Surgical services: shaping future directions.

Abstract:

BACKGROUND:Advances in surgical techniques and anaesthetic practise have facilitated a significant change in the way surgery is currently delivered. In particular, short stay surgery including ambulatory surgery has become the norm for the majority of surgical conditions. However, the planning of surgical services has not always kept pace with nor capitalised on these clinical advances. Like many major urban centres in Australia, the Greater Sydney region is changing, in terms of population growth and configuration of clinical and operational networks. In conjunction with NSW Department of Health, the ministerially appointed Surgical Services Taskforce was tasked with determining the shape and direction of surgery in Greater Sydney over the next 5 to 10 years. METHODS:Over 400 clinicians either attended hospitals forums or were contacted by the Surgery Futures project team. RESULTS:From the consultations, three models of service delivery were strongly advocated. These were the development of high volume short stay surgery centres, the establishment of specialty centres and the expansion of the streaming of planned and emergency surgery. CONCLUSION:These three major recommendations will require a significant reorganisation of surgical services in NSW. However, they are also relevant to surgical services planning elsewhere in Australia. It is imperative that these recommendations are incorporated into long term surgical planning in order to improve the efficiency and sustainability of surgical service delivery.

journal_name

ANZ J Surg

journal_title

ANZ journal of surgery

authors

MacLellan DG,Smyth T,Cregan PC,Lizzio J,Watt H

doi

10.1111/j.1445-2197.2011.05955.x

subject

Has Abstract

pub_date

2012-01-01 00:00:00

pages

68-72

issue

1-2

eissn

1445-1433

issn

1445-2197

journal_volume

82

pub_type

杂志文章
  • Second primary colorectal cancer in the era of prevalent screening and imaging.

    abstract:BACKGROUND:Oncology literature is increasingly recognizing prevalence of second primary cancers including several longitudinal studies showing an increased risk of colorectal cancer following a prostate cancer diagnosis. A retrospective study was conducted to examine the relationship between prior prostate cancer diagn...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/ans.12136

    authors: Bae S,Asadi M,Jones I,McLaughlin S,Bui A,Steele M,Tie J,Gibbs P

    更新日期:2013-12-01 00:00:00

  • Predicting complications in hepatic resection for colorectal liver metastasis: the lymphocyte-to-monocyte ratio.

    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

    authors: McCluney SJ,Giakoustidis AA,Segler A,Bissel J,Miller RL,Valente R,Hutchins RR,Abraham A,Bhattacharya S,Kocher HM

    更新日期:2018-11-01 00:00:00

  • Pancreatic resection in patients with synchronous extra-pancreatic malignancy: outcomes and complications.

    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

    authors: Mehta S,Tan GI,Nahm CB,Chua TC,Pearson A,Gill AJ,Samra JS,Mittal A

    更新日期:2020-03-01 00:00:00

  • Factors affecting false-negative breast sentinel node biopsy in Chinese patients.

    abstract:BACKGROUND:The objective of the research was to validate our results on sentinel lymph node biopsy (SLNB) and to determine factors affecting false-negative (FN) rates of SLNB in Chinese patients with invasive breast cancers. METHODS:A retrospective study of patients with clinically node-negative invasive breast cancer...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/j.1445-2197.2007.04260.x

    authors: Chok KS,Suen DT,Lim FM,Li GK,Kwong A

    更新日期:2007-10-01 00:00:00

  • Factors affecting mortality of Fournier's gangrene: review of 70 patients.

    abstract:BACKGROUND:Fournier's disease is a potentially fatal, acute, gangrenous infection of the scrotum, penis or perineum associated with a synergistic bacterial infection of the subcutaneous fat and superficial fascia. METHODS:The clinical records of 70 patients treated for Fournier's gangrene were evaluated retrospectivel...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/j.1445-2197.2006.03975.x

    authors: Ersay A,Yilmaz G,Akgun Y,Celik Y

    更新日期:2007-01-01 00:00:00

  • Effects of early antiplatelet therapy after splenectomy with gastro-oesophageal devascularization.

    abstract:BACKGROUND:This study aimed to explore the effects of early antiplatelet therapy (APT) for portal vein thrombosis (PVT) in patients with cirrhotic portal hypertension after splenectomy with gastro-oesophageal devascularization. METHODS:We retrospectively analysed 139 patients who underwent splenectomy with gastro-oeso...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/ans.14395

    authors: Zhou JB,Luo BY,Liu CW,Zhu F

    更新日期:2018-10-01 00:00:00

  • Study of the early management of acute pancreatitis.

