Intraoperative nerve monitoring in endocrine surgery: prevalence and reasons for its use in Australia and New Zealand.

Abstract:

BACKGROUND:Intraoperative nerve monitoring (IONM) has increasingly been used in thyroid surgery by general, endocrine and head and neck surgeons. The purpose of this paper was to explore the prevalence and reasons for the usage of IONM in endocrine surgery in Australia and New Zealand. METHODS:A survey was sent to general surgeons registered with the Royal Australasian College of Surgeons involved in endocrine surgery and members of the Australian and New Zealand Endocrine Surgeons. Users were divided into surgeon type, area of work, hospital type and volume of surgery. These data were analysed with univariate and multivariate logistic regression models. RESULTS:Significant differences in IONM usage levels were observed between endocrine and general surgeons, area of work and volume of surgery performed. Endocrine surgeons are significantly more likely to use IONM than general surgeons. Surgeons who work in tertiary hospitals are more likely to use IONM as compared to those working in district hospitals. Surgeons who perform less than 100 thyroidectomies were more likely to be users of IONM. CONCLUSION:IONM is not routinely used in thyroid surgery in Australia and New Zealand. The main reasons for the use of IONM given in our study by routine users were to establish familiarity of equipment and medicolegal reasons. Selective users chose as the most common reasons, a documented pre-existing unilateral nerve paresis or a hostile surgical field. Non-users stated that there was conflicting evidence that it improves outcomes and increased costs.

journal_name

ANZ J Surg

journal_title

ANZ journal of surgery

authors

Leong DCW,Lo J,Ryan S,Nguyen H,Lisewski D

doi

10.1111/ans.15536

subject

Has Abstract

pub_date

2020-05-01 00:00:00

pages

867-871

issue

5

eissn

1445-1433

issn

1445-2197

journal_volume

90

pub_type

杂志文章
  • Bilateral thoracoscopy, mediastinoscopy and laparoscopy, in addition to CT, MRI and PET imaging, are essential to correctly stage and treat patients with mesothelioma prior to trimodality therapy.

    abstract:BACKGROUND:Trimodality therapy (TMT; extrapleural pneumonectomy (EPP), chemotherapy and radiation therapy) offers the potential of optimal survival in selected patients with Brigham stage I-II epitheliod mesothelioma based on CT, MRI and PET scanning. We hypothesized that these scanning modalities were inadequate to ac...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/j.1445-2197.2009.05060.x

    authors: Alvarez JM,Hasani A,Segal A,Sterret G,Millward M,Nowak A,Musk W,Bydder S

    更新日期:2009-10-01 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

  • Paediatric mild head injury: is routine admission to a tertiary trauma hospital necessary?

    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

    authors: Tallapragada K,Peddada RS,Dexter M

    更新日期:2018-03-01 00:00:00

  • Blue nevus-like and blue nevus-associated melanoma: a comprehensive review of the literature.

    abstract:BACKGROUND:Malignant blue nevus, blue nevus-associated melanoma and blue nevus-like melanoma are all terms used to describe malignant melanomas arising from, in association with, or resembling blue nevi. This review is aimed at summarizing the available literature to reduce the confusion surrounding this rare malignanc...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章,评审

    doi:10.1111/ans.13946

    authors: Borgenvik TL,Karlsvik TM,Ray S,Fawzy M,James N

    更新日期:2017-05-01 00:00:00

  • Two-year serum metal ion levels in minimally invasive total conservative hip resurfacing: preliminary results of a prospective study.

    abstract:BACKGROUND:Metal-on-metal (MoM) hip resurfacings have been associated with the potential development of metallic debris and its associated pathology. Serum cobalt and chromium levels are a reliable surrogate marker of wear rates in MoM bearings. The aim of the study was to examine the trend in serum metal ion levels in...

    journal_title:ANZ journal of surgery

    pub_type: 临床试验,杂志文章

    doi:10.1111/ans.12868

    authors: Tai SM,Millard N,Munir S,Jenabzadeh AR,Walter LR,Walter WL

    更新日期:2015-03-01 00:00:00

  • Flat adenomas.

    abstract::This article was presented at the conjoint CSSA and RACS (colorectal section) spring meeting Queensland, Australia, September 2004. The adenoma-carcinoma sequence describes a succession of events from polypoid adenoma to colorectal cancer. However, this model only accounts for up to two-thirds of colorectal cancers. T...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章,评审

    doi:10.1111/j.1445-2197.2006.03847.x

    authors: Speake D,Biyani D,Frizelle FA,Watson AJ

    更新日期:2007-01-01 00:00:00

  • Trends in embolectomy of the extremities: a population-based study.

