ANZ Journal of Surgery最新文献_第3页

Evaluating referral patterns and treatment timeliness for soft tissue sarcoma in rural WA: insights from the WA state sarcoma service.

IF 1.5 4区医学

ANZ Journal of Surgery Pub Date : 2025-03-27 DOI: 10.1111/ans.70106

Ellen Maclean, Vindya Johnston, Chloe Price, Andrew Coveney, Rupert Hodder

{"title":"Evaluating referral patterns and treatment timeliness for soft tissue sarcoma in rural WA: insights from the WA state sarcoma service.","authors":"Ellen Maclean, Vindya Johnston, Chloe Price, Andrew Coveney, Rupert Hodder","doi":"10.1111/ans.70106","DOIUrl":"https://doi.org/10.1111/ans.70106","url":null,"abstract":"Background: Soft tissue sarcomas (STS) are rare tumours that require multidisciplinary management at high-volume centres. The WA State Soft Tissue Sarcoma Service (WASTSS), established at Sir Charles Gairdner Hospital in 2016, provides a central referral pathway for rural patients. This study evaluated referral patterns and adherence to the Australian Cancer Council's optimal care pathway for people with sarcoma guidelines recommending specialist assessment within 4 weeks, investigations within 2 weeks, and surgery within 3 weeks of the decision to operate.Methods: A retrospective analysis was conducted on 69 rural patients referred to WASTSS from 2020 to 2023. Data on demographics, referrals, and timelines were analysed. Statistical tests assessed adherence to guidelines and differences by patient and referrer location, malignancy status, and socio-economic factors.Results: Annual referrals increased, with 88.2% of patients assessed within 4 weeks (median: 9 days). Investigations were completed within 2 weeks for 64.7% of patients (median: 7 days). Biopsy timing and location influenced investigation timelines. Only 37.5% of patients underwent surgery within 3 weeks, with delays linked to resource constraints and case complexity. Malignant cases experienced shorter delays than benign cases, with all malignant cases excised within 50 days; however, both groups exceeded recommended timeframes.Conclusion: WASTSS met guidelines for initial assessments and investigations for rural patients in most cases. Delays in surgical management highlight the need for enhanced triage and resource allocation. Establishing dedicated benign tumour services and optimising diagnostic pathways could further improve outcomes.","PeriodicalId":8158,"journal":{"name":"ANZ Journal of Surgery","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143717765","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

Exploring ethnic and geographic disparities in polydactyly incidence in New Zealand 2010-2022.

IF 1.5 4区医学

ANZ Journal of Surgery Pub Date : 2025-03-27 DOI: 10.1111/ans.70110

Daniel Wen, Juma Rahman, Hyok Jun Kwon

{"title":"Exploring ethnic and geographic disparities in polydactyly incidence in New Zealand 2010-2022.","authors":"Daniel Wen, Juma Rahman, Hyok Jun Kwon","doi":"10.1111/ans.70110","DOIUrl":"https://doi.org/10.1111/ans.70110","url":null,"abstract":"Aim: Polydactyly is a common congenital anomaly that can affect both the upper and lower limbs. Current literature in the field is lacking, but the available data show significant ethnic variation around the world. There has not been a study characterizing the incidence of polydactyly in Oceania and the Pacific Islands. The investigators aim to measure the burden of polydactyly in New Zealand and influence improvements in the provision of the healthcare system.Methods: The prevalence of polydactyly from 2010 to 2022 in New Zealand was calculated as the number of births specific to each year per 10 000 live births. The investigators further conducted analyses to calculate the proportions of polydactyly by sex, ethnicity, geographical region and access to Plastic and Hand Surgical services.Results: The total number of live births with polydactyly in New Zealand from 2010 to 2022 was 858, or 13.0 per 10 000 live births. The incidence proportion varied significantly depending on gender, ethnicity and geographical region. European populations had a lower incidence of 6.3 per 10 000 births (95% CI of 5.6-7.0), while Māori and Pacific populations had incidences of 9.9 per 10 000 births (95% CI of 8.7-11.3) and 10.2 per 10 000 births (95% CI of 8.5-12.1), respectively.Discussion: The results of this study demonstrate variations in polydactyly incidence dependent on several factors, including gender, ethnicity and geographic region. The incidence proportion of polydactyly in Māori, Pacific and Asian populations is higher than that of the European population in New Zealand.","PeriodicalId":8158,"journal":{"name":"ANZ Journal of Surgery","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143717767","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

Open versus endoscopic craniofacial resections in sinonasal adenocarcinoma: long term follow up from two institutions.

