Stephen Ridley Smith MS, PhD, Cino Bendinelli MBBS, PhD
{"title":"Antiseptic skin preparation and surgical site infection: time to re-evaluate surveillance and the evidence?","authors":"Stephen Ridley Smith MS, PhD, Cino Bendinelli MBBS, PhD","doi":"10.1111/ans.19125","DOIUrl":"10.1111/ans.19125","url":null,"abstract":"","PeriodicalId":8158,"journal":{"name":"ANZ Journal of Surgery","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2024-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142254849","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}
Luke Traeger, Sergei Bedrikovetski, Rowan V. David, Alice A. Jay, James W. Moore, Tarik Sammour
IntroductionSarcopenia has a detrimental impact on patient outcomes following colorectal surgery, increasing financial strain on the healthcare system. Given the absence of specific Australian data, this study aimed to measure the cost of sarcopenia in the context of colorectal surgery in an Australian public hospital.MethodsA retrospective cost analysis, following CHEERS guidelines, was conducted on major elective colorectal cancer surgical cases at the Royal Adelaide Hospital between 2018 and 2022. The cross‐sectional psoas area was measured through computed tomography (CT) imaging at the level of the third lumbar vertebrae, and sarcopenia was determined using gender‐specific thresholds. Hospital billing data was used to gather costings (AU$).ResultsOut of 271 patients, 57 (21.0%) comprised the sarcopenic group (SG). SG patients were older (74 vs. 69 years, P < 0.001), had a higher American Society of Anaesthesiologists (>II, 71.9% vs. 53.7%, P = 0.014) and a lower median body mass index (24.8 vs. 28.7 kg/m2, P < 0.001). The SG exhibited a greater likelihood of complications (84.2 vs. 68.7%, P = 0.020) and prolonged hospital stay by 1 day (median 7 vs. 6 days, P = 0.027). Despite an increased mean total cost of hospital admission, no statistically significant difference was found (AU$37 712 vs. $34 845, P = 0.296). Multivariate analysis revealed hypoalbuminemia, prolonged operative time, postoperative ileus, return to theatre, Clavien‐Dindo grade ≥3 complications, and prolonged stay increased overall cost (P < 0.05).ConclusionSarcopenia was not associated with a significantly increased cost of colorectal surgery in our institution. Future studies examining the cost‐effectiveness of prehabilitation programmes targeting sarcopenia should be considered.
{"title":"Financial implications of sarcopenia in colorectal cancer surgery: a cost analysis in an Australian public hospital","authors":"Luke Traeger, Sergei Bedrikovetski, Rowan V. David, Alice A. Jay, James W. Moore, Tarik Sammour","doi":"10.1111/ans.19230","DOIUrl":"https://doi.org/10.1111/ans.19230","url":null,"abstract":"IntroductionSarcopenia has a detrimental impact on patient outcomes following colorectal surgery, increasing financial strain on the healthcare system. Given the absence of specific Australian data, this study aimed to measure the cost of sarcopenia in the context of colorectal surgery in an Australian public hospital.MethodsA retrospective cost analysis, following CHEERS guidelines, was conducted on major elective colorectal cancer surgical cases at the Royal Adelaide Hospital between 2018 and 2022. The cross‐sectional psoas area was measured through computed tomography (CT) imaging at the level of the third lumbar vertebrae, and sarcopenia was determined using gender‐specific thresholds. Hospital billing data was used to gather costings (AU$).ResultsOut of 271 patients, 57 (21.0%) comprised the sarcopenic group (SG). SG patients were older (74 vs. 69 years, <jats:italic>P</jats:italic> < 0.001), had a higher American Society of Anaesthesiologists (>II, 71.9% vs. 53.7%, <jats:italic>P</jats:italic> = 0.014) and a lower median body mass index (24.8 vs. 28.7 kg/m<jats:sup>2</jats:sup>, <jats:italic>P</jats:italic> < 0.001). The SG exhibited a greater likelihood of complications (84.2 vs. 68.7%, <jats:italic>P</jats:italic> = 0.020) and prolonged hospital stay by 1 day (median 7 vs. 6 days, <jats:italic>P</jats:italic> = 0.027). Despite an increased mean total cost of hospital admission, no statistically significant difference was found (AU$37 712 vs. $34 845, <jats:italic>P</jats:italic> = 0.296). Multivariate analysis revealed hypoalbuminemia, prolonged operative time, postoperative ileus, return to theatre, Clavien‐Dindo grade ≥3 complications, and prolonged stay increased overall cost (<jats:italic>P</jats:italic> < 0.05).ConclusionSarcopenia was not associated with a significantly increased cost of colorectal surgery in our institution. Future studies examining the cost‐effectiveness of prehabilitation programmes targeting sarcopenia should be considered.","PeriodicalId":8158,"journal":{"name":"ANZ Journal of Surgery","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2024-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142185535","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}
Jessica A. Paynter, Kirby R. Qin, David Hunter‐Smith, Janelle Brennan, Warren Rozen
