ANZ Journal of Surgery最新文献

{"title":"Robotic multidisciplinary endometriosis surgery with multi-visceral resection: evaluation of short-term feasibility and safety outcomes.","authors":"Joseph Do Woong Choi, Lauren Hofmann, Andrew Craig Lynch, Assad Zahid, Praveen Ravindran, Walid Barto, Yogesh Nikam, Stephen Pillinger","doi":"10.1111/ans.70058","DOIUrl":"https://doi.org/10.1111/ans.70058","url":null,"abstract":"<p><strong>Background: </strong>Despite growing interest in robot-assisted surgery, the literature remains limited on the application of robotic surgery for complex endometriosis surgery requiring multidisciplinary input for multi-visceral resection. The aim of the study was to report the short-term feasibility and safety outcomes of this technique from a high-volume robotic surgery facility.</p><p><strong>Methods: </strong>This was a single centre, retrospective study evaluating prospectively collected data. All women underwent planned multidisciplinary robotic surgery using the da Vinci Xi system between January 2018 and July 2024. Fifty-eight patients were included in the analysis of demographic, operative and 30-day postoperative data.</p><p><strong>Results: </strong>The median age was 40.5 (range 21-55), with 94.82% of women having ASRM grade 3-4 endometriosis. Almost half of the patients had total hysterectomy and bilateral salpingectomy. Concurrent colorectal resections included appendicectomy/stapled caecectomy (41.38%), rectal shaving (36.21%), rectal wedge resection (39.66%), endo-anal discoid resection (1.72%) and rectal segmental resection (15.52%). Partial bladder excision and extensive ureterolysis for ureteral stenosis occurred in 5.17% and 11.54%, respectively. The median console time was 148 min (range 49-480 min), 0% conversions and a median 100mls estimated blood loss. Median length of stay was 3 days (range 1-7). Clavien-Dindo complications ≥2 occurred 5.17% of cases. There were no anastomotic leaks, other infectious complications, postoperative ileus, blood transfusion requirements or mortality within 30 days.</p><p><strong>Conclusions: </strong>The robotic assisted approach is feasible and safe with overall short operative time, acceptable blood loss, no conversions, relatively short length of stay and minimal short term postoperative complications.</p>","PeriodicalId":8158,"journal":{"name":"ANZ Journal of Surgery","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143555697","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":"Current use of mechanical bowel preparation and oral antibiotics before elective colorectal resection in Australia and New Zealand.","authors":"Claudia Paterson, Andrew Hill, Parry Singh","doi":"10.1111/ans.70052","DOIUrl":"https://doi.org/10.1111/ans.70052","url":null,"abstract":"","PeriodicalId":8158,"journal":{"name":"ANZ Journal of Surgery","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143555692","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":"Challenges of a prehabilitation program for oesophageal cancer patients in the Australian setting.","authors":"Giang Trung Pham, Rohan Miegel, David Ian Watson, Tim Bright","doi":"10.1111/ans.70056","DOIUrl":"https://doi.org/10.1111/ans.70056","url":null,"abstract":"","PeriodicalId":8158,"journal":{"name":"ANZ Journal of Surgery","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143555691","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":"Evaluating the role of AI chatbots in patient education for abdominal aortic aneurysms: a comparison of ChatGPT and conventional resources","authors":"Harry Collin MD,&nbsp;Chelsea Tong MBChb,&nbsp;Abhishekh Srinivas MD,&nbsp;Angus Pegler MD,&nbsp;Philip Allan MB ChB,&nbsp;Daniel Hagley MBBS FRACS","doi":"10.1111/ans.70053","DOIUrl":"10.1111/ans.70053","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Backgrounds</h3>\u0000 \u0000 <p>Abdominal aortic aneurysms (AAA) carry significant risks, yet patient understanding is often limited, with online resources typically low quality. ChatGPT, an artificial intelligence (AI) chatbot, presents a new frontier in patient education, but concerns remain about misinformation. This study evaluates the quality of ChatGPT-generated patient information on AAA.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Eight patient questions on AAA were sourced from a reputable online resource for patient information funded by the Australian Government's Healthdirect Australia (HDA) website and input into ChatGPT's free (ChatGPT-4o mini) and paid (ChatGPT-4) models. A vascular surgeon evaluated response appropriateness. Readability was assessed using the Flesch–Kincaid test. The Patient Education Materials Assessment Tool (PEMAT) measured understandability and actionability, with responses scoring ≥75% for both considered high-quality.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>All responses were deemed clinically appropriate. Mean response length was longer for ChatGPT than HDA. Readability was at a college level for ChatGPT, while HDA was at a 10th to 12th-grade level. One response was high-quality (generated by paid ChatGPT) with a PEMAT actionability score of ≥75%. Actionability scores were otherwise low across all sources with ChatGPT responses more likely to contain identifiable actions, although these were often not clearly presented. ChatGPT responses were marginally more understandable than HDA.