ANZ Journal of Surgery最新文献

{"title":"Fistulotomy Versus Fistulectomy for Simple Fistula-In-Ano: A Systematic Review and Meta-Analysis of Randomized Controlled Trials.","authors":"Alap Parekh","doi":"10.1111/ans.70344","DOIUrl":"https://doi.org/10.1111/ans.70344","url":null,"abstract":"","PeriodicalId":8158,"journal":{"name":"ANZ Journal of Surgery","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145211381","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":"Sprint National Anaesthesia Project 3: A Survey of the Workload Generated by Older Surgical Patients Referred to On-Call Medical Registrars in Australia.","authors":"Thomas E Poulton, Claire Swarbrick, Adeel Aftab, Gayle Claxton, Jacqueline C T Close, Amanda Dawson, Jai N Darvall, David Highton, Allison L Kearney, Jennifer R Reilly, Guy Stanley, Janani Thillainadesan, Judith S L Partridge, Iain K Moppett","doi":"10.1111/ans.70335","DOIUrl":"https://doi.org/10.1111/ans.70335","url":null,"abstract":"","PeriodicalId":8158,"journal":{"name":"ANZ Journal of Surgery","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145211421","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":"Pregnancy Associated Breast Cancer: An Australian Perspective.","authors":"Caroline MacCallum, Maryam Badawy, Anne C Armstrong, Ashu Gandhi","doi":"10.1111/ans.70333","DOIUrl":"https://doi.org/10.1111/ans.70333","url":null,"abstract":"<p><p>Pregnancy associated breast cancer (PABC) is a relatively rare diagnosis, but with advancing maternal age at pregnancy, it is likely the number of cases will increase. The diagnosis and management of PABC is complex due to the need to balance the risk of optimal treatment of the mother with the potential fetal risks posed by prematurity and exposure to cancer treatment. In this article, we summarize the latest evidence for the diagnosis and surgical care of women with PABC within an Australasian context.</p>","PeriodicalId":8158,"journal":{"name":"ANZ Journal of Surgery","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145190583","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":"Auckland Sarcoma Unit Experience of Epithelioid Haemangioendothelioma.","authors":"Joshua Mitchell, Claire Paul, Andrew Johnston","doi":"10.1111/ans.70337","DOIUrl":"https://doi.org/10.1111/ans.70337","url":null,"abstract":"<p><strong>Background: </strong>Epithelioid haemangioendothelioma (EHE) is a rare vascular sarcoma of endothelial origin, characterized by heterogeneous clinical presentations with limited consensus on optimal management. This study aims to describe the incidence, clinical features, treatment, and outcomes of EHE within the Auckland regional sarcoma unit.</p><p><strong>Methods: </strong>A retrospective review was conducted of 20 patients diagnosed with histological confirmed EHE between 1999 and 2025, managed by the Auckland Sarcoma Unit, which receives referrals across the North Island of New Zealand. Data was extracted from electronic medical records, and incomplete records were excluded. Variables analyzed included incidence, demographics, tumor location, metastatic patterns, treatment modalities, and mortality.</p><p><strong>Results: </strong>Twenty cases of EHE were identified in the North Island of New Zealand (1999-2025), yielding an estimated annual incidence of 0.19 per 1,000,000. The mean age at diagnosis was 57 years, with 65% female. The lower limb (50%) and liver (20%) were the most common primary sites; bony primaries accounted for 20% of cases. 50% of patients presented with metastatic disease. Metastases occurred predominantly in the lungs (60%), liver (30%), and bones (15%). Surgical resection was the main treatment for localized disease (82%), while metastatic cases were most often managed with active surveillance (56%). No patients received systemic chemotherapy. Recurrence occurred in three patients who presented with primary disease (27%). Overall mortality was 45%, higher in patients with metastasis at diagnosis (70% vs. 22%). Cumulative mortality at 1, 3, and 5 years was 15%, 25%, and 35%, respectively.</p><p><strong>Conclusion: </strong>This is the largest reported case series of EHE in New Zealand, highlighting its rarity, variable clinical course, and poor prognosis. The findings underscore the need for improved data collection and international collaboration to inform management strategies for EHE.</p>","PeriodicalId":8158,"journal":{"name":"ANZ Journal of Surgery","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145190654","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":"The Human Appendix and Antibiotics: Choice and Beneficence.","authors":"Alan de Costa, Marc Reismann, Nuno Carvalho","doi":"10.1111/ans.70326","DOIUrl":"https://doi.org/10.1111/ans.70326","url":null,"abstract":"<p><p>Improvements in surgery, anaesthesia and support services established the downslope of the graph before antibiotics were available.