Abstract:
:The gastrocnemius muscle is versatile in flap repair of defects from anterior knee to lower leg. We describe a case of extensor reconstruction using an extended medial gastrocnemius myocutaneous flap. A medial gastrocnemius flap was raised distal to its musculotendinous insertion. At its point of rotation, it was anchored to the anterior periosteum of the tibia, hence obliterating dead space and recreating the extensor mechanism of the knee. The patient had no flap loss and was able to ambulate independently. He showed no extensor lag. Our flap is unique in that it is the only medial gastrocnemius flap that has shown no extensor lag as well as complete flexion of the knee following a disrupted entire quadriceps mechanism. It is also the first myocutaneous gastrocnemius flap that has been described for this purpose.
journal_name
ANZ J Surgjournal_title
ANZ journal of surgeryauthors
Warrier SK,Mah E,Morrison WAdoi
10.1111/j.1445-2197.2006.03951.xsubject
Has Abstractpub_date
2006-12-01 00:00:00pages
1110-4issue
12eissn
1445-1433issn
1445-2197pii
ANS3951journal_volume
76pub_type
杂志文章abstract:BACKGROUND:Implant-based breast reconstruction is becoming increasingly popular because of the widespread adoption of acellular dermal matrix (ADM), which allows surgeons to obtain good aesthetic results with fewer operations. To develop more conservative surgical techniques, a retrospective, three-centre, proof-of-con...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/ans.12849
更新日期:2017-06-01 00:00:00
abstract:BACKGROUND:An enhanced fracture healing response has been reported in patients with traumatic brain injury (TBI). This has been attributed to circulating humoral factors that are thought to be proteins produced and released by the injured brain. However, these factors remain unknown. The aim of this study was to identi...
journal_title:ANZ journal of surgery
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abstract:BACKGROUND:Post-operative length of stay (LOS) is an increasingly important clinical indicator in general surgery. Despite this, no tool has been validated to predict LOS or readiness for discharge in general surgical patients. The de Morton Mobility Index (DEMMI) is a functional mobility assessment tool that has been ...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/ans.14555
更新日期:2018-09-01 00:00:00
abstract:BACKGROUND:In addition to conventional breast-conserving surgery (BCS), oncoplastic breast surgery (OBS) is an operation technique that strives simultaneously to increase oncological safety and patient's satisfaction. It is the combination of the best-proven techniques in plastic surgery with surgery for breast cancer....
journal_title:ANZ journal of surgery
pub_type: 杂志文章
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更新日期:2019-10-01 00:00:00
abstract:BACKGROUND:To prevent postoperative hypoparathyroidism following total thyroidectomy, the parathyroid glands are preserved in situ and/or resected or devascularized parathyroid glands are autotransplanted. A retrospective investigation was conducted utilizing biochemical and specific endocrine assessments to evaluate t...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/j.1445-2197.2005.03435.x
更新日期:2005-07-01 00:00:00
abstract::The presence of lateral lymph node (LLN) metastasis was associated with higher local recurrence risk in patients with lower rectal cancer. The role of LLN dissection has not been fully determined despite prolonged debate that last for few decades. The practical difference between Japan and the West was the main culpri...
journal_title:ANZ journal of surgery
pub_type: 杂志文章,评审
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更新日期:2020-07-01 00:00:00
abstract: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 r...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/ans.14725
更新日期:2018-11-01 00:00:00
abstract:BACKGROUND:Minimally invasive techniques to manage infected pancreatic necrosis have been recently developed and changes in their pattern of use are unknown. The aims of this survey were to determine the trends in the role of minimally invasive techniques to manage infected complications of necrotizing pancreatitis and...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/j.1445-2197.2010.05265.x
更新日期:2011-01-01 00:00:00
abstract:BACKGROUND:Abdominal actinomycosis (AA) is a rare infection. The aim of this study was to summarize the evidence available on AA. METHODS:A systematic review was conducted. Data sources included Trip Database, BIREME, SciELO, Cochrane Library, WoS, MEDLINE, EMBASE, SCOPUS, IBECS and LILACS. Eligibility criteria includ...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
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更新日期:2020-07-01 00:00:00
abstract:BACKGROUND:Although various methods for quantifying outcomes following total knee replacement (TKR) are used, there are few studies of the relationships between patient reported scores and functional tests. This paper aims to assess the relationships between commonly used outcome scores after TKR through a prospective ...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/ans.13708
更新日期:2016-11-01 00:00:00
abstract:BACKGROUND:Hepatectomy has been the gold standard procedure for curative treatment of benign and malignant hepatobiliary lesions for over a century. The aim of this study is to report on the 16-year experience of a single institution. METHODS:All patients admitted to The Queen Elizabeth Hospital, South Australia, for ...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
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更新日期:2019-09-01 00:00:00
abstract:BACKGROUND:Appendicectomy remains the most common abdominal emergency procedure performed by surgeons. We reviewed appendicectomies for the calendar years 1999 and 2009 to assess any changes in the referral, presentation and management at a tertiary paediatric institution. METHODS:We performed a retrospective chart re...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/j.1445-2197.2012.06168.x