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>ChatGPT-generated information on AAA was appropriate and understandable, outperforming HDA in both aspects. However, AI responses are at a more advanced reading level and lack actionable instructions. AI chatbots show promise as supplemental tools for AAA patient education, but further refinement is needed to enhance their effectiveness in supporting informed decision-making.</p>\u0000 </section>\u0000 </div>","PeriodicalId":8158,"journal":{"name":"ANZ Journal of Surgery","volume":"95 4","pages":"784-788"},"PeriodicalIF":1.5,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ans.70053","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143555693","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":"Reflections on the implementation of an acute general surgical COVID-19 roster at North Shore Hospital, Auckland – a prospective observational study","authors":"Jamie-Lee Rahiri MBChB, PhD,&nbsp;Rebecca Teague MBChB,&nbsp;Teresa Holm MBChB, PhD,&nbsp;Jason Tuhoe MBChB, FRNZCGP,&nbsp;Jonathan Koea MBChB, MD, FRACS","doi":"10.1111/ans.19402","DOIUrl":"10.1111/ans.19402","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Nearly 5 years after the arrival of coronavirus disease (COVID-19) in New Zealand (NZ), many lessons have been learned. At North Shore Hospital (NSH) in Auckland, NZ, a general surgical COVID-19 Crisis Roster (CCR) was established for the first lockdown in 2020. This study summarizes the prospective monitoring of our CCR and offers a framework for adapting our roster for future pandemics.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A prospective observational review of all acute general surgical admissions (from 30 March 2020 to 26 April 2020) was performed and compared with admissions over the same period in 2019.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A total of 443 patients were admitted to NSH during the CCR period compared with 552 patients in 2019 (−19.8%, <i>P</i> = 0.001). The rate of acute cholecystectomies increased (+54.5%, <i>P</i> = 0.002) whilst operations related to carbuncle/cyst excision (−83.3%, <i>P</i> &lt; 0.02), endoscopy (−62.5%, <i>P</i> = 0.04), and surgical interventions for postoperative complications (−72.2%, <i>P</i> = 0.03) decreased. No significant differences in the rate of (re)admissions for postoperative complications or grade of complication were observed (<i>P</i> = 0.66). Within the context of no surgical team members contracting COVID-19, the cancellation of outpatient clinics, and elective operating lists, the CCR was deemed feasible and easy to implement.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>While patient safety was not compromised during the implementation of our pandemic roster, we advocate that our roster should be adapted and improved to include Māori health expertise, a prospective monitoring data expert committee and our nursing and allied health staff should we seek to use this CCR in future.</p>\u0000 </section>\u0000 </div>","PeriodicalId":8158,"journal":{"name":"ANZ Journal of Surgery","volume":"95 3","pages":"407-415"},"PeriodicalIF":1.5,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ans.19402","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143555696","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":"“Scoping” sustainability: rethinking sterile water use in colonoscopies","authors":"Josua A. Lotter BE(Hons),&nbsp;Kevin-Ruofan Zhao BBiomed,&nbsp;Michael Rouse MD,&nbsp;Ian Faragher FRACS, MAS, MBBS, FCSANZ,&nbsp;Justin M. Yeung BMBS, DM, FRCSEd (Gen Surg). FRACS","doi":"10.1111/ans.70054","DOIUrl":"10.1111/ans.70054","url":null,"abstract":"&lt;p&gt;Health care has a significant environmental impact, leading to 7% of all Australian carbon emissions; 44% from hospital treatment alone.&lt;span&gt;&lt;sup&gt;1&lt;/sup&gt;&lt;/span&gt; The total number of colonoscopies each year total over 900 000 in Australia, and will continue to increase, in particular due to colorectal cancer screening and with increasing number of younger patients presenting with this disease.&lt;span&gt;&lt;sup&gt;2&lt;/sup&gt;&lt;/span&gt;&lt;/p&gt;&lt;p&gt;Endoscopy and day procedure units are among the key contributors to emissions due to its significant reliance on disposable consumables and energy-intensive practices.&lt;span&gt;&lt;sup&gt;3-5&lt;/sup&gt;&lt;/span&gt; Among these is the large quantities of sterile water for irrigation during colonoscopies, a standard approach globally.&lt;/p&gt;&lt;p&gt;Sterile water has been used in colonoscopy for decades to minimize infection risk, even though there is a significant lack of quality data to support this.&lt;span&gt;&lt;sup&gt;6, 7&lt;/sup&gt;&lt;/span&gt; Recommendations on sterile water use appear to be derived from endoscope reprocessing protocols rather than evidence.&lt;span&gt;&lt;sup&gt;8&lt;/sup&gt;&lt;/span&gt; Two studies from the 1990s have reported no increased incidence of infections when tap or filtered water was used instead of sterile water.