ANZ journal of surgery
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ANZ journal of surgery · Jan 2018
Loop and drain technique for subcutaneous abscess: a safe minimally invasive procedure in an adult population.
This study evaluated the safety, efficacy and compliance of an emerging technique for managing complex subcutaneous abscesses in an adult population (≥16 years). ⋯ This is the first LDT data in adults and proves it is safe and effective. It saves operating theatre time with 30% of LDT treated in the Emergency Department and ensures excellent follow-up compliance as patients return for VessiLoop removal. Healthcare burden is greatly reduced using LDT; most patients require only one review at 10-14 days.
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ANZ journal of surgery · Jan 2018
Predictive factors for publication of abstracts at the Royal Australasian College of Surgeons Annual Scientific Congress.
A key metric of the research quality of medical conferences is the publication rate of abstracts. The study objective was to determine the publication rate of abstracts presented at the Royal Australasian College of Surgeons Annual Scientific Congress (RACS ASC) and to examine for any predictive factors associated with publication. ⋯ Our study demonstrates that less than one-third of abstracts presented at the RACS ASC are subsequently published in a peer-reviewed journal. Factors significantly associated with journal publication include prospective studies, multicentre study, a larger cohort size and New Zealand author origin. Advances in surgery may progress from the preliminary findings of conference abstracts. However only after the rigorous peer review offered by journal publication should changes in decision-making of patient care occur.
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ANZ journal of surgery · Dec 2017
Comparative StudyFactors associated with and consequences of open conversion after laparoscopic distal pancreatectomy: initial experience at a single institution.
Laparoscopic distal pancreatectomy (LDP) is increasingly adopted today. This study aims to determine factors associated with and consequences of open conversion after LDP. ⋯ Splenectomy, institution experience and individual surgeon volume were the factors associated with open conversion after LDP.
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ANZ journal of surgery · Dec 2017
General surgery primary operator rates: a guide to achieving future competency.
Competency in surgical training is a topic of much recent discussion, with concern regarding the adequacy of current training schemes to achieve competency. Most programmes use caseload and primary operator rates to assess trainee progression. Some trainees still lack technical competence even when recommended procedural numbers are met. It is possible that current measures of individual's capabilities used in surgical education are outdated. ⋯ General surgical trainees accumulate operative experience with progression through the surgical education and training programme, highlighting expected technical progression and competency of trainees for common procedures. For less common or more complicated procedures, the use of entrustable professional activities and accompanying simulation training could be used to achieve the necessary technical expertise.