ANZ journal of surgery
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ANZ journal of surgery · Mar 2017
Review Meta Analysis Comparative StudyMeta-analysis of two surgical approaches for calcaneal fractures: sinus tarsi versus extensile lateral approach.
There remains a controversy between extensile lateral approach and sinus tarsi approach (STA) to treat calcaneal fractures. The aim of this study is to evaluate the medium- and long-term outcomes of the STA versus extensile lateral approach in terms of intraoperative variables, quality of alignment on a lateral radiograph incidence of wound healing complication, visual analogue scale and American Orthopaedic Foot and Ankle Society for the treatment of calcaneal fractures. ⋯ The existing evidence supports STA to be a better approach for treating calcaneal fractures, and this might aid in the management of this injury.
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Cerebral gunshot wounds represent one of the most lethal forms of traumatic brain injury, but there is a paucity of literature on the topic, especially from the developing world. We reviewed our experience and describe the spectrum and outcome of civilian cerebral gunshot wounds in a major metropolitan trauma centre in South Africa. ⋯ Cerebral gunshot wounds are associated with significant mortality and protracted delay to definitive care is common in our setting. Those who survive the delayed transfer to definitive care generally do well and have reasonably good clinical outcomes.
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ANZ journal of surgery · Mar 2017
Review Meta Analysis Comparative StudyComparison of outcomes between minimally invasive oesophagectomy and open oesophagectomy for oesophageal cancer.
A systematic review with meta-analysis was performed to compare perioperative outcomes between minimally invasive oesophagectomy (MIE) and open oesophagectomy (OE). ⋯ Regarding certain clinical outcomes, MIE may be more beneficial than OE.
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ANZ journal of surgery · Jan 2017
ReviewSystematic review of reusable versus disposable laparoscopic instruments: costs and safety.
The quality of instruments and surgical expertise in minimally invasive surgery has developed markedly in the last two decades. Attention is now being turned to ways to allow surgeons to adopt more cost-effective and environmental-friendly approaches. This review explores current evidence on the cost and environmental impact of reusable versus single-use instruments. In addition, we aim to compare their quality, functionality and associated clinical outcomes. ⋯ Further examination of cost comparisons between disposable and reusable instruments is necessary while externalized environmental costs, instrument function and safety are also important to consider in future studies.