&lt;span&gt;&lt;sup&gt;9, 10&lt;/sup&gt;&lt;/span&gt;&lt;/p&gt;&lt;p&gt;There is also very little information on the precise environmental impact of sterile water bottle use during colonoscopies. We therefore carried out a life cycle analysis on sterile water use in Victoria, where ~230 000 colonoscopies are conducted annually.&lt;span&gt;&lt;sup&gt;11, 12&lt;/sup&gt;&lt;/span&gt; We collected data from multiple Victorian hospitals regarding water usage and waste disposal practices. Using clinician-reported and colonoscopy usage data, and by measuring the dry mass of these Baxter 1000 mL polypropylene (PP) bottles typically used to supply sterile water, we estimated the annual statewide consumption of sterile water and its associated PP mass. Three stages of the PP lifecycle were considered: manufacturing, transport, and disposal (Fig. 1). Environmental impact factors were applied to the total annual polypropylene (PP) mass to estimate manufacturing emissions. Transportation emissions were calculated based on a 1000 km road journey from a supplier manufacturing facility in Sydney to Melbourne, assuming standard trucking and packing efficiencies. Disposal emissions were estimated based on landfill, recycling, and incineration emission factors, as detailed in Table 1.&lt;/p&gt;&lt;p&gt;Our analysis excluded transport of waste to disposal endpoints within Victoria, as this varied by health service. We also omitted the environmental impact of the oil used in PP production as well as the sterilization process of the water itself. We assumed all bottles are used in Melbourne, with none transported regionally. These assumptions therefore lead to conservative estimates to our calculations.&lt;/p&gt;&lt;p&gt;Figure 2 illustrates that the estimated 77 342 sterile water bottles used annually in Victoria generate between 15 247 and 31 330 kgCO₂-eq","PeriodicalId":8158,"journal":{"name":"ANZ Journal of Surgery","volume":"95 4","pages":"632-634"},"PeriodicalIF":1.5,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ans.70054","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143555690","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":"Outcomes of laparoscopic and open inguinal hernia repair in overweight and obese patients.","authors":"Rosa Miranda Thais, Michael Talbot","doi":"10.1111/ans.70055","DOIUrl":"https://doi.org/10.1111/ans.70055","url":null,"abstract":"<p><strong>Background: </strong>Inguinal hernia repair in patients with high body mass index (BMI) ≥25 kg/m² is associated with higher technical difficulties and longer perioperative time. Few studies, however, have compared the outcomes of laparoscopic versus open inguinal hernia repair in patients with high BMI in the Australian population.</p><p><strong>Methods: </strong>In this retrospective observational study, we analyzed the data from 315 adult patients with a healthy BMI of 18.5-24.9, overweight BMI of 25-29.9, and obese BMI of 30-≥40 and analyzed the operative time and recovery time considering the type of surgery, patient comorbidities, BMI category, and operator expertise.</p><p><strong>Results: </strong>There is a significant positive relationship between the BMI of the patient and the type of surgery performed (laparoscopic/open) as well as the BMI and recovery time p < 0.001.</p><p><strong>Conclusion: </strong>Post-operative recovery time was measurably longer in patients with BMI > 25, with an average of 28 extra minutes compared to patients with a normal BMI. Open inguinal hernia repair was mainly offered to morbidly obese patients (obesity class 3) and elderly patients, and laparoscopic surgery was offered to younger patients with lower BMI.</p>","PeriodicalId":8158,"journal":{"name":"ANZ Journal of Surgery","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143555695","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":"Diagnostic value of the derived neutrophil-to-lymphocyte ratio for acute appendicitis","authors":"Julio César Moreno-Alfonso MD,&nbsp;Ada Molina Caballero MD,&nbsp;Alberto Pérez Martínez MD, PhD,&nbsp;María Concepción Yárnoz Irazábal MD, PhD","doi":"10.1111/ans.70006","DOIUrl":"10.1111/ans.70006","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>The diagnosis of appendicitis in children can present several challenges, leading to an increased risk of complications. Herein, we aimed to evaluate the diagnostic value of the derived neutrophil-to-lymphocyte ratio (dNLR) as a novel adjunctive diagnostic tool for appendicitis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Diagnostic study of patients with appendicitis and non-surgical abdominal pain (AP) admitted to our hospital between 2020 and 2022. White blood cell count (WBC), neutrophil-to-lymphocyte ratio (NLR), and dNLR were compared between the two groups of patients.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Overall, 202 patients were enrolled: 101 with appendicitis (69% male, age 9.9 years) and 101 with AP (56% male, age 9.4 years). WBC, NLR, and dNLR were higher in patients in the appendicitis group than in those in the AP group (16.47 versus 11.18 × 10³ cells/mm³; 9.5 versus 3.3; and 5.2 versus 2.3; <i>P</i> ≤ 0.0001, respectively). The sensitivity, specificity, positive predictive value, area under ROC curve, and cutoff point of dNLR for the diagnosis of appendicitis were 71%, 74%, 73%, 0.811, and 3.78, respectively. The positive likelihood ratios for WBC, NLR, and dNLR were 1.95, 2.05 and 2.77.