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ANZ Journal of Surgery

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https://www.readbyqxmd.com/read/28643893/cutaneous-angiosarcoma-a-rare-complication-post-male-breast-cancer-radiotherapy
#1
Aaron Lim, Corina Preda, Jason Stone, Andreas L Lambrianides
No abstract text is available yet for this article.
June 23, 2017: ANZ Journal of Surgery
https://www.readbyqxmd.com/read/28643886/ileocolic-intussusception-from-an-inflammatory-fibroid-polyp-a-rare-cause-of-adult-small-bowel-obstruction
#2
Sabrina Mader, Joseph Ting, Hajir Nabi
No abstract text is available yet for this article.
June 23, 2017: ANZ Journal of Surgery
https://www.readbyqxmd.com/read/28643871/colonic-lipoma-causing-intussusception-a-case-for-colonoscopic-surveillance
#3
Sherman Siu, Raymond Oliphant, Simon Benstock, Anil Keshava, Matthew J F X Rickard
No abstract text is available yet for this article.
June 23, 2017: ANZ Journal of Surgery
https://www.readbyqxmd.com/read/28643858/a-case-of-an-incidental-primary-adrenal-lymphoma-in-a-patient-with-newly-diagnosed-human-immunodeficiency-virus
#4
Maneka M Britto, Matthew J Y Kang, Stephanie Goare, Alan Pham, Jason T Hong, Jonathan Serpell, Simon Grodski
No abstract text is available yet for this article.
June 23, 2017: ANZ Journal of Surgery
https://www.readbyqxmd.com/read/28643856/coding-in-surgery-impact-of-a-specialized-coding-proforma-in-hepato-pancreato-biliary-surgery
#5
Jennifer Murphy, Charlotte May, Sara Di Carlo, Ian Beckingham, Iain C Cameron, Dhanny Gomez
BACKGROUND: Coding inaccuracies in surgery misrepresent the productivity of hospitals and outcome data of surgeons. The aim of this study was to audit the extent of coding inaccuracies in hepato-pancreato-biliary (HPB) surgery and assess the financial impact of introducing a coding proforma. METHODS: Coding of patients who underwent elective HPB surgery over a 3-month period was audited. Codes were based on International Classification of Diseases 10 and Office of Population and Census Surveys-4 codes...
June 23, 2017: ANZ Journal of Surgery
https://www.readbyqxmd.com/read/28640984/is-it-right-to-ignore-learning-curve-patients-laparoscopic-colorectal-trials
#6
Alan P Meagher, Shi Yang, Shuyuan Li
BACKGROUND: Increasingly complex, technically demanding surgical procedures utilizing emerging technologies have developed over recent decades and are recognized as having long 'learning curves'. This raises significant new issues. Ethically and scientifically, the outcome of a patient in the learning curve is as important as the outcome of a patient outside the learning curve. The aim of this study is to highlight just one aspect of our approach to learning-curve patients that should change...
June 22, 2017: ANZ Journal of Surgery
https://www.readbyqxmd.com/read/28640971/enhanced-recovery-programme-following-laparoscopic-colorectal-resection-for-elderly-patients
#7
Wei Gen Zeng, Meng Jia Liu, Zhi Xiang Zhou, Zhen Jun Wang
BACKGROUND: The aim of this study was to investigate the feasibility and safety of an enhanced recovery programme (ERP) in patients aged ≥75 years who undergo laparoscopic surgery for colorectal cancer. METHODS: Patients were divided into two groups according to perioperative management: the ERP group (Group A, n = 94) and the conventional perioperative care group (Group B, n = 157). The postoperative outcomes were compared between two groups. RESULTS: There were no differences in terms of age, gender, American Society of Anesthesiologists score, operative time or blood loss between two groups...
June 22, 2017: ANZ Journal of Surgery
https://www.readbyqxmd.com/read/28640944/rare-complication-of-gastrojejunostomy
#8
Hobia Gole, Thomas Arthur, Hajir Nabi
No abstract text is available yet for this article.
