The Australian and New Zealand journal of surgery
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Biography Historical Article
E.T.C. Milligan OBE, MD, FRCS, FRACS (1886-1972)-a great Australian.
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There are differing opinions in the literature regarding the significance of first rib fractures. The plan at Westmead Centre is to standardize the initial assessment of patients with such fractures. A 3 year retrospective study of 170 trauma victims who sustained fractured ribs, was undertaken. ⋯ Patients with first rib fracture should be closely examined for neurovascular compromise. Guidelines for the use of angiography are discussed. If there is no evidence of neurovascular injury at presentation, and there is no other thoracic injury, recovery should be uneventful.
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Varied methods of primary surgical treatment of 189 cases of cutaneous malignant melanoma studied in Western Australia had no statistically significant effect on prognosis. The results indicate that wide excision is not justified as the standard treatment of cutaneous malignant melanoma.
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A case is reported of an ileocaecal intussusception caused by a previously recognized Meckel's diverticulum. The case offers the opportunity to discuss the management of an asymptomatic Meckel's diverticulum found incidentally. The conclusion is reached that, in general, diverticulectomy is appropriate.
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Editorial Historical Article
The Royal College of Surgeons in Ireland 1784-1984.