ANZ Journal of Surgery最新文献

{"title":"Assessment of surgical smoke knowledge and exposure symptoms of the operating room team: a Turkish sample.","authors":"Derya Gezer, Gamze Bozkul","doi":"10.1111/ans.19316","DOIUrl":"https://doi.org/10.1111/ans.19316","url":null,"abstract":"<p><strong>Backgrounds: </strong>The aim of this study was to assess the level of knowledge of operating room (OR) staff about surgical smoke and to examine its negative effects on health.</p><p><strong>Methods: </strong>A descriptive and cross-sectional design was used. The study population consisted of the health care team working in the OR of a university and a state hospital. The sample consisted of 113 participants who met the inclusion criteria and agreed to participate in the study. Data were collected using a data collection form based on the literature. A P-value of >0.05 was considered statistically significant.</p><p><strong>Results: </strong>The mean age of the participants was 36.10 ± 8.13 years. 61.9% of the participants had not received training on surgical smoke. It was determined that 85% of the participants were bothered by surgical smoke, always experiencing discomfort from the odour (39.9%), occasionally pain or burning in the throat (33.6%), and rarely vision impairment (31.9%) due to exposure to surgical smoke.</p><p><strong>Conclusions: </strong>The level of knowledge of the healthcare team working in the OR about the risks of surgical smoke and prevention measures is inadequate. Exposure to surgical smoke has been linked to adverse effects such as eye irritation, headaches, and respiratory symptoms.</p>","PeriodicalId":8158,"journal":{"name":"ANZ Journal of Surgery","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143363398","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}

{"title":"Comment on stroke prevention strategies for cardiac surgery: a systematic review and meta-analysis of randomized controlled trials.","authors":"Hairui Wang, Meng Yang, Hongbo Gao, Xu Liu","doi":"10.1111/ans.70021","DOIUrl":"https://doi.org/10.1111/ans.70021","url":null,"abstract":"","PeriodicalId":8158,"journal":{"name":"ANZ Journal of Surgery","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143363406","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}

{"title":"How to do: En bloc nephro-adrenalectomy with right hepatectomy and caval thrombectomy for adrenocortical carcinoma causing budd chiari syndrome.","authors":"Constance Bouygues, Chétana Lim, Fabrice Menegaux, Sébastien Gaujoux","doi":"10.1111/ans.19350","DOIUrl":"https://doi.org/10.1111/ans.19350","url":null,"abstract":"<p><p>Adrenocortical carcinomas are rare lesion and R0 surgical resection remain their only chance for cure. They can be diagnosed because of their secretion but also on symptoms in relation with bulky tumours. Large lesion with caval thrombus can be surgically challenging, especially, as in the present case, when hepatic outflow obstruction leads to Budd Chiari syndrome. The present video shows a nephro-adrenalectomy with en-bloc right hepatectomy and caval thrombectomy for adrenocortical carcinoma in a patient with a Budd Chiari syndrome.</p>","PeriodicalId":8158,"journal":{"name":"ANZ Journal of Surgery","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143363411","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}

{"title":"Women in oral and maxillofacial surgery: the Australasian experience.","authors":"Ven Min Woo, Emilija Daina Jensen, Kristen Anne Candy","doi":"10.1111/ans.19422","DOIUrl":"https://doi.org/10.1111/ans.19422","url":null,"abstract":"<p><strong>Background: </strong>There continues to be an underrepresentation of women in oral and maxillofacial surgery (OMS) despite an increase in the number of female medical and dental students. This study aims to characterize the number of female OMS surgeons and the number of female specialists among surgical and dental specialties in Australia.</p><p><strong>Methods: </strong>The number of registered dental and medical specialists was publicly available from the Health Workforce (2013-2022). Data was requested from the Royal Australasian College of Dental Surgeons (RACDS) and Australia and New Zealand Association of Oral and Maxillofacial Surgeons (ANZAOMS) regarding distribution by sex, surgical and dental specialty. The results were collated descriptively.</p><p><strong>Results: </strong>There were 49 registered OMS surgical trainees with RACDS in 2023, 7 (14%) of whom were female. There were a total of 304 members of ANZAOMS in the same year, 33 (10.86%) were female. Female surgical specialists compromised of 16.6% of all registered surgical specialists and female dental specialist compromised of 31.3% of total registered specialists.</p><p><strong>Conclusion: </strong>While there has been a steady increase in the number of females in OMS, the number remains low; especially when compared to other surgical and dental specialties. There remains a need to further the opportunities for women aspiring to be OMS surgeons.</p>","PeriodicalId":8158,"journal":{"name":"ANZ Journal of Surgery","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143363422","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}

