ANZ journal of surgery
-
ANZ journal of surgery · Mar 2018
Case ReportsMedial sural artery perforator free flap for the reconstruction of leg, foot and ankle defect: an excellent option.
The defects over the leg, foot and ankle are best covered with a thin pliable flap. The use of muscle flap for the reconstruction of these defects leaves a grafted, aesthetically inferior result. The medial sural artery perforator (MSAP) free flap gives a thin pliable tissue for the reconstruction with better aesthesis. ⋯ MSAP free flap is a reliable choice for leg, foot and ankle defect reconstruction.
-
ANZ journal of surgery · Mar 2018
Comparative StudyPaediatric mild head injury: is routine admission to a tertiary trauma hospital necessary?
Previous studies have shown that children with isolated linear skull fractures have excellent clinical outcomes and low risk of surgery. We wish to identify other injury patterns within the spectrum of paediatric mild head injury, which need only conservative management. Children with low risk of evolving neurosurgical lesions could be safely managed in primary hospitals. ⋯ Children with small intracranial haematomas and/or skull fractures who need no surgery only require brief inpatient symptomatic treatment and could be safely managed in primary hospitals. Improved tertiary hospital transfer guidelines with protocols to manage clinical deterioration could have cost benefit without risking patient safety.
-
ANZ journal of surgery · Mar 2018
C-reactive protein is a useful negative predictor of anastomotic leak in oesophago-gastric resection.
Post-operative C-reactive protein (CRP) has been investigated as a predictor of anastomotic leak (AL) following colorectal surgery, but its role in oesophago-gastric surgery is not yet established. ⋯ Post-operative CRP is an accurate negative predictive test for the development of AL following oesophago-gastric surgery. It may help to discriminate between patients with a high risk of leak and those in which AL is unlikely to occur.