Fresh frozen cadaver workshops for general surgical training.

Abstract:

BACKGROUND:The technical proficiency of a surgeon is intricately linked to training and experience. Reduction in working hours, decreased operating time and ethical imperatives to protect patients have all resulted in a decrease in hands-on experience. The introduction of laparoscopic procedures has also decreased trainees' exposure to open operative procedures not routinely performed in the current era. METHODS:The Clinical Training and Evaluation Centre at The University of Western Australia introduced the Core Skills Workshop for general surgical trainees in 2007. The workshop provides cadaveric dissection time for a range of open procedures. We describe in this article the logistics of setting up and running a cadaveric workshop, the performance and report our trainees' evaluation of the workshop. RESULTS:The Clinical Training and Evaluation Centre has hosted 26 General Surgery Core Skills Workshops since 2007. There were 227 participants with 196 evaluations returned (response rate 86%). Feedback was strongly positive for the course meeting the participants' expectations as well as its contribution to their skillset. Participants value the use of cadavers and high instructor:student ratios along with performance of a large number of open procedures in the setting of a stress-free workshop and looked forward to more similar courses in the future. CONCLUSIONS:Fresh frozen cadaver workshops are of value in the face of current surgical training challenges in providing an efficient, effective and safe environment.

journal_name

ANZ J Surg

journal_title

ANZ journal of surgery

authors

Chai DQ,Naunton-Morgan R,Hamdorf J

doi

10.1111/ans.15258

subject

Has Abstract

pub_date

2019-11-01 00:00:00

pages

1428-1431

issue

11

eissn

1445-1433

issn

1445-2197

journal_volume

89

pub_type

杂志文章
  • Mortality data 2004-2019: an audit of the Royal Adelaide Hospital Adult Burn Service.

    abstract:BACKGROUND:Burns are complex, multifaceted injuries that can pose significant challenges to the treating team. The Royal Adelaide Hospital (RAH) Burns Service has undergone a major evolution over the past two decades, with perceived improvement in outcomes. We present here a longitudinal audit of the RAH Burns Service ...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/ans.16349

    authors: Stefani K,Wagstaff MJD,Damkat I,Greenwood JE

    更新日期:2020-11-02 00:00:00

  • Investigations and time trends in loop ileostomy reversals following anterior resections: a single Australian institution seven-years' experience.

    abstract:BACKGROUND:Currently no consensus exists regarding what pre-reversal investigations are required to assess integrity of the rectal anastomosis. The objective of this study was to compare pre-reversal assessments of anastomotic integrity and to evaluate trends that might have influenced timings for reversal. METHODS:Fr...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/ans.16483

    authors: Taylor D,Besson A,Faragher IG,Chan STF,Yeung JM

    更新日期:2020-12-09 00:00:00

  • How to do it: value-driven sharp recanalization of central vein occlusion.

    abstract::Patients on haemodialysis are susceptible for central vein occlusions, which can result in debilitating clinical consequences. These may be resistant to conventional revascularization with guidewire and catheter technique. Value-driven sharp recanalization of central vein occlusion is depicted as a safe and affordable...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/ans.15599

    authors: Yoong GSW,Koh FHX,Wee BBK,Anil G,Ho P

    更新日期:2020-03-01 00:00:00

  • Video-assisted thoracoscopic surgery versus open thoracotomy for pulmonary metastasectomy: a systematic review.

