ANZ journal of surgery
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ANZ journal of surgery · May 2012
Mastectomy flap design: the 'waisted teardrop' and a method to reduce the lateral fold.
There are various methods to design mastectomy flaps but few are standardized. Lateral skin folds or 'dog ears' are a common, unsightly and uncomfortable consequence following a surgery in overweight patients. ⋯ The design is easy to apply and may enable standardization. Heuristics of mastectomy design should be standardized and included in surgical training.
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ANZ journal of surgery · May 2012
Review Biography Historical ArticleNeurosurgery in the age of Cushing: the achievement of Leonard Lindon.
Leonard Lindon was the first neurosurgeon on the staff of the Royal Adelaide Hospital, and headed this hospital's neurosurgical service from 1931 to 1951, with an interruption from war service. Like other early neurosurgeons, Lindon began as a general surgeon. In 1929, when he was well established in his surgical practice, he took unpaid leave from his hospital duties to undertake a study tour of neurosurgical centres in Europe and North America. ⋯ Lindon was deeply impressed by Cushing's philosophy and his operative methods. When Lindon returned to Adelaide in 1930, he prepared a plan for a neurosurgical unit in Adelaide, and over the next 20 years, he achieved some of his aims. In this plan, Lindon gave priority to the management of head injuries as a role for neurosurgeons.
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ANZ journal of surgery · Apr 2012
Randomized Controlled Trial Multicenter StudySafety and efficacy of extended-release bupivacaine local anaesthetic in open hernia repair: a randomized controlled trial.
Pain relief remains a major problem in hernia surgery. SABER-Bupivacaine is an investigational extended-release formulation of bupivacaine in a resorbable matrix, which may provide up to 72 h of local pain relief. ⋯ After open inguinal hernia repair, SABER-Bupivacaine administered at the surgical site was safe and provided pain relief, reduced the need for supplemental (oral and parenteral) analgesia and did not impair wound healing.
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ANZ journal of surgery · Apr 2012
ReviewImpact of regional and local anaesthetics on length of stay in knee arthroplasty.
Regional and local anaesthetic techniques are thought to improve postoperative pain control and functional outcomes following total knee arthroplasty, potentially leading to a reduction in hospital length of stay. ⋯ The reporting quality has specific deficiencies in the areas of sample size calculation, randomization whilst there was under-reporting of blinding. Regional and local anaesthetic techniques have not demonstrated a clear reduction in hospital length of stay. Epidurals and femoral nerve blocks have similar impacts on length of stay.