Abstract：
BACKGROUND:Necrotizing myositis (NM) is a life-threatening emergency. It causes focal muscle necrosis without abscess formation or extensive involvement of the overlying fascia and soft tissue. It is a clinical diagnosis requiring a high index of clinical suspicion. Usual presentation can readily be mistaken to represent more benign pathologies such as muscular injury, viral myopathy or deep venous thrombosis. The clinical course following initial misdiagnosis is rapid deterioration into profound sepsis and progressive multiorgan failure. Prompt treatment is associated with favourable outcomes, but early diagnosis is challenging due to initial absence of cutaneous signs and symptoms. Delayed referral to surgeons with appropriate expertise results in higher morbidity and mortality. The cornerstones to treatment are complete surgical debridement, intensive care management and accurate antimicrobial therapy. METHODS:We report four cases of NM demonstrating classical scenarios of initial misdiagnosis, delays in referral and review by an experienced surgeon. A review of the current literature to aid with overall management is also included. RESULTS:Review of literature that revealed the most common presentation was antecedent prodromal flu-like symptoms followed by rapidly progressing focal muscle pain. Patients were initially misdiagnosed followed by rapid deterioration into profound sepsis before surgical opinion was obtained. CONCLUSION:NM is a rare and potentially fatal disease that must be considered in the differential diagnoses of the young, healthy patient with acute limb pain and fever. A high index of suspicion will facilitate earlier management and reduce morbidity and mortality.
journal_name
ANZ J Surgjournal_title
ANZ journal of surgeryauthors
Khanna A,Gurusinghe D,Taylor Ddoi
10.1111/ans.15429subject
Has Abstractpub_date
2020-01-01 00:00:00pages
130-134issue
1-2eissn
1445-1433issn
1445-2197journal_volume
90pub_type
杂志文章,评审abstract：BACKGROUND:Single-incision laparoscopic cholecystectomy (SILC) is a common procedure performed worldwide. In this study, we evaluated the safety and efficacy of SILC for acute cholecystitis. METHODS:Patients who underwent SILC between September 2012 and December 2016 were retrospectively enrolled and divided into acut...
journal_title：ANZ journal of surgery
pub_type： 杂志文章
doi：10.1111/ans.14246
更新日期：2018-07-01 00:00:00
abstract：BACKGROUND:Telemedicine is a patient consultation method commonly available to patients in rural and remote areas throughout Australia. Its use in paediatric orthopaedics has been rarely described. The primary aim of this study was to identify the patient cohort accessing the orthopaedic paediatric telehealth service t...
journal_title：ANZ journal of surgery
pub_type： 杂志文章
doi：10.1111/ans.12753
更新日期：2014-12-01 00:00:00
abstract：BACKGROUND:Pathological complete response following neoadjuvant chemoradiotherapy (CRT) for locally advanced rectal cancer is associated with reduced local recurrence and improved long-term outcome. However, the prognostic value of a partial response, or of tumour regression in patients with metastatic disease, is less...
journal_title：ANZ journal of surgery
pub_type： 杂志文章
doi：10.1111/ans.13394
更新日期：2017-12-01 00:00:00
abstract：BACKGROUND:Peripheral hospitals are perceived to be at a disadvantage in providing treatment for breast cancer, especially with regard to breast conservative surgery (BCS) because of the requirement of adjuvant radiotherapy. Wairau Hospital is a 100-bed peripheral hospital in New Zealand with no on-site radiotherapy un...
journal_title：ANZ journal of surgery
pub_type： 杂志文章
doi：10.1111/j.1445-2197.2006.03940.x
更新日期：2006-12-01 00:00:00
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
更新日期：2020-10-13 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：:A posterior vaginal wall prolapse, also known as a rectocele, is a common condition and is an outpouching of the posterior vaginal wall and anterior rectal wall into the lumen of the vagina.1-5 Although more common in parous women, rectoceles of over 1 cm in size have been demonstrated in over 40% of nulliparous women...