    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

    authors: Cheang MY,Herle P,Pradhan N,Antippa P

    更新日期:2015-06-01 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

  • Preoperative factors prolonging the length of stay in elective colorectal surgery.

    abstract:BACKGROUND:In elective colorectal resections, the patient's preoperative social situation may play a significant role in delaying their discharge from hospital. The aim of this study was to identify which preoperative factors are associated with non-medical reasons for a delay in discharge and prolonged length of stay ...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/j.1445-2197.2010.05587.x

    authors: Ngui NK,Hitos K,Ctercteko G

    更新日期:2011-09-01 00:00:00

  • Progress towards near-zero 90-day mortality: 388 consecutive hepatectomies over a 16-year period.

    abstract:BACKGROUND:Hepatectomy has been the gold standard procedure for curative treatment of benign and malignant hepatobiliary lesions for over a century. The aim of this study is to report on the 16-year experience of a single institution. METHODS:All patients admitted to The Queen Elizabeth Hospital, South Australia, for ...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/ans.15304

    authors: Liu J,Reid J,Leopardi L,Edwards S,Trochsler M,Maddern G

    更新日期:2019-09-01 00:00:00

  • A survey of general surgery clerkships in Australian and New Zealand medical schools.

    abstract:BACKGROUND:Surgical clerkships facilitate development of knowledge and competency, but their structure and content vary. Establishment of new medical schools and raising student numbers are new challenges to the provision of standardized surgical teaching across Australasian medical schools. A survey was conducted to i...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/j.1445-2197.2010.05524.x

    authors: Yu TC,Wheeler BR,Hill AG

    更新日期:2010-12-01 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

  • Can the outcome of open carpal tunnel release be predicted?: a review of the literature.

    abstract::Carpal tunnel syndrome is a common condition affecting 1% of the population. Open carpal tunnel release is the most commonly performed procedure for this condition. About 70-90% of patients have good to excellent long-term outcomes with open carpal tunnel release. The remainder have poor outcomes. An understanding of ...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章,评审

    doi:10.1111/j.1445-2197.2009.05175.x

    authors: Turner A,Kimble F,Gulyás K,Ball J

    更新日期:2010-01-01 00:00:00

  • Case cancellations on the day of surgery: an investigation in an Australian paediatric hospital.

    abstract:BACKGROUND:This study investigates case cancellations on the intended day of surgery (DOS) at a paediatric hospital in Melbourne, Australia. The hospital in Melbourne treats over 32 000 inpatients annually and handles both elective and emergency cases. METHODS:The data for this paper were collected over a period of 12...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/j.1445-2197.2009.05019.x

    authors: Haana V,Sethuraman K,Stephens L,Rosen H,Meara JG

    更新日期:2009-09-01 00:00:00

  • Anastomotic leaks in stage IV colorectal cancer.

    abstract:BACKGROUND:The purpose of this study was to determine the anastomotic leak rate for colorectal cancer resections in patients with metastases (compared to those without), and to determine the impact of anastomotic leaks on survival. METHODS:This is a retrospective analysis of all patients who underwent resection and pr...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/ans.14494

    authors: Ng SC,Stupart D,Bartolo D,Watters D

    更新日期:2018-09-01 00:00:00

  • Acute epiglottitis in adults: the Royal Melbourne Hospital experience.

    abstract:BACKGROUND:To examine the common presentations and management of acute epiglottitis in adults. METHOD:Retrospective clinical study of 17 consecutive adult patients who presented to the Royal Melbourne Hospital between January 1988 and December 2000 was undertaken. RESULTS:The mean patient age was 47 years (range 20-8...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1046/j.1445-1433.2001.02265.x

    authors: Wong EY,Berkowitz RG

    更新日期:2001-12-01 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

  • Attitudes to evidence-based practice in urology: results of a survey.

    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

    authors: Stapleton AM,Cuncins-Hearn A,Pinnock C

    更新日期:2001-05-01 00:00:00

  • Impact of post-haemorrhoidectomy pain relief checklists on pain outcomes: a randomized controlled trial.

    abstract:BACKGROUND:Haemorrhoidectomy is associated with significant post-operative pain which is primarily managed pharmacologically. Whether a non-pharmacological adjunct such as a checklist can improve pain outcomes after an open haemorrhoidectomy has yet to be studied. The purpose of this study was to determine if a patient...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/ans.15732

    authors: Huang J,Rickard MJFX,Keshava A,Suen MKL

    更新日期:2020-04-01 00:00:00

  • Evaluation of fresh frozen plasma usage at a tertiary care hospital in North India.

