ANZ Journal of Surgery最新文献

{"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}

{"title":"Junior Doctors' Experiences of Workplace Bullying, Harassment and Discrimination in Australia and Aotearoa New Zealand-A Scoping Review.","authors":"Mitchell Dwyer, Phoebe Griffin, Maryam Rouhi, Suzanne Waddingham, Lauri O Brien, Sarah Prior","doi":"10.1111/ans.70323","DOIUrl":"https://doi.org/10.1111/ans.70323","url":null,"abstract":"<p><strong>Background: </strong>The bullying, harassment, and discrimination (BHD) of junior doctors is associated with negative outcomes for doctors themselves and their patients. This review sought to examine literature relating to BHD among junior doctors in Australia and Aotearoa New Zealand, with a focus on definitions, prevalence rates, perpetrators, experiences/impacts, reporting, and mitigation strategies.</p><p><strong>Methods: </strong>A scoping review of peer-reviewed and grey literature published from 2015 to 2023 was undertaken. Study participants were exclusively junior doctors in Australia and Aotearoa New Zealand. Six databases were searched during the review: PubMed, PsychInfo, Scopus, Web of Science, ProQuest Dissertations and Theses, and the Cochrane Library.</p><p><strong>Results: </strong>Eight articles were included in the review. Definitions of \"bullying\" emphasized the use of repeated behaviors aimed at humiliating or threatening targets. Two studies reported prevalence rates, which were in close agreement with each other. Senior doctors were identified as the most common perpetrators. Junior doctors were reluctant to use available reporting mechanisms, and there was very little evidence in support of mitigation strategies against BHD.</p><p><strong>Conclusion: </strong>Our review demonstrates that while BHD is prevalent among junior doctors, efforts to address it are hindered by methodological issues, ineffective reporting mechanisms, and a shortage of research aimed at developing and trialing mitigation strategies. Researchers seeking to examine BHD should adopt broad terms that encompass all three concepts. Interventions aimed at addressing BHD should target the attitudes and behaviors of senior doctors. The effectiveness and transparency of reporting mechanisms must be improved in order for junior doctors to fully utilize them.</p>","PeriodicalId":8158,"journal":{"name":"ANZ Journal of Surgery","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145074067","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":"Cutaneous Melanoma Management-An Update and Narrative Review for the General Surgeon.","authors":"Matthew Binks, Alexander C J van Akkooi, Alexander M Menzies, Andrew Spillane","doi":"10.1111/ans.70252","DOIUrl":"https://doi.org/10.1111/ans.70252","url":null,"abstract":"<p><strong>Background and aims: </strong>The multidisciplinary management of cutaneous melanoma is advancing rapidly. Surgeons remain a key entry point for melanoma patients into specialist care and their up-to-date knowledge is vital for patient outcomes.</p><p><strong>Methods: </strong>A narrative review was performed to provide an update for the surgeon working outside of a high-volume melanoma centre.</p><p><strong>Results: </strong>This review covers recent developments in the management of both localised and metastatic cutaneous melanoma and how immunotherapy is changing the melanoma landscape.</p><p><strong>Conclusion: </strong>This review offers a review of the literature and perspectives on potential future developments in cutaneous melanoma management from the Melanoma Institute of Australia.</p>","PeriodicalId":8158,"journal":{"name":"ANZ Journal of Surgery","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145039109","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":"Dual Surgeon Operating to Prevent Colorectal Cancer Surgery Skill Fatigue in Rural Surgery-A Prospective Audit of 154 Patients.","authors":"Matthias W Wichmann, Timothy K McCullough, Tom Gunning, Guy J Maddern","doi":"10.1111/ans.70272","DOIUrl":"https://doi.org/10.1111/ans.70272","url":null,"abstract":"<p><strong>Background: </strong>Skill maintenance for rural surgeons is challenging. Surgery for colorectal disease requires a specialised skill set. Dual surgeon operating in low or medium volume centres may mitigate skill fade and improve surgical outcomes. There is a paucity of data on the outcomes of dual surgeon operating.</p><p><strong>Methods: </strong>Prospective audit of outcomes after dual surgeon operations for colorectal disease in a non-metropolitan surgical centre. Results are compared with treatment outcomes in the same hospital prior to the dual surgeon approach. Ethics approval CALHN Human Research Ethics Committee (Ref # 12041).