Abstract:
BACKGROUND:The purpose of the present study was to comprehensively assess the results of surgical management of pelvi-ureteric junction (PUJ) obstruction using lumbotomy as the surgical approach. METHODS:Records of 36 consecutive patients with unilateral PUJ obstruction who underwent pyeloplasty in the last 5 years were reviewed retrospectively. The investigations included renal function tests, ultrasound and serial renal diuretic scans. A micturating cystourethrogram was also done whenever indicated. A dismembered pyeloplasty via lumbotomy was the only surgical approach considered. Thirteen patients had a right pyeloplasty while 23 had a left pyeloplasty. Mean age at diagnosis was 57 months in 31 patients while five were antenatally diagnosed (range 1 month-12 years). Age at surgery ranged from 1 month to 12 years with a mean of 59.9 months. Nine children underwent surgery in infancy. Six patients had a preoperative percutaneous nephrostomy (PCN) placement, five for poorly functioning kidneys (less than 10% split renal function) and one for oliguria. Records were reviewed for age at diagnosis, age at surgery, duration of surgery, preoperative and postoperative split renal function. RESULTS:The follow-up period in the present study ranged from 9 months to 68 months with a mean of 44.9 months. Mean duration of surgery was 78 min of the group as a whole but in PCN patients it was significantly more (100 min vs 71.3 min). Fourteen patients had an improvement in split renal function noticed at 3 and 6 months postoperatively, 17 patients had no change while one patient had a deterioration of split renal function. Four patients had a solitary functioning kidney and in all of these glomerular filtration rate improved postoperatively. Hospital stay was on the average 7.45 days with a range of 6-10 days. However, when a double-J (D-J) stent was used across the anastomosis and the uretero-vesical junction (transrenal D-J stenting), the mean stay was reduced to 3 days. All patients returned to full oral feeds by postoperative day 1. No incidences of wound related problems were encountered. CONCLUSIONS:Pyeloplasty results in predictably good outcome in paediatric PUJ obstruction whenever indicated. The lumbotomy approach avoids muscle cutting, thereby minimizing complications related to wound and assisting with faster recovery. Keeping a double-J (D-J) stent across the anastomosis and the uretero-vesical junction (transrenal D-J stenting) reduces hospital stay.
journal_name
ANZ J Surgjournal_title
ANZ journal of surgeryauthors
Bajpai M,Kumar A,Tripathi M,Bal CSdoi
10.1111/j.1445-1433.2004.03032.xkeywords:
subject
Has Abstractpub_date
2004-06-01 00:00:00pages
491-4issue
6eissn
1445-1433issn
1445-2197pii
ANS3032journal_volume
74pub_type
杂志文章abstract::The original description by Morgagni of the anterior diaphragmatic defect that bears his name implies a paramedian defect and this may be true when acquired in adulthood. In contrast, the anterior diaphragmatic defect that is observed in children is central rather than paramedian, as is often assumed. Its central retr...
journal_title:ANZ journal of surgery
pub_type: 传,历史文章,杂志文章
doi:10.1111/j.1445-2197.2008.04641.x
更新日期:2008-09-01 00:00:00
abstract::To the ancient Greeks, physical exercise was an essential part of life, especially during adolescence and young adulthood. Long after the end of the Classical Greek era, Roman conquest brought a shift towards martial training, increased professionalism in athletic competition and a weak strand of restorative gymnastic...
journal_title:ANZ journal of surgery
pub_type: 历史文章,杂志文章
doi:10.1111/j.1445-2197.2009.05149.x
更新日期:2009-12-01 00:00:00
abstract:BACKGROUND:The role of (18) F-fluorodeoxyglucose positron emission tomography/computed tomography ((18) F-FDG PET/CT) in evaluating pulmonary artery lesions has not yet been established. The purpose of this study is to evaluate the usefulness of (18) F-FDG PET/CT imaging in differentiating malignant from benign pulmona...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/j.1445-2197.2012.06205.x
更新日期:2013-05-01 00:00:00
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
更新日期:2020-04-01 00:00:00
abstract:BACKGROUND:Use and techniques of oesophageal replacement for long gap oesophageal atresia are still evolving. Gastric tube graft interposition as an oesophageal substitute was evaluated on an animal model. METHODS:Twenty-three postweaned, 28-day-old-piglets were used as the experimental animals. Isoperistaltic gastric...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1046/j.1440-1622.2001.02023.x
更新日期:2001-01-01 00:00:00
abstract:BACKGROUND:Surgeons are noticing increasing numbers of cholecystectomy waiting list patients presenting with complications of their gallstones. In this study, we analysed the outcome of these to ascertain natural history and outcome. METHODS:Data for 5298 waiting list patients in Western Australia, from 1999 to 2006, ...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/j.1445-2197.2010.05428.x
更新日期:2010-10-01 00:00:00
abstract:BACKGROUND:To evaluate the initial results of laparoscopic radical prostatectomy at this institution. METHODS:Between January 2000 and September 2003, 30 patients underwent laparoscopic radical prostatectomy. Peri- and postoperative data were accumulated prospectively and maintained in a database. All patients have a ...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/j.1445-1433.2004.03269.x
更新日期:2004-12-01 00:00:00
abstract:BACKGROUND:Previous studies comparing unipolar and bipolar hemiarthroplasty for treatment of displaced intracapsular femoral neck fractures in elderly patients have often lacked methodological power and yielded conflicting clinical results. The objective of this study was to compare the clinical outcomes from each impl...