    abstract:BACKGROUND:Acute pancreatitis (AP) is a common acute surgical presentation with evidence-based guidelines for early management. The aim of this study was to assess the compliance to the published guidelines in patients presenting with AP in Western Sydney. METHODS:A retrospective case note audit was conducted for all ...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/ans.13330

    authors: Nesvaderani M,Eslick GD,Faraj S,Vagg D,Cox MR

    更新日期:2017-10-01 00:00:00

  • Refinements and restoring contour in head and neck reconstruction.

    abstract:BACKGROUND:To date head and neck reconstructions of oncological defects have concentrated on primarily filling the defect to achieve primary wound healing, secondly restore function and lastly cosmesis. This paper describes a refinement of existing free tissue transfer techniques for improvement of contour, function an...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章,多中心研究

    doi:10.1111/ans.13061

    authors: Sofiadellis F,Grinsell D

    更新日期:2016-09-01 00:00:00

  • Surgical treatment of hepatic haemangiomas: a 15-year experience.

    abstract:BACKGROUND:Hepatic haemangiomas are congenital vascular malformations. They are the most common benign tumours of the liver and are often asymptomatic. Spontaneous or traumatic rupture, intratumoral bleeding, consumption coagulopathy and rapid growth are the mandatory surgical indications. We present our experience ove...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/j.1445-2197.2006.03869.x

    authors: Gourgiotis S,Moustafellos P,Zavos A,Dimopoulos N,Vericouki C,Hadjiyannakis EI

    更新日期:2006-09-01 00:00:00

  • A survey of general surgery clerkships in Australian and New Zealand medical schools.

    abstract:BACKGROUND:Surgical clerkships facilitate development of knowledge and competency, but their structure and content vary. Establishment of new medical schools and raising student numbers are new challenges to the provision of standardized surgical teaching across Australasian medical schools. A survey was conducted to i...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/j.1445-2197.2010.05524.x

    authors: Yu TC,Wheeler BR,Hill AG

    更新日期:2010-12-01 00:00:00

  • Blue nevus-like and blue nevus-associated melanoma: a comprehensive review of the literature.

    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

    authors: Borgenvik TL,Karlsvik TM,Ray S,Fawzy M,James N

    更新日期:2017-05-01 00:00:00

  • Trends in publication of general surgical research in New Zealand, 1996-2015.

    abstract:BACKGROUND:Recent analyses of the surgical literature have suggested a general trend towards increasing numbers of published articles and an improved quality of evidence produced. The aim of this bibliometric analysis was to identify trends in the publication of general surgical research in New Zealand from 1996 to 201...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章,评审

    doi:10.1111/ans.13821

    authors: Wells CI,Robertson JP,O'Grady G,Bissett IP

    更新日期:2017-01-01 00:00:00

  • Acute and chronic pseudo-obstruction: a current update.

    abstract::Acute colonic pseudo-obstruction (ACPO) and chronic intestinal pseudo-obstruction (CIPO) are distinct clinical entities in which patients present similarly with symptoms of a mechanical obstruction without an occlusive lesion. Unfortunately, they also share the issues related to a delay in diagnosis, including inappro...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章,评审

    doi:10.1111/ans.13148

    authors: Bernardi MP,Warrier S,Lynch AC,Heriot AG

    更新日期:2015-10-01 00:00:00

  • Retrospective survival analysis of stage II-III rectal cancer: tumour regression grade, grading and lymphovascular invasion are the only predictors.

    abstract:BACKGROUND:Tumour regression grade is gaining interest as a prognostic factor of patients undergoing neoadjuvant chemoradiotherapy and surgery for locally advanced rectal cancer. METHODS:A series of 68 consecutive patients with locally advanced rectal cancer treated by neoadjuvant chemoradiotherapy and surgery between...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/ans.16476

    authors: Morini A,Annicchiarico A,Romboli A,Ricco' M,Crafa P,Montali F,Dell'Abate P,Costi R

    更新日期:2020-12-14 00:00:00

  • Perioperative risk analysis for acute respiratory distress syndrome after elective oesophagectomy.

