Australian audit for the endoluminal repair of abdominal aortic aneurysm: the first 12 months.

Abstract:

BACKGROUND:The Australian Safety and Efficacy Register for New Interventional Procedures - Surgical (ASERNIP-S) was contracted by the Commonwealth Department of Health and Aged Care to audit the procedure of endoluminal repair of abdominal aortic aneurysm. The purpose of the audit was to examine the safety and efficacy of the endoluminal graft (ELG) and, where possible, compare it to the open procedure. The first 12 months of data collection has now been completed. An overview of these results and some of the problems associated with the establishment of this audit are given. METHODS:The administrative infrastructure to support the audit is based at the ASERNIP-S office in Adelaide. To achieve high compliance rates, regular contact was maintained with surgeons. A reference group of senior vascular surgeons was established to provide expert support to the audit. RESULTS:By December 2000, ASERNIP-S had collected data on approximately 85% of privately performed ELG procedures during the first year of the audit. The early mortality rate was 1.3% in the endoluminal group compared to 2.6% in the open group. The rate of procedural complications was 15% in both groups, but the percentage of systemic complications was higher following the open repair. Aneurysm size and the number of pre-existing conditions had a statistically significant relationship to the variation in the number of complications for ELG patients. CONCLUSIONS:Good compliance has been obtained from vascular surgeons for submission of the operative data sets. ASERNIP-S aims to follow this group of patients closely to assess the medium to long-term durability of this procedure.

journal_name

ANZ J Surg

journal_title

ANZ journal of surgery

authors

Boult M,Babidge W,Anderson J,Denton M,Fitridge R,Harris J,Lawrence-Brown M,May J,Myerstt K,Maddern G

doi

10.1046/j.1445-2197.2002.02356.x

keywords:

subject

Has Abstract

pub_date

2002-03-01 00:00:00

pages

190-5

issue

3

eissn

1445-1433

issn

1445-2197

journal_volume

72

pub_type

杂志文章
  • Does knee position during wound closure alter patella height following total knee arthroplasty?

    abstract:BACKGROUND:Patella infera is a known complication of total knee arthroplasty, and the method of soft tissue closure is a possible contributing factor. The aim of our study was to evaluate the effect of knee position during surgical closure of capsule, subcutaneous tissue and skin on patella tendon length after total kn...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/ans.15034

    authors: Clark S,Tee L,Sutherland A

    更新日期:2019-03-01 00:00:00

  • Quad bike injuries at an Australian regional hospital: a trauma registry review.

    abstract:BACKGROUND:Quad bikes are a prominent cause of morbidity and mortality in Australia in both agriculture and recreation. This study describes the clinical and epidemiological characteristics of quad bike injuries at the Royal Darwin Hospital (RDH). METHODS:A retrospective review of the RDH Trauma Registry for all quad ...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/ans.15631

    authors: Liddle SE,McDermott KM,Ward LM,Lim HH,Read DJ

    更新日期:2020-04-01 00:00:00

  • Impact of post-haemorrhoidectomy pain relief checklists on pain outcomes: a randomized controlled trial.

    abstract:BACKGROUND:Haemorrhoidectomy is associated with significant post-operative pain which is primarily managed pharmacologically. Whether a non-pharmacological adjunct such as a checklist can improve pain outcomes after an open haemorrhoidectomy has yet to be studied. The purpose of this study was to determine if a patient...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/ans.15732

    authors: Huang J,Rickard MJFX,Keshava A,Suen MKL

    更新日期:2020-04-01 00:00:00

  • Macrophages, more than just scavengers: their role in breast development and cancer.

    abstract::Macrophages, derived from circulating monocytes, are located within virtually all adult tissues. There, these specialized cells adopt tissue-specific functions that are important for normal tissue homeostasis and response to physiological challenges. Increasing evidence suggests that macrophages play a role in the nor...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/j.1445-2197.2008.04531.x

    authors: Gyorki DE,Lindeman GJ

    更新日期:2008-06-01 00:00:00

  • Trainee surgeons and patient outcomes in carotid endarterectomy: a retrospective cohort study.

    abstract:BACKGROUND:In Australia and New Zealand, more than 2000 carotid endarterectomies are performed annually. The major morbidities arising from this procedure are post-operative stroke, cranial nerve injury and death. Carotid endarterectomy surgery is a key component of the vascular surgical training programme. We assessed...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/ans.16209

    authors: Johnson NW,Smoll NR,Tan C,Brooks CE

    更新日期:2020-09-01 00:00:00

  • The effect of indole-3-carbinol and sulforaphane on a prostate cancer cell line.