journal_title:ANZ journal of surgery
pub_type: 杂志文章,随机对照试验
doi:10.1111/ans.12048
更新日期:2013-04-01 00:00:00
abstract:BACKGROUND:The ability to tolerate a tourniquet is often the limiting factor to elective and emergent procedures of the upper limb performed under local anaesthesia. This study aims to demonstrate that upper limb tourniquets are more predictably and better tolerated when inflated to 200 mmHg than to the traditional inf...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/ans.12532
更新日期:2015-09-01 00:00:00
abstract:BACKGROUND:Longo's technique of stapled haemorrhoidopexy has revolutionized management of symptomatic haemorrhoids. However, several problems have been identified in the original Longo's technique. In particular, recurrence of haemorrhoidal tissue has been found to be significantly higher. METHODS:An improved techniqu...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/j.1445-2197.2008.04484.x
更新日期:2008-05-01 00:00:00
abstract:BACKGROUND:Most public hospitals are receiving more referrals for first specialist assessment than they have capacity to see. Traditional priority categories are too broad for effective discrimination. In New Zealand (NZ) explicit prioritization is required by legislation and supported by the Medical Council of NZ. A n...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/ans.16002
更新日期:2020-09-01 00:00:00
abstract:BACKGROUND:Optimal management of regional lymph nodes for thin cutaneous melanoma is uncertain. We evaluated regional lymph node involvement and 5-year melanoma-specific survival (MSS) in patients with thin (≤1 mm) primary melanoma. METHODS:Patients with a melanoma, American Joint Committee on Cancer Staging 8th Editi...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/ans.15804
更新日期:2020-04-01 00:00:00
abstract:BACKGROUND:Acute appendicitis (AA) is a common indication for urgent abdominal surgery. CA-125 glycoprotein antigen is a non-specific marker for epithelial ovarian cancer; CA-125 serum levels also increased in the conditions of peritoneal inflammation. The aim of this study was to examine the correlation between serum ...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/ans.13128
更新日期:2016-04-01 00:00:00
abstract:BACKGROUND:Single-incision laparoscopic cholecystectomy (SILC) is a common procedure performed worldwide. In this study, we evaluated the safety and efficacy of SILC for acute cholecystitis. METHODS:Patients who underwent SILC between September 2012 and December 2016 were retrospectively enrolled and divided into acut...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/ans.14246
更新日期:2018-07-01 00:00:00
abstract::Enhanced recovery after surgery (ERAS) care pathways are becoming increasingly common in colonic surgery. ERAS is a combination of individual strategies that have been shown to be effective in improving care. In this article, we review the evidence surrounding core components of enhanced recovery care pathways for pat...
journal_title:ANZ journal of surgery
pub_type: 杂志文章,评审
doi:10.1111/j.1445-2197.2007.04350.x
更新日期:2008-01-01 00:00:00
abstract:BACKGROUND:In the present paper we describe the presentation and management of ductal carcinoma in situ (DCIS) of the breast in women in Australia in 1995. This representative, national data set provides a historical comparator for studies examining DCIS management that follow. METHODS:Surgeons identified by populatio...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1046/j.1445-2197.2002.02532.x
更新日期:2002-10-01 00:00:00
abstract:BACKGROUND:Readability indices have been developed based on sentence length and the use of long words. One such measure is the Reading Ease Scale developed by Rudolf Flesch. Texts that are easy to read have high scores: texts with scores below 30 are similar to legal contracts. This study uses Flesch scores to evaluate...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/j.1445-2197.2006.03651.x
更新日期:2006-01-01 00:00:00
abstract:BACKGROUND:There is increasing evidence that uncomplicated acute diverticulitis (UAD) can be safely and effectively managed as an outpatient. The aim of the current study was to evaluate if an early computed tomography (CT) scan in the emergency department (ED) can reduce the number of hospital admissions when UAD is d...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/ans.15285
更新日期:2019-09-01 00:00:00
abstract:BACKGROUND:Infection with multidrug-resistant (MDR) Gram-negative organisms leads to poorer outcomes in the critically ill burn patient. The aim of this study was to identify the risk factors for MDR Gram-negative pathogen infection in critically ill burn patients admitted to a major tertiary referral intensive care un...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/ans.14144
更新日期:2018-05-01 00:00:00
abstract:BACKGROUND:Dermatofibrosarcoma protuberans (DFSP) is a rare locally advanced soft-tissue tumour that is often misdiagnosed at presentation, resulting in inadequate initial resection, requiring multiple resections and reconstructive procedures. We reviewed our experience and treatment outcomes with this tumour and propo...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/ans.13276
更新日期:2016-05-01 00:00:00
abstract:BACKGROUND:For proven gastro-oesophageal reflux disease, partial fundoplication is considered as effective as Nissen, but with fewer side effects. The aim of this meta-analysis was to compare the effect of laparoscopic partial fundoplication (LPF) with laparoscopic Nissen fundoplication (LNF). METHODS:Extensive medica...
