ANZ journal of surgery
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The work hours of junior doctors have been in the spotlight since the mid-1980s. Rostering and the structure of surgical units aim to balance quality and continuity of patient care with reasonable working hours. ⋯ Safe working hours have been achieved for surgical registrars by restructuring the surgical units and implementing a new on-call rota without a perceived effect on patient care.
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ANZ journal of surgery · Jul 2010
Letter Case ReportsRe: Acute traumatic appendicitis following blunt abdominal trauma.
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ANZ journal of surgery · Jun 2010
Does an acute care surgical model improve the management and outcome of acute cholecystitis?
The aim of this study was to compare the management and outcome of acute cholecystitis in an acute care surgery (ACS) model to that of the traditional home-call attending surgeon. The ACS model is one in which a consultant led team manage all emergency surgical presentations. The consultant is involved with every decision made including theatre allocation. ⋯ Results suggest that an ACS model is beneficial to patient care with shorter hospital stay and a decreased complication rate. This may reflects a greater input to patient assessment and management by the on-site consultant. In addition, the ACS model provides greater consultant supervision to the trainee.
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ANZ journal of surgery · May 2010
ReviewSystematic review of the impact of volume of oesophagectomy on patient outcome.
This systematic review aims to assess whether overall survival, mortality, morbidity, length of stay and cost of performing oesophagectomy are related to surgical volume. ⋯ Based on the evidence from these retrospective studies, oesophagectomy performed in high volume centres would appear to be associated with better outcome compared with low volume centres.