ANZ Journal of Surgery最新文献

{"title":"Endovascular Management of a Ruptured Aortoiliac Aneurysm With Iliocaval Fistula.","authors":"Luca Borruso, Peregrine Narborough, Tin Yau Ngan, Tim Shiraev","doi":"10.1111/ans.70205","DOIUrl":"https://doi.org/10.1111/ans.70205","url":null,"abstract":"","PeriodicalId":8158,"journal":{"name":"ANZ Journal of Surgery","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144148914","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":"W(h)ither Carotid Interventions?","authors":"A Ross Naylor","doi":"10.1111/ans.70188","DOIUrl":"https://doi.org/10.1111/ans.70188","url":null,"abstract":"","PeriodicalId":8158,"journal":{"name":"ANZ Journal of Surgery","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144148999","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":"Prognostic Value of Preoperative Inflammatory and Nutritional Markers in Lung Cancer.","authors":"Alexandra E Adams, Faisal A Shaikh, Zoltan H Nemeth","doi":"10.1111/ans.70203","DOIUrl":"https://doi.org/10.1111/ans.70203","url":null,"abstract":"","PeriodicalId":8158,"journal":{"name":"ANZ Journal of Surgery","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144148977","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":"Utilizing Exudrain in the Minimally Invasive Management of Boorhaave's Syndrome.","authors":"William Fleischl, Waldron Martis, Suheelan Kulasegaran","doi":"10.1111/ans.70204","DOIUrl":"https://doi.org/10.1111/ans.70204","url":null,"abstract":"","PeriodicalId":8158,"journal":{"name":"ANZ Journal of Surgery","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144148983","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":"25, 50 and 75 Years Ago","authors":"Julian A. Smith","doi":"10.1111/ans.70191","DOIUrl":"10.1111/ans.70191","url":null,"abstract":"<p>\u0000 <b>Margovsky A. Unplanned Admissions in Day-Case Surgery as a Clinical Indicator for Quality Assurance. ANZ J Surg. 2000;70:216–220</b>.</p><p>Day surgery is a modern, effective, and economical way to treat patients while maintaining the same level of quality of patient care. Quality improvement in day surgery units, however, continues to be an issue due to high rates of unplanned admissions. The aim of the present retrospective study was to investigate reasons for and methods of preventing unplanned postoperative admissions in a day surgical unit over a 12-month period in respect to different surgical specialties. The study was based on an audit from the Endoscopy and Day Surgery Unit (EDSU) at Launceston General Hospital, which provides health care to a population of more than 120 000. For the accounted period, 920 outpatients had elective day surgical procedures. Overall, the unplanned admission rate was 4.7%, and surgical, anaesthetic, and social reasons accounted for 58.2%, 37.2%, and 4.6% of the unplanned admissions, respectively. The highest rate of unplanned admissions was for plastic and reconstructive surgery (12.8%) and orthopaedic surgery (7.5%) despite the relatively small number of patients who underwent such procedures in the day surgery unit. The results also showed a correlation between age group, pre-operative medical status of the patients found suitable for the day surgical procedure, and unplanned admissions. Strategies to reduce the unplanned admission rate, which include patient selection and pre-operative assessment, patient waiting time and education, pre-operative anaesthesia, follow-up with nursing care, and postoperative analgesia, are discussed.</p><p>\u0000 <b>Mills SJC, Holland DJ, Hardy AE. Operative Field Contamination by the Sweating Surgeon. ANZ J Surg. 2000;70:837–839</b>.</p><p>There are a number of factors relating to the host, bacteria, and wound that are important in the development of wound infection. The effect of the surgeon sweating has not been previously reported. Ten surgeons performed a mock total hip joint operation under sterile conditions while not sweating and then repeated the operation while sweating. Settle plates were used to quantify the bacterial counts in the operative field in both phases. For each subject, a mean of 3.3 colony forming units (c.f.u.) was present in the non-sweating phase and 6.9 c.f.u. were present in the sweating phase (<i>p</i> < 0.05), organisms grown were normal skin flora. The sweating surgeon may be more likely to contaminate the surgical field than the non-sweating surgeon. It is important for orthopaedic surgeons, especially those performing joint replacement surgery, to be aware of this and to take measures to minimize sweating in the operating theatre.</p><p>\u0000 <b>Britten-Jones R. A Major Advance in the Management of Pneumatosis Coli. ANZ J Surg. 1975;45:367–369</b>.</p><p>A new treatment for gas cysts of the large bowel is de","PeriodicalId":8158,"journal":{"name":"ANZ Journal of Surgery","volume":"95 6","pages":"1066-1067"},"PeriodicalIF":1.5,"publicationDate":"2025-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ans.70191","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144135967","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":"Beneath the Surface: Facial Nerve Landmarks.","authors":"Ned Farley, Jake Hindmarch","doi":"10.1111/ans.70187","DOIUrl":"https://doi.org/10.1111/ans.70187","url":null,"abstract":"","PeriodicalId":8158,"journal":{"name":"ANZ Journal of Surgery","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144135968","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":"Insights Into Rural Chemotherapy Usage for Muscle-Invasive Bladder Cancer: An Australian Multi-Site Institution Perspective.","authors":"Tran Ngoc An Huynh, Samiha Arulshankar, Xinyi