Abstract:
BACKGROUND:Bulbourethral syringocele is an uncommon and under-diagnosed condition most commonly seen in the paediatric population, although there is increasing recognition in adults. Due to the difficulty in diagnosis, we report our experience of urethral syringocele in a quaternary paediatric hospital, with differing presentations, diagnosis and treatment. METHODS:This is a retrospective review of seven cases of children over a period of 14 years, including their presentations, diagnosis, treatment and follow-up. A review of the current literature is presented. RESULTS:The median age of these seven cases at presentation was 11 years (6 days to 16 years). Clinical features varied with age, with obstructive uropathy in a neonate, urinary tract infection in an infant, scrotal abscess in two children and lower urinary tract obstructive symptoms in three teenagers. Diagnostic voiding cystogram diagnosed the majority of syringoceles and two were seen on magnetic resonance imaging. Five boys underwent endoscopic transurethral deroofing and two children required transperineal marsupialization. Long-term follow-up showed all had complete resolution of symptoms. CONCLUSION:Urethral syringocele presents from the neonatal period to late adolescence, with the presenting features reflective of age. Surgical management can be performed endoscopically or by open approach. Awareness of this condition and inclusion in the differential diagnosis, particularly in the setting of an atypical or recurrent scrotal abscess, could avoid a prolonged therapeutic course.
journal_name
ANZ J Surgjournal_title
ANZ journal of surgeryauthors
Saadat P,Borzi P,Patel B,Winkle Ddoi
10.1111/ans.15039subject
Has Abstractpub_date
2019-06-01 00:00:00pages
743-746issue
6eissn
1445-1433issn
1445-2197journal_volume
89pub_type
杂志文章,评审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:BACKGROUND:Although several growth factors are known to be essential for liver regeneration, the role of gastrin remains controversial. METHODS:Liver regeneration was examined in wild-type (WT) and gastrin-deficient (gastrin KO) mice at days 2 and 10 after partial (40%) hepatectomy by measurement of liver weight. Hepa...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/j.1445-2197.2007.04360.x
更新日期:2008-01-01 00:00:00
abstract:BACKGROUND:Post-operative length of stay (LOS) is an increasingly important clinical indicator in general surgery. Despite this, no tool has been validated to predict LOS or readiness for discharge in general surgical patients. The de Morton Mobility Index (DEMMI) is a functional mobility assessment tool that has been ...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/ans.14555
更新日期:2018-09-01 00:00:00
abstract:BACKGROUND:Risk factors for bile leakage after hemihepatectomy are unknown. METHODS:A prospectively maintained database review identified patients undergoing hemihepatectomy between 1 January 2009 and 30 September 2014. Patients were divided into B/C and non-B/C bile leakage groups. Risk factors for bile leakage were ...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/ans.13073
更新日期:2017-07-01 00:00:00
abstract:BACKGROUND:As pleurodesis causes systemic inflammation and is associated with considerable cost and morbidity during long-term follow up, the identification of patients who will experience an unsuccessful pleurodesis would be desirable. This study was aimed to investigate whether systemic inflammatory reaction induced ...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/j.1445-2197.2007.04028.x
更新日期:2007-04-01 00:00:00
abstract:BACKGROUND:There are well-described benefits to separating emergency and elective surgery. Geelong Hospital lacked the resources to implement a separate acute surgical unit, but instituted daily dedicated emergency general surgery operating sessions, managed by an on-site consultant. This study aims to assess the impac...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/ans.12001
更新日期:2013-07-01 00:00:00
abstract:BACKGROUND:Previous studies have shown that children with isolated linear skull fractures have excellent clinical outcomes and low risk of surgery. We wish to identify other injury patterns within the spectrum of paediatric mild head injury, which need only conservative management. Children with low risk of evolving ne...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/ans.14175
更新日期:2018-03-01 00:00:00
abstract:BACKGROUND:Infection with multidrug-resistant (MDR) Gram-negative organisms leads to poorer outcomes in the critically ill burn patient. The aim of this study was to identify the risk factors for MDR Gram-negative pathogen infection in critically ill burn patients admitted to a major tertiary referral intensive care un...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/ans.14144
更新日期:2018-05-01 00:00:00
abstract:BACKGROUND:Treatment decisions for metastatic spine disease are complex and depend on prognosis. Four prognostic systems in use are the Oswestry Risk Index, modified Bauer score (MBS), van der Linden score and New England Spinal Metastasis Score (NESMS). We aimed to determine the performance of these scoring systems in...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/ans.15821
更新日期:2020-06-01 00:00:00
abstract:BACKGROUND:Scaphoid fracture is a common carpal fracture, and its treatment often requires fixation devices. This study aimed to investigate the efficacy and safety of a memory alloy nail-feet-fixation (MANFF) device in treating scaphoid fractures. METHODS:Sixty-six patients with closed scaphoid fractures were treated...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/ans.13641
更新日期:2016-07-01 00:00:00
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
更新日期:2018-04-01 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:The Victorian Audit of Surgical Mortality (VASM) seeks to peer review all deaths associated with surgical care in Victoria, Australia. The effectiveness of the VASM as an educational and quality improvement tool is dependent on the accuracy of source data it receives. We aimed to examine the accuracy and qua...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/ans.14910
更新日期:2019-01-01 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:BACKGROUND:Late laparoscopic cholecystectomy (LC) after endoscopic retrograde cholangiopancreatography (ERCP) and sphincterotomy (ES) for common bile duct (CBD) stone clearance, two-stage LC (TSLC), is associated with difficult surgical dissection and an increased rate of conversion to open procedure. The purpose of th...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/ans.12967
更新日期:2016-01-01 00:00:00
abstract:BACKGROUND:The Nuss procedure is a new minimally invasive repair for pectus excavatum that was first published in 1998. Modifications in technique are constantly evolving to minimize complications, especially bar displacement, which are higher in adolescents and adults. The present study reviews our early experience wi...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/j.1445-2197.2005.03402.x
更新日期:2005-06-01 00:00:00
abstract::Cancer of the small bowel is a rare entity but its incidence is rising. Historically, outcome is poor despite apparent curative resection. At present surgery remains the only treatment modality of proven benefit in the management of this disease. Recent data would suggest 5-year survival rates in the order of 40-50% a...
