ANZ Journal of Surgery最新文献

Follow-Up Strategies in Colorectal Cancer: What Do Patients Prefer? 结直肠癌的随访策略：患者偏好什么？

IF 1.6 4区医学

ANZ Journal of Surgery Pub Date : 2025-07-30 DOI: 10.1111/ans.70269

Gajan Srikumar, Scott McLaughlin, Matthew J McGuinness, Ian Bissett, Christopher Harmston

{"title":"Follow-Up Strategies in Colorectal Cancer: What Do Patients Prefer?","authors":"Gajan Srikumar, Scott McLaughlin, Matthew J McGuinness, Ian Bissett, Christopher Harmston","doi":"10.1111/ans.70269","DOIUrl":"https://doi.org/10.1111/ans.70269","url":null,"abstract":"Background: Increasing numbers of colorectal cancer patients and healthcare constraints mean novel follow-up strategies need to be considered. The optimal method of follow-up is unclear; however, a patient-tailored model could reduce costs, improve patient experience, and improve overall health. The aim was to explore patients' perspectives on current and alternative follow-up strategies and barriers to follow-up, to create a patient-led framework to guide further development of colorectal cancer follow-up.Methods: A qualitative study was conducted using semi-structured interviews with patients who underwent curative-intent colorectal cancer surgery. Thirteen participants (seven women, five Māori, age range 41-86 years) were recruited in Northland. Thematic analysis was performed using the Braun and Clarke method.Results: Patients were mostly satisfied and experienced positivity and reassurance around follow-up visits. Patients were open to alternative methods of follow-up. Benefits of remote follow-up included convenience, familiarity with prior experience, and resource-saving, while reservations included lack of physical contact, inability to use technology, and higher thresholds to raise concerns. Reservations of GP follow-up included lack of continuity, feeling rushed, misdiagnosis, and difficulty accessing care. Barriers to follow-up included inaccessibility, disability, travel, and obligations, while enablers included social support and access to transport.Conclusion: Colorectal cancer patients have positive experiences of follow-up, with alternative modalities for follow-up being feasible. While barriers need to be addressed, some could be overcome by a patient-tailored model of follow-up.","PeriodicalId":8158,"journal":{"name":"ANZ Journal of Surgery","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144741024","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Colovesical Fistula Management and the Role of Cystoscopy: A Single Institution Experience. 膀胱瘘管理和膀胱镜检查的作用：单一机构的经验。

IF 1.6 4区医学

ANZ Journal of Surgery Pub Date : 2025-07-29 DOI: 10.1111/ans.70273

Samuel Pau, Aakaash Patel, Sarah Yap, Timothy Eglinton, Jesse Fischer

{"title":"Colovesical Fistula Management and the Role of Cystoscopy: A Single Institution Experience.","authors":"Samuel Pau, Aakaash Patel, Sarah Yap, Timothy Eglinton, Jesse Fischer","doi":"10.1111/ans.70273","DOIUrl":"https://doi.org/10.1111/ans.70273","url":null,"abstract":"Purpose: Investigations for diagnosis and assessment of colovesical fistula (CVF) include cross-sectional imaging and endoscopic evaluation. Routine pre-operative cystoscopy for CVF remains controversial. The primary aim of this study was to assess the incidence of bladder cancer and the need for routine cystoscopy during the investigation of CVF. Secondary aims were to describe the diagnosis and management of CVF and determine the value of post-operative cystograms.Methods: A retrospective observational study was performed at a tertiary referral hospital in New Zealand. Patients were identified from the clinical coding database between 1st January 2000 and 31st December 2021. Demographic, diagnostic, and peri-operative data were collected.Results: The 88 patients with CVF were identified and included in the analysis. 73.8% of CVF were caused by diverticular disease, followed by colorectal cancer (14.8%), iatrogenic complication (5.7%), bladder cancer (3.4%) and gynecological cancer (2.3%). All patients with CVF due to bladder cancer had a known bladder cancer at the time of CVF diagnosis, and no occult cases of bladder cancer were found during or after surgical resection. The 18 patients had a post-operative cystogram. One patient had a post-operative bladder leak, which was routinely diagnosed on a planned early post-operative cystogram.Conclusion: CVF due to bladder cancer is rare, and when it occurs, it is likely to be in those with a pre-existing diagnosis of bladder cancer. Pre-operative cystoscopy should be used selectively and is not routinely required. Post-operative cystogram may be reserved for cases with large bladder defects or complex bladder repair.","PeriodicalId":8158,"journal":{"name":"ANZ Journal of Surgery","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144726933","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Wearable Technology in Surgery: New Developments Toward Real-Time Patient Monitoring. 外科可穿戴技术：实时患者监测的新进展。