Wei, Kylie Yen-Yi Lim, James Huang, Nieroshan Rajarubendra, Kevin Chu, Matthew Harper, Scott Donnellan, Weranja Ranasinghe","doi":"10.1111/ans.70175","DOIUrl":"https://doi.org/10.1111/ans.70175","url":null,"abstract":"","PeriodicalId":8158,"journal":{"name":"ANZ Journal of Surgery","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144118677","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":"Total Neoadjuvant Therapy Versus Conventional Neoadjuvant Therapy for Rectal Cancer: Cost Analysis in a Public Healthcare System.","authors":"Ishraq Murshed, Sergei Bedrikovetski, Ishmam Murshed, Zachary Bunjo, Tracy Fitzsimmons, Michelle Thomas, Tarik Sammour","doi":"10.1111/ans.70169","DOIUrl":"https://doi.org/10.1111/ans.70169","url":null,"abstract":"<p><strong>Purpose: </strong>Total neoadjuvant therapy (TNT) has become the standard of care in locally advanced rectal cancer, but its economic impact is unclear. This study compares the cost of TNT with conventional neoadjuvant therapy (CNT), consisting of either short-course radiotherapy or long-course chemoradiotherapy, within a universally funded public healthcare system.</p><p><strong>Methodology: </strong>A trial-based costing analysis was conducted from a third-party payer's perspective with a 2-year time horizon, following CHEERS guidelines. Consecutive patients with rectal cancer treated with neoadjuvant therapy from 2014 to 2023 were extracted from a multi-institutional database. Inpatient, outpatient, imaging and pathology resource costs were extracted and adjusted to 2024 AUD with a 5% discount rate. Primary outcomes were overall cost per cohort and mean per patient cost. Secondary outcomes were overall and mean cost per cost category. Sensitivity analysis explored the influence of discount rates and inflation methods.</p><p><strong>Results: </strong>Of 115 eligible patients, 60 (52.2%) received CNT and 55 (47.8%) received TNT. Overall treatment costs for the cohorts were $8 429 710.66 (CNT) and $6 992 616.67 (TNT), with mean per patient costs of $140 495.18 (CNT) and $127 138.48 (TNT). Overall per patient costs were $13 356.70 (9.51%) lower for TNT patients, mainly driven by lower mean inpatient costs ($78 523.53 vs. $96 843.08, 18.9%). TNT increased outpatient ($43 001.18 vs. $39 376.12, 9.21%), imaging ($4179.13 vs. $2973.61, 40.5%) and pathology ($1434.65 vs. $1302.38, 10.1%) costs. The results were robust to sensitivity analysis.</p><p><strong>Conclusion: </strong>TNT is less costly than CNT within a universally funded public healthcare system, primarily due to reduced inpatient costs associated with higher rates of organ preservation.</p>","PeriodicalId":8158,"journal":{"name":"ANZ Journal of Surgery","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144118692","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":"Even in Australia and Aotearoa New Zealand, High-Volume Centres Deliver Best Outcomes for Oesophagectomy-Can We Ignore the Evidence?","authors":"David I Watson, Josipa Petric, Muktar Ahmed","doi":"10.1111/ans.70189","DOIUrl":"https://doi.org/10.1111/ans.70189","url":null,"abstract":"","PeriodicalId":8158,"journal":{"name":"ANZ Journal of Surgery","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144109360","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":"Impact of Chilled Versus Room Temperature Saline on Procedure Time and Postoperative Outcomes Following Coblation Intracapsular Tonsillectomy and Adenoidectomy in Children With Sleep Disordered Breathing: A Randomised Control Trial.","authors":"James Fowler, Nishan Chahal, Hamish Mckenzie, A Simon Carney","doi":"10.1111/ans.70180","DOIUrl":"https://doi.org/10.1111/ans.70180","url":null,"abstract":"<p><strong>Background: </strong>Using chilled saline as a medium for Coblation has been shown to reduce post-operative pain in both paediatric and adult extracapsular tonsillectomy. Its effect on the more minimally invasive intracapsular tonsillectomy (ICT) is unknown. A double-blind randomised controlled trial was performed to identify the effect of chilled saline on operation length, intra-/postoperative bleeding, postoperative pain and return to normal activity in paediatric Coblation ICT with adenoidectomy.</p><p><strong>Methods: </strong>Forty-two paediatric patients undergoing Coblation ICT and adenoidectomy for sleep-disordered breathing were randomly assigned to receive either room temperature (22.5°C) or chilled saline (3.8°C) as the Coblation plasma medium. Duration of surgery, intra-/postoperative bleeding, postoperative pain (using the Wong-Baker Pain Scale) and return to normal activity were recorded. Both the surgeon and patients/parents were blinded to the procedure arm.</p><p><strong>Results: </strong>Results had a nonparametric distribution and were analysed using a Mann-Whitney U test. Chilled saline extended median total procedure time (17.5 vs. 15 min; p < 0.05) when compared to room temperature saline. There was no statistically significant difference in postoperative pain, nor was there a difference in secondary outcomes: intra-/postoperative bleeding and return to normal activity.</p><p><strong>Conclusion: </strong>The use of chilled saline for paediatric Coblation ICT carries no advantages in terms of postoperative pain or bleeding. Chilled saline actually extends procedure time when compared to room temperature saline.</p><p><strong>Trial registration: </strong>Australian Clinical Trial Registry Number: ACTRN12624001267549.</p>","PeriodicalId":8158,"journal":{"name":"ANZ Journal of Surgery","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144109361","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}