journal_title:ANZ journal of surgery
pub_type: 杂志文章,meta分析
doi:10.1111/j.1445-2197.2010.05637.x
更新日期:2012-01-01 00:00:00
abstract:BACKGROUND:Although several growth factors are known to be essential for liver regeneration, the role of gastrin remains controversial. METHODS:Liver regeneration was examined in wild-type (WT) and gastrin-deficient (gastrin KO) mice at days 2 and 10 after partial (40%) hepatectomy by measurement of liver weight. Hepa...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/j.1445-2197.2007.04360.x
更新日期:2008-01-01 00:00:00
abstract:BACKGROUND:This study aimed to investigate incidence of surgical site infection (SSI) following the surgery of intra-articular fractures of distal femur. METHODS:Between July 2014 and December 2017, inpatient medical records of consecutive patients who had intra-articular fractures of distal femur treated by open redu...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/ans.15263
更新日期:2019-06-01 00:00:00
abstract:BACKGROUND:Metal-on-metal (MoM) hip resurfacings have been associated with the potential development of metallic debris and its associated pathology. Serum cobalt and chromium levels are a reliable surrogate marker of wear rates in MoM bearings. The aim of the study was to examine the trend in serum metal ion levels in...
journal_title:ANZ journal of surgery
pub_type: 临床试验,杂志文章
doi:10.1111/ans.12868
更新日期:2015-03-01 00:00:00
abstract:BACKGROUND:Laparoscopic common bile duct exploration (LCBDE) is increasingly being used to treat choledocholithiasis. However, few studies have examined the treatment of recurrent common bile duct stones (CBDS) in patients with a history of prior biliary surgery. The current research aimed to compare the outcomes of la...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/ans.16529
更新日期:2020-12-28 00:00:00
abstract:INTRODUCTION:Baseline measurements are an essential component of clinical trials. They should establish that the groups involved are clinically equivalent so that any observed differences can be attributed to the intervention under evaluation. The objective of this study was to review the use of baseline comparisons in...
journal_title:ANZ journal of surgery
pub_type: 杂志文章,评审
doi:10.1046/j.1445-2197.2002.02476.x
更新日期:2002-08-01 00:00:00
abstract::Carpal tunnel syndrome is a common condition affecting 1% of the population. Open carpal tunnel release is the most commonly performed procedure for this condition. About 70-90% of patients have good to excellent long-term outcomes with open carpal tunnel release. The remainder have poor outcomes. An understanding of ...
journal_title:ANZ journal of surgery
pub_type: 杂志文章,评审
doi:10.1111/j.1445-2197.2009.05175.x
更新日期:2010-01-01 00:00:00
abstract::Despite the many possible modes of presentation, congenital anomalies of the inferior vena cava are increasingly being found in asymptomatic patients. Although plain chest radiography may reveal enough suggestive signs, the diagnosis is usually confirmed by ultrasound, computed tomography and magnetic resonance imagin...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1046/j.1445-2197.2003.02502.x
更新日期:2003-05-01 00:00:00
abstract::Adenoid cystic carcinoma of the trachea, although rare, is the second most common primary tumour of the trachea. It is a slow-growing tumour found in younger patients than the more common squamous cell carcinoma and is relatively resistant to treatment, but metastasizes late in the course of disease and even in unrese...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/j.1445-2197.2006.03848.x
更新日期:2006-08-01 00:00:00
abstract:EARLY LIFE:George Hogarth Pringle, later an associate of Joseph Lister, was born in Kintail, Scotland in 1830. In 1854, he worked as a dresser at the Royal Infirmary, Edinburgh with Joseph Lister. After serving in the Crimean War, he settled in New South Wales and began practice in Parramatta. PRINGLE AND ANTISEPTIC S...
journal_title:ANZ journal of surgery
pub_type: 传,历史文章,杂志文章
doi:10.1111/ans.15569
更新日期:2019-12-01 00:00:00