    abstract:BACKGROUND:There is anecdotal evidence that fewer brachial and femoral embolectomies are being carried out. This may be because of the greater use of anticoagulation in patients with atrial fibrillation. The aim of the present study was to assess community-wide temporal trends in embolectomy of the extremities and of w...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/j.1445-2197.2008.04572.x

    authors: Ponosh S,Broadhurst R,Semmens J,Norman PE

    更新日期:2008-07-01 00:00:00

  • Current controversies in the management of patients with severe traumatic brain injury.

    abstract:BACKGROUND:Traumatic brain injury is a major cause of mortality and morbidity, particularly among young men. The efficacy and safety of most of the interventions used in the management of patients with traumatic brain injury remain unproven. Examples include the 'cerebral perfusion pressure-targeted' and 'volume-target...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章,评审

    doi:10.1111/j.1445-2197.2006.03674.x

    authors: Adamides AA,Winter CD,Lewis PM,Cooper DJ,Kossmann T,Rosenfeld JV

    更新日期:2006-03-01 00:00:00

  • Therapeutic embolization in the treatment of recurrent haemarthrosis following knee arthroplasty.

    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

    authors: Tat-Sing Law M,McClure DN

    更新日期:2010-04-01 00:00:00

  • Comparison between video-assisted retroperitoneal debridement and small incision pancreatic necrosectomy in infected pancreatic necrosis.

    abstract:BACKGROUND:Debridement and drainage have always been mainstream treatment for infected pancreatic necrosis (IPN), and the application of minimally invasive necrosectomy is becoming increasingly widespread. However, few studies have compared video-assisted retroperitoneal debridement (VARD) and small incision pancreatic...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/ans.16181

    authors: Zhang JB,Sun B

    更新日期:2020-08-11 00:00:00

  • Developmental anomaly of the inferior vena cava.

    abstract::Despite the many possible modes of presentation, congenital anomalies of the inferior vena cava are increasingly being found in asymptomatic patients. Although plain chest radiography may reveal enough suggestive signs, the diagnosis is usually confirmed by ultrasound, computed tomography and magnetic resonance imagin...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1046/j.1445-2197.2003.02502.x

    authors: Sandercoe GD,Brooke-Cowden GL

    更新日期:2003-05-01 00:00:00

  • Study of the early management of acute pancreatitis.

    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

    authors: Nesvaderani M,Eslick GD,Faraj S,Vagg D,Cox MR

    更新日期:2017-10-01 00:00:00

  • Laparoscopic gastric resection for benign and malignant conditions: lessons learned from 35 consecutive cases.

    abstract:INTRODUCTION:Despite significant advances in laparoscopy, gastric surgery is still generally carried out by conventional open techniques. The aim of the study was to report the short- and medium-term outcomes of gastric surgery when carried out laparoscopically for a variety of benign and malignant conditions. METHODS...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/j.1445-2197.2007.04224.x

    authors: Liew V,Taylor C,Ghusn M,Jamnagerwalla M,Layani L

    更新日期:2007-09-01 00:00:00

  • Comparison of outcomes between minimally invasive oesophagectomy and open oesophagectomy for oesophageal cancer.

    abstract:BACKGROUND:A systematic review with meta-analysis was performed to compare perioperative outcomes between minimally invasive oesophagectomy (MIE) and open oesophagectomy (OE). METHODS:PubMed and Cochrane databases were searched up to January 2015 using keywords: esophageal cancer, MIE, OE, hybrid MIE. Randomized contr...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章,meta分析,评审

    doi:10.1111/ans.13334

    authors: Xiong WL,Li R,Lei HK,Jiang ZY

    更新日期:2017-03-01 00:00:00

  • Comparative issues in aviation and surgical crew resource management: (1) are we too solution focused?

    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

    authors: Hunt GJ,Callaghan KS

    更新日期:2008-08-01 00:00:00

  • Thirteen-year experience with hand-assisted laparoscopic surgery in colorectal patients.

    abstract:BACKGROUND:We report outcomes on 324 consecutive cases of hand-assisted laparoscopic surgery (HALS) in colorectal patients over 13 years performed by a single surgeon. METHODS:A prospectively maintained database was used to identify all patients undergoing HALS colorectal procedures for benign or malignant indications...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/ans.15578

    authors: Siddiqui J,Young CJ

    更新日期:2020-01-01 00:00:00

  • Influence of screw to joint distance on articular subsidence in tibial-plateau fractures.

    abstract:BACKGROUND:Tibial-plateau fractures with depressed osteochondral fragments have a high incidence of articular subsidence post reduction. Locking plates aim to prevent this via 'raft' screws below the subchondral bone. However, differences in plate design and patient anatomy result in variability of screw position in re...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/ans.14978

    authors: Ye X,Huang D,Perriman DM,Smith PN

    更新日期:2019-04-01 00:00:00

  • Treatment of subglottic hemangiomas with propranolol: initial experience in 10 infants.

    abstract:BACKGROUND:Subglottic hemangiomas (SGH) are a rare tumour, often associated with significant airway obstruction in infants. Current treatment options, while effective, often expose the infant to potential complications. Emerging evidence suggests a role for the beta blocker propranolol in the initial management of SGH....