BackgroundAustralia continues to suffer from a geographical maldistribution of general surgical services with only 20% of general surgeons working rurally despite 29% of Australia's population residing outside major metropolitan centres. This qualitative study explored the impact of human capacity and infrastructure upon rural general surgery provision.MethodsThis qualitative study employed semi‐structured interviews of rural general surgeons. Participants were recruited via the Royal Australasian College of Surgeons (RACS) Rural newsletter and purposive sampling. All interviews were conducted between January 2023 and April 2023. Transcripts were transcribed, de‐identified, and thematically analysed.ResultsTwo female and 20 male rural general surgeons were interviewed from seven of the eight Australian State or Territories. Four main themes were identified which reflected the impact of human capacity and infrastructure upon Australian rural general surgery provision: (1) small hospital syndrome – and the impact, (2) the rural general surgeon identity, (3) infrastructure and disempowerment and (4) over‐reliance on visiting surgeons.ConclusionImproving access to equitable general surgical care for rural Australians requires appropriate infrastructure and a well‐trained, sustainable multidisciplinary surgical team (human capacity). A greater understanding of the issues may help drive rational, long‐term supportive solutions.
{"title":"Rural general surgical provision from the perspective of twenty‐two rural general surgeons: a thematic analysis","authors":"Jessica A. Paynter, Kirby R. Qin, David Hunter‐Smith, Janelle Brennan, Warren Rozen","doi":"10.1111/ans.19229","DOIUrl":"https://doi.org/10.1111/ans.19229","url":null,"abstract":"BackgroundAustralia continues to suffer from a geographical maldistribution of general surgical services with only 20% of general surgeons working rurally despite 29% of Australia's population residing outside major metropolitan centres. This qualitative study explored the impact of human capacity and infrastructure upon rural general surgery provision.MethodsThis qualitative study employed semi‐structured interviews of rural general surgeons. Participants were recruited via the Royal Australasian College of Surgeons (RACS) Rural newsletter and purposive sampling. All interviews were conducted between January 2023 and April 2023. Transcripts were transcribed, de‐identified, and thematically analysed.ResultsTwo female and 20 male rural general surgeons were interviewed from seven of the eight Australian State or Territories. Four main themes were identified which reflected the impact of human capacity and infrastructure upon Australian rural general surgery provision: (1) small hospital syndrome – and the impact, (2) the rural general surgeon identity, (3) infrastructure and disempowerment and (4) over‐reliance on visiting surgeons.ConclusionImproving access to equitable general surgical care for rural Australians requires appropriate infrastructure and a well‐trained, sustainable multidisciplinary surgical team (human capacity). A greater understanding of the issues may help drive rational, long‐term supportive solutions.","PeriodicalId":8158,"journal":{"name":"ANZ Journal of Surgery","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2024-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142185534","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}
Henry Witcomb Cahill, Matthew McGuinness, Ian Bissett, Christopher Harmston
BackgroundBariatric surgery is the most effective treatment for people with obesity. It has been shown that there's is a complex psychosocial overlay in the pathophysiology and treatment, which requires specific consideration when delivering care. There is a significant drop out rate for patients accepted on to bariatric programmes in New Zealand, resulting in failure to progress to surgical intervention.MethodsWe conducted individual, semi‐structured interviews with patients who were accepted onto the bariatric surgery programme but did not complete the programme, or receive an operation between 2015 and 2020. Grounded theory methodology was used to create an exploratory framework to identify and describe the themes encountered. An iterative process of thematic analysis and comparison between participants experiences was used to consolidate the shared key barriers. This study aims to explore patients experiences of a bariatric surgery programme to understand barriers and enablers to complete a bariatric programme and receive an operation. Adding to previous qualitative work investigating patients experience of bariatric surgery programmes in New Zealand.ResultsFive themes of barriers that patients face to receiving bariatric surgery were identified. These were preoperative weight loss requirement, experiencing the social stigma of obesity, communication, socioeconomic and geographic barriers, and community support. These five themes often co‐exist in patients experiences and combine, to cause patients to disengage with the bariatric service.ConclusionMany factors contribute to eligible patients not receiving bariatric surgery once accepted onto the programme. Specified weight loss goals was the most significant barrier. Community support and online resources were significant enablers. This study should inform changes to bariatric programmes in New Zealand.
