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ANZ Journal of Surgery

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https://read.qxmd.com/read/30756510/influence-of-screw-to-joint-distance-on-articular-subsidence-in-tibial-plateau-fractures
#1
Xuan Ye, Dawei Huang, Diana M Perriman, Paul N Smith
BACKGROUND: Tibial-plateau fractures with depressed osteochondral fragments have a high incidence of articular subsidence post reduction. Locking plates aim to prevent this via 'raft' screws below the subchondral bone. However, differences in plate design and patient anatomy result in variability of screw position in relation to the fragments they are designed to support. We evaluate the effect of screw placement and articular subsidence with this fracture pattern. METHODS: A retrospective cohort study of operatively treated tibial-plateau fractures with free osteochondral fragments was performed to determine if screw placement was correlated with articular subsidence...
February 12, 2019: ANZ Journal of Surgery
https://read.qxmd.com/read/30756460/safety-of-laparoscopic-appendicectomy-during-pregnancy-a-systematic-review-and-meta-analysis
#2
REVIEW
Joy Chakraborty, Joseph Cherng Kong, Wai Kin Su, Peter Gourlas, Christopher Gillespie, Timothy Slack, Bradley Morris, Nicholas Lutton
BACKGROUND: Acute appendicitis is the most common non-obstetric surgical presentation during pregnancy. There were concerns that laparoscopic appendicectomy increases the risk of foetal loss compared to an open approach. Therefore, with recent advances in perioperative care, it is likely the risk has changed. Here, we performed an updated meta-analysis assessing the safety of laparoscopic appendicectomy in pregnant women. METHODS: A meta-analysis was performed according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines...
February 12, 2019: ANZ Journal of Surgery
https://read.qxmd.com/read/30756458/external-fixation-of-unstable-pelvic-fractures-a-systematic-review-and-meta-analysis
#3
REVIEW
Rebecca G Stewart, Niels Hammer, David C Kieser
BACKGROUND: Unstable pelvic fractures are typically caused by high-impact trauma. Early stabilization is required to prevent further neurological or visceral injury, haemorrhage, reduce pain, infection and long-term deformity and disability. The aim was to review the optimal external fixation techniques and management for unstable pelvic fractures. METHODS: A total of 28 studies were identified from the initial database search. Seventeen studies met our inclusion criteria - eight prospective cohorts, four retrospective cohorts and five in vitro studies...
February 12, 2019: ANZ Journal of Surgery
https://read.qxmd.com/read/30710432/treatment-and-management-of-adrenal-cancer-in-a-specialized-australian-endocrine-surgical-unit-approaches-outcomes-and-lessons-learnt
#4
Grace T Y Kwok, Jing-Ting Zhao, Anthony R Glover, Julian C Y Ip, Mark Sywak, Roderick Clifton-Bligh, Stephen Clarke, Bruce Robinson, Stan B Sidhu
BACKGROUND: Adrenocortical carcinoma is a rare and heterogeneous malignancy with poor outcomes. Recent research has suggested that outcomes may be improved by centralization of care in specialist centres. We review our evolving 21-year experience in managing adrenocortical carcinoma with a view towards outcomes and lessons learnt. METHODS: A retrospective study of patients treated in our specialist endocrine surgical unit over 21 years was undertaken. RESULTS: Thirty-five patients were treated from diagnosis, 29 forming a primary study cohort...
February 1, 2019: ANZ Journal of Surgery
https://read.qxmd.com/read/30706681/weekend-effect-analysing-temporal-trends-in-solid-organ-donation
#5
James A Hedley, Nicholas Chang, Patrick J Kelly, Brenda M Rosales, Kate Wyburn, Michael O'Leary, Elena Cavazzoni, Angela C Webster
BACKGROUND: Research suggests patients treated over weekends experience poorer outcomes. Only one US-based study explored this weekend effect in organ donation, specifically the kidney discard rate. In Australia potential donors are referred to a donation service, and donation proceeds if family consent is granted and the donor is deemed medically suitable to donate. Organ procurement occurs when utilization is almost certain hence discard rates are much lower than in the USA. We aimed to characterize the effect of weekend referral on organ donation in Australia...