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章,多中心研究

    doi:10.1111/j.1445-2197.2010.05643.x

    authors: Mahadevan M,Cheng A,Barber C

    更新日期:2011-06-01 00:00:00

  • Anastomotic leak in colorectal surgery: a single surgeon's experience.

    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

    authors: Isbister WH

    更新日期:2001-09-01 00:00:00

  • Kasai hepatoportoenterostomy in South Australia: a case for 'centralized decentralization'.

    abstract:BACKGROUND:Recent follow-up studies have demonstrated significant improvement in overall survival as well as survival with native liver following geographic centralization of services to three centres in the UK. However, this model has not been replicated in countries with relatively low population density such as Aust...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/ans.12522

    authors: Tu CG,Khurana S,Couper R,Ford AW

    更新日期:2015-11-01 00:00:00

  • Regional nodal metastasis and 5-year survival in patients with thin melanoma in Queensland: a population-based study.

    abstract:BACKGROUND:Optimal management of regional lymph nodes for thin cutaneous melanoma is uncertain. We evaluated regional lymph node involvement and 5-year melanoma-specific survival (MSS) in patients with thin (≤1 mm) primary melanoma. METHODS:Patients with a melanoma, American Joint Committee on Cancer Staging 8th Editi...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/ans.15804

    authors: Theile H,Moore J,Dunn N,Cossio D,Forristal CE,Green AC,Smithers BM

    更新日期:2020-04-01 00:00:00

  • Quad bike injuries at an Australian regional hospital: a trauma registry review.

    abstract:BACKGROUND:Quad bikes are a prominent cause of morbidity and mortality in Australia in both agriculture and recreation. This study describes the clinical and epidemiological characteristics of quad bike injuries at the Royal Darwin Hospital (RDH). METHODS:A retrospective review of the RDH Trauma Registry for all quad ...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/ans.15631

    authors: Liddle SE,McDermott KM,Ward LM,Lim HH,Read DJ

    更新日期:2020-04-01 00:00:00

  • Evolution of methodological standards in surgical trials.

    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

    authors: Ellis C,Hall JL,Khalil A,Hall JC

    更新日期:2005-10-01 00:00:00

  • Quality of life and gastric acid-suppression medication 20 years after laparoscopic fundoplication.

    abstract:BACKGROUND:Laparoscopic fundoplication is an effective treatment for gastro-oesophageal reflux disease (GERD). We aimed to assess quality of life (QoL), long-term residual symptoms, patient satisfaction and use of acid-suppression medication at 5, 10 and 20 years after surgery. METHODS:We identified a cohort of 100 pa...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/ans.15471

    authors: Campanello M,Westin E,Unosson J,Lindskog S

    更新日期:2020-01-01 00:00:00

  • Laparoscopic revision of gastric band surgery.

    abstract:AIM:To identify the outcome of laparoscopic revision of gastric band surgery with respect to percentage of excess weight lost (%EWL). METHODS:Analysis of a prospective database was then performed and %EWL was plotted with respect to time from initial procedure and also time from revision procedure. RESULTS:All revisi...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/j.1445-2197.2009.05088.x

    authors: Bardsley S,Hopkins G

    更新日期:2010-05-01 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

  • Parastomal hernia following minimally invasive stoma formation.

    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

    authors: Carne PW,Frye JN,Robertson GM,Frizelle FA

    更新日期:2003-10-01 00:00:00

  • Creating change: building the capacity of the medical workforce in Aboriginal health.

    abstract:BACKGROUND:This paper provides an overview of the long-term strategies that have been in place at the University of Western Australia, which aim to build the capacity and preparedness of the health-care workforce in Aboriginal health. In 1996, the Centre for Aboriginal Medical and Dental Health was established within t...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/ans.12031

    authors: Paul D

    更新日期:2013-01-01 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

  • Blood management in total hip replacement: an analysis of factors associated with allogenic blood transfusion.

    abstract:BACKGROUND:The aim of this study was to audit the blood transfusion practice throughout the Epworth Healthcare Hospitals for patients undergoing primary total hip replacement (THR). We determined if blood-saving techniques were having an impact on the risk of allogenic blood transfusion and which patients were at risk ...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/ans.13048

    authors: Wong S,Tang H,de Steiger R

    更新日期:2015-06-01 00:00:00