{"title":"Barriers for bariatric surgery in provincial New Zealand: a qualitative analysis","authors":"Henry Witcomb Cahill, Matthew McGuinness, Ian Bissett, Christopher Harmston","doi":"10.1111/ans.19225","DOIUrl":"https://doi.org/10.1111/ans.19225","url":null,"abstract":"BackgroundBariatric surgery is the most effective treatment for people with obesity. It has been shown that there's is a complex psychosocial overlay in the pathophysiology and treatment, which requires specific consideration when delivering care. There is a significant drop out rate for patients accepted on to bariatric programmes in New Zealand, resulting in failure to progress to surgical intervention.MethodsWe conducted individual, semi‐structured interviews with patients who were accepted onto the bariatric surgery programme but did not complete the programme, or receive an operation between 2015 and 2020. Grounded theory methodology was used to create an exploratory framework to identify and describe the themes encountered. An iterative process of thematic analysis and comparison between participants experiences was used to consolidate the shared key barriers. This study aims to explore patients experiences of a bariatric surgery programme to understand barriers and enablers to complete a bariatric programme and receive an operation. Adding to previous qualitative work investigating patients experience of bariatric surgery programmes in New Zealand.ResultsFive themes of barriers that patients face to receiving bariatric surgery were identified. These were preoperative weight loss requirement, experiencing the social stigma of obesity, communication, socioeconomic and geographic barriers, and community support. These five themes often co‐exist in patients experiences and combine, to cause patients to disengage with the bariatric service.ConclusionMany factors contribute to eligible patients not receiving bariatric surgery once accepted onto the programme. Specified weight loss goals was the most significant barrier. Community support and online resources were significant enablers. This study should inform changes to bariatric programmes in New Zealand.","PeriodicalId":8158,"journal":{"name":"ANZ Journal of Surgery","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2024-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142185536","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}
Eyal Mor, Benjamin Baker, Michael A. Henderson, Smaro Lazarakis, Catherine Mitchell, David Speakman, Richard Zinn, Angela Webb, Hayden Snow, David E Gyorki
PurposeRadiation‐induced angiosarcoma (RIAS) of the breast is a rare tumour with high rate of local recurrence. The aim of this study is to evaluate the outcome of radical resections.MethodsA retrospective analysis of all patients who underwent extended surgical resection for RIAS of the breast between 2013 and 2022. Included were patients who underwent radical resection, including complete resection of previously irradiated skin and underlying fascia of pectoralis major. Post‐operative and long‐term oncological outcomes were than analysed. A systematic review was performed using the MEDLINE database in the last 20 years.ResultsTwenty‐two (n = 22) patients met the inclusion criteria. The median length of the specimen was 220 mm (range, 120–377 mm). At a median follow‐up of 33.5 months (range, 7.9–102.4), 3 (13.6%) patients had both local and metastatic lung disease and 1 (4%) patient with only lung metastasis. The estimated 3‐ and 5‐year OS was 81.1% and 57.9%, respectively. The estimated 3‐ and 5‐year DSS was 91.7% and 65.5%, respectively. The estimated 3‐ and 5‐year DFS rate were both 75.2%. The systematic review identified 17 studies with a recurrence rate ranging from 33% to 100%.ConclusionsTreatment of RIAS of the breast with an up‐front locally extended approach is associated with a low rate of local recurrence compared with the reported literature.