{"title":"Anatomical anomaly discovered at neurogenic thoracic outlet surgery: a timely reminder.","authors":"Adam C Gascoigne, Scott Ferris","doi":"10.1111/ans.70008","DOIUrl":"https://doi.org/10.1111/ans.70008","url":null,"abstract":"","PeriodicalId":8158,"journal":{"name":"ANZ Journal of Surgery","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143254537","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}

{"title":"Unilateral hypertrophy of the tensor fascia lata muscle: a need to revisit and review.","authors":"Brady Bonner, Phillip Rowell, Richard Boyle, Luke Johnson, Jakub Jagiello, Thomas Lloyd, Scott Sommerville","doi":"10.1111/ans.19324","DOIUrl":"https://doi.org/10.1111/ans.19324","url":null,"abstract":"<p><strong>Background: </strong>Unilateral hypertrophy of the tensor fascia lata muscle is a rare phenomenon with a variety of aetiological causes. It may mimic soft tissue sarcoma, which can lead to misdiagnosis and unnecessary invasive procedures.</p><p><strong>Methods: </strong>A retrospective review was conducted of all adult patients referred to a statewide sarcoma service lata between January 2010 to June 2023 with confirmed unilateral hypertrophy of the tensor fascia. Their medical records and imaging were reviewed to identify the likely cause. All patients' histories, clinical findings and radiological investigations were reviewed by subspecialised radiologists and orthopaedic surgeons.</p><p><strong>Results: </strong>We identified nine patients with unilateral hypertrophy of the tensor fascia lata muscle. Conservative treatment was recommended to all patients, however one patient who experienced hip pain pursued surgical excision of the tensor fascia lata at another centre, with ongoing pain in the region post-operatively.</p><p><strong>Conclusions: </strong>With ample awareness of the diagnosis and the imaging findings, this condition can be diagnosed based on history, examination and magnetic resonance imaging. Tissue biopsy and surgical excision are not indicated.</p>","PeriodicalId":8158,"journal":{"name":"ANZ Journal of Surgery","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143254538","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}

{"title":"Outcomes of type A aortic dissection in Australia.","authors":"Abbey Knox, Damian Gimpel, David Lance, Gregory D Rice, Gareth Crouch, Richard F Newland, Robert A Baker, Jayme S Bennetts","doi":"10.1111/ans.19399","DOIUrl":"https://doi.org/10.1111/ans.19399","url":null,"abstract":"<p><strong>Introduction: </strong>Without surgical intervention, type A aortic dissection (TAAD) carries a high risk of life-threatening complications and mortality. Due to the low incidence of aortic dissection, case numbers vary significantly between institutions. This study reports outcomes for patients undergoing surgical TAAD repair in Australia between 2001 and 2021, and the impact of institution case numbers on mortality.</p><p><strong>Methods: </strong>Retrospective multicentre cohort study using the Australian and New Zealand Society of Cardiac and Thoracic Surgeons (ANZSCTS) data, including consecutive adult patients undergoing surgery for TAAD. Patients were divided into groups based on 30-day mortality. Secondary morbidity outcomes are reported.</p><p><strong>Results: </strong>Between 2001 and 2021, 2604 patients (median age 65; 67% male) underwent operative intervention for TAAD. Over this period, the number of aortic dissections recorded in the database annually increased (from <50 to >200 cases per year), consistent with the increasing number of contributing institutions. Thirty-day mortality rates varied by unit from 0% to 100%, with an average over the period of 18%. Despite unit case numbers ranging from 1 or 2 to over 200 cases, funnel plot analysis demonstrated no units fell outside the accepted 99.7% control level for 30-day mortality. Individual surgeons showed decreased mortality with increased caseload. Non-survivors were more likely to have prior respiratory or cerebrovascular disease, previous myocardial infarction, or severe left ventricular dysfunction. Post-operative stroke, return to theatre for bleeding, renal failure and atrial fibrillation were more common in the non-survivors (P < 0.05).</p><p><strong>Conclusion: </strong>Mortality outcomes for TAAD in Australia have improved over time, stabilizing at 18% over the last 5 years. Units performing fewer operations for TAAD showed equivalent mortality outcomes to high volume units, while surgeons performing fewer procedures displayed a higher mortality.</p>","PeriodicalId":8158,"journal":{"name":"ANZ Journal of Surgery","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143187750","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}

