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 patients with a confirmed diagnosis of AP from 2008 to 2011 in Western Sydney. RESULTS:There were 932 patients. The mortality was low for mild (0.7%) and severe (1.2%) AP. There was an under-utilization of ultrasound (U/S) with 239 (25.6%) patients not having a U/S. There was an over-utilization of early (within 72 h) computed tomography scanning for diagnosis (31.1%), assessment of severity (16.1%) and assessment for the presence of complications (7.3%). Inappropriate prophylactic antibiotic usage occurred in 15.3% patients. Of 373 cases of gallstone pancreatitis, only 231 (69.1%) had a cholecystectomy within 4 weeks of presentation. There was an under-utilization of early endoscopic retrograde cholangiopancreatography for associated cholangitis (12.5%). Only 16 (18.8%) patients with severe pancreatitis received enteric feeding. In patients with pancreatic necrosis, 50% had invasive intervention delayed beyond 4 weeks and 69% had minimally invasive procedures performed prior to necrosectomy. Patients having a minimally invasive procedure initially showed an improvement in mortality compared with those who had primary necrosectomy (0 versus 40%, P = 0.025). CONCLUSIONS:Although morbidity and mortality were acceptable, there was a failure to comply with evidence-based guidelines for the early management of pancreatitis. The results support for the development and auditing of protocols for the early assessment and treatment of AP in all hospitals.
journal_name
ANZ J Surgjournal_title
ANZ journal of surgeryauthors
Nesvaderani M,Eslick GD,Faraj S,Vagg D,Cox MRdoi
10.1111/ans.13330subject
Has Abstractpub_date
2017-10-01 00:00:00pages
805-809issue
10eissn
1445-1433issn
1445-2197journal_volume
87pub_type
杂志文章abstract：BACKGROUND:The Royal Australasian College of Surgeons recommends minimum operative and endoscopy training requirements for advanced trainees in general surgery. This study examines the influences of trainee seniority, geographical location of surgical rotation, and surgeons' remuneration arrangements on the operative a...
journal_title：ANZ journal of surgery
pub_type： 杂志文章
doi：10.1046/j.1445-2197.2003.t01-1-.x
更新日期：2003-12-01 00:00:00
abstract：:Recent advances in understanding of the biology of appendicitis are reviewed. Immunological aspects are discussed in the setting of a changing microbiome. Implications for practice are summarized. ...
journal_title：ANZ journal of surgery
pub_type： 杂志文章,评审
doi：10.1111/ans.16018
更新日期：2020-06-08 00:00:00
abstract：BACKGROUND:A proportion of patients with acute pancreatitis (AP) develop necrosis. Around a third will become infected, and this is associated with a significant requirement for intervention and support. We evaluated the burden of necrotizing pancreatitis (NP) in an Australian tertiary hospital with regards to morbidit...
journal_title：ANZ journal of surgery
pub_type： 杂志文章
doi：10.1111/ans.13883
更新日期：2018-03-01 00:00:00
abstract：:The article is a summary of some of the pertinent literature on professionalism, highlighting the difference between how physicians understand professionalism and how other groups e.g. politicians, nurses and hospital managers might view the professionalism of doctors. It partly explains why surgeons have become incre...
journal_title：ANZ journal of surgery
pub_type： 杂志文章
doi：10.1111/j.1445-2197.2008.04822.x
更新日期：2009-03-01 00:00:00
abstract：BACKGROUND:Assessing the role of laparoscopy in the management of intussusception. METHODS:A retrospective review of children aged up to 17 years who had surgery for intussusception at this institution between 1 January 2004 and 31 December 2013. RESULTS:The cohort of 44 individuals (18 females) presented at a median...
journal_title：ANZ journal of surgery
pub_type： 杂志文章
doi：10.1111/ans.13435
更新日期：2016-06-01 00:00:00
abstract：BACKGROUND:Most studies available on laparoscopic colorectal surgery focus on highly selected patient groups. The aim of the present study was to review short- and long-term outcome of everyday patients treated in a general surgery department. METHODS:Retrospective review was carried out of a prospective database of a...
journal_title：ANZ journal of surgery
pub_type： 杂志文章
doi：10.1111/j.1445-2197.2006.03551.x
更新日期：2006-01-01 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:This study aimed to investigate incidence of surgical site infection (SSI) following the surgery of intra-articular fractures of distal femur. METHODS:Between July 2014 and December 2017, inpatient medical records of consecutive patients who had intra-articular fractures of distal femur treated by open redu...
journal_title：ANZ journal of surgery
pub_type： 杂志文章
doi：10.1111/ans.15263
更新日期：2019-06-01 00:00:00
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: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
pub_type： 杂志文章
doi：10.1111/j.1445-2197.2008.04572.x
更新日期：2008-07-01 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
pub_type： 杂志文章
doi：10.1111/ans.15298
更新日期：2019-12-01 00:00:00
abstract：BACKGROUND:Most public hospitals are receiving more referrals for first specialist assessment than they have capacity to see. Traditional priority categories are too broad for effective discrimination. In New Zealand (NZ) explicit prioritization is required by legislation and supported by the Medical Council of NZ. A n...
journal_title：ANZ journal of surgery
pub_type： 杂志文章
doi：10.1111/ans.16002
更新日期：2020-09-01 00:00:00
abstract：BACKGROUND:The aim of this study was to audit the blood transfusion practice throughout the Epworth Healthcare Hospitals for patients undergoing primary total hip replacement (THR). We determined if blood-saving techniques were having an impact on the risk of allogenic blood transfusion and which patients were at risk ...