{"title":"Outcomes following extended resection of radiation‐induced angiosarcoma of the breast: a sarcoma unit experience and systematic review","authors":"Eyal Mor, Benjamin Baker, Michael A. Henderson, Smaro Lazarakis, Catherine Mitchell, David Speakman, Richard Zinn, Angela Webb, Hayden Snow, David E Gyorki","doi":"10.1111/ans.19231","DOIUrl":"https://doi.org/10.1111/ans.19231","url":null,"abstract":"PurposeRadiation‐induced angiosarcoma (RIAS) of the breast is a rare tumour with high rate of local recurrence. The aim of this study is to evaluate the outcome of radical resections.MethodsA retrospective analysis of all patients who underwent extended surgical resection for RIAS of the breast between 2013 and 2022. Included were patients who underwent radical resection, including complete resection of previously irradiated skin and underlying fascia of pectoralis major. Post‐operative and long‐term oncological outcomes were than analysed. A systematic review was performed using the MEDLINE database in the last 20 years.ResultsTwenty‐two (<jats:italic>n</jats:italic> = 22) patients met the inclusion criteria. The median length of the specimen was 220 mm (range, 120–377 mm). At a median follow‐up of 33.5 months (range, 7.9–102.4), 3 (13.6%) patients had both local and metastatic lung disease and 1 (4%) patient with only lung metastasis. The estimated 3‐ and 5‐year OS was 81.1% and 57.9%, respectively. The estimated 3‐ and 5‐year DSS was 91.7% and 65.5%, respectively. The estimated 3‐ and 5‐year DFS rate were both 75.2%. The systematic review identified 17 studies with a recurrence rate ranging from 33% to 100%.ConclusionsTreatment of RIAS of the breast with an up‐front locally extended approach is associated with a low rate of local recurrence compared with the reported literature.","PeriodicalId":8158,"journal":{"name":"ANZ Journal of Surgery","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2024-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142185557","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}
Dirk van Bavel FRACS (Orth), MClinRes, Richard de Steiger PhD, FRACS, Dean McKenzie BA (Hons), PhD
Background
Functional tests such as the 6-minute walk test (6MWT) are used in many areas of medicine to monitor disease progression and outcomes of treatment. They are particularly helpful in Orthopaedic surgery as the outcomes have been shown to be responsive to recovery over time. The 6MWT is typically performed in a controlled supervised environment which may limit its widespread use (Terwee et al., Rheumatology (Oxford), 2006, 45, 890–902). The primary aim is to investigate if a patient measured 6MWT is comparable to a 6MWT performed under formal testing conditions (Täger et al., Int. J. Cardiol. 2014, 176, 94–98).
Methods
A total of 55 patients undergoing elective primary hip or knee replacement were instructed to use a smart watch to record a 6MWT in their home community environment (C-6MWT). These measurements were compared to a formally tested 6MWT (F-6MWT) at 2 separate time periods—6 and 12 weeks post-surgery.
Results
At 6 weeks post operation the Intraclass Correlation Coefficient between a formally tested and a patient self-administered 6MWT was 0.928 (95% CI 0.832–0.970) and at 12 weeks it was 0.831 (0594–0.935).
Conclusion
A patient recorded 6 minute walk test shows high agreement with a formally recorded one under research conditions. This makes this test a suitable way to monitor rehabilitation progression and research outcomes at multiple time periods and in remote situations.
{"title":"Is a patient self-recorded 6 minute walk test equivalent to a formally recorded 6 minute walk test","authors":"Dirk van Bavel FRACS (Orth), MClinRes, Richard de Steiger PhD, FRACS, Dean McKenzie BA (Hons), PhD","doi":"10.1111/ans.19213","DOIUrl":"10.1111/ans.19213","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Functional tests such as the 6-minute walk test (6MWT) are used in many areas of medicine to monitor disease progression and outcomes of treatment. They are particularly helpful in Orthopaedic surgery as the outcomes have been shown to be responsive to recovery over time. The 6MWT is typically performed in a controlled supervised environment which may limit its widespread use (Terwee et al., Rheumatology (Oxford), 2006, 45, 890–902). The primary aim is to investigate if a patient measured 6MWT is comparable to a 6MWT performed under formal testing conditions (Täger et al., Int. J. Cardiol. 2014, 176, 94–98).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A total of 55 patients undergoing elective primary hip or knee replacement were instructed to use a smart watch to record a 6MWT in their home community environment (C-6MWT). These measurements were compared to a formally tested 6MWT (F-6MWT) at 2 separate time periods—6 and 12 weeks post-surgery.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>At 6 weeks post operation the Intraclass Correlation Coefficient between a formally tested and a patient self-administered 6MWT was 0.928 (95% CI 0.832–0.970) and at 12 weeks it was 0.831 (0594–0.935).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>A patient recorded 6 minute walk test shows high agreement with a formally recorded one under research conditions. This makes this test a suitable way to monitor rehabilitation progression and research outcomes at multiple time periods and in remote situations.</p>\u0000 </section>\u0000 </div>","PeriodicalId":8158,"journal":{"name":"ANZ Journal of Surgery","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2024-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142185538","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}
Matthew Binks, John Boyages, Hiroo Suami, Nicholas Ngui, Farid Meybodi, T. Michael Hughes, Senarath Edirimanne
IntroductionChanges to the tumour bed following oncoplastic breast surgery complicate the administration of adjuvant radiotherapy. Consensus guidelines have called for improved interdisciplinary communication to aid adjuvant boost radiotherapy. We propose a framework of tumour bed classification following oncoplastic surgery to enhance understanding and communication between the multidisciplinary breast cancer team and facilitate effective and more precise delivery of adjuvant boost radiotherapy.MethodsA classification system was devised by grouping oncoplastic procedures based on skin incision, tissue mobilization, tumour bed distortion, seroma formation and flap reconstruction. The system is supplemented by a colour‐coded pictorial guide to tumour bed rearrangement with common oncoplastic procedures.ResultsA 5‐tier framework was developed. Representative images were produced to describe tumour bed alterations.ConclusionThe proposed framework (OPSURGE) improves the identification of the primary tumour bed after initial breast‐conserving surgery, which is imperative to both the surgeon in planning re‐excision and the radiation oncologist in planning boost radiotherapy.