journal_title：ANZ journal of surgery
pub_type： 杂志文章,评审
doi：10.1046/j.1445-2197.2002.t01-1-02577.x
更新日期：2002-12-01 00:00:00
abstract：BACKGROUND:In the present paper we describe the presentation and management of ductal carcinoma in situ (DCIS) of the breast in women in Australia in 1995. This representative, national data set provides a historical comparator for studies examining DCIS management that follow. METHODS:Surgeons identified by populatio...
journal_title：ANZ journal of surgery
pub_type： 杂志文章
doi：10.1046/j.1445-2197.2002.02532.x
更新日期：2002-10-01 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:Gastrointestinal (GI) complications after cardiac surgery are uncommon, but are associated with high morbidity and mortality as well as significant hospital resource utilization. METHODS:We analysed a prospectively collected database containing all adult cardiac surgery procedures performed from July 2001 t...
journal_title：ANZ journal of surgery
pub_type： 杂志文章
doi：10.1111/ans.12134
更新日期：2013-09-01 00:00:00
abstract：INTRODUCTION:Thrombosis of the hepatic artery following orthotopic liver transplantation (OLT) can be a devastating com-plication impacting on recipient outcome. The utility of routine intraoperative flow measurements of the hepatic artery in predicting subsequent hepatic artery thrombosis (HAT) is presented in this st...
journal_title：ANZ journal of surgery
pub_type： 杂志文章
doi：10.1046/j.1445-2197.2002.02552.x
更新日期：2002-11-01 00:00:00
abstract：BACKGROUND:Ethnic and rural disparities in medical treatment and outcomes have been demonstrated across a range of conditions, including colorectal cancer. Timely treatment and investigation of symptoms in patients with suspicion of cancer is likely to improve outcomes and patient experience. Achieving equity in timeli...
journal_title：ANZ journal of surgery
pub_type： 杂志文章
doi：10.1111/ans.16257
更新日期：2020-08-31 00:00:00
abstract：:The CLEAR (critical literature evaluation and research) module was developed to meet an identified need in both trainees and Fellows for the basic tools to allow them to plan research projects and evaluate research papers. This paper describes briefly the way in which the module was developed and presents results of p...
journal_title：ANZ journal of surgery
pub_type： 杂志文章
doi：10.1046/j.1445-1433.2003.02892.x
更新日期：2004-01-01 00:00:00
abstract：BACKGROUND:The purpose of the present paper is to introduce a new surgical procedure using the external oblique aponeurosis (EOA) for repair of spontaneous renal allograft rupture. METHODS:Thirty-eight cases with spontaneous renal allograft rupture were encountered in 1000 consecutive kidney transplants between April ...
journal_title：ANZ journal of surgery
pub_type： 杂志文章
doi：10.1046/j.1445-2197.2003.t01-1-02650.x
更新日期：2003-06-01 00:00:00
abstract：BACKGROUND:This retrospective, population-based cohort study aims to determine if differences in the regional distribution of procedures or variation in regional mortality contributes to the variable pancreaticoduodenectomy (PD) mortality between Australian states and territories. METHODS:De-identified procedural data...
journal_title：ANZ journal of surgery
pub_type： 杂志文章
doi：10.1111/ans.15336
更新日期：2019-12-01 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：INTRODUCTION:The clinical outcomes from suspected appendicitis depend on balancing the rate of negative appendicectomy (NA) with perforated appendicitis (PA). An Acute Surgical Model (ASM) was introduced at Geelong Hospital (GH) in 2011 involving a dedicated emergency general surgery theatre list every business day giv...
journal_title：ANZ journal of surgery
pub_type： 临床试验,杂志文章
doi：10.1111/ans.12211
更新日期：2013-10-01 00:00:00
abstract：BACKGROUND:There is conflicting evidence regarding the oncological impact of anastomotic leak following colorectal cancer surgery. This study aims to test the hypothesis that anastomotic leak is independently associated with local recurrence and overall and cancer-specific survival. METHODS:Analysis of prospectively c...
