ANZ journal of surgery
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ANZ journal of surgery · Apr 2004
Comparative StudyModified Limberg flap reconstruction compares favourably with primary repair for pilonidal sinus surgery.
The present study analyses the results of wide excision with primary closure (PC), wide excision with classical Limberg flap reconstruction (LF) and wide excision with modified Limberg flap reconstruction (MLF) in the surgical treatment of sacrococcygeal pilonidal disease. ⋯ For the surgical treatment of sacrococcygeal pilonidal disease, excision plus a classical or modified Limberg flap reconstruction proved to be superior to excision plus primary closure in terms of infection, mobilization time, discharge from hospital and time off work. Additionally, MLF reconstruction resulted in a statistically lower recurrence rate when compared with PC.
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ANZ journal of surgery · Apr 2004
Successful antimicrobial therapy and implant retention for streptococcal infection of prosthetic joints.
Streptococci cause up to 20% of prosthetic joint infections but this has received little attention in the published literature. ⋯ Our results, and those of others, show that prosthetic joint infections caused by streptococci have a relatively good outcome with primary antimicrobial therapy and, when necessary, drainage, lavage or debridement. Provided the prosthesis is stable and the patient can tolerate long-term antimicrobial therapy, this may be an effective alternative to excision arthroplasty.
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ANZ journal of surgery · Apr 2004
Historical ArticleMedical practice and medical education 1500-2001: an overview.
Up to the middle of the nineteenth century medicine was practised by a variety of people: physicians, surgeons, apothecaries, bone setters and various irregular practitioners or quacks. Physicians were well educated and learned men who had studied the classics and the works of Galen. ⋯ In reality, medical knowledge regarding disease and its management was minimal. The present paper is an overview of the education and training of those who practised in medicine before the subject began to develop into a science.