- Marked increase in the incidence of anterior cruciate ligament reconstructions in young females in New ZealandWe found a 120% increase in the incidence of anterior cruciate ligament reconstruction surgery in young females in New Zealand from 2000–2005 to 2013–2016. A higher proportion of anterior cruciate ligament reconstruction in New Zealand are now due to sport‐related causes, particularly netball, rugby and football. Injury prevention strategies should target these high‐risk groups, especially young females. Abstract
- Distribution of lymph node metastasis and the extent of lymph node dissection in descending colon cancer patientsThe optimal extent of lymph node dissection in patients with descending colon cancer is still debatable. This retrospective study evaluated lymph node metastasis of 118 descending colon cancer patients. Lymph nodes at the origin of the inferior mesenteric artery (IMA) showed no metastasis in any of the 26 patients who underwent high ligation of the IMA, and ligation of the IMA showed no prognostic benefit after propensity score matching. Ab
- Lymphopaenia in the diagnosis of paediatric appendicitis: a false sense of security?Abstract Background Appendicitis is a common indication for emergent surgery in children; however, it is a small proportion of presentations with abdominal pain. As viral illness is a common differential diagnosis, lymphopaenia is used by some as a predictor against appendicitis. Furthermore, neutrophil–lymphocyte ratio (NLR) has been found to predict appendicitis. We aimed to verify if lymphopaenia predicted against appendicitis
- Laparoscopic totally extra‐peritoneal groin hernia repair with self‐gripping polyester mesh: a series of 780 repairsLaparoscopic inguinal hernia repair using polyester self‐gripping mesh may reduce chronic pain by avoiding fixation. We present a large series (2011–2017) of 780 repairs using this technique with a chronic pain rate of 1.67% and four recurrences (0.51%) (follow‐up was up to 4.4 years). Background Laparoscopic groin hernia repair is an increasingly common procedure with benefits of reduced post‐operative pain
- Sarcopenia is an independent predictor of delayed gastric emptying following pancreaticoduodenectomy: a retrospective studyHigh body mass index, clinically relevant post‐operative pancreatic fistula and sarcopenia were predictor of delayed gastric emptying (DGE) after pancreaticoduodenectomy. Sarcopenia is likely to be involved in the pathogenesis of DGE after pancreaticoduodenectomy. Improved pre‐operative sarcopenia might prevent DGE. Background The pathogenesis of delayed gastric emptying (DGE), a common complication of pancreaticoduodenectomy,
- Long‐term significance of an anastomotic leak in patients undergoing an ultra‐low anterior resection for rectal cancerA study that looks at the long‐term consequences of anastomotic leaks in patients who have undergone an ultra‐low anterior resection for rectal cancer. An evaluation of morbidity and mortality in both anastomotic leaks and diverting ileostomy were undertaken. Risk factors identified include male gender and response to radiotherapy. Background Australia has one of the highest rates of colorectal cancer worldwide. Despite technol
- Novel technique of insertion of decompression tube for Ogilvie's syndrome/colonic pseudo‐obstructionNovel technique of management of colonic pseudo‐obstructing using colonoscopy guided insertion of decompression tube.
- Declining incidence of pyloric stenosis in New ZealandBackground Pyloric stenosis is a relatively common paediatric surgical condition, but a worldwide decline in its incidence has been observed in recent decades. The objective of this study was to identify if the incidence of pyloric stenosis in New Zealand has been declining. Methods A retrospective review of the four New Zealand paediatric surgical centres’ theatre databases from 2007 to 2017. Demographic data were recorded for all infants
- Delayed diagnosis of anorectal malformations in neonatesBackground Anorectal malformations (ARM) are common congenital abnormalities of the terminal hindgut. Ideally, ARM should be diagnosed at, or shortly following, birth by careful physical examination of the perineum. Delayed diagnosis has been implicated as a risk factor for complications, including intestinal perforation. This study aimed to determine the rate of delayed diagnosis and associated intestinal perforation in ARM. Methods A ret
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