IF 1.5 4区医学

ANZ Journal of Surgery Pub Date : 2025-03-26 DOI: 10.1111/ans.70102

Samuel Sharp, Deepika Gunda, Andrew Gogos, Yi Yuen Wang, Bernard Lyons, Benjamin Dixon

{"title":"Open versus endoscopic craniofacial resections in sinonasal adenocarcinoma: long term follow up from two institutions.","authors":"Samuel Sharp, Deepika Gunda, Andrew Gogos, Yi Yuen Wang, Bernard Lyons, Benjamin Dixon","doi":"10.1111/ans.70102","DOIUrl":"https://doi.org/10.1111/ans.70102","url":null,"abstract":"Background: Sinonasal adenocarcinomas are a rare malignancy, and historically surgically resected via open craniofacial resections. With the rise of endoscopic techniques, there has been a shift in addressing these tumours via an endoscopic approach. This project aimed to assess the surgical outcomes from two institutions in Melbourne, Australia, and ensure oncologic outcomes are maintained with a switch to an endoscopic approach.Methods: Retrospective analysis of patients undergoing craniofacial resection for adenocarcinoma at two tertiary centres between 2011 and 2023. Open/combined and endoscopic craniofacial approaches were included for analysis, assessing TNM staging, margin status, hospital LOS, adjuvant radiotherapy, and complications. Statistical analysis was performed on these variables to investigate their significance on outcomes.Results: Over eleven years, 27 patients were analysed and divided into endoscopic (n = 16) and open/combined (n = 11) cohorts. Mean age 67.0 (±12.1 SD), with one female patient (3.7%), with the majority of cases T3/4 (74%). Five patients (18.5%), one endoscopic (6.3%) and four open (36.4%) developed recurrence during the follow-up period (P = 0.141). Complication rates were similar between groups, endoscopic (18.8%) and open (27.3%) (P = 0.872). Five-year disease-free survival and overall survival were 85.2% and 88.9%, respectively. No factors included had statistical influence over survival.Conclusion: This study examined outcomes for sinonasal adenocarcinoma in the post-endoscopic era in Australia at two tertiary centres. The rate of recurrence was lower for endoscopic craniofacial resection, with similar complication rates compared with an open approach. This reinforces endoscopic craniofacial resection as an appropriate alternative surgical technique in selected populations.","PeriodicalId":8158,"journal":{"name":"ANZ Journal of Surgery","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143708265","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

Incidental discovery of a 'mega-appendix'.

IF 1.5 4区医学

ANZ Journal of Surgery Pub Date : 2025-03-26 DOI: 10.1111/ans.70072

Nazley Lanuola Youssef, Binura Buwaneka Wijesinghe Lekamalage, Lucinda Jane Duncan-Were, Benjamin Ian Cribb

引用次数: 0

Strangulated Morgagni's hernia: a rare condition.

IF 1.5 4区医学

ANZ Journal of Surgery Pub Date : 2025-03-25 DOI: 10.1111/ans.70097

Rahma Daoud, Hazem Ben Ameur, Nozha Toumi, Amine Chaabouni, Wael Boujelbene, Amira Akrout, Salma Ketata, Amine Zouari, Salah Boujelbene

引用次数: 0

Mucosal polyposis syndrome mimicking a rectal tumour.

IF 1.5 4区医学

ANZ Journal of Surgery Pub Date : 2025-03-25 DOI: 10.1111/ans.70101

Wei Ming Ong, Dhaval Joshi, Suat Chin Ng

引用次数: 0

Strangulated hernias and eventrations: prosthesis versus simple suture repair.

