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 compared gut function recovery after left- versus right-sided resections. METHODS:Prospective data were analysed from 94 consecutive patients undergoing elective colorectal resections with primary anastomosis at Auckland City Hospital. Patients having ileostomies were excluded. Primary analysis compared time to first bowel motion between left- versus right-sided resections, excluding patients who developed prolonged post-operative ileus, while secondary analyses compared length of stay, rates of prolonged ileus and other complications. RESULTS:Analysis included 42 patients with left-sided and 52 with right-sided resections. No significant differences were observed for complications (P = 0.1), length of stay (P = 0.9) or development of prolonged ileus (P = 0.2). Rate of return of bowel function was faster in patients after left-sided resections (median 2.5 versus 4 days; P = 0.03 by Log-rank (Mantel-Cox) test), when patients with prolonged post-operative ileus were excluded. An association was also identified between length of bowel resected and time to recovery of bowel function for right-sided (P = 0.02) but not left-sided resections (P = 0.9). CONCLUSION:This study shows that for patients who do not progress to prolonged ileus, those with left-sided resections experience faster return of bowel function when compared with those having right-sided resections. The reason for this finding is currently unknown and deserves further attention.
journal_name
ANZ J Surgjournal_title
ANZ journal of surgeryauthors
Yuan L,O'Grady G,Milne T,Jaung R,Vather R,Bissett IPdoi
10.1111/ans.13823subject
Has Abstractpub_date
2018-04-01 00:00:00pages
E242-E247issue
4eissn
1445-1433issn
1445-2197journal_volume
88pub_type
杂志文章,随机对照试验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
更新日期：2020-11-26 00:00:00
abstract：BACKGROUND:Gastrointestinal stromal tumours (GISTs) are the most common mesenchymal tumours of the gastrointestinal tract and make up 1-2% of all gastrointestinal malignancies. Traditionally, the treatment of choice for primary disease is surgical resection; however, no single surgeon or institution gets extensive expo...
journal_title：ANZ journal of surgery
pub_type： 杂志文章
doi：10.1111/ans.12429
更新日期：2016-03-01 00:00:00
abstract：BACKGROUND:Anastomotic leakage following colorectal resection and anastomosis has been proposed as a colorectal surgical indicator. Leak rates after elective surgery vary and tend to be higher as anastomoses become lower. The present study audits leak rates and outcomes of patients undergoing colorectal surgery, under ...
journal_title：ANZ journal of surgery
pub_type： 杂志文章
doi：10.1046/j.1440-1622.2001.02189.x
更新日期：2001-09-01 00:00:00
abstract：:Total thyroidectomy is the treatment of choice for clinically significant papillary thyroid cancer (PTC); however, 10-15% develop palpable local recurrence in the cervical lymph nodes. Metastases in the cervical lymph nodes account for 75% of loco-regional recurrence and up to 50% of these patients eventually die of t...
journal_title：ANZ journal of surgery
pub_type： 杂志文章
doi：10.1111/j.1445-2197.2007.04019.x
更新日期：2007-04-01 00:00:00
abstract：BACKGROUND:We aim to analyse the difference of clinical efficacy between middle pancreatectomy (MP) and distal pancreatectomy (DP). METHODS:A retrospective study was used to analyse 39 cases of MP and 52 cases of DP from the Department of Hepatopancreatobiliary Surgery of the Affiliated Hospital of Qingdao University ...
journal_title：ANZ journal of surgery
pub_type： 杂志文章
doi：10.1111/ans.15095
更新日期：2019-05-01 00:00:00
abstract：:Although the published work in health care increasingly promotes aviation as a high-reliability industry to be emulated, there is little empirical research to justify equating the dynamics of health care's operating environment with that of aviation. This article examines some of the potential key areas of difference ...
journal_title：ANZ journal of surgery
pub_type： 杂志文章
doi：10.1111/j.1445-2197.2008.04619.x
更新日期：2008-08-01 00:00:00
abstract：BACKGROUND:Venous duplex ultrasound scanning (VDUS) has been shown to be an accurate non-invasive means to diagnose symptomatic deep venous thrombosis (DVT). The aim of our study was to determine whether bilateral VDUS is necessary in patients who present with symptoms of DVT. METHODS:We retrospectively reviewed the r...
journal_title：ANZ journal of surgery
pub_type： 杂志文章
doi：10.1111/j.1445-1433.2004.03187.x
更新日期：2004-10-01 00:00:00
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
更新日期：2013-12-01 00:00:00
abstract：BACKGROUND:This study was a retrospective analysis of patients who underwent minor or major duct surgery for pathological nipple discharge. The results of clinical examination, mammography, ultrasonography and cytodiagnosis of the nipple discharge were studied in order to predict those patients at risk of underlying or...