IF 1.6 4区医学

ANZ Journal of Surgery Pub Date : 2025-07-29 DOI: 10.1111/ans.70275

Emma Davis, Alex Besson, Justin M Yeung

引用次数: 0

Aspiration Pneumonia Related Surgical Deaths-A Review of a 10 Year Australian State-Based Mortality Audit. 吸入性肺炎相关手术死亡-澳大利亚10年州死亡率审计回顾

IF 1.5 4区医学

ANZ Journal of Surgery Pub Date : 2025-07-25 DOI: 10.1111/ans.70247

Alisha Azmir, Lisa Ochiel, Karen Byth, Sabrina Naz, Peter Zelas

{"title":"Aspiration Pneumonia Related Surgical Deaths-A Review of a 10 Year Australian State-Based Mortality Audit.","authors":"Alisha Azmir, Lisa Ochiel, Karen Byth, Sabrina Naz, Peter Zelas","doi":"10.1111/ans.70247","DOIUrl":"https://doi.org/10.1111/ans.70247","url":null,"abstract":"Background: Acute respiratory problems are a frequent cause of death in surgical patients, however little is known about the specific impact of aspiration pneumonia (AP). This descriptive analysis examines AP related surgical deaths, trends over time and associated co-morbidities.Methods: A retrospective review was conducted on the NSW Collaborating Hospitals' Audit of Surgical Mortality database, a state-based audit, which examines all deaths of patients under the care of a surgeon. A 10-year period from 2008 to 2017 was reviewed.Results: Over 10 years, the total number of AP related deaths was 1103, an average of 5.2% of all notified surgical deaths (n = 21 038). AP was the main factor in death in 53.5%, and a contributory factor in 46.5% of those patient deaths (p < 0.001). The majority were male (61.4%), age ≥ 70 (84.6%), with an ASA of ≥ 3 (85%). Most AP related deaths were during an emergency admission (85%). Surgery was performed within 30 days of death in 84%. Admissions were predominantly under general (42.2%) or orthopaedic surgeons (33.3%), followed by neurosurgery (9.1%) and vascular surgery (6.9%). Significant associations were seen in risk factors of age ≥ 70 yo, respiratory and neurological co-morbidities.Conclusion: This 10 year review highlights the impact of AP on surgical mortality. Improved recognition may reduce the risk of this devastating outcome.","PeriodicalId":8158,"journal":{"name":"ANZ Journal of Surgery","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144717344","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Letter to the Editor Regarding "Diagnostic Value of the Derived Neutrophil-To-Lymphocyte Ratio for Acute Appendicitis". 致编辑关于“衍生中性粒细胞与淋巴细胞比值对急性阑尾炎的诊断价值”的信。

IF 1.5 4区医学

ANZ Journal of Surgery Pub Date : 2025-07-25 DOI: 10.1111/ans.70274

Rıfat Peksöz, Enes Ağırman, Sabri Selçuk Atamanalp

引用次数: 0

Comparative Outcomes of Direct Versus Mesh Repair and Timing of Repair for Traumatic Abdominal Wall Hernias: A Systematic Review and Meta-Analysis. 外伤性腹壁疝直接修补与补片修补及修补时机的比较结果：系统回顾和荟萃分析。