    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

    authors: Chaudhary R,Singh H,Verma A,Ray V

    更新日期:2005-07-01 00:00:00

  • Mobility scores as a predictor of length of stay in general surgery: a prospective cohort study.

    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

    authors: Carroll GM,Hampton J,Carroll R,Smith SR

    更新日期:2018-09-01 00:00:00

  • Questionnaire to aid priority and outcomes assessment in gallstone disease.

    abstract:BACKGROUND:Limited health resources necessitate prioritization for access to elective cholecystectomy in New Zealand. We aimed to develop and validate a patient questionnaire for determining the effect of gallstone disease on quality of life (QOL) and evaluate its potential role in appraising prioritization and outcome...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/j.1445-2197.2006.03777.x

    authors: Chen TY,Landmann MG,Potter JC,van Rij AM

    更新日期:2006-07-01 00:00:00

  • Risk factors associated with perforated appendicitis in elderly patients presenting with signs and symptoms of acute appendicitis.

    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

    authors: Sheu BF,Chiu TF,Chen JC,Tung MS,Chang MW,Young YR

    更新日期:2007-08-01 00:00:00

  • Perioperative risk analysis for acute respiratory distress syndrome after elective oesophagectomy.

    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

    authors: Paul DJ,Jamieson GG,Watson DI,Devitt PG,Game PA

    更新日期:2011-10-01 00:00:00

  • Post-thyroidectomy sore throat following endotracheal intubation.

    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

    authors: Hisham AN,Roshilla H,Amri N,Aina EN

    更新日期:2001-11-01 00:00:00

  • Patent Blue V dye anaphylaxis: experience of Australian and New Zealand surgeons.

    abstract:BACKGROUND:Patent Blue V dye (PBVD) can cause severe anaphylaxis. For sentinel node biopsy (SNB) in breast cancer patients, controversy exists as to the utility of PBVD in addition to lymphoscintigraphy. This survey assessed Australian and New Zealand breast surgeons' experience of anaphylaxis with PBVD. METHODS:The s...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/j.1445-2197.2012.06277.x

    authors: Wong A,Spillane A,Breast Surgeons of Australia and New Zealand Incorporated (BreastSurgANZ).

    更新日期:2014-01-01 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

  • Parathyroid hormone venous sampling prior to reoperation for primary hyperparathyroidism.

    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

    authors: Estella E,Leong MS,Bennett I,Hartley L,Wetzig N,Archibald CA,Harper JS,Cuneo RC

    更新日期:2003-10-01 00:00:00

  • Bach and His.

    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

    authors: Beasley W

    更新日期:2014-12-01 00:00:00

  • Long-term outcome of portomesenteric vein invasion and prognostic factors in pancreas head adenocarcinoma.

    abstract:BACKGROUND:The purpose of this study was to clarify the post-operative prognosis of pancreatic head cancer with pathologic portal vein (PV) or superior mesenteric vein (SMV) invasion. METHODS:From May 1995 to December 2009, preoperative, intra-operative and post-operative data from 276 patients who underwent pancreati...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/ans.12502

    authors: Jeong J,Choi DW,Choi SH,Heo JS,Jang KT

    更新日期:2015-04-01 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

  • Appendix redux: a stone unturned.

    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

    authors: de Costa A

    更新日期:2020-06-08 00:00:00

  • Survey of trends in minimally invasive intervention for necrotizing pancreatitis.

    abstract:BACKGROUND:Minimally invasive techniques to manage infected pancreatic necrosis have been recently developed and changes in their pattern of use are unknown. The aims of this survey were to determine the trends in the role of minimally invasive techniques to manage infected complications of necrotizing pancreatitis and...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/j.1445-2197.2010.05265.x

    authors: Loveday BP,Rossaak JI,Mittal A,Phillips A,Windsor JA

    更新日期:2011-01-01 00:00:00