ANZ Journal of Surgery最新文献

{"title":"Two Decades of Burns in Queensland (2003-2023): A Retrospective Analysis of Prospectively Collected Data.","authors":"Justin Hunt, Madison Bowles, Nicholas Tellam, Elizabeth Vujcich, Jason Brown","doi":"10.1111/ans.70284","DOIUrl":"https://doi.org/10.1111/ans.70284","url":null,"abstract":"<p><strong>Background: </strong>Burns pose a significant public health concern due to their severe physical and psychosocial effects and the need for specialised care. Understanding their epidemiology is vital for prevention, resource allocation and disaster planning. The Queensland Adult Burns Centre is the primary referral service for adult burns in the state, which has not seen an epidemiological update since 2005.</p><p><strong>Methods: </strong>This prospectively collected, retrospective study analysed 7364 patients admitted to the QABC from 1 January 2004 to 31 December 2023, with comparisons made between the first decade (D1, 2004-2013) and second decade (D2, 2014-2023).</p><p><strong>Results: </strong>Annual admissions showed an increasing trend. Most burns occurred in young men; however, the proportion of elderly comorbid patients significantly increased. Flame burns were the most common cause (43.54%), followed by scalds (24.69%) and contact burns (18.62%). The median total body surface area burned was 1.5% (IQR 0.51%-4.0%), with 11.47% of patients requiring ICU admission. Median hospital stay decreased from 7 to 6 days. Most burns occurred in domestic settings; however, workplace burns continue to represent a significant volume of cases (14.17%). For burns ≥ 40%, length of stay decreased from a median of 47.5-32 days, ICU stay remained constant at 12.5 days and mortality rose from 29.66% (83 survived with 35 deaths) to 38.55% (51 survived with 32 deaths).</p><p><strong>Conclusion: </strong>This study illustrates the evolving burn epidemiology in Queensland, highlighting the need for updated public health strategies, resource management and clinical practices. The rise in elderly comorbid patients, persistent high workplace burns rates and changing burn aetiology necessitate targeted interventions to prevent injuries and improve outcomes.</p>","PeriodicalId":8158,"journal":{"name":"ANZ Journal of Surgery","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144854350","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":"Determinants of Nonattendance in a Urology Outpatient Clinic: A 5-Year Retrospective Study in a Tertiary Metropolitan Hospital.","authors":"Harry Collin, Rachel Cockburn, Xiang-Yu Hou, Susan Toolis, Elisabeth Winslade, Kate Dickson, Rachel Esler","doi":"10.1111/ans.70280","DOIUrl":"https://doi.org/10.1111/ans.70280","url":null,"abstract":"<p><strong>Backgrounds: </strong>Nonattendance in outpatient healthcare contributes to patient morbidity and healthcare strain. Aboriginal and/or Torres Strait Islander peoples (hereafter, respectively referred to as Indigenous peoples) of Australia experience poorer health outcomes compared to non-Indigenous Australians, with higher rates of nonattendance in outpatient settings. Understanding factors associated with nonattendance is crucial for developing strategies to improve attendance and healthcare inequities. This study aimed to identify factors associated with nonattendance at a urology outpatient clinic and the difference in nonattendance rates between Indigenous and non-Indigenous peoples.</p><p><strong>Methods: </strong>A secondary data analysis was conducted on urology outpatient clinic attendance at a Brisbane tertiary teaching hospital over 5 years (January 1, 2018 to December 31, 2022). Factors including age, gender, Indigenous status, review type, appointment modality, distance from the clinic, COVID-19 lockdowns, and socioeconomic status were analyzed using chi-square tests and multivariable logistic regression.</p><p><strong>Results: </strong>Of the 11 683 scheduled appointments, the nonattendance rate was 4.9%. Indigenous patients had a higher nonattendance rate compared to non-Indigenous patients (13.6% vs. 4.6%, OR 2.8, CI 1.91-3.99, p < 0.001). Nonattendance was also associated with age groups less than 54 years of age (p < 0.001) and follow-up appointments (OR 1.73, CI 1.43-2.09, p < 0.001) across the patient population, particularly when the follow-up is scheduled in-person rather than via telehealth (OR 0.4, CI 0.23-0.67, p < 0.001).</p><p><strong>Conclusion: </strong>Indigenous status, younger age, and follow-up appointment type were significant predictors of nonattendance. Offering follow-up appointments via telehealth may improve attendance. Addressing these disparities is vital for reducing healthcare inequalities and improving health outcomes for Indigenous peoples.