    abstract:BACKGROUND:Cruciferous vegetable consumption is inversely related to the incidence of prostate cancer. We examined the effect of indole-3-carbinol (I3C) and of sulforaphane (constituents of cruciferous vegetables) on cell proliferation of a PC-3 prostate cancer cell line, in order to observe if an inhibitory effect mig...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1046/j.1445-2197.2003.02652.x

    authors: Frydoonfar HR,McGrath DR,Spigelman AD

    更新日期:2003-03-01 00:00:00

  • Sustaining the surgical educator workforce in Australia and New Zealand.

    abstract:BACKGROUND:The education and training of tomorrow’s surgeons are predicated upon the involvement of a broad spectrum of surgical educators. Identification of the factors that influence their ongoing participation is crucial for its continuity. METHODS:A study was performed on 695 surgeons identified as having major in...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/j.1445-2197.2011.05777.x

    authors: Collins JP,Smith MJ,Lambert T,Hillis DJ

    更新日期:2011-06-01 00:00:00

  • Severe trauma caused by stabbing and firearms in metropolitan Sydney, New South Wales, Australia.

    abstract:BACKGROUND:Stabbing and firearm trauma causing severe injuries (injury severity score (ISS) >15) and death is uncommon in Australia. The present study describes the experience with stabbings and firearm trauma causing severe injuries at a major Australian urban trauma centre. METHODS:Data from a prospectively generate...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/j.1445-2197.2005.03333.x

    authors: Wong K,Petchell J

    更新日期:2005-04-01 00:00:00

  • Sentinel node biopsy and large (≥3 cm) breast cancer.

    abstract:BACKGROUND:Sentinel node biopsy is an accurate method for staging the axilla in early (small) breast cancers. However, data for the role of this technique for large breast cancers remain limited. METHOD:From the Royal Adelaide Hospital Sentinel Node database and the SNAC trial database, 100 subjects were identified wi...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/ans.12139

    authors: Beumer JD,Gill G,Campbell I,Wetzig N,Ung O,Farshid G,Uren R,Stockler M,Gebski V

    更新日期:2014-03-01 00:00:00

  • Perioperative complications in patients on low-molecular-weight heparin bridging therapy.

    abstract:BACKGROUND:Patients taking warfarin are often given interim anticoagulation in the perioperative period. Institutional guidelines that use low-molecular-weight heparin (LMWH) 'bridging' while the international normalized ratio (INR) is sub-therapeutic are often based on the American College of Chest Physicians Anticoag...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/ans.12070

    authors: Breen DT,Chavalertsakul N,Paul E,Gruen RL,Serpell J

    更新日期:2016-03-01 00:00:00

  • Surgical management of thoracic outlet syndrome: a 10-year experience.

    abstract:BACKGROUND:Thoracic Outlet Syndrome (TOS) refers to compression of the neurovascular structures in the region between the scalene muscles and the first rib, or by anatomical abnormalities such as cervical rib, fibrous bands and other variations in the scalene musculature. METHODS:Our experience with 63 consecutive ope...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/j.1445-2197.2004.03016.x

    authors: Samarasam I,Sadhu D,Agarwal S,Nayak S

    更新日期:2004-06-01 00:00:00

  • Paediatric trauma teams in Australia.

    abstract:BACKGROUND:Trauma teams have been associated with improved survival probability of paediatric trauma patients. The present study seeks to estimate the use of trauma teams in Australian paediatric tertiary referral centres and describe their medical composition, leadership and criteria for activation. METHODS:Australia...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/j.1445-1433.2004.03213.x

    authors: Wong K,Petchell J

    更新日期:2004-11-01 00:00:00

  • Operative experience in the Victorian general surgical training programme.

    abstract:BACKGROUND:The Royal Australasian College of Surgeons recommends minimum operative and endoscopy training requirements for advanced trainees in general surgery. This study examines the influences of trainee seniority, geographical location of surgical rotation, and surgeons' remuneration arrangements on the operative a...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1046/j.1445-2197.2003.t01-1-.x

    authors: Wong K,Birks D

    更新日期:2003-12-01 00:00:00

  • Mortality data 2004-2019: an audit of the Royal Adelaide Hospital Adult Burn Service.

    abstract:BACKGROUND:Burns are complex, multifaceted injuries that can pose significant challenges to the treating team. The Royal Adelaide Hospital (RAH) Burns Service has undergone a major evolution over the past two decades, with perceived improvement in outcomes. We present here a longitudinal audit of the RAH Burns Service ...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/ans.16349

    authors: Stefani K,Wagstaff MJD,Damkat I,Greenwood JE

    更新日期:2020-11-02 00:00:00

  • Splenic autotransplantation: a systematic review.

