Long-term venous access insertion: 'the learning curve'.

Abstract:

BACKGROUND:The central venous access port device (CVAPD) provides reliable vascular access and is used for delivery of fluids and for obtaining blood samples. However, it can carry some intra- and post-operative complications such as thrombosis, pneumothorax, catheter fracture and port malposition. This article describes one surgeon's experience over a 16-year period and strategies to avoid complications. METHODS:The data were prospectively collected from 1996 to 2012 (16-year period). Collected data included age and gender of the patient, pathology, type of port used, anaesthetic type, side and site of insertion, and complications. RESULTS:A total of 958 devices were implanted. The average age of the patient was 57.8 years. Sixty-eight complications were recorded with an average complication rate of 7.1%. This rate decreased from 23% between 1996 and 1997 to 3.6% from 2010 to 2013. Venous thrombosis was the main source of complications with an incidence of 2.5%. This complication occurred in seven of the first 86 patients (8.1%, 1996-1998) and decreased to 1.9% between 2000 and 2013. Twenty infections (2%), five pneumothoraces secondary to insertion (0.5%), one port malposition (0.1%) and three fractures of the catheter (0.3%) occurred over the 16 years. CONCLUSION:The surgeon's complications of CVAPD insertion requiring removal or revision of the port were considerably reduced as the surgeon's experience increases. It is suggested that all surgeons whose practice includes CVAPD insertion will have an initial learning curve, and strategies described in this paper may help decrease the number of complications.

journal_name

ANZ J Surg

journal_title

ANZ journal of surgery

authors

Fosh B,Canepa M,Eaton M

doi

10.1111/ans.13338

subject

Has Abstract

pub_date

2016-12-01 00:00:00

pages

1038-1041

issue

12

eissn

1445-1433

issn

1445-2197

journal_volume

86

pub_type

杂志文章
  • Impact of COVID-19-related social restrictions on orthopaedic trauma in a level 1 trauma centre in Sydney: the first wave.

    abstract:BACKGROUND:The coronavirus disease 2019 (COVID-19) pandemic has affected communities worldwide. This study examines the impact that public health measures to control viral spread have had on orthopaedic trauma presenting to an Australian level 1 trauma centre. We hypothesized that the volume of orthopaedic trauma in th...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/ans.16375

    authors: Probert AC,Sivakumar BS,An V,Nicholls SL,Shatrov JG,Symes MJ,Ellis AM

    更新日期:2020-10-13 00:00:00

  • Prospective comparison of return of bowel function after left versus right colectomy.

    abstract:BACKGROUND:Passage of flatus and stool represents a key milestone in recovery after colonic resections. Colorectal surgeons may hold varied expectations regarding recovery rates after left- versus right-sided colectomies, but there is currently little evidence to inform post-operative care. This study prospectively com...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章,随机对照试验

    doi:10.1111/ans.13823

    authors: Yuan L,O'Grady G,Milne T,Jaung R,Vather R,Bissett IP

    更新日期:2018-04-01 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

  • Update on indications for lateral lymph node dissection in the management of lower rectal cancer.

    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

    authors: Fung DTL,Lee PJM

    更新日期:2020-07-01 00:00:00

  • Why do surgeons receive more complaints than their physician peers?

    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

    authors: Tibble HM,Broughton NS,Studdert DM,Spittal MJ,Hill N,Morris JM,Bismark MM

    更新日期:2018-04-01 00:00:00

  • Short-term outcomes of pancreaticoduodenectomy in the state of Victoria: hospital resources are more important than volume.

    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

    authors: Stevens CL,Watters DAK

    更新日期:2019-12-01 00:00:00

  • Anatomy of the pudendal nerve and its terminal branches: a cadaver study.

    abstract:BACKGROUND:This study documents the anatomy of the pudendal nerve, which has a major role in maintaining faecal continence. Unexpected faecal incontinence can develop following perineal surgery even when the anal sphincters are not damaged. In addition, injury to the pudendal nerve might be encountered during pelvic pr...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1046/j.1445-1433.2003.02885.x

    authors: Schraffordt SE,Tjandra JJ,Eizenberg N,Dwyer PL

    更新日期:2004-01-01 00:00:00

  • Colonoscopy withdrawal time and polyp/adenoma detection rate: a single-site retrospective study in regional Queensland.

    abstract:BACKGROUNDS:Bowel cancer is the second most common non-cutaneous cancer diagnosed in Australia among both genders. Colonoscopy withdrawal time of at least 6 min has been accepted as the standard to achieve the target polyp detection rate (PDR) and adenoma detection rate (ADR). A retrospective review was conducted in Bu...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/ans.15652

    authors: Wong WJ,Arafat Y,Wang S,Hawes S,Hung K

    更新日期:2020-03-01 00:00:00

  • Neutrophil-to-lymphocyte ratio predicts anastomotic dehiscence.