</p>","PeriodicalId":8158,"journal":{"name":"ANZ Journal of Surgery","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144854344","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":"Mapping Lymphatic Drainage of the Splenic Flexure: Towards a Patient-Specific Surgical Approach for Splenic Flexure Cancer.","authors":"Krishanth Naidu, Robert Russo, Kheng-Seong Ng","doi":"10.1111/ans.70295","DOIUrl":"https://doi.org/10.1111/ans.70295","url":null,"abstract":"","PeriodicalId":8158,"journal":{"name":"ANZ Journal of Surgery","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144833814","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":"Emphysematous Pyelonephritis Treated With Medical Management and Percutaneous Drainage.","authors":"Vo Anh Vinh Trang, Dieu Nhan Van, Thien Tan Tri Tai Truyen","doi":"10.1111/ans.70292","DOIUrl":"https://doi.org/10.1111/ans.70292","url":null,"abstract":"","PeriodicalId":8158,"journal":{"name":"ANZ Journal of Surgery","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144833756","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":"Publication Rates of Abstracts Presented at the Urological Society of Australia and New Zealand Annual Scientific Meeting Keith Kirkland and Villis Marshall Session: A Decade-Long Review.","authors":"Cheryl Fung, Lequang T Vo, David Armany, Balasubramaniam Indrajit, Simon V Bariol, Tania Hossack, Sriskanthan Baskaranathan, David Ende, Henry H Woo","doi":"10.1111/ans.70290","DOIUrl":"https://doi.org/10.1111/ans.70290","url":null,"abstract":"<p><strong>Background: </strong>The publication rate of abstracts at scientific meetings reflects research quality and impact, highlighting its dissemination within the academic and clinical communities. The Keith Kirkland and Villis Marshall (KK/VM) Session, held annually at the Urological Society of Australia and New Zealand (USANZ) Annual Scientific Meeting (ASM), features top abstracts from Urology SET Trainees. While the Board selects abstracts for presentation, their publication rates remain unclear. This study aims to determine the full-article publication rate of abstracts presented at the KK/VM session from 2012 to 2022.</p><p><strong>Methods: </strong>The published Scientific Program of the USANZ ASM from 2012 to 2022 was retrospectively reviewed. All abstracts accepted for presentation at the KK/VM sessions were identified from the named plenary session. These abstracts were tracked for their subsequent publication status. Successful publication was defined as those identified in a search on PubMed using the abstract title and author name. Analysis of the successful publication was conducted.</p><p><strong>Results: </strong>One hundred and thirty-five abstracts were identified. 51.85% were subsequently published in peer-reviewed journals, most commonly in the BJU International (27.14%), The Journal of Urology (18.57%), and the ANZ Journal of Surgery (8.57%). The average time to publication was 14.58 months. The proportion of prospective studies among published (51.4%) and unpublished (52.3%) abstracts was similar.</p><p><strong>Conclusion: </strong>The USANZ ASM KK/VM session achieved a 51.85% full-article publication rate from 2012 to 2022, surpassing the broader USANZ ASM rate. This underscores the high quality of research by Urology SET Trainees. Targeted support could boost publication rates, improving urology research dissemination.</p>","PeriodicalId":8158,"journal":{"name":"ANZ Journal of Surgery","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144833815","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":"Kidney Autotransplantation: A Dual Centre Experience","authors":"Rowan Klein Nulend,&nbsp;Jerome San Jose,&nbsp;Ashan Canagasingham,&nbsp;Lawrence Kim,&nbsp;Taina Lee,&nbsp;Lawrence Yuen,&nbsp;Henry Pleass,&nbsp;Jinna Yao,&nbsp;Howard Lau","doi":"10.1111/ans.70226","DOIUrl":"10.1111/ans.70226","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Kidney autotransplantation is a rarely performed but widely accepted technique for renal preservation in carefully selected patients with limited treatment options. Robotic kidney autotransplantation is emerging as a feasible, less invasive alternative to open kidney autotransplantation for specific patients.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A retrospective observational review was performed for all patients who underwent kidney autotransplantation within our two centres. Medical records from Westmead Public and Private Hospitals between 2014 and 2023 were reviewed to obtain demographic and clinical data, and all follow-up outcome data was collated.