    abstract:BACKGROUND:Splenectomy is a surgical procedure indicated in a variety of medical conditions including trauma. Post-operatively, there is a lifelong risk of developing overwhelming sepsis from encapsulated bacteria, most commonly due to Streptococcus pneumoniae. Splenic autotransplantation has been proposed as a method ...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章,评审

    doi:10.1111/ans.15383

    authors: Surendran A,Smith M,Houli N,Usatoff V,Spelman D,Choi J

    更新日期:2020-04-01 00:00:00

  • Wound tension and 'closability' with keystone flaps, V-Y flaps and primary closure: a study in fresh-frozen cadavers.

    abstract:BACKGROUND:Previous publications have implied that the keystone flap provides mechanical benefits compared to primary closure. This has not been objectively demonstrated. METHODS:Elliptical defects were created in 'fresh-frozen' cadaveric specimens. Two approaches were used to investigate the potential mechanical bene...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/ans.14163

    authors: Donovan LC,Douglas CD,Van Helden D

    更新日期:2018-05-01 00:00:00

  • Method of pedicle division during laparoscopic right hemicolectomy affects lymph node yield and short-term outcomes.

    abstract:BACKGROUND:Several ways of performing laparoscopic right hemicolectomy (RHC) have evolved. The vascular pedicle can be divided into extracorporeal (RHC-EC) or intracorporeal (RHC-IC). It is not known whether vessel ligation during RHC-EC is as central as during RHC-IC. We compare these approaches in terms of pathologic...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/ans.14504

    authors: Pal A,Stearns AT,Kapur S,Speakman CTM,Wharton RQ,Shaikh I,Hernon JM

    更新日期:2018-10-01 00:00:00

  • Identifying prostate cancer in men with non-suspicious multi-parametric magnetic resonance imaging of the prostate.

    abstract:BACKGROUND:To formulate clinical pathways for identifying clinically significant prostate cancer (csPC) and avoiding insignificant prostate cancer (isPC) in those without suspicious regions of interest on multi-parametric magnetic resonance imaging (mpMRI) of the prostate. METHODS:A retrospective review identified pat...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/ans.16583

    authors: Doan P,Lahoud J,Kim L,Patel MI

    更新日期:2021-01-21 00:00:00

  • Splenic preservation: an additional haemostatic measure during mesh splenorrhaphy.

    abstract:BACKGROUND:Various treatment measures have been described in achieving splenic preservation following splenic injury. We describe an additional measure in achieving haemostasis during mesh splenorrhaphy. METHODS:Oxycel (BD, Franklin Lakes, NJ, USA) (topical haemostatic agent composed of oxidized cellulose) is sutured ...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/j.1445-2197.2004.03065.x

    authors: Reddy CG,Chalasani V,Pathma-Nathan N

    更新日期:2004-07-01 00:00:00

  • The learning curve in learning the curve: a review of Nuss procedure in teenagers.

    abstract:BACKGROUND:The Nuss procedure is a new minimally invasive repair for pectus excavatum that was first published in 1998. Modifications in technique are constantly evolving to minimize complications, especially bar displacement, which are higher in adolescents and adults. The present study reviews our early experience wi...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/j.1445-2197.2005.03402.x

    authors: Ong CC,Choo K,Morreau P,Auldist A

    更新日期:2005-06-01 00:00:00

  • Regional versus metropolitan pancreaticoduodenectomy mortality in Australia.

    abstract:BACKGROUND:This retrospective, population-based cohort study aims to determine if differences in the regional distribution of procedures or variation in regional mortality contributes to the variable pancreaticoduodenectomy (PD) mortality between Australian states and territories. METHODS:De-identified procedural data...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/ans.15336

    authors: Davis SS,Babidge WJ,Kiermeier A,Maddern GJ

    更新日期:2019-12-01 00:00:00

  • Laparoscopic cholecystectomy: Australian beginnings.

    abstract::Chance meetings in the USA and in France lead to the realization of the potential for cholecystectomy to be performed laparoscopically. Outlined are the steps taken to learn the technique and perform the first such operation in Australia (with unusual circumstances), immediately followed by the introduction of audit a...

    journal_title:ANZ journal of surgery

    pub_type: 历史文章,杂志文章

    doi:10.1111/j.1445-2197.2011.05898.x

    authors: Hardy KJ

    更新日期:2011-12-01 00:00:00

  • Oncoplastic partial breast reconstruction improves patient satisfaction and aesthetic outcome for central breast tumours.