February 1, 2019: ANZ Journal of Surgery
https://read.qxmd.com/read/30706662/significance-of-drain-fluid-amylase-check-on-day-3-after-pancreatectomy
#6
Sung Ryol Lee, Hyung Ook Kim, Jun Ho Shin
BACKGROUND: The occurrence of pancreatic fistulae (PF) after pancreatectomy is the main cause of prolonged hospital stay, delayed chemotherapy, poor quality of life and post-operative death. The surgical drainage after pancreatectomy can induce ascending infection, early removal is recommended if the possibility of PF is low. The present study analysed the risk factors and predictors of PF, and confirmed the significance of drain fluid amylase concentration (DFA, U/L) among various factors identified...
February 1, 2019: ANZ Journal of Surgery
https://read.qxmd.com/read/30706655/national-trends-in-surgical-therapy-for-benign-prostatic-hyperplasia-in-australia
#7
Rohan M Patel, Simon Bariol
BACKGROUND: To determine national trends in the utilization of surgical procedures for the treatment of benign prostatic hyperplasia (BPH) in Australia over the last 20 years. METHODS: The Medicare Australia and Australian Institute of Health and Welfare databases were used to determine the annual number of surgical procedures and hospital admissions for BPH. RESULTS: From 1998 to 2017, surgical procedures for BPH have increased by 79% which is largely commensurate with population growth...
February 1, 2019: ANZ Journal of Surgery
https://read.qxmd.com/read/30706623/composite-pronator-quadratus-radial-forearm-free-flap-in-functional-lip-reconstruction
#8
Damien Grinsell, Pradyumna Herle
BACKGROUND: Reconstruction of lip defects following neoplasia and trauma is a common procedure in plastic surgery. Reconstruction of large lip defects is a difficult undertaking and some degree of residual functional impairment and disability are likely to occur. Microsurgical reconstruction is the recommended technique for large lip defects; however, limitations exist regarding optimal aesthetic and functional outcomes with current free flap options. METHOD: We propose a new composite flap design based on the innervated pronator quadratus with the radial forearm free flap for a more dynamic reconstruction of total or near total lip defects...
February 1, 2019: ANZ Journal of Surgery
https://read.qxmd.com/read/30706618/surveillance-colonoscopies-frequently-booked-earlier-than-the-national-health-and-medical-research-council-guidelines-findings-of-a-single-centre-audit
#9
Zachary Bunjo, Yu Han Koh, Lisa Leopardi, Jessica Reid, Guy J Maddern, Peter J Hewett
BACKGROUND: To assess the adherence rate of surveillance colonoscopy booking intervals to recommended National Health and Medical Research Council guidelines at The Queen Elizabeth Hospital, Adelaide, Australia. METHODS: Patients on The Queen Elizabeth Hospital colorectal unit surveillance colonoscopy waiting list were included in this audit. Patient demographics, colonoscopy findings, follow-up plans and pathology results were analysed. Patients were categorized as normal/non-neoplastic finding, low-risk adenomas, high-risk adenomas, personal history of colorectal cancer (CRC) and family history of CRC...
February 1, 2019: ANZ Journal of Surgery
https://read.qxmd.com/read/30706607/malignant-mesothelioma-of-the-tunica-vaginalis-a-atypical-presentation-of-a-rare-scrotal-tumour
#10
Mark C Harris, Callum Logan, Andrew Chetwood, Penelope Cohen, Jehan Titus, Thean Hsiang Tan, Braden Higgs, Nicholas R Brook
No abstract text is available yet for this article.
February 1, 2019: ANZ Journal of Surgery
https://read.qxmd.com/read/30706589/changes-in-body-weight-skeletal-muscle-and-adipose-tissue-after-gastrectomy-a-comparison-between-proximal-gastrectomy-and-total-gastrectomy
#11
Raito Asaoka, Tomoyuki Irino, Rie Makuuchi, Yutaka Tanizawa, Etsuro Bando, Taiichi Kawamura, Masanori Terashima
BACKGROUND: Proximal gastrectomy (PG) offers a well-preserved digestive function after surgery, which may result in a better nutritional outcome in comparison to total gastrectomy (TG). The aim of this study was to clarify the advantage of PG over TG by evaluating the longitudinal changes in body weight (BW) and body composition after surgery. METHODS: A total of 112 patients undergoing PG with a reconstruction preserving food passage through the duodenum (n = 39) or TG with a reconstruction bypassing the duodenum (n = 73) for clinical stage IA gastric cancer were included...