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Eleven kidney autotransplants were performed on two men and nine women. Four of ten patients had a solitary kidney. The median age at the time of surgery was 47 years. Elective laparoscopic donor nephrectomy and autotransplantation were performed in 10 cases, and there was one emergency autotransplant after injury to the contralateral renal artery during a laparoscopic nephrectomy. Autotransplantation was performed open in seven cases and robotically in four cases. Three patients had Clavien–Dindo grade IIIb+ complications within the first week. Two (18.2%) autotransplanted kidneys required graft nephrectomy. There were no mortalities, and no patients required dialysis during follow-up.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Renal autotransplantation is a useful last resort reserved for complex cases where conventional methods have failed or are unsuitable. It offers renal preservation in patients who would otherwise be considered inoperable or left anephric, with lifelong dialysis or allograft transplant requirements. In carefully selected and informed patients, it presents a safe and effective technique of kidney salvage.</p>\u0000 </section>\u0000 </div>","PeriodicalId":8158,"journal":{"name":"ANZ Journal of Surgery","volume":"95 9","pages":"1912-1916"},"PeriodicalIF":1.6,"publicationDate":"2025-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144815734","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":"Exercise as Adjuvant Therapy in Colon Cancer: Implications From the CHALLENGE Trial","authors":"Rathin Gosavi,&nbsp;Stephen Bell,&nbsp;Paul McMurrick,&nbsp;Vignesh Narasimhan,&nbsp;Satish K. Warrier","doi":"10.1111/ans.70286","DOIUrl":"10.1111/ans.70286","url":null,"abstract":"<p>\u0000 \u0000 <figure>\u0000 <div><picture>\u0000 <source></source></picture><p></p>\u0000 </div>\u0000 </figure>\u0000 </p>","PeriodicalId":8158,"journal":{"name":"ANZ Journal of Surgery","volume":"95 9","pages":"1666-1667"},"PeriodicalIF":1.6,"publicationDate":"2025-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ans.70286","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144803285","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Predictive Effect of “Real Amylase Value”: A More Accurate Predictor for Postoperative Pancreatic Fistula","authors":"Ahmet Cihangir Emral,&nbsp;Gökay Çetinkaya,&nbsp;Kürşat Dikmen,&nbsp;Mustafa Kerem","doi":"10.1111/ans.70276","DOIUrl":"10.1111/ans.70276","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Postoperative pancreatic fistula (POPF) is a common and serious complication following pancreatic surgery. While several studies have attempted to predict the development of POPF using drain amylase concentration, predictive values vary widely due to factors like abdominal irrigation and chylous drainage, which can dilute the amylase levels. This study aims to evaluate whether the “Real Amylase Value” (RAV), calculated as the product of drain amylase concentration and drainage volume, provides a more reliable prediction of POPF compared to conventional amylase concentration. Better prediction of pancreatic fistula development could lead to closer clinical monitoring of these patients, reassessment of hospital stay duration, and more careful management of drains over an extended period. Additionally, carefully managing the timing of drain removal may improve patient recovery and discharge process.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methodology</h3>\u0000 \u0000 <p>Data from 198 patients who underwent pancreaticoduodenectomy (PD) and distal pancreatectomy (DP) were retrospectively analyzed. Drain amylase concentrations and drainage volumes were measured on postoperative days (POD) 1 and 3, and the RAV (U) was calculated. Real Amylase Value (RAV) (U) was calculated using the formula: RAV (U) = Drain Amylase Concentration (U/L) × Drainage Amount (L). Predictive values for POPF were evaluated using receiver operating characteristic (ROC) curve analysis, comparing conventional amylase concentration (U/L) and RAV (U).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>On POD1, the RAV (U) demonstrated greater predictive value for POPF compared to the conventional drain amylase concentration (U/L) with an area under the ROC curve (AUROC) of 0.85 versus 0.79, respectively. Similarly, on POD3, RAV showed superior predictive accuracy (AUROC 0.89) compared to amylase concentration (AUROC 0.79).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The RAV (U) offers a more accurate and reliable prediction of POPF than traditional drain amylase concentration (U/L), with improved sensitivity and specificity. This method could refine clinical management, particularly in the timing of drain removal and early intervention strategies for patients at high risk of developing pancreatic fistulas.