journal_title:ANZ journal of surgery
pub_type: 杂志文章,评审
doi:10.1046/j.1440-1622.2001.02149.x
更新日期:2001-07-01 00:00:00
abstract:BACKGROUND:This study is a collation of baseline demographic characteristics of those presenting for rotator cuff repair in New Zealand, and exploration of associations with preoperative function and pain. Data were obtained from the New Zealand Rotator Cuff Registry; a multicentre, nationwide prospective cohort of rot...
journal_title:ANZ journal of surgery
pub_type: 杂志文章,多中心研究
doi:10.1111/ans.13921
更新日期:2017-09-01 00:00:00
abstract::Mucinous appendiceal neoplasms (MANs) are rare tumours and the primary cause of pseudomyxoma peritonei. These tumours have a much more benign course than typical colorectal cancers, generally growing for many years before giving any clinical signs. The spectrum of presentations, tumour stages and the underlying cytolo...
journal_title:ANZ journal of surgery
pub_type: 杂志文章,评审
doi:10.1111/ans.16185
更新日期:2020-08-05 00:00:00
abstract:BACKGROUND:The presence of tumour cells in the pleural lavage of lung cancer patients with no malignant pleural effusion is a negative prognosticator. In the present study we aimed to determine the lowest frequency of positive pleural lavage in lung cancer. METHODS:The study included 26 consecutive patients who underw...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/j.1445-2197.2005.03355.x
更新日期:2005-05-01 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:Most large-volume centres use left heart bypass (LHB) as their preferred organ protection strategy during repair of descending thoracic aortic (DTA) and thoracoabdominal aortic (TAA) pathologies. We investigate the use of hypothermic circulatory arrest (HCA) for similar pathologies and compare the outcomes o...
journal_title:ANZ journal of surgery
pub_type: 杂志文章,评审
doi:10.1111/ans.16287
更新日期:2020-12-01 00:00:00
abstract:BACKGROUND:An enhanced fracture healing response has been reported in patients with traumatic brain injury (TBI). This has been attributed to circulating humoral factors that are thought to be proteins produced and released by the injured brain. However, these factors remain unknown. The aim of this study was to identi...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/j.1445-2197.2010.05268.x
更新日期:2010-07-01 00:00:00
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
更新日期:2018-10-01 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:Bowel resections have high morbidity and mortality rates and are becoming increasingly common in Australia. To reduce the burden on patients and the health system, measures for improving patient outcomes after resection must be investigated. One possible method for improving patient outcomes is prehabilitati...
journal_title:ANZ journal of surgery
pub_type: 杂志文章,评审
doi:10.1111/ans.15659
更新日期:2020-05-01 00:00:00
abstract:BACKGROUND:Pulmonary metastasectomy has become a popular procedure for patients with pulmonary metastases. It can be achieved via the traditional open thoracotomy or the more recently developed video-assisted thoracoscopic surgery (VATS). However, there has been much debate as to which approach is better in terms of de...
journal_title:ANZ journal of surgery
pub_type: 杂志文章,评审
doi:10.1111/ans.12925
更新日期:2015-06-01 00:00:00
abstract:BACKGROUND:We describe a technique of U-shaped bulboprostatic anastomosis for urethral injury after pelvic trauma. METHODS:Sixty-eight male patients were included in our study. Suprapubic cystostomy was carried out initially, followed by U-shaped prostatobulbar anastomosis after 6-12 weeks. Follow ups were carried out...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/j.1445-2197.2008.04584.x
更新日期:2008-07-01 00:00:00
abstract:BACKGROUND:Deficiencies in daily ward rounds are increasingly identified. A ward safety checklist has recently been devised to improve the fast-paced surgical ward round. METHODS:Over 2 weeks the morning post-take surgical ward round was evaluated using the ward safety checklist. In order to avoid the Hawthorne effect...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/ans.12496
更新日期:2014-10-01 00:00:00
abstract:BACKGROUND:The surgical cure rate for primary hyperparathyroidismis greater than 95%. For those who have recurrent or persistent disease, preoperative localization improves reoperation success rates. Selective parathyroid venous sampling (SPVS) for intact parathyroid hormone is particularly useful when non-invasive loc...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1046/j.1445-2197.2003.02678.x
更新日期:2003-10-01 00:00:00