    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

    doi:10.1111/j.1445-2197.2010.05598.x

    authors: Paul DJ,Jamieson GG,Watson DI,Devitt PG,Game PA

    更新日期:2011-10-01 00:00:00

  • The coronal aorto-mesenteric orientation theory for post-operative nausea and vomiting following scoliosis surgery in children: a pilot study.

    abstract:BACKGROUND:Post-operative nausea and vomiting (PONV) is often encountered following corrective scoliosis surgery in children, frequently attributed to high-dose opiate administration. PONV is a frequent cause of prolonged hospital stay. Mechanisms related to transient partial duodenal compression by narrow angulation o...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/ans.16438

    authors: Dounas GD,Cundy TP,Smith ML,Gent R,Antoniou G,Sutherland LM,Cundy PJ

    更新日期:2020-11-26 00:00:00

  • Review of emotional intelligence in health care: an introduction to emotional intelligence for surgeons.

    abstract:BACKGROUND:The aim of this review is to explain the components of emotional intelligence (EI) and explore the benefits within today's health care system with an emphasis on surgery. EI is a person's ability to understand their own emotions and those of the individuals they interact with. Higher individual EI has multip...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章,评审

    doi:10.1111/ans.15671

    authors: Sharp G,Bourke L,Rickard MJFX

    更新日期:2020-04-01 00:00:00

  • Changing pattern of adrenalectomy at a tertiary referral centre 1970-2000.

    abstract:BACKGROUND:In 1987, a report from this unit described the changing indications for open adrenalectomy over a 15-year period. The indications for adrenalectomy had switched from it being the principal therapeutic procedure used in advanced breast cancer in the early 1970s, to being predominately performed for Cushing's ...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1046/j.1445-2197.2002.02454.x

    authors: Sidhu S,Bambach C,Pillinger S,Reeve T,Stokes G,Robinson B,Delbridge L

    更新日期:2002-07-01 00:00:00

  • Credentialing of surgeons: a systematic review across a number of jurisdictions.

    abstract:BACKGROUND:  The purpose of credentialing is to ensure that clinicians provide safe, high-quality health-care services in accordance with good practice and legal requirements. This review assessed the institutional credentialing processes and governance structures required to support credentialing processes at an insti...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章,评审

    doi:10.1111/j.1445-2197.2012.06115.x

    authors: Gurgacz SL,Smith JA,Truskett PG,Babidge WJ,Maddern GJ

    更新日期:2012-07-01 00:00:00

  • Effect of calcitonin gene-related peptide on anastomotic healing in the presence of endotoxin.

    abstract:BACKGROUND:Intestinal anastomotic healing is a complex procedure in which several mediators, cytokines and other substances play roles, as well as calcitonin gene-related peptide (CGRP). CGRP is capable of stimulating DNA synthesis and cell proliferation in endothelial cells by increasing vasodilatation and inflammator...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/j.1445-2197.2005.03616.x

    authors: Dogmuş M,Ersoy E,Anadol AZ,Ozel U,Bilgehan A

    更新日期:2005-12-01 00:00:00

  • N-acetylcysteine in intestinal reperfusion injury: an experimental study in rats.

    abstract:BACKGROUND:The aim of the present study was to investigate the effect of N-acetylcysteine on intestinal reperfusion injury. METHODS:Forty Sprague-Dawley rats were divided into four groups (n = 10): sham, sham + N-acetylcysteine, reperfusion, and reperfusion + N-acetylcysteine. Thirty minutes of ischaemia +/- 30 min of...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/j.1445-1433.2004.03111.x

    authors: Hazinedaroglu SM,Dulger F,Kayaoglu HA,Pehlivan M,Serinsoz E,Canbolat O,Erverdi N

    更新日期:2004-08-01 00:00:00

  • Sensation recovery improved by great auricular nerve preservation in parotidectomy: a prospective double-blind study.

    abstract:BACKGROUND:The great auricular nerve (GAN) is frequently sacrificed during parotidectomy and causes sensory disturbance of the auricle. Our study is to investigate whether GAN preservation can improve the sensory recovery. METHODS:Patients undergoing superficial or total conservative parotidectomy for benign tumours w...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/j.1445-2197.2007.04064.x

    authors: Suen DT,Chow TL,Lam CY,Wong ES,Lam SH

    更新日期:2007-05-01 00:00:00

  • Modified distally based sural adipofascial flap for reconstructing of leg and ankle.