IF 1.5 4区医学

ANZ Journal of Surgery Pub Date : 2025-07-25 DOI: 10.1111/ans.70265

Khang Duy Ricky Le, Su Jin Lee, Rose Shakerian, Benjamin P T Loveday, David Read

{"title":"Comparative Outcomes of Direct Versus Mesh Repair and Timing of Repair for Traumatic Abdominal Wall Hernias: A Systematic Review and Meta-Analysis.","authors":"Khang Duy Ricky Le, Su Jin Lee, Rose Shakerian, Benjamin P T Loveday, David Read","doi":"10.1111/ans.70265","DOIUrl":"https://doi.org/10.1111/ans.70265","url":null,"abstract":"Introduction: Traumatic abdominal wall hernia (TAWH) refers to the disruption of the muscular layers of the abdominal wall following blunt traumatic injury. There is a lack of consensus in the management of TAWH, particularly when trauma laparotomy for concurrent visceral injury is required. This systematic review and meta-analysis aims to evaluate recurrence outcomes with repair technique (mesh vs. direct suture repair) and timing of repair (acute vs. elective) with and without trauma laparotomy.Methodology: A comprehensive search was conducted on Medline, Embase, and Cochrane central databases. Keywords related to traumatic abdominal wall hernia, acute and elective treatment, and timing of repair were used to identify relevant articles.Results: A total of 26 studies involving 432 patients were included. There was reduced recurrence with mesh compared to direct suture repair in patients with TAWH who did not require trauma laparotomy (OR 0.20, 95% CI 0.05-0.82, p = 0.02), although there was no difference in recurrence between acute versus elective repair in this cohort. There was no difference between mesh and direct suture repair for the management of TAWH in patients requiring trauma laparotomy.Conclusion: This systematic review and meta-analysis identified evidence of reduced recurrence with mesh compared to direct suture repair for a patient with TAWH who did not require trauma laparotomy. There was insufficient evidence of superiority for mesh compared to direct suture repair in trauma laparotomy settings, nor timing of repair in non-trauma laparotomy settings. The strength of the conclusions is limited by the risk of bias in included studies and their heterogeneity.","PeriodicalId":8158,"journal":{"name":"ANZ Journal of Surgery","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144717345","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Reduced Dose Perioperative Non-Steroidal Anti-Inflammatory Drugs in Arthroplasty Patients With Renal Impairment: A Five-Year Cohort Study. 关节置换术患者围手术期减少剂量非甾体抗炎药：一项为期五年的队列研究。

IF 1.5 4区医学

ANZ Journal of Surgery Pub Date : 2025-07-25 DOI: 10.1111/ans.70261

Liam T A Fernando-Canavan, Alistair Stanny, John Richmond, David J Mitchell

{"title":"Reduced Dose Perioperative Non-Steroidal Anti-Inflammatory Drugs in Arthroplasty Patients With Renal Impairment: A Five-Year Cohort Study.","authors":"Liam T A Fernando-Canavan, Alistair Stanny, John Richmond, David J Mitchell","doi":"10.1111/ans.70261","DOIUrl":"https://doi.org/10.1111/ans.70261","url":null,"abstract":"Background: Non-steroidal anti-inflammatory drugs (NSAIDs) are fundamental for multimodal analgesic therapy, but are traditionally avoided in renally impaired patients. We aim to show NSAIDs can be safely administered to arthroplasty patients with a pre-operative estimated glomerular filtration rate (eGFR) less than 60 mL/min/1.73 m2 without causing a permanent reduction in post-operative eGFR and, in doing so, minimise opioid use.Methods: We prospectively collected data from patients with a pre-operative eGFR less than 60 mL/min/1.73 m2 undergoing arthroplasty between January 2018 and June 2023 at St John of God Ballarat Hospital, Australia. Baseline eGFR was obtained pre-operatively, and on at least 1 of days 1, 2, 10, or a follow-up review appointment of at least 4 weeks. Patients received tailored dosing of perioperative NSAIDs corresponding to pre-operative eGFR. Acute kidney injury (AKI) was defined using the RIFLE criteria.Results: We identified 221 patients. Median baseline eGFR was 50 mL/min/1.73 m2 and median eGFR recovery at latest follow-up was 109% of baseline eGFR. 28% of the cohort had a clinically significant reduction in eGFR on day 1 post-operatively, and by latest follow-up, this subgroup had a median recovery of 106% of baseline eGFR. At the 2-week follow-up, there were no cases of AKI, and by latest follow-up, no patients had a clinically significant reduction of baseline eGFR.Conclusion: Perioperative NSAIDs in renally impaired patients undergoing arthroplasty surgery can be safely given using an adjusted dose protocol based on pre-operative renal function. Future studies investigating the circumspect use of NSAIDs for pain management during arthroplasty are warranted.","PeriodicalId":8158,"journal":{"name":"ANZ Journal of Surgery","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144706080","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

How to Do a Bedside Methylene Blue Nephrostogram to Confirm Ureteral Patency Following PCNL. PCNL术后如何行床边亚甲蓝肾造影确认输尿管通畅。

IF 1.5 4区医学

ANZ Journal of Surgery Pub Date : 2025-07-25 DOI: 10.1111/ans.70271

Paul M Rival, Yajat Dua, Niranjan Sathianathen, Simeon Ngweso, Briony Norris, Shomik Sengupta

引用次数: 0

Pre-Procedural Imaging. Pre-Procedural成像。

IF 1.5 4区医学

ANZ Journal of Surgery Pub Date : 2025-07-24 DOI: 10.1111/ans.70266

Francis O Walker, Michael S Cartwright, Luciana Pelosi

引用次数: 0

25, 50 and 75 Years Ago. 25、50和75年前。