journal_title：ANZ journal of surgery
pub_type： 杂志文章
doi：10.1111/j.1445-2197.2010.05270.x
更新日期：2010-09-01 00:00:00
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
更新日期：2017-10-01 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：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：BACKGROUND:Few studies have investigated the risk factors associated with developing intestinal stoma complications using appropriate multivariable methods. We aimed to determine the prevalence of, and risk factors for, stomal complications. METHODS:A retrospective, case-control methodology was used to investigate 12 ...
journal_title：ANZ journal of surgery
pub_type： 杂志文章
doi：10.1111/ans.13397
更新日期：2017-10-01 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: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: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：BACKGROUND:Previous studies comparing unipolar and bipolar hemiarthroplasty for treatment of displaced intracapsular femoral neck fractures in elderly patients have often lacked methodological power and yielded conflicting clinical results. The objective of this study was to compare the clinical outcomes from each impl...
journal_title：ANZ journal of surgery
pub_type： 杂志文章,随机对照试验
doi：10.1111/ans.12048
更新日期：2013-04-01 00:00:00
abstract：:Recurrent spontaneous haemarthrosis after knee arthroplasty occurs in less than 1% of cases, commonly thought to be the result of impingement of hypertrophic vascular synovium or fat pads, and exacerbated by anti-coagulation or anti-platelet therapy. Traditional treatment comprises an initial period of rest followed b...
journal_title：ANZ journal of surgery
pub_type： 杂志文章
doi：10.1111/j.1445-2197.2010.05244.x
更新日期：2010-04-01 00:00:00
abstract：BACKGROUND:The Surgical Research Society of Australasia (SRS) was established in 1961. The main intent was to promote surgical research, especially by young surgeons. The 50th Scientific Meeting of the SRS is due to be held in 2002. METHODS:Selected information was extracted from the programme books for the scientific...
journal_title：ANZ journal of surgery
pub_type： 历史文章,杂志文章
doi：10.1046/j.1445-2197.2002.02533.x
更新日期：2002-10-01 00:00:00
abstract：:McCune-Albright Syndrome is a rare condition characterized by endocrine abnormalities, precocious puberty, pigmented skin lesions and polyostotic fibrous dysplasia with consequent fractures and limb deformity. Patients with this syndrome might have had multiple operations on a limb and might also have extensive intern...
journal_title：ANZ journal of surgery
pub_type： 杂志文章
doi：10.1046/j.1445-2197.2003.t01-4-.x
更新日期：2003-12-01 00:00:00
abstract：BACKGROUND:Minimally invasive intestinal stoma formation using a laparoscopic approach or through a trephine, is widely described in published literature. The incidence of parastomal hernia (PH) following a stoma formed without formal laparotomy is not well reported. The present review aims to assess the current data a...
journal_title：ANZ journal of surgery
pub_type： 杂志文章,评审
doi：10.1046/j.1445-2197.2003.02779.x
更新日期：2003-10-01 00:00:00
abstract：BACKGROUND:The purpose of the present study was to examine the effects of demographic, locational and social disadvantage and the possession of private health insurance in Western Australia on the likelihood of women with breast cancer receiving breast-conserving surgery rather than mastectomy. METHODS:The WA Record L...
journal_title：ANZ journal of surgery
pub_type： 杂志文章
doi：10.1111/j.1445-1433.2004.03020.x
更新日期：2004-06-01 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
pub_type： 杂志文章
doi：10.1111/j.1445-2197.2005.03609.x
更新日期：2005-12-01 00:00:00
abstract：BACKGROUND:The volume of orthopaedic literature is increasing exponentially, becoming more widely scattered among journals. The rate of increase in orthopaedics is greater than other specialties. We aimed to identify the number of different journals an orthopaedic surgeon would need to read to stay up-to-date with curr...
journal_title：ANZ journal of surgery
pub_type： 杂志文章
doi：10.1111/ans.12902
更新日期：2015-06-01 00:00:00
abstract：BACKGROUND:Anticoagulation treatment in the community is common. This investigation was undertaken to determine the frequency of patient surgical admission with conditions associated with over-anticoagulation in the community and the surgical resource required to effectively and safely manage these patients acutely. M...
journal_title：ANZ journal of surgery
pub_type： 杂志文章
doi：10.1111/ans.13851
更新日期：2018-04-01 00:00:00
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
更新日期：2007-03-01 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
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 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
更新日期：2007-08-01 00:00:00
abstract：BACKGROUND:Acute diverticulitis of the caecum and ascending colon is uncommon. Controversies abound as regards the optimal surgical treatment, ranging from appendectomy, diverticulectomy to right hemicolectomy. The aim of the present paper was to review treatment strategy followed by a critical appraisal. METHODS:The ...
journal_title：ANZ journal of surgery
pub_type： 杂志文章
doi：10.1046/j.1445-1433.2001.2226.x
更新日期：2001-11-01 00:00:00