IF 1.5 4区医学

ANZ Journal of Surgery Pub Date : 2025-03-25 DOI: 10.1111/ans.70105

Sahar Sallemi, Zied Hadrich, Hamadi Ben Chaabane, Rached Bayar, Sahir Omrani

{"title":"Strangulated hernias and eventrations: prosthesis versus simple suture repair.","authors":"Sahar Sallemi, Zied Hadrich, Hamadi Ben Chaabane, Rached Bayar, Sahir Omrani","doi":"10.1111/ans.70105","DOIUrl":"https://doi.org/10.1111/ans.70105","url":null,"abstract":"Purpose: Despite the established position of prosthetic repair as the standard for the planned cure of abdominal hernias and eventrations, its application in cases of strangulation remains limited, mainly due to the risk of infection. The primary aim of our study was to compare prosthesis and stent cure for strangulated hernias and eventrations in terms of surgical site infection. The secondary objectives were to compare the two techniques in terms of length of hospital stay, non-specific surgical and medical morbidity, recurrence and death.Methods: We conducted a retrospective comparative study of 194 patients operated on for strangulated hernia or eventration, aged over 18 years and with an ASA score of 1 or 2. Patients who required bowel resection were excluded.Results: The two populations were comparable in terms of preoperative data (age (P = 0.15), gender (P = 0.07), medical and surgical history (P = 0.3 and 0.55) and ASA score (P = 0.17)) and intraoperative data (type of eventration (P = 0.69), contents of the sac (P = 0.56), vitality of the contents (P = 0.25), intraperitoneal effusion (P = 0.39), intraoperative incident (P = 0.49)). Our study showed that there was no significant difference between the two groups in terms of suppuration of the surgical site (P = 0.26). Furthermore, there was no significant difference in terms of length of hospital stay (P = 0.4), scrotal haematoma for patients operated on for groin hernia (P = 0.68), non-specific surgical complications (P = 0.37) or medical complications (P = 0.26) and death (P = 0.58). Recurrence was less frequent in patients who had had a prosthesis (P = 0.044).Conclusion: We can confirm that the cure of strangulated hernias and eventrations by prosthesis is safe and effective, and gives similar results to the cure by raphia in terms of suppuration of the surgical site.","PeriodicalId":8158,"journal":{"name":"ANZ Journal of Surgery","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143699510","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

Combination of Lenvatinib and pembrolizumab as neoadjuvant treatment for BRAF negative anaplastic thyroid cancer.

IF 1.5 4区医学

ANZ Journal of Surgery Pub Date : 2025-03-24 DOI: 10.1111/ans.70104

Zhao Jie, Bella Nguyen, Dean Lisewski

引用次数: 0

Impact of COVID-19 on elective general surgery cancellations and emergency presentations.

IF 1.5 4区医学

ANZ Journal of Surgery Pub Date : 2025-03-24 DOI: 10.1111/ans.70108

Kai Yun Jodene Tay, Evangeline Woodford, Jingyi Cao

{"title":"Impact of COVID-19 on elective general surgery cancellations and emergency presentations.","authors":"Kai Yun Jodene Tay, Evangeline Woodford, Jingyi Cao","doi":"10.1111/ans.70108","DOIUrl":"https://doi.org/10.1111/ans.70108","url":null,"abstract":"Background: Following the declaration of the COVID-19 pandemic by the World Health Organization, many measures to contain its spread were applied in Australia, including the cancellation and postponement of elective procedures. This study aims to explore the impact of these delays to elective surgery on emergency department (ED) presentations and post-operative outcomes.Methods: This was a single-centre retrospective cohort study comparing waitlisted elective general surgical patients presenting to ED between 2021 and 2023 to a pre-COVID cohort presenting between 2017 and 2019. The primary outcome was the incidence and proportion of ED presentations for waitlisted patients, with secondary outcomes of emergency surgical intervention and post-operative morbidity. SPSS Statistics version 24.0 (IBM SPSS Statistics for Windows, Amonk, NY, USA) was used for statistical analysis.Results: No significant difference in incidence of related ED presentations was found between the two groups (22.1% v 21.4%, P = 0.610). A significant increase in average waitlist time was seen in the post-COVID period, with delays to procedures for 51.5% of patients compared to 9.2% pre-COVID (<0.001). Average waitlist time for category 1 & 2 procedures in the post-COVID period was notably higher than the recommended category wait-time (category 1, 50.3 ± 43.1 days; category 2, 124.5 ± 106.8 days).Conclusion: Significant delays to surgery and an increase in waitlist time were apparent in the post-COVID period despite no significant difference in emergency presentation incidence for waitlisted elective general surgical patients.","PeriodicalId":8158,"journal":{"name":"ANZ Journal of Surgery","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143690818","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

Radical resections of hepatopancreatobiliary cancers: balancing surgical innovation, evidence, and societal impact.

IF 1.5 4区医学

ANZ Journal of Surgery Pub Date : 2025-03-24 DOI: 10.1111/ans.70099

Thomas J Hugh, Saxon Connor

引用次数: 0