journal_title：ANZ journal of surgery
pub_type： 杂志文章
doi：10.1111/ans.13648
更新日期：2018-01-01 00:00:00
abstract：BACKGROUND:Longo's technique of stapled haemorrhoidopexy has revolutionized management of symptomatic haemorrhoids. However, several problems have been identified in the original Longo's technique. In particular, recurrence of haemorrhoidal tissue has been found to be significantly higher. METHODS:An improved techniqu...
journal_title：ANZ journal of surgery
pub_type： 杂志文章
doi：10.1111/j.1445-2197.2008.04484.x
更新日期：2008-05-01 00:00:00
abstract：BACKGROUND:The diagnosis of severe acute respiratory syndrome (SARS) in surgical patients can potentially be missed based on current World Health Organization (WHO) case definitions. METHOD:We report a retrospective case series of 10 surgical inpatients diagnosed with SARS following an outbreak in the surgical wards. ...
journal_title：ANZ journal of surgery
pub_type： 杂志文章
doi：10.1111/j.1445-2197.2005.03285.x
更新日期：2005-01-01 00:00:00
abstract：BACKGROUND:The present paper examines the local recurrence rate following surgical treatment for carcinoma of the lower rectum with principally blunt dissection directed at tumour-specific mesorectal excision (including total mesorectal excision when appropriate). METHODS:During the period April 1987-December 1999, 12...
journal_title：ANZ journal of surgery
pub_type： 杂志文章
doi：10.1111/j.1445-1433.2004.03136.x
更新日期：2004-09-01 00:00:00
abstract：BACKGROUND:With the introduction of laparoscopic Tenckhoff catheter insertion in the early 1990s, catheter malposition resulting in malfunction remains a frequent complication, often requiring surgical or radiological intervention. In this pioneer study, we describe the technique of suturing the Tenckhoff catheter usin...
journal_title：ANZ journal of surgery
pub_type： 杂志文章
doi：10.1111/ans.15506
更新日期：2020-01-01 00:00:00
abstract：BACKGROUND: The purpose of credentialing is to ensure that clinicians provide safe, high-quality health-care services in accordance with good practice and legal requirements. This review assessed the institutional credentialing processes and governance structures required to support credentialing processes at an insti...
journal_title：ANZ journal of surgery
pub_type： 杂志文章,评审
doi：10.1111/j.1445-2197.2012.06115.x
更新日期：2012-07-01 00:00:00
abstract：:Pancreaticobiliary reflux may occur either as a result of an anatomically abnormal pancreaticobiliary junction or because of a functionally impaired sphincter despite a normal radiological appearance. It is associated with a wide spectrum of biliary diseases, including gall bladder and bile duct carcinoma. Pancreatico...
journal_title：ANZ journal of surgery
pub_type： 杂志文章,评审
doi：10.1111/j.1445-2197.2012.06076.x
更新日期：2012-06-01 00:00:00
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
更新日期：2016-09-01 00:00:00
abstract：BACKGROUND:Mastectomy for breast cancer treatment and prophylaxis has improved survival for patients. The advantage of implant reconstruction post mastectomy is that it avoids an additional donor site with its associated morbidity, which post-mastectomy autologous reconstruction necessitates. However, the deficiency of...
journal_title：ANZ journal of surgery
pub_type： 杂志文章
doi：10.1111/j.1445-2197.2012.06313.x
更新日期：2013-03-01 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：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
更新日期：2018-07-01 00:00:00
abstract：BACKGROUND:Urgent assessment of haematuria is critical to exclude malignancy. The objective of this study is to report the outcomes of the first 3 years of a dedicated haematuria clinic at the Royal Melbourne Hospital, a Victorian tertiary hospital. METHODS:All patients assessed in the haematuria clinic from April 201...
journal_title：ANZ journal of surgery
pub_type： 杂志文章
doi：10.1111/ans.12742
更新日期：2015-05-01 00:00:00
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
更新日期：2014-12-01 00:00:00
