Abstract:
BACKGROUND:Flail chest is a serious injury in trauma with a significant mortality rate, and long-term pain and disability. Traditionally, management has consisted of internal pneumatic splinting, leading to prolonged periods of mechanical ventilation, and its attendant complications. The aim of this study was to assess the safety of operative fixation of broken ribs in flail chest using absorbable prostheses. METHODS:Thirteen consecutive patients with severe flail chest injury were enrolled in this pilot study. Surgery was planned after viewing three-dimensional reconstructions of the computed tomography scans of the chest. The plates were applied to the external cortical surface of the rib after reducing the fracture. Segmentally fractured ribs were usually plated only once to convert the flail segment to simple fractured ribs and correct the paradoxical wall motion abnormality. RESULTS:All patients had a good surgical result. On average, four ribs were fixed per patient. All patients were able to be weaned from mechanical ventilation and all patients were discharged from the hospital. There were no deaths. No plates had to be removed. In all patients, the flail chest was successfully stabilized and paradoxical chest wall movement was eliminated. CONCLUSION:This pilot study of operative fixation of broken ribs in patients with flail chest, using absorbable plates and screws, has shown the technique to be safe and effective. On the basis of these results, a prospective randomized trial has commenced at The Alfred Hospital, comparing this management strategy with conservative management.
journal_name
ANZ J Surgjournal_title
ANZ journal of surgeryauthors
Marasco S,Cooper J,Pick A,Kossmann Tdoi
10.1111/j.1445-2197.2009.05104.xsubject
Has Abstractpub_date
2009-11-01 00:00:00pages
804-8issue
11eissn
1445-1433issn
1445-2197pii
ANS5104journal_volume
79pub_type
杂志文章abstract:BACKGROUND:Reported success rates in endoscopic sinus surgery vary from 74 to 97%. However, the methods of evaluation and the functional endoscopic sinus surgery (FESS) techniques are not standard in these series. In our practice, some patients failed to attend the 3-monthly follow up claiming all was well. With this e...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/j.1445-2197.2006.03670.x
更新日期:2006-03-01 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:Laying open (deroofing, not excision) and curettage of the sinus is a minimally invasive procedure to treat pilonidal disease. A consensus on its efficacy and outcomes has not been reached. We reviewed and meta-analysed the efficacy of this procedure. METHODS:PubMed, Medline, Scopus, Ovid, Cochrane central ...
journal_title:ANZ journal of surgery
pub_type: 杂志文章,meta分析,评审
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更新日期:2016-01-01 00:00:00
abstract:BACKGROUND:Nipple adenoma is a rare and benign type of breast tumour. Because of the lack of proper understanding, it is easily overlooked and misdiagnosed by doctors. The aim of the study is to improve clinicians' awareness of the disease. METHODS:Evaluation of the complaints such as blood discharge or nodules on the...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/ans.12744
更新日期:2015-06-01 00:00:00
abstract::Thirty-eight patients with mammary gland tuberculosis were evaluated over a 5-year period presenting to the surgical unit of our institution. Unilateral involvement of the breast in a woman presenting at an average age of 29 years was the commonest observation. A lump in the breast with or without discharging sinuses ...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
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更新日期:2006-04-01 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:The burden of severe injury is an important health statistic. When accurate injury data are linked to census population data a reference dataset can be obtained. This information is vital to direct injury prevention and trauma system development. METHODS:Severe injury was defined as death or injury severity...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
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更新日期:2008-11-01 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:The aim of our study was to identify the demographics and complications in elderly cervical spine injuries and predictive factors for surgery, complications and mortality. We hypothesized younger healthier patients were more likely to undergo surgical intervention. METHODS:A retrospective review of 225 cons...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/ans.14875
更新日期:2019-04-01 00:00:00
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journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1046/j.1445-2197.2003.t01-4-.x
更新日期:2003-12-01 00:00:00
abstract:BACKGROUND:Acute respiratory distress syndrome (ARDS) is a major contributor to respiratory morbidity and mortality after oesophagectomy. Several pre-, intra- and post-operative factors are thought to predispose to its development in the post-oesophagectomy period. The aim of this study was to determine factors predisp...
journal_title:ANZ journal of surgery
pub_type: 杂志文章,多中心研究
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更新日期:2011-10-01 00:00:00
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journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/j.1445-2197.2004.02949.x
更新日期:2004-04-01 00:00:00
abstract::This article was presented at the conjoint CSSA and RACS (colorectal section) spring meeting Queensland, Australia, September 2004. The adenoma-carcinoma sequence describes a succession of events from polypoid adenoma to colorectal cancer. However, this model only accounts for up to two-thirds of colorectal cancers. T...