    abstract:BACKGROUND:Anastomotic dehiscence (AD) is the most feared complication following colonic and rectal anastomosis. Multiple attempts have been made to correlate the levels of biomarkers to the risk of AD. This study attempts to compare C-reactive protein (CRP), procalcitonin (PCT) and neutrophil-to-lymphocyte ratio (NLR)...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/ans.14369

    authors: Walker PA,Kunjuraman B,Bartolo DCC

    更新日期:2018-01-27 00:00:00

  • Familial colorectal cancer type X: polyp burden and cancer risk stratification via a family history score.

    abstract:BACKGROUND:Patients fulfilling Amsterdam-1 criteria without mismatch repair deficiency (termed familial colorectal cancer type X (FCC type X)) were reported to have lower cancer risks than classic Lynch syndrome. This study investigates the polyp and cancer burden of this population and demonstrates relationships with ...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/j.1445-2197.2010.05606.x

    authors: Koh PK,Kalady M,Skacel M,Fay S,McGannon E,Shenal J,Arroyo L,Toderick K,Church J

    更新日期:2011-07-01 00:00:00

  • Severe trauma caused by stabbing and firearms in metropolitan Sydney, New South Wales, Australia.

    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

    pub_type: 杂志文章

    doi:10.1111/j.1445-2197.2005.03333.x

    authors: Wong K,Petchell J

    更新日期:2005-04-01 00:00:00

  • Intermediate to long-term results of repairing incompetent multiple deep venous valves using external valvular stenting.

    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

    authors: Lane RJ,Cuzzilla ML,McMahon CG

    更新日期:2003-05-01 00:00:00

  • Dorsal lumbotomy incision in paediatric pyeloplasty.

    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

    pub_type: 杂志文章

    doi:10.1111/j.1445-1433.2004.03032.x

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

    更新日期:2004-06-01 00:00:00

  • Similar length of colon is removed regardless of localization in right-sided colonic cancer surgery.

    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

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

    更新日期:2018-07-01 00:00:00

  • What is the functional result of a delayed coloanal anastomosis in redo rectal surgery?

    abstract:BACKGROUND:Delayed coloanal anastomosis (DCAA) may be used in patients with complex rectal conditions, such as chronic pelvic sepsis, low recto-vaginal and recto-vesical fistula; however, limited data are available. The aim is to report the morbidity and functional results of DCAA in redo rectal surgery. METHODS:All p...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/ans.15144

    authors: Boullenois H,Lefevre JH,Creavin B,Calmels M,Voron T,Debove C,Chafai N,Parc Y

    更新日期:2019-05-01 00:00:00

  • Morgagni's hernia: believing is seeing.

    abstract::The original description by Morgagni of the anterior diaphragmatic defect that bears his name implies a paramedian defect and this may be true when acquired in adulthood. In contrast, the anterior diaphragmatic defect that is observed in children is central rather than paramedian, as is often assumed. Its central retr...

    journal_title:ANZ journal of surgery

    pub_type: 传,历史文章,杂志文章

    doi:10.1111/j.1445-2197.2008.04641.x

    authors: McBride CA,Beasley SW

    更新日期:2008-09-01 00:00:00

  • Patterns of polyp histology: predictors of peril in the mucosa.

    abstract:BACKGROUND:Precursor colonic polyps of varied subtypes correlate with the known neoplastic pathways. When patients present with synchronous pre-malignant polyps of multiple histologies, multiple genetic mechanisms are likely to be active, potentially resulting in a more unstable, tumourigenic mucosa. METHODS:We hypoth...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/ans.15662

    authors: Dean M,Plesec T,Kalady MF,Church J

    更新日期:2020-05-01 00:00:00

  • Oncoplastic partial breast reconstruction improves patient satisfaction and aesthetic outcome for central breast tumours.

    abstract:BACKGROUND:Patients with centrally located tumours involving the nipple-areolar complex (NAC) who undergo breast-conserving treatment (BCT) are at high risk for breast deformity and asymmetry. Immediate oncoplastic breast reconstruction (OBR) can have a favourable impact on surgical outcome. METHODS:We retrospectively...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/ans.15078

    authors: Shechter S,Friedman O,Inbal A,Arad E,Menes T,Barsuk D,Gur E,Barnea Y

    更新日期:2019-05-01 00:00:00

  • Influence of local recurrence on survival in patients with rectal cancer.

    abstract:BACKGROUND:Recent trials on rectal cancer have demonstrated significant improvements in local recurrence without improvements in overall survival. The aim of this paper was to define the influence of local recurrence on survival in a prospective series of patients who underwent R0 or R1 resections for rectal cancer. M...

    journal_title:ANZ journal of surgery

    pub_type: 临床试验,杂志文章

    doi:10.1111/ans.12214

    authors: Platell C,Spilsbury K

    更新日期:2014-01-01 00:00:00

  • Colorectal carcinoma among Indigenous people: a public hospital-based study in Townsville and Cairns, North Queensland, Australia.

