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ANZ Journal of Surgery

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https://www.readbyqxmd.com/read/30014560/predicting-complications-in-hepatic-resection-for-colorectal-liver-metastasis-the-lymphocyte-to-monocyte-ratio
#1
Simon J McCluney, Alexandros A Giakoustidis, Angela Segler, Juliane Bissel, Robert L Miller, Roberto Valente, Robert R Hutchins, Ajit Abraham, Satyajit Bhattacharya, Hemant M Kocher
BACKGROUND: Colorectal cancer is one of the most common malignancies worldwide; whilst approximately 20% of patients have hepatic disease at presentation. Hepatic resection remains the gold standard of care; however, it is associated with significant morbidity. We sought to establish whether the lymphocyte-to-monocyte ratio (LMR) could help predict post-operative complications, thus improving patient outcomes. METHODS: We performed a retrospective cohort study of patients undergoing hepatic resection at a single centre...
July 16, 2018: ANZ Journal of Surgery
https://www.readbyqxmd.com/read/29998614/management-of-acute-appendicitis-in-an-acute-surgical-unit-a-cost-analysis
#2
Edward Wang, Ravish Jootun, Amanda Foster
BACKGROUND: The acute surgical unit (ASU) model of acute general surgery care offers efficient patient assessment, improved clinical outcomes and has been demonstrated to be cost-efficient. Despite this, the management of acute appendicitis in our ASU was found to be highly cost-negative. This study sought to identify the drivers of increased cost. METHODS: A retrospective cost analysis of all patients with uncomplicated acute appendicitis in 2016 was undertaken to investigate the drivers of increased cost...
July 11, 2018: ANZ Journal of Surgery
https://www.readbyqxmd.com/read/29998585/correction-of-a-severe-pectus-carinatum-by-sterno-costo-chondroplasty-with-double-osteotomy-and-triple-rib-bridge-fixation
#3
Marion Mauduit, Karl Bounader, Reda Belhaj Soumai, Marie Aymami, Antoine Roisné, Jean-Marie Wihlm, Jean-Philippe Verhoye
No abstract text is available yet for this article.
July 11, 2018: ANZ Journal of Surgery
https://www.readbyqxmd.com/read/29984545/spontaneous-haemothorax-caused-by-collateral-intra-pectoralis-venous-circle-rupture-an-unusual-case
#4
Marco Chiappetta, Andrea Contegiacomo, Dania Nachira, Maria Teresa Congedo, Riccardo Manfredi, Stefano Margaritora
No abstract text is available yet for this article.
July 8, 2018: ANZ Journal of Surgery
https://www.readbyqxmd.com/read/29984528/early-discharge-of-patients-with-acute-pancreatitis-to-enhanced-outpatient-care
#5
Vineeth V Kumar, P John Treacy, Minghao Li, Anoj Dharmawardane
BACKGROUND: Acute pancreatitis (AP) is a common cause for hospital admission, but some patients have a prolonged stay. The aim of this study was to identify patients with mild AP who had a prolonged hospital stay, who potentially could be discharged at day 2 to enhanced outpatient care. METHODS: Data was retrospectively collected on all patients admitted to the Royal Darwin Hospital between May 2016 and February 2017 with a diagnosis of mild AP to identify factors that may safely predict early discharge to enhanced outpatient care...
July 8, 2018: ANZ Journal of Surgery
https://www.readbyqxmd.com/read/29984482/large-right-atrial-myxoma-presenting-with-heart-failure
#6
Yassar Alamri, Yung Yung Lau, John Lainchbury
No abstract text is available yet for this article.
July 8, 2018: ANZ Journal of Surgery
https://www.readbyqxmd.com/read/29984478/peristomal-pyoderma-gangrenosum-12-year-experience-in-a-single-tertiary-referral-centre
#7
James W T Toh, Christopher J Young, Matthew J F X Rickard, Anil Keshava, Peter Stewart, Ian Whiteley
BACKGROUND: Peristomal pyoderma gangrenosum (PPG) is an unusual but potentially devastating condition that is difficult to diagnose and manage. METHODS: This was a single centre, retrospective review of a prospectively collected database. Included were consecutive patients referred to a stoma therapy clinic at a single institution between 2005 and 2016. Main outcomes of interest were management strategies and outcome of patients with PPG including time to healing and recurrence...
July 8, 2018: ANZ Journal of Surgery
https://www.readbyqxmd.com/read/29984472/diverticulum-meckel-s-and-closed-loop-bowel-obstruction-a-rare-complication
#8
Daniel Chia, Michael Z Su, Gideon Sandler, Muzib Abdul-Razak
No abstract text is available yet for this article.
July 8, 2018: ANZ Journal of Surgery
https://www.readbyqxmd.com/read/29984457/patients-requiring-an-acute-operation-where-are-the-delays-in-the-process
#9
Kirsten J de Burlet, Brendan Desmond, Simon J Harper, Peter D Larsen, Elizabeth R Dennett
BACKGROUND: Delays to surgery for patients requiring an acute operation are associated with increased morbidity and mortality. A recent study from our institution observed long waiting times for patients booked for an acute operation. The aim of this study was to evaluate the patient's progress from presentation to arrival in the operating theatre and to identify where delays occurred. METHODS: Patients undergoing acute general surgery between July 2016 and May 2017 were studied...
