Clinical decision making: how surgeons do it.

abstract：INTRODUCTION:Acute suppurative thyroiditis and recurrent abscess formation due to third and fourth branchial anomalies typically present in children. However, thyroid abscesses in branchial anomalies may occur in adulthood as well. Failure to recognize and delayed drainage of a neck abscess may lead to a fulminant life...

journal_title：ANZ journal of surgery

authors： Kruijff S,Sywak MS,Sidhu SB,Shun A,Novakovic D,Lee JC,Delbridge LW

更新日期：2015-07-01 00:00:00

abstract：BACKGROUND:Carbon dioxide (CO2) insufflation during colonoscopy was reported to reduce pain, but data are limited. The objective of this randomized controlled trial was to assess the effect of CO2 insufflation on pain during and after colonoscopy. METHODS:Patients were randomized into CO2 insufflation (CO2i) or air in...

journal_title：ANZ journal of surgery

authors： Wong JC,Yau KK,Cheung HY,Wong DC,Chung CC,Li MK

更新日期：2008-10-01 00:00:00

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

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

更新日期：2016-03-01 00:00:00

abstract：:A posterior vaginal wall prolapse, also known as a rectocele, is a common condition and is an outpouching of the posterior vaginal wall and anterior rectal wall into the lumen of the vagina.1-5 Although more common in parous women, rectoceles of over 1 cm in size have been demonstrated in over 40% of nulliparous women...

journal_title：ANZ journal of surgery

authors： Goh JT,Tjandra JJ,Carey MP

更新日期：2002-12-01 00:00:00

abstract：BACKGROUND:Assessment of vocal cord mobility using Macintosh laryngoscope is frequently performed after extubation following thyroid surgery to rule out laryngeal nerve palsy. This study compared patient comfort and assessment accuracy of post-operative vocal fold mobility with Macintosh laryngoscope and fibreoptic end...

journal_title：ANZ journal of surgery

authors： Kundra P,Kumar V,Srinivasan K,Gopalakrishnan S,Krishnappa S

更新日期：2010-11-01 00:00:00

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...

journal_title：ANZ journal of surgery

authors： Marasco S,Cooper J,Pick A,Kossmann T

更新日期：2009-11-01 00:00:00

abstract：BACKGROUND:Fournier's gangrene, first described by Dr Jean Alfred Fournier in 1883, still has a high mortality rate. The prognosis and outcome of such patients were analysed. METHODS:Forty-one patients with Fournier's gangrene were reviewed on the parameters of age, sex, aetiological agents, predisposing factors, trea...

journal_title：ANZ journal of surgery

authors： Ayan F,Sunamak O,Paksoy SM,Polat SS,As A,Sakoglu N,Cetinkale O,Sirin F

更新日期：2005-12-01 00:00:00

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 we...

journal_title：ANZ journal of surgery

authors： Bajpai M,Kumar A,Tripathi M,Bal CS

更新日期：2004-06-01 00:00:00

abstract：BACKGROUND:The technical proficiency of a surgeon is intricately linked to training and experience. Reduction in working hours, decreased operating time and ethical imperatives to protect patients have all resulted in a decrease in hands-on experience. The introduction of laparoscopic procedures has also decreased trai...

journal_title：ANZ journal of surgery

authors： Chai DQ,Naunton-Morgan R,Hamdorf J

更新日期：2019-11-01 00:00:00

abstract：BACKGROUND:Acute Appendicitis is the most common surgical presentation within Australia. Despite the increasing use of radiological investigations to aid clinical diagnosis, many appendectomies result in a histologically normal appendix. This study examines the histological negative appendicectomy rate (NAR) in a metro...

journal_title：ANZ journal of surgery

authors： Mackay TG,Dissanayake B,Yuide PJ,Burstow MJ,Gundara JS,Chua TC

更新日期：2020-08-17 00:00:00

abstract：BACKGROUND:Low back pain (LBP) is a common occupational musculoskeletal complaint among health professionals. No research has quantified lumbar movement patterns in the surgical workplace, identifying 'at risk' behaviours with objective measures. This project aimed to identify lumbar movement patterns and change in LBP...

journal_title：ANZ journal of surgery

authors： Wartski M,Williams CM,Broughton NS,Bowles KA

更新日期：2019-03-01 00:00:00

abstract：BACKGROUND:Trastuzumab increases disease-free and overall survival in HER-2-positive, early breast cancer. In 2007, the National Breast and Ovarian Cancer Centre recommended that patients with HER-2 positive cancers (node positive or node negative tumours >1 cm) be offered adjuvant trastuzumab with chemotherapy. The ai...

journal_title：ANZ journal of surgery

authors： Whitfield R,Kollias J,De Silva P,Zorbas H,Maddern G

更新日期：2012-04-01 00:00:00

abstract：BACKGROUND:Subglottic hemangiomas (SGH) are a rare tumour, often associated with significant airway obstruction in infants. Current treatment options, while effective, often expose the infant to potential complications. Emerging evidence suggests a role for the beta blocker propranolol in the initial management of SGH....

journal_title：ANZ journal of surgery

authors： Mahadevan M,Cheng A,Barber C

更新日期：2011-06-01 00:00:00

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

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

abstract：BACKGROUND:Cardiac arrhythmia after coronary artery bypass grafting (CABG) surgery is a common complication of cardiac surgery. The effect of serum magnesium, hypomagnesaemia treatment and prophylactic administration of magnesium in the development and prevention of arrhythmias is controversial and there are many diffe...