June 22, 2017: ANZ Journal of Surgery
https://www.readbyqxmd.com/read/28608502/systematic-differences-between-ultrasound-and-pathological-evaluation-of-thyroid-nodules-a-method-comparison-study
#9
Carolyn R Chew, Tracey Lam, Steven T F Chan, Laura Chin-Lenn
BACKGROUND: The size of thyroid nodules as measured by ultrasound (ultrasound size, USS) is routinely used in clinical decision-making. Reports of discrepancy between USS and pathological size (PS) evaluation have not analysed their systematic differences. The objective of this study was to uncover the lack of agreement (bias) between USS and PS measurements. METHODS: A retrospective study was performed on 121 patients who had a total or hemi-thyroidectomy for a solitary nodule...
June 13, 2017: ANZ Journal of Surgery
https://www.readbyqxmd.com/read/28608487/intramuscular-myxoma-and-fibrous-dysplasia-of-bone-presents-as-mazabraud-s-syndrome
#10
Benny Yau, Hock W Kua, Michael F Lo
No abstract text is available yet for this article.
June 13, 2017: ANZ Journal of Surgery
https://www.readbyqxmd.com/read/28608422/portomesenteric-thrombosis-post-laparoscopic-cholecystectomy-a-case-report
#11
Marianna Zukiwskyj, Benjamin McDonald, Michael Auld
No abstract text is available yet for this article.
June 13, 2017: ANZ Journal of Surgery
https://www.readbyqxmd.com/read/28608395/gastric-outlet-obstruction-secondary-to-parastomal-hernia-case-report-and-literature-review
#12
Nicholas Bull, Daniel L Chan, Praveen Ravindran, Suzanne D Sano, Stephen I White
No abstract text is available yet for this article.
June 13, 2017: ANZ Journal of Surgery
https://www.readbyqxmd.com/read/28608513/out-of-office-hours-elective-surgical-intensive-care-admissions-and-their-associated-complications
#13
David J R Morgan, Kwok Ming Ho, Yang Jian Ong, Marlene L Kolybaba
BACKGROUND: The 'weekend' effect is a controversial theory that links reduced staffing levels, staffing seniority and supportive services at hospitals during 'out-of-office hours' time periods with worsening patient outcomes. It is uncertain whether admitting elective surgery patients to intensive care units (ICU) during 'out-of-office hours' time periods mitigates this affect through higher staffing ratios and seniority. METHODS: Over a 3-year period in Western Australia's largest private hospital, this retrospective nested-cohort study compared all elective surgical patients admitted to the ICU based on whether their admission occurred 'in-office hours' (Monday-Friday 08...
June 12, 2017: ANZ Journal of Surgery
https://www.readbyqxmd.com/read/28608478/dental-extraction-from-an-appendix-a-case-report-and-review-of-the-literature
#14
Aaron Smith, Omar Mouline, Tony Mallet, Gael Phillips, Merwe Hartslief
No abstract text is available yet for this article.
June 12, 2017: ANZ Journal of Surgery
https://www.readbyqxmd.com/read/28593706/does-the-ileal-brake-mechanism-contribute-to-sustained-weight-loss-after-bariatric-surgery
#15
REVIEW
Savio G Barreto, Stijn Soenen, Jacob Chisholm, Ian Chapman, Lilian Kow
Bariatric surgery is currently the most effective strategy for treating morbid obesity. Weight regain following significant weight loss, however, remains a problem, with the outcome proportional to the period of follow-up. This review revisits a well-established physiological neurohormonally-mediated feedback loop, the so called ileal brake mechanism, with a special emphasis on the gut hormone peptide tyrosine tyrosine. The manuscript not only highlights the potential role of the ileal brake mechanism in weight loss and weight maintenance thereafter following obesity surgery, it also provides a compelling argument for using this appetite suppressing feedback loop to enable sustained long-term weight loss in patients undergoing surgery for morbid obesity...