    abstract:BACKGROUND:While free flaps can be used in many cases to cover soft tissue defects in the distal leg and ankle in a single stage, factors such as diabetes and advanced age can interfere with success of vascular anastomoses. METHODS:Twenty-five patients with deep tissue exposure of the distal leg and ankle underwent re...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/ans.12095

    authors: Yang C,Li Y,Geng S,Fu C,Sun J,Bi Z

    更新日期:2013-12-01 00:00:00

  • Warm-up before laparoscopic surgery is not essential.

    abstract:BACKGROUND:Several recent studies have suggested that warming up prior to surgery may improve surgical performance. The purpose of this study was to investigate whether warming up prior to laparoscopic surgery improves surgical performance or reduces surgery duration. METHODS:Between August 2011 and January 2012, a ra...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章,随机对照试验

    doi:10.1111/j.1445-2197.2012.06321.x

    authors: Weston MK,Stephens JH,Schafer A,Hewett PJ

    更新日期:2014-03-01 00:00:00

  • Assessment of haemorrhoidal artery network using Doppler-guided haemorrhoidal artery ligation for haemorrhoids and pathogenesis implications.

    abstract:BACKGROUND:Some authors, either with anatomical studies or Doppler laser flowmetric investigations have shown the blood flow to the posterior midline of the anus to be potentially deficient. This relative local ischaemia might explain pathogenesis of anal fissure, which is often located posteriorly. The aim of this stu...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/ans.15143

    authors: Trilling B,Mancini A,Reche F,Pflieger H,Sage PY,Faucheron JL

    更新日期:2019-07-01 00:00:00

  • Assessment of hospital characteristics associated with improved mortality following complex upper gastrointestinal cancer surgery in Queensland.

    abstract:BACKGROUND:High hospital-volume and service capability are associated with improved mortality following complex cancer surgery. Using a population-based study in Queensland, we assessed differences in mortality following oesophagectomy and pancreaticoduodenectomy, comparing high- and low-volume hospitals stratified by ...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/ans.15389

    authors: Narendra A,Baade PD,Aitken JF,Fawcett J,Smithers BM

    更新日期:2019-11-01 00:00:00

  • Streamlining the assessment of haematuria: 3-year outcomes of a dedicated haematuria clinic.

    abstract:BACKGROUND:Urgent assessment of haematuria is critical to exclude malignancy. The objective of this study is to report the outcomes of the first 3 years of a dedicated haematuria clinic at the Royal Melbourne Hospital, a Victorian tertiary hospital. METHODS:All patients assessed in the haematuria clinic from April 201...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/ans.12742

    authors: Sapre N,Hayes E,Bugeja P,Corcoran NM,Costello AJ,Anderson PD

    更新日期:2015-05-01 00:00:00

  • Risk factors associated with perforated appendicitis in elderly patients presenting with signs and symptoms of acute appendicitis.

    abstract:BACKGROUND:The aim of this study was to identify factors associated with rupture in elderly patients with acute appendicitis. METHODS:The medical records of 601 consecutive patients >60 years of age with acute appendicitis between 1995 and 2005 were retrospectively reviewed. Historical, clinical and laboratory factors...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/j.1445-2197.2007.04182.x

    authors: Sheu BF,Chiu TF,Chen JC,Tung MS,Chang MW,Young YR

    更新日期:2007-08-01 00:00:00

  • Can pathological reports of rectal cancer provide national quality indicators?

    abstract:BACKGROUND:Rectal cancer care has become increasingly complex and requires accurate information. The pathology report is a vital tool for accessing information to gauge a patient's prognosis and to guide treatment decisions. The aim of this study was to assess the quality of histopathological reporting and surgery for ...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/ans.14440

    authors: Keane C,Lin AY,Kramer N,Bissett I

    更新日期:2018-09-01 00:00:00

  • Prioritizing patients for prostatectomy: balancing clinical and psychosocial factors.

    abstract:BACKGROUND:The aim of this study was to develop a points-based approach to prioritize patients for elective transurethral resection of the prostate and to determine the relative contributions that clinical and psychosocial characteristics should make to a measurement of urgency for surgery. Another objective was to mea...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/j.1445-2197.2006.03988.x

    authors: Curtis AJ,Wolfe R,Russell CO,Costello AJ,Travis DG,Snow R,McNeil JJ

    更新日期:2007-03-01 00:00:00