journal_title：ANZ journal of surgery

authors： Mohammadzadeh A,Towfighi F,Jafari N

更新日期：2018-06-01 00:00:00

abstract：:Pancreaticobiliary reflux may occur either as a result of an anatomically abnormal pancreaticobiliary junction or because of a functionally impaired sphincter despite a normal radiological appearance. It is associated with a wide spectrum of biliary diseases, including gall bladder and bile duct carcinoma. Pancreatico...

journal_title：ANZ journal of surgery

authors： Williams NE,Gundara JS,Hugh TJ,Samra JS

更新日期：2012-06-01 00:00:00

abstract：BACKGROUND:Ethnic and rural disparities in medical treatment and outcomes have been demonstrated across a range of conditions, including colorectal cancer. Timely treatment and investigation of symptoms in patients with suspicion of cancer is likely to improve outcomes and patient experience. Achieving equity in timeli...

journal_title：ANZ journal of surgery

authors： Matthews C,Walker M,McLaughlin S,Milloy M,Harmston C

更新日期：2020-08-31 00:00:00

abstract：BACKGROUND:Colorectal cancers represent a heterogenous group of tumours. While left segmental colectomy is an accepted and oncologically safe practice for left-sided colonic cancer (CC), some authors suggest that limited segmental resection of right-sided cancer should be debated in order to preserve length of the rese...

journal_title：ANZ journal of surgery

authors： Siebert M,Trilling B,Lamotte A,Taton N,Bellier A,Faucheron JL

更新日期：2018-07-01 00:00:00

abstract：BACKGROUND:Major trauma activation is a process that mobilizes personnel and resources required to care for severely injured patients. Exsanguinating truncal trauma patients require an additional response beyond major trauma activation aimed at expediting haemorrhage control. To address this requirement, 'Code Crimson'...

journal_title：ANZ journal of surgery

authors： Tovmassian D,Hameed AM,Ly J,Pathmanathan N,Devadas M,Gomez D,Hsu JM

更新日期：2020-04-01 00:00:00

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

authors： Gyorki DE,Lindeman GJ

更新日期：2008-06-01 00:00:00

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

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

更新日期：2007-10-01 00:00:00

abstract：BACKGROUND:Although various surgical procedures have been described for pilonidal sinus disease, the best surgical technique is still controversial. The aim of this study was to evaluate the short-term results of modified elliptical rotation flap (MERF) for pilonidal sinus disease in terms of post-operative complicatio...

journal_title：ANZ journal of surgery

authors： Dizen H,Yoldas Ö,Yıldız M,Cilekar M,Dilektaşlı E

更新日期：2014-10-01 00:00:00

abstract：BACKGROUND:Debridement and drainage have always been mainstream treatment for infected pancreatic necrosis (IPN), and the application of minimally invasive necrosectomy is becoming increasingly widespread. However, few studies have compared video-assisted retroperitoneal debridement (VARD) and small incision pancreatic...

journal_title：ANZ journal of surgery

authors： Zhang JB,Sun B

更新日期：2020-08-11 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

authors： Harris SH,Khan MA,Khan R,Haque F,Syed A,Ansari MM

更新日期：2006-04-01 00:00:00

abstract：BACKGROUND:Pancreaticoduodenectomy (PD) is a high-risk procedure. Australian hospitals perform a relatively low volume of PD. This study sought to gain an understanding of hospital volume and short-term outcomes of the procedure in the Australian state of Victoria. METHODS:The Dr Foster Quality Investigator tool was u...

journal_title：ANZ journal of surgery

authors： Stevens CL,Watters DAK

更新日期：2019-12-01 00:00:00

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

authors： Wong K,Petchell J

更新日期：2005-04-01 00:00:00

abstract：BACKGROUND:There is anecdotal evidence that fewer brachial and femoral embolectomies are being carried out. This may be because of the greater use of anticoagulation in patients with atrial fibrillation. The aim of the present study was to assess community-wide temporal trends in embolectomy of the extremities and of w...

journal_title：ANZ journal of surgery

authors： Ponosh S,Broadhurst R,Semmens J,Norman PE

更新日期：2008-07-01 00:00:00

abstract：BACKGROUND:Surgical decision-making tools may help surgeons achieve better outcomes by providing more personally relevant information to patients. This paper describes approaches to developing statistical tools capable of estimating the probability of morbidity and mortality after cardiovascular surgery. Our aim is to ...

journal_title：ANZ journal of surgery

authors： Boult M,Fitzpatrick K,Barnes M,Maddern G,Fitridge R

更新日期：2011-11-01 00:00:00

abstract：BACKGROUND:Traumatic brain injury is a major cause of mortality and morbidity, particularly among young men. The efficacy and safety of most of the interventions used in the management of patients with traumatic brain injury remain unproven. Examples include the 'cerebral perfusion pressure-targeted' and 'volume-target...

journal_title：ANZ journal of surgery

authors： Adamides AA,Winter CD,Lewis PM,Cooper DJ,Kossmann T,Rosenfeld JV

更新日期：2006-03-01 00:00:00

abstract：BACKGROUND:Evidence suggests that there is considerable variation in the types of procedures used to treat cancer. This variation may result in suboptimal or cost-ineffective care. The present study examined the variation in surgical treatment of melanoma before the establishment of a Melanoma Network that could promot...

journal_title：ANZ journal of surgery

authors： Barton MB,Gabriel GS,Frommer MS,Holt PE,Thompson JF

更新日期：2006-05-01 00:00:00