更新日期:2012-09-01 00:00:00
abstract:BACKGROUND:Clinical decision making is a core competency of surgical practice, involving a continuous and evolving process of data interpretation and evaluation. The aim of this article is twofold. First, to recognize patient deaths where a clinical incident arose following unsatisfactory clinical decision making, dete...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/ans.14955
更新日期:2019-06-01 00:00:00
abstract:BACKGROUND:Compared with other doctors, surgeons are at an increased risk of medicolegal events, including patient complaints and negligence claims. This retrospective study aimed to describe the frequency and nature of complaints involving surgeons compared with physicians. METHODS:We assembled a national data set of...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/ans.14225
更新日期:2018-04-01 00:00:00
abstract:BACKGROUND:Treatment decisions for metastatic spine disease are complex and depend on prognosis. Four prognostic systems in use are the Oswestry Risk Index, modified Bauer score (MBS), van der Linden score and New England Spinal Metastasis Score (NESMS). We aimed to determine the performance of these scoring systems in...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
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更新日期:2020-06-01 00:00:00
abstract:BACKGROUND:While recent studies have shown patients with developmental dysplasia of the hip (DDH) undergoing total hip arthroplasty (THA) to achieve comparable post-operative outcomes to patients with primary osteoarthritis (OA), it is unclear whether DDH patients display better or worse preoperative function than the ...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/j.1445-2197.2012.06198.x
更新日期:2013-07-01 00:00:00
abstract::With the widespread use of abdominal imaging, the detection and therefore incidence of adrenal tumours is increasing. The laparoscopic approach to primary surgical resection of adrenal tumours has now become the standard of care. There is scarce published literature regarding the management and outcomes of recurrent a...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/j.1445-2197.2009.04892.x
更新日期:2009-05-01 00:00:00
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
更新日期:2001-10-01 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
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更新日期:2020-12-28 00:00:00
abstract:BACKGROUND:The purpose of this study was to evaluate the correlation between serum albumin level change (ΔALB) and post-operative complications in patients with normal preoperative serum albumin after gastrectomy of gastric cancer. METHODS:A total of 193 patients undergoing curative (R0) gastrectomy from September 201...
journal_title:ANZ journal of surgery
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abstract:BACKGROUND:Emergency laparotomies (ELs) are associated with high mortality and substantial outcome variation. There is no prospective Australian data on ELs. The aim of this study was to audit outcome after ELs in Western Australia. METHODS:A 12-week prospective audit was completed in 10 hospitals. Data collected incl...
journal_title:ANZ journal of surgery
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更新日期:2017-11-01 00:00:00
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
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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
更新日期:2011-06-01 00:00:00
abstract::It was the achievement of Andreas Vesalius (1514-1564) to redefine the understanding of human anatomy; and that of Homer was to write the first historical novel. This paper offers a link between the works of these two venturers, by way of an examination of the clinical anatomy of the clavicle. ...
journal_title:ANZ journal of surgery
pub_type: 传,历史文章,杂志文章
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更新日期:2011-12-01 00:00:00
abstract:AIM:To establish a proinflammatory cytokine profile of the cerebrospinal fluid (CSF) following trauma. BACKGROUND:Trauma is associated with a postinjury syndrome consisting of loss of weight and nitrogen, pyrexia, anorexia and fatigue. It has been proposed that cytokines are pathophysiologically involved in this syndr...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/j.1445-2197.2005.03530.x
更新日期:2005-09-01 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
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更新日期:2020-04-01 00:00:00
abstract:INTRODUCTION:Four-dimensional computed tomography (4DCT) is a new parathyroid localization technique not previously reported in Australia. It provides both functional and anatomical imaging in a single test, with superior sensitivity compared with sestamibi scintigraphy (SeS). This study examines the utility of 4DCT in...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
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更新日期:2015-06-01 00:00:00
abstract:BACKGROUND:To examine the common presentations and management of acute epiglottitis in adults. METHOD:Retrospective clinical study of 17 consecutive adult patients who presented to the Royal Melbourne Hospital between January 1988 and December 2000 was undertaken. RESULTS:The mean patient age was 47 years (range 20-8...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
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更新日期:2001-12-01 00:00:00
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
更新日期:2003-09-01 00:00:00
abstract:BACKGROUND:Patients may present with a resectable pancreatic tumour in the context of a concurrent primary extra-pancreatic malignancy. These patients pose a dilemma regarding their suitability for surgery. We evaluated our experience with such patients who underwent pancreatic resection with curative intent and detail...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/ans.15651
更新日期:2020-03-01 00:00:00