journal_title:ANZ journal of surgery
pub_type: 杂志文章,评审
doi:10.1111/j.1445-2197.2006.03847.x
更新日期:2007-01-01 00:00:00
abstract:BACKGROUND:Desmoplastic melanoma (DM) is a rare subtype of cutaneous malignant melanoma reported to have a high local recurrence rate with surgical excision alone. The incidence of regional and distant metastasis is considered to be lower than traditional cutaneous melanoma, warranting more aggressive treatment of loca...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/j.1445-2197.2008.04436.x
更新日期:2008-04-01 00:00:00
abstract:BACKGROUND:Several previous studies have shown that Gastrografin can be utilized to triage patients with adhesive small bowel obstruction (ASBO) to an operative or a non-operative course. Previous studies assessing the therapeutic effect of Gastrografin have been confounded by post-administration radiology alerting the...
journal_title:ANZ journal of surgery
pub_type: 杂志文章,随机对照试验
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更新日期:2005-08-01 00:00:00
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journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/j.1445-2197.2008.04832.x
更新日期:2009-03-01 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
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journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/ans.15650
更新日期:2020-04-01 00:00:00
abstract:BACKGROUND:Mastectomy for breast cancer treatment and prophylaxis has improved survival for patients. The advantage of implant reconstruction post mastectomy is that it avoids an additional donor site with its associated morbidity, which post-mastectomy autologous reconstruction necessitates. However, the deficiency of...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/j.1445-2197.2012.06313.x
更新日期:2013-03-01 00:00:00
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...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1046/j.1445-2197.2002.02356.x
更新日期:2002-03-01 00:00:00
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journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/ans.13608
更新日期:2017-12-01 00:00:00
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journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/j.1445-2197.2012.06291.x
更新日期:2014-04-01 00:00:00
abstract:BACKGROUND:Gallstone disease is a worldwide problem causing morbidity, mortality and a drain on health-care resources. This prospective study aimed to investigate the spectrum of gallstone types in New Zealand and relate these to known risk factors. METHODS:Gallstone samples were collected from 107 patients undergoing...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/j.1445-2197.2012.06234.x
更新日期:2013-07-01 00:00:00
abstract:BACKGROUND:Chemical burns account for relatively few admissions to a burns unit. These injuries, however, deserve separate consideration because of their ability to cause continuing tissue destruction, their potential to cause systemic toxicity and the value of early treatment with copious lavage. Widespread inexperien...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1046/j.1445-2197.2003.02617.x
更新日期:2003-01-01 00:00:00
abstract:BACKGROUND:Electrical stimulation of the visual cortex with surface electrodes is able to elicit basic visual perceptions in blind patients. The development of a visual prosthesis for the blind will require an in-vivo model for the optimization of cortical neurostimulation with multielectrode arrays. METHODS:In anaest...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/j.1445-1433.2004.02983.x
更新日期:2004-05-01 00:00:00
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
更新日期:2005-06-01 00:00:00
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
更新日期:2016-01-01 00:00:00
abstract:BACKGROUND:The role of splenectomy remains unclear in patients with gastric cancer who undergo total gastrectomy. The aim of this study was to prospectively evaluate the impact of splenectomy on circulating T-lymphocyte subsets and survival in advanced gastric cancer. METHODS:Analysis of lymphocyte subsets was perform...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1046/j.1445-2197.2002.02429.x
更新日期:2002-06-01 00:00:00
abstract:BACKGROUND:The use of computed tomography (CT) for the evaluation of patients presenting to the emergency department (ED) with acute abdominal pain has increased. We set out to investigate its effectiveness. METHODS:A prospective study conducted at a tertiary referral centre between August and September 2012, utilizin...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/ans.12360
更新日期:2014-03-01 00:00:00
abstract:BACKGROUND:Malignant blue nevus, blue nevus-associated melanoma and blue nevus-like melanoma are all terms used to describe malignant melanomas arising from, in association with, or resembling blue nevi. This review is aimed at summarizing the available literature to reduce the confusion surrounding this rare malignanc...
journal_title:ANZ journal of surgery
pub_type: 杂志文章,评审
doi:10.1111/ans.13946
更新日期:2017-05-01 00:00:00