of healthcare systems, including LESS training, which must be modified to minimise the impact of the COVID-19 pandemic.

Methods: A 3-session training programme was designed in 2020 during the epidemic, which was modified in 2019 before the pandemic. Read More

ANZ J Surg 2022 May 19. Epub 2022 May 19.

Department of Orthopaedic Surgery, Auckland City Hospital, Auckland, New Zealand.

Background: The purpose of this study was (1) to evaluate the adequacy of informed consent documentation in the trauma setting for distal radius fracture surgery compared with the elective setting for total knee arthroplasty (TKA) at a large public hospital and (2) to explore the relevant guidelines in New Zealand relating to consent documentation.

Methods: Consecutive adult patients (≥16 years) undergoing operations for distal radius fractures and elective TKA over a 12-month period in a single-centre were retrospectively identified. All medical records were reviewed for the risks and complications recorded. Read More

ANZ J Surg 2022 May 19. Epub 2022 May 19.

Department of Otolaryngology, Whangarei Hospital, New Zealand.

Background: COVID-19 is an evolving worldwide pandemic causing significant morbidity and mortality. COVID-19 vaccinations have been developed to increase immunity against the virus. In New Zealand, the Pfizer BioNTech mRNA vaccine has been provisionally approved for use. Read More

ANZ J Surg 2022 May 19. Epub 2022 May 19.

School of Medicine, The University of Adelaide School of Medicine, 4 North Terrace, Adelaide, South Australia, Australia.

Background: Supracondylar fractures are the most common elbow fracture. There have been no studies published analysing flexion-type fractures in the Australian paediatric population. This paper aims to investigate flexion-type supracondylar fractures in an Australian paediatric population. Read More

ANZ J Surg 2022 May 19. Epub 2022 May 19.

General Surgery, Nelson Hospital, Nelson, New Zealand.

ANZ J Surg 2022 May 18. Epub 2022 May 18.

Upper GI and Hepatobiliary Surgery, Liverpool Hospital, Sydney, New South Wales, Australia.

ANZ J Surg 2022 May 17. Epub 2022 May 17.

Medical School, Australian National University, Canberra, Australia.

Background: The Royal Australasian College of Surgeons (RACS) created its competency framework in 2003 which initially consisted of nine competencies each regarded as equally important for a practising surgeon. The JDocs Framework is aligned to these competencies and provides guidance for junior doctors working towards the Surgical Education and Training program.

Methods: A novel assessment instrument was designed around the JDocs framework using 48 behaviourally anchored questions. Read More

ANZ J Surg 2022 May 17. Epub 2022 May 17.

Colorectal Service, Department of General Surgery, Sengkang General Hospital, Singapore, 544886, 10 Sengkang East Way, Singapore.

ANZ J Surg 2022 May 17. Epub 2022 May 17.

Department of Medical Education, Sengkang General Hospital, Sengkang E Way, Singapore.

Introduction: There have been reduced opportunities for surgical skill acquisition due to the COVID-19 pandemic and the regulated training hours. Despite these challenges, self-regulated learning allows trainees to learn continuously, and one form of this is through mental practice and motor imagery. The study aimed to design and develop an online basic micro suturing training module for skill acquisition for self-regulated learning using a low-fidelity rubber glove model. Read More

ANZ J Surg 2022 May 17. Epub 2022 May 17.

Colorectal Unit, Department of Surgery, Royal Adelaide Hospital, Adelaide, South Australia, Australia.

Background: The cause of prolonged postoperative ileus (PPOI) is multifactorial. The influence of preoperative factors on PPOI has been well documented, but little is known about the impact of intraoperative conditions. The aim of this study was to investigate the influence of intraoperative factors on PPOI in patients undergoing colorectal surgery. Read More

ANZ J Surg 2022 May 17. Epub 2022 May 17.

Department of Surgery, North Shore Hospital, Auckland, New Zealand.

Background: Choledochal cysts should be treated with complete surgical resection, or, rarely liver transplantation. Treated patients can remain at risk of developing metachronous cholangiocarcinomas and lifelong follow up is indicated. However, there is no agreement on what constitutes an acceptable follow up strategy. Read More

ANZ J Surg 2022 May 17. Epub 2022 May 17.

Hepatobiliary and Upper Gastrointestinal Unit, Royal Melbourne Hospital, Parkville, Australia.

Background: Post-operative pancreatic fistula (POPF) is a key outcome post pancreaticoduodenectomy. There are numerous POPF risk calculators but no agreed benchmark, a key component of meaningful audit. We compared observed versus predicted POPF for six risk adjusted POPF calculators, to ascertain how they differ and thus contribute to discussion around benchmarking. Read More

ANZ J Surg 2022 May 16. Epub 2022 May 16.

Department of General Surgery, The First Affiliated Hospital of Nanchang University, Nanchang, China.

Background: Hepatic epithelioid angiomyolipomas (HEAMLs) are rare and usually arise in case reports, and thus, we aimed to study the clinicopathological features, treatment and prognosis of these lesions.

Methods: We identified patients from institutional database with HEAMLs and retrospectively collected clinical data.

Results: Of 12 patients, 10 were females, and the median age was 49 years. Read More

ANZ J Surg 2022 May 16. Epub 2022 May 16.

Medical School, University of Western Australia, Crawley, WA, Australia.

Background: Emergency Laparotomy (EL) is recognized as high-risk surgery with high mortality. Established surgical risk assessment tools (NELA Risk Prediction Calculator, P-POSSUM, ACS-NSQIP) are accurate predictors of morbidity and mortality. However, their multicomponent complexity limits their use in practice. Read More

ANZ J Surg 2022 May 12. Epub 2022 May 12.

HPB and Liver Transplantation Service, Department of Surgery, Hospital General Universitario de Alicante, Alicante, Spain.

ANZ J Surg 2022 May 12. Epub 2022 May 12.

Department of General Surgery, Mater Hospital Pimlico, Townsville, Queensland, Australia.

ANZ J Surg 2022 May 12. Epub 2022 May 12.

Melbourne Orthopaedic Group, Melbourne, Victoria, Australia.

Background: Tendinopathy of the long head of biceps (LHB) tendon is a common cause of anterior shoulder pain and dysfunction. The extra-articular portion within the bicipital groove undergoes frequent load and friction during shoulder movements and pathology within this area is frequently missed during arthroscopic assessment.

Methods: We quantified the arthroscopically assessable length of tendon within the shoulder in 14 consecutive patients undergoing subpectoral biceps tenodesis. Read More

ANZ J Surg 2022 May 12. Epub 2022 May 12.

Department of General Surgery, The Alfred Hospital, Melbourne, Victoria, Australia.

Background: Global differences exist in managing lateral pelvic nodes in rectal cancer. Recent studies demonstrate improved local recurrence rates in patients undergoing lateral pelvic lymph node dissections (LPND) in addition to total mesorectal excision (TME) for advanced lower rectal cancer. This study aims to report on the safety and feasibility of the robotic approach in patients undergoing pelvic sidewall lymph node dissection or en-bloc sidewall resection for advanced lower rectal cancer. Read More

ANZ J Surg 2022 May 12. Epub 2022 May 12.

Department of Surgery, ULSS 6 Euganea, Cittadella, Italy.

ANZ J Surg 2022 May;92(5):944-945

The Office of the Dean, University of Otago, Christchurch, New Zealand.

ANZ J Surg 2022 May;92(5):946-949

University of Adelaide, Discipline of Surgery, The Queen Elizabeth Hospital, Adelaide, South Australia, Australia.