ANZ journal of surgery
-
ANZ journal of surgery · Nov 2008
Letter Case ReportsPerforation of Meckel's diverticulum by a fishbone.
-
ANZ journal of surgery · Nov 2008
Randomized Controlled Trial Comparative StudyComparison between tonsillectomy with thermal welding and the conventional 'cold' tonsillectomy technique.
The aim of this study was the evaluation of length of the procedure, anaesthesia, the amount of the intraoperative fluid required, total blood loss and postoperative pain of the 'thermal welding system tonsillectomy (TWS)' compared with the conventional 'cold dissection tonsillectomy'. ⋯ When we compared TWS with the conventional 'cold' dissection tonsillectomy, we found that TWS tonsillectomy offered an innovative new tonsillectomy method with significantly reduced blood loss and reduced surgical time and without any increase in the postoperative pain. It was a useful method for tonsillectomy.
-
ANZ journal of surgery · Nov 2008
Multicenter Study Comparative StudyLaboratory risk indicator for necrotizing fasciitis score and the outcomes.
Laboratory risk indicator for necrotizing fasciitis (LRINEC score) is a simple laboratory tool used to distinguish between necrotizing soft-tissue infections (NSTI) and other soft-tissue infections. A LRINEC score of > or =6 is considered as denoting a high risk of necrotizing fasciitis. A certain LRINEC score might also be associated with mortality and other outcomes of patients with NSTI. ⋯ The LRINEC score is associated with the outcomes of patients with NSTI. Patients with a LRINEC score of > or =6 have a higher rate of both mortality and amputation.
-
ANZ journal of surgery · Nov 2008
Comparative StudyIlioinguinal lymph node dissection for palpable metastatic melanoma to the groin.
Block dissection of the inguinal lymph nodes is the routine management for palpable metastatic melanoma confined to this node basin. Involvement of the next tier external iliac and obturator lymph nodes in the pelvis is common, and untreated pelvic nodal disease can become advanced before becoming clinically apparent. We have routinely performed combined inguinal and pelvic (ilioinguinal) lymph node block dissection to avoid this morbid outcome. ⋯ Palpable metastatic melanoma in the groin is commonly associated with pelvic lymph node involvement, is not well predicted by CT scanning and is appropriately managed by ilioinguinal lymph node block dissection.
-
ANZ journal of surgery · Nov 2008
Comparative StudyPopulation-based study of age, gender and causes of severe injury in Auckland, 2004.
The burden of severe injury is an important health statistic. When accurate injury data are linked to census population data a reference dataset can be obtained. This information is vital to direct injury prevention and trauma system development. ⋯ Auckland has a severe injury rate that is lower than other similar studies. Contributing factors include: low interpersonal violence rates, the predominantly urban population, the data source and the inclusion of the paediatric age group.