January 31, 2019: ANZ Journal of Surgery
https://read.qxmd.com/read/30699465/variant-metatarsal-morphology-causing-metatarsal-deformation-in-postaxial-polydactyly
#12
Rhys Youngberg, Simon Platt
No abstract text is available yet for this article.
January 30, 2019: ANZ Journal of Surgery
https://read.qxmd.com/read/30699464/a-rare-cause-of-bowel-obstruction-post-laparoscopic-totally-extraperitoneal-inguinal-hernia-repair
#13
Rebecca B J Cui, Daniel Lee, Jonathan Hong
No abstract text is available yet for this article.
January 30, 2019: ANZ Journal of Surgery
https://read.qxmd.com/read/30699463/increasing-rate-of-para-oesophageal-hiatus-hernia-surgical-repair-within-australia
#14
Brielle E Wood, Darren J Mayne, Gratian Punch, Steven J Craig
BACKGROUND: Symptomatic para-oesophageal hiatus (PEH) hernias are treated by surgical intervention, and are associated with older age (>50 years) and higher body mass index (>25 kg/m2 ). Both risk factors are increasing within the Australian population. Given these trends, this study aimed to determine if the rate of PEH repair is increasing within Australia. METHODS: The study used publically available Medicare Benefits Scheme service data for operations claimed under the item number 31468 (PEH hernia, repair of, with complete reduction of hernia, resection of sac and repair of hiatus, with or without fundoplication) between 1 January 2001 and 31 December 2016...
January 30, 2019: ANZ Journal of Surgery
https://read.qxmd.com/read/30699462/renal-trauma-a-3-year-audit-from-a-gold-coast-trauma-centre
#15
Margaret M Mansbridge, James Ryan, David C Hill, Martin Wullschleger
BACKGROUND: Limited data Exists ? on the Australian epidemiology of renal trauma, with very few studies published in the literature. The authors aim to detail the trends of renal trauma in the coastal city of the Gold Coast. METHODS: Retrospective data collection yielded 81 patients who sustained renal trauma from our 3-year period. Data included information on demographics, mechanism, American Association for the Surgery of Trauma (AAST) grade, presence of haematuria, associated injuries, management, and complications...
January 30, 2019: ANZ Journal of Surgery
https://read.qxmd.com/read/30690932/predictors-of-survival-outcome-following-radical-gastrectomy-for-gastric-cancer
#16
Su-Ann Lui, Wee Boon Tan, Bee Choo Tai, Wei Peng Yong, Yar Soe Mu, Thiow Kong Ti, Asim Shabbir, Jimmy So
BACKGROUND: Radical surgery with adjuvant therapy is now the standard treatment for locally advanced gastric cancer. However, the best regimen for adjuvant therapy remains controversial. We aim to determine the predictors of survival outcome of gastric cancer patients who underwent curative surgery with or without adjuvant therapy in our institution. METHODS: All patients who received surgery for gastric cancer from years 2000 to 2015 were studied using a prospective gastric cancer database at the National University Hospital, Singapore...
January 28, 2019: ANZ Journal of Surgery
https://read.qxmd.com/read/30690868/double-trouble-first-report-of-duplicated-meckel-s-diverticulitis-with-perforation
#17
Syed Waleed Ahmad Bukhari, Benjamin Cribb, Matthew Clark
No abstract text is available yet for this article.
January 28, 2019: ANZ Journal of Surgery
https://read.qxmd.com/read/30690864/traumatic-spigelian-hernia-with-perforated-jejunum
#18
Adrian Tinney, Matthew Lukies, Niruben Rajasagaram, Michelle Thong
No abstract text is available yet for this article.
January 28, 2019: ANZ Journal of Surgery
https://read.qxmd.com/read/30690855/retroperitoneal-cystic-mass-a-diagnostic-challenge
#19
Gopal Sharma, Suruchi Shreshtha, Shuchi Bhatt, Pankaj K Garg
No abstract text is available yet for this article.
January 28, 2019: ANZ Journal of Surgery
https://read.qxmd.com/read/30690846/use-of-the-gelpoint-path-access-channel-for-rectal-trauma
#20
Corina Behrenbruch, David Read, Ian Hayes
No abstract text is available yet for this article.
January 28, 2019: ANZ Journal of Surgery
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