journal_title：ANZ journal of surgery
pub_type： 杂志文章
doi：10.1111/ans.13048
更新日期：2015-06-01 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:The Consolidated Standards of Reporting Trials (CONSORT) Statement outlines acceptable ways of performing and reporting clinical trials. The objective of the present study was to identify evolving patterns in the methodological standards of surgical trials. METHODS:Compliance with 12 key standards from the ...
journal_title：ANZ journal of surgery
pub_type： 杂志文章
doi：10.1111/j.1445-2197.2005.03554.x
更新日期：2005-10-01 00:00:00
abstract：BACKGROUND:Open cholecystectomy is still a fairly frequently performed operation worldwide, and is used where laparoscopic surgery has failed or is contraindicated, and where some surgeons do not operate laparoscopically for technical reasons. In developing countries laparoscopic cholecystectomy is costly and is availa...
journal_title：ANZ journal of surgery
pub_type： 杂志文章
doi：10.1046/j.1440-1622.2001.02046.x
更新日期：2001-02-01 00:00:00
abstract：BACKGROUND:The advantages of promoting evidence-based care through implementation of clinical guidelines are well established. Clinical practice guidelines have been developed for lower urinary tract symptoms (LUTS) and prostate cancer screening. Aspects of the delivery of care by urologists or specialist registrars re...
journal_title：ANZ journal of surgery
pub_type： 杂志文章
doi：10.1046/j.1440-1622.2001.02111.x
更新日期：2001-05-01 00:00:00
abstract：BACKGROUND:We report outcomes on 324 consecutive cases of hand-assisted laparoscopic surgery (HALS) in colorectal patients over 13 years performed by a single surgeon. METHODS:A prospectively maintained database was used to identify all patients undergoing HALS colorectal procedures for benign or malignant indications...
journal_title：ANZ journal of surgery
pub_type： 杂志文章
doi：10.1111/ans.15578
更新日期：2020-01-01 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
abstract：:Susan Nixon died in 1881 following a surgical error. Her surgeon, Dr W. E. Warren, excised a normal 7-month gravid uterus under the misapprehension that he was removing a tubular pregnancy. It is believed that Mrs Nixon was the first woman in Australia to have an abdominal hysterectomy and the second to have a live Ca...
journal_title：ANZ journal of surgery
pub_type： 传,历史文章,杂志文章
doi：10.1111/j.1445-2197.2005.03501.x
更新日期：2005-08-01 00:00:00
abstract：BACKGROUND:Refractory ascites is a serious complication for patients with decompensated liver cirrhosis. Saphenous-peritoneal shunting is a possible surgical treatment for its relief, but tends to lead to higher groin infections. The purpose of the present paper was to determine whether a modified procedure could resol...
journal_title：ANZ journal of surgery
pub_type： 杂志文章
doi：10.1111/j.1445-2197.2005.03315.x
更新日期：2005-03-01 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
doi：10.1111/j.1445-2197.2010.05598.x
更新日期：2011-10-01 00:00:00
abstract：INTRODUCTION:There are very little clinical and pathological data on colorectal cancer among Indigenous people in Australia. METHODS:A retrospective study on Indigenous patients treated for colorectal cancer at the Townsville and Cairns Base Hospitals from 1999 to 2004 was carried out in order to better characterise t...
journal_title：ANZ journal of surgery
pub_type： 杂志文章
doi：10.1111/j.1445-2197.2005.03592.x
更新日期：2005-11-01 00:00:00
abstract：:Both chemical and mechanical methods of prophylaxis have reduced the incidence of thromboembolic complications following total knee replacement (TKR). Only a few studies have shown that mobilization on the first post-operative day further reduces the incidence of thromboembolic phenomena. We conducted a prospective st...
journal_title：ANZ journal of surgery
pub_type： 杂志文章
doi：10.1111/j.1445-2197.2009.04982.x
更新日期：2009-07-01 00:00:00
abstract：BACKGROUND:Acute appendicitis is the most common non-obstetric surgical presentation during pregnancy. There were concerns that laparoscopic appendicectomy increases the risk of foetal loss compared to an open approach. Therefore, with recent advances in perioperative care, it is likely the risk has changed. Here, we p...
journal_title：ANZ journal of surgery
pub_type： 杂志文章,meta分析
doi：10.1111/ans.14963
更新日期：2019-11-01 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：:Gluteal compartment syndrome is uncommon and is often diagnosed late, resulting in muscle necrosis and sciatic nerve palsy. The mainstay of treatment is prompt diagnosis and early surgery. A high index of suspicion is essential, especially in the setting of major bleeding and excessive pain. Embolization and hyperbari...
journal_title：ANZ journal of surgery
pub_type： 杂志文章
doi：10.1111/j.1445-2197.2006.03797.x
更新日期：2006-07-01 00:00:00
abstract：BACKGROUND:Despite conflicting data regarding oncological outcomes, studies demonstrate that complete mesocolic excision (CME) and central vascular ligation (CVL) for right-sided colon cancer removes significantly more tissue and yields higher lymph node counts when compared to conventional resection. This study aims t...
journal_title：ANZ journal of surgery
pub_type： 杂志文章
doi：10.1111/ans.16224
更新日期：2020-08-11 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
pub_type： 杂志文章,评审
doi：10.1111/ans.14276
更新日期：2018-07-01 00:00:00
abstract：BACKGROUND:To study the magnitude of radiation cystitis following radiation therapy for carcinoma cervix, and propose an algorithm to decide on early diversion, with or without vesicovaginostomy. METHODS:Women who developed radiation cystitis following radiotherapy for carcinoma cervix from January 1998 to December 20...
journal_title：ANZ journal of surgery
pub_type： 杂志文章
doi：10.1111/ans.12898
更新日期：2015-10-01 00:00:00