    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

    authors: Lu PY,Turner R,Roberts V,Ho YH

    更新日期:2005-11-01 00:00:00

  • Outcomes of percutaneous cholecystostomy and predictors of subsequent cholecystectomy.

    abstract:BACKGROUND:The use of a percutaneous cholecystostomy (PC) in the management of severe acute cholecystitis is a well recognized alternative to acute cholecystectomy. The need for definitive surgical management remains controversial. METHODS:A retrospective analysis of hospital records at Nambour General Hospital betwee...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/ans.14251

    authors: Cooper S,Donovan M,Grieve DA

    更新日期:2018-07-01 00:00:00

  • Single-stage laparoscopic cholecystectomy and intraoperative endoscopic retrograde cholangiopancreatography: is this strategy feasible in Australia?

    abstract::Currently in Australasia, concomitant cholecystolithiasis and choledocholithiasis are usually managed with two procedures: laparoscopic cholecystectomy (LC) and pre or postoperative endoscopic retrograde cholangiopancreatography (ERCP). This approach exposes the patient to the risk of complications from the common bil...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章,评审

    doi:10.1111/ans.13676

    authors: March B,Burnett D,Gani J

    更新日期:2016-11-01 00:00:00

  • Laparoscopic and open colorectal surgery in everyday practice: retrospective study.

    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

    authors: Wahl P,Hahnloser D,Chanson C,Givel JC

    更新日期:2006-01-01 00:00:00

  • Surgical volume influences survival in patients undergoing resections for stage II colon cancers.

    abstract:BACKGROUND:There is current interest in the correlation between surgical volume and outcomes. Survival in patients with rectal cancer appears to improve when carried out by surgeons who do high volumes of procedures. A similar correlation for patients with colon cancer has never been clearly established. The aim of thi...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章,多中心研究

    doi:10.1111/j.1445-2197.2007.04270.x

    authors: Morris M,Platell CF

    更新日期:2007-10-01 00:00:00

  • Wound healing and growth factor expression in T lymphocyte deficiency.

    abstract:BACKGROUND:There are many clinical situations in which immune suppression or deficiency occurs. This may lead to healing impairment. The aim of the present study was to characterize the effect of T lymphocyte deficiency on wound healing, and on -platelet-derived growth factor (PDGF), bFGF (basic fibroblast growth facto...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1046/j.1445-2197.2002.02424.x

    authors: Chircop MP,Yu Y,Berney CR,Yang JL,Crowe PJ,Walsh WR

    更新日期:2002-07-01 00:00:00

  • Gallstones in New Zealand: composition, risk factors and ethnic differences.

    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

    authors: Stringer MD,Fraser S,Gordon KC,Sharples K,Windsor JA

    更新日期:2013-07-01 00:00:00

  • 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

  • Factors influencing donor and recipient decision making in adult-to-adult living donor liver transplantation: a survey of a non-transplant population.

    abstract:BACKGROUND:This study aimed to (i) investigate the factors that influence donor and recipient decision making in adult-to-adult living donor liver transplantation (AALDLT); (ii) quantify the level of risk that would be acceptable to potential donors; and (iii) determine from whom an individual would be willing to recei...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/ans.12839

    authors: Lansom JD,Rowe S,Sandroussi C,Harrison JD,Solomon M,McCaughan G,Crawford M

    更新日期:2017-03-01 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

  • Change in serum albumin level predicts short-term complications in patients with normal preoperative serum albumin after gastrectomy of gastric cancer.

    abstract:BACKGROUND:The purpose of this study was to evaluate the correlation between serum albumin level change (ΔALB) and post-operative complications in patients with normal preoperative serum albumin after gastrectomy of gastric cancer. METHODS:A total of 193 patients undergoing curative (R0) gastrectomy from September 201...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/ans.15363

    authors: Ai S,Sun F,Liu Z,Yang Z,Wang J,Zhu Z,Du S,Guan W

    更新日期:2019-07-01 00:00:00