ANZ journal of surgery
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ANZ journal of surgery · Apr 2016
Randomized Controlled TrialCautery versus scalpel for abdominal skin incisions: a double blind, randomized crossover trial of scar cosmesis.
The purpose of this study was to determine whether there is any difference in cosmetic outcome between using cutting diathermy and using a scalpel to make abdominal skin incisions. ⋯ We found the use of cutting diathermy to make abdominal skin incisions to be cosmetically equivalent to cutting with the scalpel. As previous studies have not shown adverse wound outcomes using this technique, and considering the safety concerns for theatre staff when the scalpel is used, the routine use of cutting diathermy for skin incisions in abdominal surgery is justified.
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ANZ journal of surgery · Apr 2016
Comparative StudyMinimally invasive Ivor-Lewis oesophagectomy is a feasible and safe approach for patients with oesophageal cancer.
Minimally invasive approaches are increasingly being used in oesophagectomy. The aim of this study was to compare the short-term clinical outcomes of the minimally invasive Ivor-Lewis oesophagectomy (MIILE) technique with those of the open Ivor-Lewis oesophagectomy (OILE) technique. ⋯ In this study, we demonstrate that MIILE is a feasible and safe approach for patients with middle or lower oesophageal cancer.
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ANZ journal of surgery · Apr 2016
ReviewChlorhexidine-induced anaphylaxis in surgical patients: a review of the literature.
Chlorhexidine (CHL) has antiseptic and disinfectant properties used to prevent hospital-acquired infections. CHL-induced anaphylaxis is poorly reported in surgical literature despite government warnings and growing recognition. The aim of this review is to increase awareness of CHL-induced anaphylaxis in the surgical population. ⋯ In order to reduce abandoned procedures, unplanned intensive care unit admissions, morbidity and mortality associated with CHL-induced anaphylaxis we recommend the following: rationalization of CHL-containing products, greater vigilance regarding subtle symptoms of CHL allergy, appropriate investigation of these symptoms and a greater awareness of CHL-containing products. Lastly, we outline the appropriate investigations and highlight the need for meticulous documentation in those who are CHL allergic.
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ANZ journal of surgery · Apr 2016
Twitter in urology and other surgical specialties at global conferences.
Over recent years, Twitter has demonstrated an expanding role in scientific discussion, surgical news and conferences. This study evaluates the role of Twitter in urological conferences, with comparison to other surgical specialties. ⋯ Twitter has been used to supplement surgical conferences. In this regard, the urological community leads the way compared to the remainder of surgical specialty communities.