    abstract:BACKGROUND:Patients with centrally located tumours involving the nipple-areolar complex (NAC) who undergo breast-conserving treatment (BCT) are at high risk for breast deformity and asymmetry. Immediate oncoplastic breast reconstruction (OBR) can have a favourable impact on surgical outcome. METHODS:We retrospectively...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/ans.15078

    authors: Shechter S,Friedman O,Inbal A,Arad E,Menes T,Barsuk D,Gur E,Barnea Y

    更新日期:2019-05-01 00:00:00

  • Prevalence of Helicobacter pylori in gastric cancer in a South-East Asian population by 14C-urea breath test.

    abstract:BACKGROUND:Helicobacter pylori is believed to play an important role in the aetiology of gastric cancer. There is a great variability in seropositivity and histological frequency of H. pylori in gastric cancer. The present prospective study investigates the prevalence of H. pylori infection in gastric cancer patients u...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1046/j.1445-2197.2001.02208.x

    authors: Chung AY,Chow PK,Yu WK,Ho JM,Chan HS,Wong WK,Soo KC

    更新日期:2001-10-01 00:00:00

  • Effects of fatigue on surgeon performance and surgical outcomes: a systematic review.

    abstract:BACKGROUND:Sleep deprivation and disturbances in circadian rhythms generally lead to poor performance, but is there a link in surgery? This review aimed to determine whether fatigue has an impact on surgeon performance or surgical outcomes. METHODS:Studies were identified by searching EMBASE, CINAHL, PubMed, The Cochr...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章,评审

    doi:10.1111/j.1445-2197.2010.05642.x

    authors: Sturm L,Dawson D,Vaughan R,Hewett P,Hill AG,Graham JC,Maddern GJ

    更新日期:2011-07-01 00:00:00

  • Unusual case of Morgagni hernia associated with malrotation.

    abstract::Morgagni herniae are rare congenital diaphragmatic hernia, which normally present late in adult life with minimal symptoms. They are always associated with a peritoneal hernial sac, and often contain transverse colon or stomach. We present an unusual case of a Morgagni hernia containing caecum in an 81-year-old woman,...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1046/j.1445-2197.2003.02745.x

    authors: Court FG,Wemyss-Holden SA,Fitridge R,Maddern GJ

    更新日期:2003-09-01 00:00:00

  • Blood management in total hip replacement: an analysis of factors associated with allogenic blood transfusion.

    abstract:BACKGROUND:The aim of this study was to audit the blood transfusion practice throughout the Epworth Healthcare Hospitals for patients undergoing primary total hip replacement (THR). We determined if blood-saving techniques were having an impact on the risk of allogenic blood transfusion and which patients were at risk ...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/ans.13048

    authors: Wong S,Tang H,de Steiger R

    更新日期:2015-06-01 00:00:00

  • Surgery: no profession for a lady.

    abstract::There are currently over 700 active female Fellows of the Royal Australasian College of Surgeons, accounting for just less than 10% of the surgical workforce. The first female Fellow of the College was Lillian Violet Cooper, of Queensland, who was admitted to Fellowship on 17 June 1927. Over the following half century...

    journal_title:ANZ journal of surgery

    pub_type: 历史文章,杂志文章,评审

    doi:10.1111/ans.13369

    authors: Neuhaus SJ

    更新日期:2016-01-01 00:00:00

  • Fissure-last video-assisted thoracoscopic lobectomy for 'non-upper' lobes.

    abstract:BACKGROUND:Surgical approach into the fissural parenchyma may be an important and modifiable factor for the prevention of air leak after anatomical lung resections. Fissureless fissure-last technique has been described as useful technique to reduce air leak, yet in video-assisted thoracoscopic surgery (VATS) data are l...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/ans.13884

    authors: Stamenovic D,Bostanci K,Messerschmidt A,Tillmann J,Kostic M,Schneider T

    更新日期:2017-12-01 00:00:00

  • Total glossectomy: is it justified?

    abstract:BACKGROUND:The treatment of advanced malignancies of the tongue with total glossectomy is controversial. METHODS:The present study retrospectively reviews 20 patients that had total glossectomy with or without laryngectomy performed at the Princess Alexandra Hospital (Woolloongabba, QLD, Australia) over the past 10 ye...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1046/j.1445-2197.2004.02912.x

    authors: Bova R,Cheung I,Coman W

    更新日期:2004-03-01 00:00:00