Abstract:
BACKGROUND:Worldwide, the evolution of management of liver injury has resulted in improved outcomes. The aim of this study was to examine the trend in the management and outcomes of patients with liver injury. Primary outcomes were defined as mortality and hospital length of stay. The secondary aim was to identify independent predictors of mortality. METHODS:This study utilized hospital trauma registry data of all trauma patients with liver injuries admitted from 1999 to 2013. Patients in this 15-year period were divided into three periods of 5 years each and compared in terms of demographics, management and outcomes. RESULTS:A total of 725 patients with hepatic trauma were included. Patient demographics were similar, except for an increase in patient transfers from rural locations. Non-operative management increased significantly. There was a significant increase in the use of damage control surgery with perihepatic packing in high-grade liver injuries managed operatively. Hepatic angioembolization commenced midway through the study period. The overall mortality decreased by approximately threefold (P < 0.001) and mortality within 24 h of arrival to hospital by approximately fivefold (P < 0.001). Controlling for independent predictive factors of mortality, the mortality within 24 h reduced from 18.8% in period 1 to 3.6% in period 3 (P = 0.001). CONCLUSIONS:At this institution, an integrated trauma service has led to an evolution in the management of hepatic trauma, favouring non-operative management, damage control surgery and the use of hepatic angioembolization. We experienced a significantly improved mortality within 24 h of arrival to hospital in patients with liver trauma.
journal_name
ANZ J Surgjournal_title
ANZ journal of surgeryauthors
Suen K,Skandarajah AR,Knowles B,Judson R,Thomson BNdoi
10.1111/ans.13248subject
Has Abstractpub_date
2016-11-01 00:00:00pages
894-899issue
11eissn
1445-1433issn
1445-2197journal_volume
86pub_type
杂志文章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:In Australia, there has been a shift from the traditional 'on-call' surgical model to the 'acute surgical unit' (ASU) model to improve outcomes in acute general surgery. Using emergency appendicectomy as a standardized procedure, we aimed to identify the different patterns of care between these on-call struc...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/ans.16558
更新日期:2021-01-18 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:Pseudocysts are a common consequence of acute pancreatitis and require intervention if symptomatic. Endoscopic management is emerging as a safe and effective alternative to surgery, although its use is not yet widespread. METHODS:We describe our experience of 10 consecutive unselected patients who underwent...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/ans.12648
更新日期:2016-05-01 00:00:00
abstract::Chronic constipation is a common condition in both adults and children. Children with chronic constipation frequently have symptoms that continue into adulthood. In the second part of the review we describe advances in the identification of abnormalities in the control of motility. The role of neurotransmitters in bot...
journal_title:ANZ journal of surgery
pub_type: 杂志文章,评审
doi:10.1111/j.1445-1433.2004.03202.x
更新日期:2004-10-01 00:00:00
abstract:BACKGROUND:The aim of this study was to assess the value of fine-needle aspiration cytology (FNAC) as a preoperative evaluation for parotid tumours. METHODS:Prospectively collected data on 77 patients, collected on a parotid database, were retrospectively analysed. Preoperative investigations were carried out and cyto...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/j.1445-2197.2008.04651.x
更新日期:2008-09-01 00:00:00
abstract:BACKGROUND:Removal of part or all of the parotid gland may leave a visible contour defect and may also be associated with complications such as Frey's syndrome. These aesthetic and functional issues can be addressed using dermofat graft reconstruction. The aim of this study is to assess patient satisfaction and complic...
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
abstract:BACKGROUND:There is conflicting evidence regarding the oncological impact of anastomotic leak following colorectal cancer surgery. This study aims to test the hypothesis that anastomotic leak is independently associated with local recurrence and overall and cancer-specific survival. METHODS:Analysis of prospectively c...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/ans.13648
更新日期:2018-01-01 00:00:00
abstract:BACKGROUND:To formulate clinical pathways for identifying clinically significant prostate cancer (csPC) and avoiding insignificant prostate cancer (isPC) in those without suspicious regions of interest on multi-parametric magnetic resonance imaging (mpMRI) of the prostate. METHODS:A retrospective review identified pat...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/ans.16583
更新日期:2021-01-21 00:00:00
abstract:BACKGROUND:Re-bleeding after management of a first haemorrhage following pancreatic surgery is an ever-present danger and often presents diagnostic and management dilemmas. METHODS:All cases of post-pancreatectomy haemorrhage (PPH) following pancreatoduodenectomy were identified from a tertiary referral, clinical data...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/ans.13976
更新日期:2018-05-01 00:00:00
abstract:BACKGROUND:This review examines the surgical management of acute superior mesenteric artery (SMA) occlusion and the impact of interventional radiology techniques. METHODS:Eight consecutive patients with SMA occlusion were treated at the Lismore Base Hospital, Lismore, NSW, Australia, from 1996 through to 2001 and of t...