</p>","PeriodicalId":8158,"journal":{"name":"ANZ Journal of Surgery","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145190609","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":"Re: Baseline Characteristics of Patients With Degenerative Cervical Myelopathy in Australia: Analysis From the MYelopathy NAtural History Registry.","authors":"Minha Wajid, Ahmad Furqan Anjum","doi":"10.1111/ans.70328","DOIUrl":"https://doi.org/10.1111/ans.70328","url":null,"abstract":"","PeriodicalId":8158,"journal":{"name":"ANZ Journal of Surgery","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145184555","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 Utilise Indocyanine Green to Localise Low Rectal Lesions and Perform an Intracorporeal Anastomosis.","authors":"Kirk Underwood, Jessica E Hanna, Gavin J Carmichael, Mathew O Jacob","doi":"10.1111/ans.70332","DOIUrl":"https://doi.org/10.1111/ans.70332","url":null,"abstract":"","PeriodicalId":8158,"journal":{"name":"ANZ Journal of Surgery","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145172595","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":"Non-Tuberculous Laryngeal Granulomas: Systematic Review and Case Series.","authors":"Seraphina Key, Michael Fook-Ho Lee, William Jiang, Zubair Hasan, Faruque Riffat","doi":"10.1111/ans.70327","DOIUrl":"https://doi.org/10.1111/ans.70327","url":null,"abstract":"<p><strong>Background: </strong>Submucosal laryngeal lesions may pose diagnostic uncertainty and mimic tumours. Although mycobacterium tuberculosis is the leading cause, non-tuberculous granulomas arise from multiple aetiologies. This paper presents a systematic review and case series to elucidate a diagnostic process.</p><p><strong>Methods: </strong>Systematic review of MeSH terms pertaining to 'granuloma' and 'larynx' was conducted. Inclusion criteria were granulomatous disease on histological examination, located in the larynx, of any non-malignant aetiology. Exclusion criteria were disease located outside the larynx, of a non-autoimmune or non-infectious aetiology. Risk of bias was assessed with JBI case series and ROBIN-I tools. Case series data were obtained from a retrospective review of medical records.</p><p><strong>Results: </strong>Of 2621 studies, nine papers with 30 patients were included. Infectious causes include leishmaniasis, histoplasmosis, laryngoscleroma, cryptococcosis, sporotrichosis and botryomycosis. Our case series proposes sarcoidosis as an autoimmune cause. Repeat biopsies are indicated when non-diagnostic, and autoimmune testing is non-specific. Four patients in our case series had non-diagnostic biopsies through microlaryngoscopy, requiring open biopsies to exclude malignancy.</p><p><strong>Conclusion: </strong>Autoimmune and infectious causes of laryngeal granulomas require a high index of suspicion to guide management. International collaboration may aid the creation of a diagnostic pathway for laryngeal biopsies for granulomatous disease.</p>","PeriodicalId":8158,"journal":{"name":"ANZ Journal of Surgery","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145147450","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":"Duplex Ultrasound Surveillance After Endovascular Therapy for Peripheral Artery Disease: An Australian and New Zealand Study.","authors":"Thomas M Warburton, Shannon D Thomas, Manar Khashram, Peter Subramaniam, Fernando Picazo-Pineda, Simon Joseph, Andrew F Lennox, Nedal Katib, Ramon L Varcoe","doi":"10.1111/ans.70329","DOIUrl":"https://doi.org/10.1111/ans.70329","url":null,"abstract":"<p><strong>Objective: </strong>Current practice guidelines lack consensus on optimal surveillance strategies following endovascular interventions for peripheral artery disease (PAD). This study evaluated surveillance practices among vascular surgeons in Australia and New Zealand (ANZ), focusing on duplex ultrasound (DUS) use and factors influencing surveillance protocols.</p><p><strong>Methods: </strong>All consultant vascular surgeons in the Australian and New Zealand Society for Vascular Surgery were invited to participate in an online survey examining demographics, practice characteristics, surveillance protocols after endovascular interventions, and decision-making regarding surveillance and reintervention.</p><p><strong>Results: </strong>Of 266 surgeons, 73 responded (27%). Respondents were predominantly experienced (77% with ≥ 10 years practice) and worked in teaching hospitals (88%). Most performed an initial post-procedural DUS (89%) and ongoing routine DUS surveillance (83%). Surveillance protocols varied considerably, with 67% tailoring intervals based on patient/lesion factors rather than predetermined schedules. Practice variation was independent of surgeon experience, practice setting, or geography. All surveyed chronic limb-threatening ischemia patients, versus 93% for intermittent claudication. Reintervention thresholds varied by anatomy: 58% required symptoms before intervening for infrapopliteal disease compared to 15% for aortoiliac disease. Most surgeons (82%) acknowledged significant uncertainty regarding optimal surveillance strategies.</p><p><strong>Conclusion: </strong>Substantial practice variation exists in post-endovascular surveillance among ANZ vascular surgeons. While most employ DUS surveillance, frequency, duration, and intervention thresholds differ markedly. These findings highlight the need for prospective studies to determine optimal surveillance protocols balancing clinical outcomes with resource utilization.</p>","PeriodicalId":8158,"journal":{"name":"ANZ Journal of Surgery","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145136112","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":"A Review of the Anatomy of Anal Glands Relevant to Cryptoglandular Fistulas; Are We on the Right Track?","authors":"Vipul D Yagnik","doi":"10.1111/ans.70324","DOIUrl":"https://doi.org/10.1111/ans.70324","url":null,"abstract":"","PeriodicalId":8158,"journal":{"name":"ANZ Journal of Surgery","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145084959","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}