</p>\u0000 </section>\u0000 </div>","PeriodicalId":8158,"journal":{"name":"ANZ Journal of Surgery","volume":"95 9","pages":"1783-1787"},"PeriodicalIF":1.6,"publicationDate":"2025-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ans.70276","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144793333","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"New Zealand Joint Registry Surgeon-Level Feedback: The Influence of Reporting Timeframe on Distribution of Reasons for Revision Following Total Knee Arthroplasty.","authors":"Morgan C H Lingard, Christopher M A Frampton, Gary J Hooper","doi":"10.1111/ans.70282","DOIUrl":"https://doi.org/10.1111/ans.70282","url":null,"abstract":"<p><strong>Background: </strong>National joint registries have improved arthroplasty surgery by creating databases that monitor implant performance and recognize early implant failure. The New Zealand Joint Registry (NZJR) provides surgeon reports on individual revision rates, and outliers are identified using funnel plots. Historically, all-time revision rates were used; although reporting shorter timeframes is being considered. The purpose of this study was to evaluate the impact of reporting shorter timeframes on the distribution of reasons for revision following total knee arthroplasty (TKA).</p><p><strong>Methods: </strong>Data was obtained from the NZJR for TKA performed from the registry's inception in 1998 to 31 December 2021. Distribution of reasons for revision for primary TKA was analyzed by postoperative year and reporting timeframe. Reporting timeframes of revision within 1, 2, 3, 5, and 10 years were evaluated.</p><p><strong>Results: </strong>Infection accounted for 54.5% of reasons for revision in postoperative year one and a lower proportion over time, decreasing to 16.9% in year 10. Aseptic loosening accounted for 9.0% of reasons for revision in postoperative year one, increasing to 56.9% in year 10. Reporting revision within 2 years would result in a 60% increase in the proportion of reasons for revision attributed to deep infection (p < 0.001) and a 65% decrease in the proportion attributed to loosening (p < 0.001) compared with revision within 10 years.</p><p><strong>Conclusions: </strong>Revision within 2 years would be a suitable shorter timeframe for reporting to surgeons. While this may ensure feedback reflects recent practice and increase responsiveness to changes in performance, the distribution of reasons for revision would change substantially compared to revision within 10 years, with a markedly higher proportion attributed to infection. Debate regarding the role of individual surgeons in causing deep infections will become increasingly important if this shorter timeframe is reported.</p>","PeriodicalId":8158,"journal":{"name":"ANZ Journal of Surgery","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144793332","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 Systematic Review of the Outcomes of Mucosa-Associated Lymphoid Tissue Intracranial Lymphomas","authors":"Kate Poulgrain,&nbsp;Kristy Scandrett,&nbsp;Gemma Olsson,&nbsp;Kirsty Hamilton","doi":"10.1111/ans.70246","DOIUrl":"10.1111/ans.70246","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Mucosa-associated lymphoid tissue (MALT) lymphoma in the central nervous system (CNS) is rare. As part of the non-Hodgkin B cell lymphoma group, it is much more indolent in presentation and progression than its aggressive cousin diffuse B-cell lymphoma (DBCL) of the CNS.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This systematic review collates all the published outcome and treatment data on CNS MALT to shed more light on this rare entity.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>With 3-year overall survival rates of over 94%, females represent two thirds of cases. Dural involvement is much more common and carries a positive prognostic advantage, as does younger age. Treatment strategies still appear to be widely varied, but surgery and adjuvant therapy appear to provide the longest lasting progression-free survival.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The rare entity of CNS MALT lymphoma can present in a range of ways. While this means a variety of symptoms, its general prognostic course is usually more indolent than other B cell lymphomas. It frequently affects a younger and more female predominant population, yet no demographic, presentation, or histological characteristics are associated with poorer prognosis. Its rare nature means collaborative databases will need to be considered to better collect robust data for quantitative analysis on ideal treatment and prognosis.</p>\u0000 </section>\u0000 </div>","PeriodicalId":8158,"journal":{"name":"ANZ Journal of Surgery","volume":"95 7-8","pages":"1329-1338"},"PeriodicalIF":1.6,"publicationDate":"2025-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144793331","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}