journal_title:ANZ journal of surgery
pub_type: 杂志文章,评审
doi:10.1046/j.1445-2197.2002.02289.x
更新日期:2002-01-01 00:00:00
abstract:INTRODUCTION:Sigmoid volvulus typically occurs in older patients who have multiple co-morbidities. Therefore, often, a conservative approach to management is chosen. However, there is little data on long-term outcomes of this approach in Australasia. The aim of this study was to review the recurrence and mortality outc...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/j.1445-2197.2012.06182.x
更新日期:2013-01-01 00:00:00
abstract:BACKGROUND:A survey conducted in 1992 found that New Zealand orthopaedic surgeons relied on non-pharmacological methods of deep vein thrombosis prevention in most arthroplasty patients and almost all hip fracture patients. This survey was repeated in 1999 to ascertain whether this pattern of use had changed. METHODS:A...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1046/j.1445-2197.2002.02404.x
更新日期:2002-05-01 00:00:00
abstract:BACKGROUND:Concerns regarding transfusion-transmitted infections and non-availability of blood components in developing nations, make it crucial to optimize fresh frozen plasma (FFP) transfusions and reduce wastage. METHODS:A concurrent prospective study of FFP usage was carried out in a tertiary care hospital in nort...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/j.1445-2197.2005.03422.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
doi:10.1111/ans.15691
更新日期:2020-07-01 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
pub_type: 杂志文章,随机对照试验
doi:10.1111/ans.14056
更新日期:2018-06-01 00:00:00
abstract::The CLEAR (critical literature evaluation and research) module was developed to meet an identified need in both trainees and Fellows for the basic tools to allow them to plan research projects and evaluate research papers. This paper describes briefly the way in which the module was developed and presents results of p...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1046/j.1445-1433.2003.02892.x
更新日期:2004-01-01 00:00:00
abstract::This paper examines the career of Johann Sebastian Bach (1685-1750) and the role played by Wilhelm His I (who was, with Albert von Haller, a noted pioneer of physiology) in the exhumation of Bach's remains in 1894. His's examination of these remains allowed the sculptor Carl Seffner to produce the celebrated statue of...
journal_title:ANZ journal of surgery
pub_type: 传,历史文章,杂志文章
doi:10.1111/ans.12398
更新日期:2014-12-01 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
pub_type: 杂志文章
doi:10.1111/j.1445-2197.2008.04531.x
更新日期:2008-06-01 00:00:00
abstract:BACKGROUND:Sore throat is not an uncommon complaint following general anaesthesia (GA) with endotracheal intubation. It has been a source of considerable discomfort particularly in those patients who had thyroid surgery. Driven by the increased number of patients with post-intubation sore throat following thyroid surge...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1046/j.1445-1433.2001.02230.x
更新日期:2001-11-01 00:00:00
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
更新日期:2013-12-01 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:Ambiguity remains about the effectiveness of wearing surgical face masks. The purpose of this study was to assess the impact on surgical site infections (SSIs) when non-scrubbed operating room staff did not wear surgical face masks. METHODS:Eight hundred twenty-seven participants undergoing elective or emer...
journal_title:ANZ journal of surgery
pub_type: 杂志文章,随机对照试验
doi:10.1111/j.1445-2197.2009.05200.x
更新日期:2010-03-01 00:00:00
abstract::Patterns of myocardial revascularization have changed significantly over the past decade. There has been a relative decrease of coronary artery bypass grafting (CABG) compared with percutaneous coronary intervention (PCI) and some patients are undergoing PCI for coronary lesions traditionally reserved for CABG. The mi...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/j.1445-2197.2012.06262.x
更新日期:2012-11-01 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: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
pub_type: 杂志文章
doi:10.1111/ans.12576
更新日期:2015-07-01 00:00:00
abstract:INTRODUCTION:Chronic venous insufficiency is a major cause of morbidity in the community. The purpose of the present study was to assess the efficacy and safety of repairing multiple deep venous valves with an External Valvular Stent. METHODS:Forty-two limbs with chronic venous disease were operated on between 1987 an...
journal_title:ANZ journal of surgery
pub_type: 临床试验,杂志文章
doi:10.1046/j.1445-2197.2003.02604.x
更新日期:2003-05-01 00:00:00
abstract:BACKGROUND:The ability to predict the behaviour of breast cancer from its dimensions allows the clinician to inform a woman about the absolute benefits of adjuvant therapies or further surgery to control her disease. Tumour size and grade are independent predictors of nodal disease. This study aims to generate a tool, ...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/j.1445-2197.2006.03918.x
更新日期:2006-11-01 00:00:00
abstract:BACKGROUND:Patients presenting in urinary retention secondary to prostatic obstruction are offered transurethral resection of the prostate (TURP) to free them from long-term catheterization. Short-term success is well understood, but there is scarce data about effect of age on outcome, quality of life and catheter-free...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/ans.12014
更新日期:2013-04-01 00:00:00
abstract:BACKGROUND:This study reviewed the demographics, presentation, management, complications and outcomes of acute epiglottitis post Haemophilus influenzae type-b vaccine introduction in Australia. METHODS:Retrospective review of acute epiglottitis at four Victorian tertiary centres from 2011 to 2016 was conducted. Patien...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/ans.14787
更新日期:2018-11-01 00:00:00