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>dNLR is a novel and noninvasive biomarker with high accuracy for diagnosing appendicitis. Its inclusion as an additional diagnostic tool in clinical practice may aid in determining the need for further studies in cases with ambiguous presentations and a dNLR value ≥3.78.</p>\u0000 </section>\u0000 </div>","PeriodicalId":8158,"journal":{"name":"ANZ Journal of Surgery","volume":"95 3","pages":"423-429"},"PeriodicalIF":1.5,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143565865","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":"Experiences of anorectal surgery among gay and bisexual men: a mixed methods study.","authors":"Matthew Joseph Marino, Oliver Malcolm Gregory, Julio Joseph Quealy, Megan Clare Kelly, Anthony K J Smith, Richard Clive Turner","doi":"10.1111/ans.70037","DOIUrl":"https://doi.org/10.1111/ans.70037","url":null,"abstract":"<p><strong>Background: </strong>The experiences of gay, bisexual, and other men who have sex with men (GBMSM) receiving anorectal surgery are not well understood, including their interaction with surgeons and the impact of surgery on receptive anal intercourse. This pilot exploratory study aimed to understand the experiences of GBMSM who recently received anorectal surgery.</p><p><strong>Methods: </strong>This mixed methods study utilized surveys and semi-structured interviews with gay and bisexual men who received operative treatment by a general or colorectal surgeon for a benign anorectal condition within Australia. Descriptive and qualitative thematic analysis was employed to assess the impact of anorectal surgery and the experience of the surgical encounter.</p><p><strong>Results: </strong>Participants reported impaired sexual function and reduced overall well-being after anorectal surgery. They expected surgeons to inquire about their sexual practices and provide additional support and post-operative education, which most often did not occur. Participants perceived their surgeon to lack understanding regarding their sexual orientation and well-being.</p><p><strong>Conclusions: </strong>Anorectal surgery has a significant impact on the sexual and overall well-being of GBMSM. Surgeons should inquire about sexual practices and offer adequate counselling about sexual practices accordingly. Surgeons may require education and training to help improve outcomes for GBMSM patients.</p>","PeriodicalId":8158,"journal":{"name":"ANZ Journal of Surgery","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143540027","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":"Comparative analysis of suture choice in open bilateral carpal tunnel surgery: a randomized controlled trial","authors":"Jessica Leary MbCHB,&nbsp;Chris Frampton BSc(Hons), PhD(Cant),&nbsp;Andrew Muller MbCHB,&nbsp;Timothy Lynskey MbCHB, FRACS","doi":"10.1111/ans.70030","DOIUrl":"10.1111/ans.70030","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>This randomized controlled trial (RCT) compared outcomes of absorbable and non-absorbable sutures for skin closure in open carpal tunnel decompression.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Patients diagnosed with bilateral carpal tunnel syndrome proceeding to staged open carpal decompression were invited to participate in the trial. Patients elected left or right hand for the first operation and were randomized to receive Prolene (non-absorbable) or Vicryl Rapide (absorbable) first, and the alternative suture to the contralateral side.</p>\u0000 \u0000 <p>Recorded pre-operative data included the Boston Carpal Tunnel Questionnaire (BCTQ) for each hand. At 2 weeks post-operatively the BCTQ, a Visual Analogue Score (VAS) for pain and Asepsis Wound Score were recorded. At 6 weeks, the BCTQ and VAS were repeated and a Patient and Observer Scar Assessment Scale (POSAS) was performed. Patients were asked preference for left or right suture. Statistical analysis using a linear mixed model assessed improvements in the BCTQ, as well as wound scores between sutures. The individual scales were compared using non-parametric Wilcoxon signed rank test. Specific patient factors including age, comorbidities, and previous steroid injections were evaluated for their impact on outcome.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>There was no significant difference between the two suture types in any of the overall recorded assessments, complications or patient preferences. BCTQ scores improved significantly post-operatively, <i>P</i> = 0.001. Previous steroid injection, diabetes and age over 65 did not affect outcomes.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Patients can be advised there is no difference in the outcome following open carpal tunnel decompression from using either absorbable or no-absorbable suture material for skin closure.</p>\u0000 </section>\u0000 </div>","PeriodicalId":8158,"journal":{"name":"ANZ Journal of Surgery","volume":"95 3","pages":"527-532"},"PeriodicalIF":1.5,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143540016","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}