June 8, 2017: ANZ Journal of Surgery
https://www.readbyqxmd.com/read/28593749/impact-of-atrial-fibrillation-on-long-term-survival-following-oesophagectomy-a-21-year-observational-study
#16
Cameron I Wells, Jason P Robertson, Sandra Campbell, Fadhel Al-Herz, Bruce Rhind, Mike Young
BACKGROUND: Post-operative atrial fibrillation (AF) is a common complication of oesophagectomy and thought to signal a complicated post-operative course. AF is associated with prolonged admissions, increased healthcare costs and inpatient mortality. However, the impact of post-operative AF on long-term outcomes remains uncertain. METHODS: Patients undergoing open Ivor-Lewis oesophagectomy from 1994 to 2014 at Palmerston North Hospital, New Zealand, were retrospectively evaluated...
June 7, 2017: ANZ Journal of Surgery
https://www.readbyqxmd.com/read/28593708/age-80-years-and-over-is-not-associated-with-increased-morbidity-and-mortality-following-pancreaticoduodenectomy
#17
Sandy Y Kim, Michael A Fink, Marcos Perini, Nezor Houli, Laurence Weinberg, Vijayaragavan Muralidharan, Graham Starkey, Robert M Jones, Christopher Christophi, Mehrdad Nikfarjam
BACKGROUND: Pancreaticoduodenectomy (PD) is associated with high morbidity, which is perceived to be increased in the elderly. To our knowledge there have been no Australian series that have compared outcomes of patients over the age of 80 undergoing PD to those who are younger. METHODS: Patients who underwent PD between January 2008 and November 2015 were identified from a prospectively maintained database. RESULTS: A total of 165 patients underwent PD of whom 17 (10...
June 7, 2017: ANZ Journal of Surgery
https://www.readbyqxmd.com/read/28593692/it-s-worth-the-wait-optimizing-questioning-methods-for-effective-intraoperative-teaching
#18
Meredith Barrett, Christopher P Magas, Larry D Gruppen, Priya H Dedhia, Gurjit Sandhu
BACKGROUND: The use of questioning to engage learners is critical to furthering resident education intraoperatively. Previous studies have demonstrated that higher level questioning and optimal wait times (>3 s) result in learner responses reflective of higher cognition and retention. Given the importance of intraoperative learning, we investigated question delivery in the operating room. METHODS: A total of 12 laparoscopic cholecystectomies were observed and recorded...
June 7, 2017: ANZ Journal of Surgery
https://www.readbyqxmd.com/read/28589625/index-cholecystectomy-in-a-rural-hospital-it-can-be-done
#19
Jay Maloney, Alice McLachlan, Melissa Welch, Emily Davenport
BACKGROUND: Index cholecystectomy (IC) refers to an operation during a patient's first hospital admission with symptomatic gallstone (GS) disease. There are proven reductions in cost, hospital bed days and GS-related complications while awaiting elective surgery. IC has not been universally adopted, particularly in smaller centres where logistics can present a barrier. The aim of this paper is to describe the introduction of routine IC at Hastings Hospital and the effects in terms of waiting time until surgery; GS-related re-presentations and complications while awaiting surgery; operative complications and overall hospital stay...
June 6, 2017: ANZ Journal of Surgery
https://www.readbyqxmd.com/read/28585745/sentinel-node-biopsy-for-early-breast-cancer-in-queensland-australia-during-2008-2012
#20
Paramita Dasgupta, Philippa H Youl, Christopher Pyke, Joanne F Aitken, Peter D Baade
BACKGROUND: Sentinel node biopsy (SNB) is now the standard of care for women with early-stage breast cancer. Despite lower morbidity than axillary lymph node dissection, widespread variation in SNB rates by non-clinical factors persists. We explored the factors associated with SNB usage and changes in those associations over time for recently diagnosed women. METHODS: We report here on a linked population-based cancer registry and hospital inpatient admission data set for 5577 women aged at least 20 years diagnosed with a first primary invasive early-stage node-negative breast cancer from July 2008 to 2012 in Queensland, Australia, who underwent breast cancer-related surgery within 2 years of diagnosis...
June 6, 2017: ANZ Journal of Surgery
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