A supravesical hernia is a rare abdominal wall hernia that is defined by the protrusion of abdominal viscera through the supravesical fossa, between the remnants of urachus and foetal umbilical arteries. It mainly concerns males and is usually presented as an internal hernia. The majority of patients refer to healthcare facilities with symptoms and signs of bowel obstruction. Abstract Background A supravesical hernia (SH) is a rare abdominal wall hernia that is defined by the protrusion...
Re‐admissions after ileostomy formation: a retrospective analysis from a New Zealand tertiary centre
Ileostomy formation is associated with significant morbidity risk, especially for unplanned hospital re‐admissions and dehydration. This retrospective analysis of a New Zealand tertiary surgical centre evaluated the incidence of unplanned re‐admissions within 60 days of discharge following ileostomy formation over a 4‐year period and identified independent predictors. Our results confirm unplanned re‐admissions to be a significant issue in New Zealand. Abstract Background Ileostomy formation...
There is concern regarding the risk of viral transmission via surgical smoke. We performed a systematic scoping review and found that there is little evidence that virus particles can be transmitted via surgical plumes during intra‐abdominal surgery. Abstract Background The aim of this study was to identify the current evidence regarding the risk of acquiring viral infections from gases or plumes during intra‐abdominal surgery. Peritoneal fluids may contain cellular material and virus...
This study provides an accurate estimate of the overall healthcare cost of acute diverticulitis and its sequelae. There are considerable long‐term costs associated with the index episode of diverticulitis with only 57% of the cost occurred at initial admission. A large proportion of the expenditure is incurred by a small group that included those with complicated disease. These findings are important for healthcare resource allocation and for targeting health research funding. Abstract ...
In our propensity score match analysis of patients with rectal neuroendocrine tumours, we show that radical resection may not be associated with improved overall survival and that local excision is a reasonable treatment option for patients. Abstract Background The rectum is a common site for neuroendocrine tumours of the gastrointestinal tract. Diagnosis of these tumours has been increasing in recent years, highlighting the need to better define treatment options for patients with rectal...
In this study, we detected the changes of C‐reactive protein, interleukin‐1β, interleukin‐6 and tumour necrosis factor‐alpha in serum and enterocoelia perioperatively. Moreover, in order to investigate the value of inflammatory markers for the prediction of small bowel obstruction, we analysed the correlation between the small bowel obstruction occurrence and the level of inflammatory markers. Abstract Background This study aimed to investigate the value of inflammatory markers for the...
In this paper, we reviewed the three‐dimensional interplay between tumour and surgical specimen dimensions in patients undergoing oncoplastic breast surgery compared to simple wide local excision. The relationship between tumour and specimen medio‐lateral, supero‐inferior and antero‐posterior dimensions were explored in both groups. Despite larger tumour dimensions, oncoplastic surgery is not inferior to wide local excision in providing clear surgical margins. Abstract Background Pre‐operative...
Abstract Background Acute Appendicitis is the most common surgical presentation within Australia. Despite the increasing use of radiological investigations to aid clinical diagnosis, many appendectomies result in a histologically normal appendix. This study examines the histological negative appendicectomy rate (NAR) in a metropolitan hospital and determine factors associated with a negative appendicectomy (NA). Methods Patients who underwent emergency appendicectomy for suspected acute...
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Abstract Background The anterolateral thigh (ALT) flap is a workhorse flap in head and neck cancer reconstruction. The anteromedial thigh (AMT) flap was developed as a rescue or alternative flap whenever the ALT flap is not available; however, the harvest of AMT flap seems to be more challenging in the sense that perforators have multiple variations. This study was designed to compare the outcome of the AMT and ALT flaps in head and neck cancer reconstruction. Methods A total of 1,547 ALT...
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