</p><p><strong>Results: </strong>One hundred fifty-four patients underwent surgery for colorectal cancer during the audit period (November 2015 to February 2025). 60% of the patients were male (N = 92); median age was 70 years. Compared to the historic control (N = 233) there was a significant reduction in wound infections (3.2% vs. 12.4%, p = 0.0038), complications (24% vs. 40%, p = 0.02), intraoperative blood loss (60 vs. 250 mL, p < 0.001) and length of stay (6 vs. 8 days, p < 0.001). The lymph node yield was significantly increased (17 vs. 13, p < 0.001). Significantly more patients underwent laparoscopic colorectal surgery (87% vs. 23.6%, intention to treat, p < 0.00001) with a reduction of conversions (6% vs. 11%, p = 0.28). Outcomes were improved but did not reach statistical significance with regard to 30-day mortality (0.64% vs. 0.86%, p = 0.82), leak rate (2.2% vs. 5.5% of procedures with anastomosis, p = 0.15) and unplanned return to theatre (4.6% vs. 7.7%, p = 0.24).</p><p><strong>Conclusions: </strong>Our findings confirm that two-surgeon operating is feasible and safe for the treatment of colorectal cancer. Significantly better postoperative outcomes can be achieved with regard to complications, blood loss, and length of stay. The approach allows for more than 85% of all procedures to be done minimally invasive. Dual-surgeon operating helps to mitigate skill fade as well as loss of confidence for surgeons performing complex colorectal procedures in a low/medium volume setting.</p>","PeriodicalId":8158,"journal":{"name":"ANZ Journal of Surgery","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145039052","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":"To the Editor in Response to the Letter by Peksöz et al. Regarding \"Diagnostic Value of the Derived Neutrophil-To-Lymphocyte Ratio for Acute Appendicitis\".","authors":"Julio César Moreno-Alfonso, Carlos Delgado-Miguel, Ada Molina Caballero, Alberto Pérez Martínez, María Concepción Yárnoz Irazábal","doi":"10.1111/ans.70293","DOIUrl":"https://doi.org/10.1111/ans.70293","url":null,"abstract":"","PeriodicalId":8158,"journal":{"name":"ANZ Journal of Surgery","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145039104","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 Significance of Intersphincteric Space in Management of Anal Fistulas in Response to \"A Review of the Anatomy of Anal Glands Relevant to Cryptoglandular Fistulas; Are We on the Right Track?\"","authors":"Pankaj Garg, Nicola Clemente, Kaushik Bhattacharya","doi":"10.1111/ans.70322","DOIUrl":"https://doi.org/10.1111/ans.70322","url":null,"abstract":"<p><p>Normal anatomy of the anal canal showing the intersphincteric space.</p>","PeriodicalId":8158,"journal":{"name":"ANZ Journal of Surgery","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145039077","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":"Lansoprazole is Preferable to Omeprazole After Bariatric Surgery due to Superior Palatability When Capsules Are Opened.","authors":"Clive Solomon","doi":"10.1111/ans.70319","DOIUrl":"https://doi.org/10.1111/ans.70319","url":null,"abstract":"","PeriodicalId":8158,"journal":{"name":"ANZ Journal of Surgery","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145028810","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: Why Are Patients Readmitted After Surgery for? Predictors of 30-Day Readmission Following Gastrectomy: A Single-Center Retrospective Cohort Study.","authors":"Shayan Shabani Samghabadi, Hossein Alavi, Ali Hosseini","doi":"10.1111/ans.70320","DOIUrl":"https://doi.org/10.1111/ans.70320","url":null,"abstract":"","PeriodicalId":8158,"journal":{"name":"ANZ Journal of Surgery","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145028815","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":"Intervention on the Carotid Bifurcation-75 Years on, Still Not Nailed.","authors":"Bernie M Bourke","doi":"10.1111/ans.70321","DOIUrl":"https://doi.org/10.1111/ans.70321","url":null,"abstract":"","PeriodicalId":8158,"journal":{"name":"ANZ Journal of Surgery","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145013657","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":"Review of Progress in Early Weight-Bearing After Distal Femur Fracture Fixation.","authors":"Faisal A Shaikh, David Y Cho, Hamna Shahbaz, Zoltan H Nemeth","doi":"10.1111/ans.70318","DOIUrl":"https://doi.org/10.1111/ans.70318","url":null,"abstract":"","PeriodicalId":8158,"journal":{"name":"ANZ Journal of Surgery","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145005864","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}