{"title":"Pneumatosis intestinalis in systemic sclerosis: navigating diagnostic and therapeutic challenges.","authors":"Shalvin Jassal, Ishani Oza, William Gibcus, Melanie Crispin","doi":"10.1111/ans.70001","DOIUrl":"https://doi.org/10.1111/ans.70001","url":null,"abstract":"<p><strong>Background: </strong>Pneumatosis intestinalis, characterised by the presence of intramural bowel gas, is a radiological finding with varied clinical implications, ranging from incidental detection to severe underlying pathology, including bowel ischaemia or perforation. Its association with systemic sclerosis, a connective tissue disorder, remains rare and poorly understood, presenting unique diagnostic and therapeutic challenges.</p><p><strong>Methods: </strong>A comprehensive literature review was conducted, analysing 34 documented cases of pneumatosis intestinalis associated with systemic sclerosis, examining demographic profiles, clinical features, diagnostic findings, and outcomes of various management strategies.</p><p><strong>Results: </strong>Pneumatosis intestinalis in systemic sclerosis predominantly occurs in older female patients and is associated with gastrointestinal dysmotility and microvascular damage. Symptoms range from asymptomatic presentations to severe abdominal pain with obstructive symptoms, with the latter increasing the likelihood of surgical intervention. Non-operative management, encompassing antibiotic therapy, oxygen supplementation, and dietary modifications, was associated with favourable outcomes and the lowest mortality. In contrast, surgical intervention, often necessitated by suspected ischemia or perforation, was associated with significantly higher morbidity and mortality.</p><p><strong>Conclusion: </strong>Pneumatosis intestinalis in systemic sclerosis is a complex clinical entity demanding a nuanced, multi-disciplinary approach to management. Non-operative management should remain the cornerstone of treatment for clinically stable presentations, with surgery reserved for those with clear indications. The absence of standardised guidelines underscores the need for further research to refine diagnostic criteria and therapeutic protocols, ultimately improving long-term outcomes in this complex intersection of gastrointestinal and systemic disease.</p>","PeriodicalId":8158,"journal":{"name":"ANZ Journal of Surgery","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143122031","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}

{"title":"From the world of darkness to the world of light.","authors":"Jamie-Lee Rahiri, Ashlea Gillon, Jason Tuhoe, Jonathan Koea, Matire Harwood, John Mutu-Grigg","doi":"10.1111/ans.70015","DOIUrl":"https://doi.org/10.1111/ans.70015","url":null,"abstract":"","PeriodicalId":8158,"journal":{"name":"ANZ Journal of Surgery","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143187645","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}

{"title":"Ki te wheiao, ki te ao marama.","authors":"Jason Tuhoe, Jamie-Lee Rahiri, Ashlea Gillon, Jonathan Koea, Matire Harwood, John Mutu-Grigg","doi":"10.1111/ans.70016","DOIUrl":"https://doi.org/10.1111/ans.70016","url":null,"abstract":"","PeriodicalId":8158,"journal":{"name":"ANZ Journal of Surgery","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143187656","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}