{"title":"Oncoplastic breast surgery – a pictorial classification system for surgeons and radiation oncologists (OPSURGE)","authors":"Matthew Binks, John Boyages, Hiroo Suami, Nicholas Ngui, Farid Meybodi, T. Michael Hughes, Senarath Edirimanne","doi":"10.1111/ans.19212","DOIUrl":"https://doi.org/10.1111/ans.19212","url":null,"abstract":"IntroductionChanges to the tumour bed following oncoplastic breast surgery complicate the administration of adjuvant radiotherapy. Consensus guidelines have called for improved interdisciplinary communication to aid adjuvant boost radiotherapy. We propose a framework of tumour bed classification following oncoplastic surgery to enhance understanding and communication between the multidisciplinary breast cancer team and facilitate effective and more precise delivery of adjuvant boost radiotherapy.MethodsA classification system was devised by grouping oncoplastic procedures based on skin incision, tissue mobilization, tumour bed distortion, seroma formation and flap reconstruction. The system is supplemented by a colour‐coded pictorial guide to tumour bed rearrangement with common oncoplastic procedures.ResultsA 5‐tier framework was developed. Representative images were produced to describe tumour bed alterations.ConclusionThe proposed framework (OPSURGE) improves the identification of the primary tumour bed after initial breast‐conserving surgery, which is imperative to both the surgeon in planning re‐excision and the radiation oncologist in planning boost radiotherapy.","PeriodicalId":8158,"journal":{"name":"ANZ Journal of Surgery","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2024-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142185537","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}
Shantanu Joglekar, Saee Sane, David S Liu, Cuong P Duong
Repair of a paraconduit hernia post oesophagectomy can be challenging. We present a safe and effective method of left hiatoplasty which is feasible in the majority of cases, achieving primary no-mesh repair while protecting the gastric conduit. Operative photos and videos describe the technique and key considerations.
{"title":"How to repair a para-conduit hernia post minimally invasive oesophagectomy: the left hiatoplasty approach.","authors":"Shantanu Joglekar, Saee Sane, David S Liu, Cuong P Duong","doi":"10.1111/ans.19168","DOIUrl":"https://doi.org/10.1111/ans.19168","url":null,"abstract":"<p><p>Repair of a paraconduit hernia post oesophagectomy can be challenging. We present a safe and effective method of left hiatoplasty which is feasible in the majority of cases, achieving primary no-mesh repair while protecting the gastric conduit. Operative photos and videos describe the technique and key considerations.</p>","PeriodicalId":8158,"journal":{"name":"ANZ Journal of Surgery","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2024-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142131588","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":"Idiopathic colonic and small bowel varices: a rare endoscopic finding.","authors":"Yue Zhao, Winson Jianhong Tan","doi":"10.1111/ans.19226","DOIUrl":"https://doi.org/10.1111/ans.19226","url":null,"abstract":"","PeriodicalId":8158,"journal":{"name":"ANZ Journal of Surgery","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2024-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142124681","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":"Re: Influence of the type of anatomic resection on anastomotic leak after surgery for colon cancer.","authors":"Fabio Carboni, Manuel Giofrè, Ida Camperchioli","doi":"10.1111/ans.19220","DOIUrl":"https://doi.org/10.1111/ans.19220","url":null,"abstract":"","PeriodicalId":8158,"journal":{"name":"ANZ Journal of Surgery","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2024-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142124682","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}
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