July 8, 2018: ANZ Journal of Surgery
https://www.readbyqxmd.com/read/29974631/correlations-between-the-sizes-of-lateral-pelvic-lymph-nodes-and-metastases-in-rectal-cancer-patients-treated-with-preoperative-chemoradiotherapy
#10
Soichiro Ishihara, Kazushige Kawai, Toshiaki Tanaka, Keisuke Hata, Hiroaki Nozawa
BACKGROUND: Lateral pelvic lymph node (LLN) dissection is suggested to improve the prognosis of rectal cancer patients; however, accurate diagnosis of LLN metastasis is challenging, especially after preoperative chemoradiotherapy (CRT). The aim of this study was to clarify the diagnostic value of LLN size in rectal cancer patients treated with CRT in terms of metastasis. METHODS: A total of 204 LLNs dissected from 29 rectal cancer patients treated with CRT were examined...
July 5, 2018: ANZ Journal of Surgery
https://www.readbyqxmd.com/read/29974615/management-of-primary-spontaneous-pneumothorax-a-review
#11
REVIEW
Amy Wong, Elena Galiabovitch, Krishna Bhagwat
Primary spontaneous pneumothorax is a common problem faced by doctors in medical practice. It is a significant global health problem affecting adolescent and young adults. This article will review the etiopathology, diagnosis and current management guidelines. It aims to improve clinical practice and compliance to the complexities of procedures involved in management.
July 5, 2018: ANZ Journal of Surgery
https://www.readbyqxmd.com/read/29974604/value-of-repeat-radical-transurethral-resection-for-selected-patients-with-muscle-invasive-bladder-cancer
#12
Zhuo Li, Yuanwei Li, Qiang Lu, Jia Chen
BACKGROUND: This study was conducted to evaluate the efficacy and necessity of repeat transurethral resection (re-TUR) treatment for selected patients with muscle-invasive bladder cancer and to investigate the possibility of bladder sparing. METHODS: The study included 61 selected patients with invasive bladder cancer who were treated by re-TUR and in whom biopsies of the muscle layer of the tumour bed were negative. Re-TUR was performed within 4-6 weeks of the initial resection...
July 5, 2018: ANZ Journal of Surgery
https://www.readbyqxmd.com/read/29974601/small-bowel-perforation-from-foreign-body-ingestion
#13
Joyce P K Ho, Carolyn Jameson
No abstract text is available yet for this article.
July 5, 2018: ANZ Journal of Surgery
https://www.readbyqxmd.com/read/29974609/obstructing-colon-mass-in-the-setting-of-intestinal-non-rotation
#14
Daniel G Miles, Matthew T Harting, Tamara E Saunders, Shinil K Shah
No abstract text is available yet for this article.
July 4, 2018: ANZ Journal of Surgery
https://www.readbyqxmd.com/read/29961953/impact-of-blood-transfusion-on-outcomes-following-resection-for-colorectal-liver-metastases-in-the-modern-era
#15
Samir Pathak, Abdullah Al-Duwaisan, Fadil Khoyratty, J Peter A Lodge, Giles J Toogood, Emad Salib, K Raj Prasad, Danilo Miskovic
BACKGROUND: Evidence suggests that perioperative blood loss and blood transfusions are associated with poorer long-term outcomes in patients undergoing other oncological surgery. The aim of this study was to determine the long-term outcomes of patients requiring a blood transfusion post-hepatectomy for colorectal liver metastases (CRLM). METHODS: This is a retrospective review from 2005 to 2012. Overall survival (OS) and recurrence-free survival (RFS) were assessed using Kaplan-Meier curves...
July 1, 2018: ANZ Journal of Surgery
https://www.readbyqxmd.com/read/29952129/case-of-the-missing-metastatic-melanoma
#16
Oliver Waddell, Emily Davenport
No abstract text is available yet for this article.
June 27, 2018: ANZ Journal of Surgery
https://www.readbyqxmd.com/read/29952097/two-and-a-half-years-on-data-and-experiences-establishing-a-virtual-clinic-for-joint-replacement-follow-up
#17
Thomas Lovelock, Michael O'Brien, Ian Young, Nigel Broughton
BACKGROUND: We use a 'Virtual Clinic' for follow up of hip and knee replacement patients. The aim of this study was to investigate patient compliance, pain and function, revision rates and surgeon experience using this system. METHODS: All hip and knee replacements conducted from 2000 onwards were suitable for 'Virtual Clinic' review. Between July 2014 and December 2016, all patients due for follow up (at 1, 5 and 7 years post-operatively, or biennially thereafter) were mailed an Oxford Hip or Knee Score and a request for a radiograph...
June 27, 2018: ANZ Journal of Surgery
https://www.readbyqxmd.com/read/29952067/localized-lymphoid-hyperplasia-of-the-spleen-mimicking-metastatic-colorectal-adenocarcinoma
#18
Frederick Huynh, Catriona McLean, Marty Smith
No abstract text is available yet for this article.
June 27, 2018: ANZ Journal of Surgery
https://www.readbyqxmd.com/read/29945299/perforated-viscus-not-always-bowel-case-report-of-spontaneous-bladder-rupture
#19
Christopher Bierton, Jimmy Eteuati
No abstract text is available yet for this article.
June 26, 2018: ANZ Journal of Surgery
https://www.readbyqxmd.com/read/29943881/systematic-review-and-meta-analysis-of-robotic-versus-open-hepatectomy
#20
REVIEW
Daniel J Wong, Michelle J Wong, Gi Hong Choi, Yao Ming Wu, Paul B Lai, Brian K P Goh
BACKGROUND: To date, there are few studies comparing the outcomes of robotic hepatectomy (RH) versus open hepatectomy (OH). We report the first systematic review and meta-analysis comparing the outcomes of RH versus OH. METHODS: A systemic review was performed of all comparative studies of RH versus OH that reported the perioperative outcome(s) of interest. RESULTS: Seven retrospective cohort studies were included. There was no significant difference in patients' baseline characteristics...
June 26, 2018: ANZ Journal of Surgery
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