ANZ Journal of Surgery

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Table of Contents for ANZ Journal of Surgery. List of articles from both the latest and EarlyView issues.
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Inner ear and retrocochlear pathology on magnetic resonance imaging for sudden and progressive asymmetrical sensorineural hearing loss

June 10, 2019 - 00:38
Background

In sudden and asymmetrical progressive sensorineural hearing loss (SNHL), magnetic resonance imaging (MRI) is required to evaluate retrocochlear pathology and, with recent advances in MRI techniques, inner ear pathology. Given the limited literature regarding inner ear pathology associated with SNHL, we aimed to assess the incidence of retrocochlear and inner ear pathology, and congenital malformation on MRI in sudden SNHL (SSNHL) and progressive SNHL.

Methods

A total of 987 acoustic neuroma (AN) protocol MRI internal acoustic meatus studies performed at our institution to investigate SNHL between January 2013 and December 2015 inclusive were identified. Following categorization for indication of SSNHL versus progressive asymmetrical SNHL, MRIs with retrocochlear or inner ear abnormality, congenital malformation or other otology‐related abnormality were identified, and further data were collected for these patients including patient demographics, associated symptomatology, management and outcomes.

Results

In SSNHL, aetiological abnormality on MRI was identified for 6.9% patients with AN present on 4% overall. 3.2% of MRIs for progressive asymmetrical SNHL identified a causative lesion with 2.3% of scans overall diagnosing AN. The incidence of congenital inner ear malformation on MRI in the setting of SSNHL and progressive asymmetrical SNHL are 1.7% and 0.6%, respectively.

Conclusion

This is the first retrospective study of inner ear MRI abnormalities in both SSNHL and progressive asymmetrical SNHL in Australia and one of the largest cohorts published in the literature to date. MRI must be performed in the setting of SNHL to ensure aforementioned and rarer causative lesions are identified.

Caseload distribution of general surgeons in regional Australia: is there a role for a rural surgery sub‐specialization?

June 10, 2019 - 00:38
Background

Rural and regional Australia presents a unique challenge in the delivery of surgical services by virtue of its geographical vastness and low population density. While up to 33% of Australians live in rural or regional areas, only 14.8% of surgeons work in a rural or regional area. Data regarding the caseload distribution of general surgeons working in a regional setting in Australia remain scarce. In order to better examine the training needs of rural general surgeons, this study aims to examine the caseload distribution of general surgeons working in regional Australia.

Methods

A retrospective review of surgical procedures carried out by general surgeons at Albury Base Hospital between September 2006 and December 2014 was carried out. Surgical procedures were grouped according to the classifications of the Royal Australasian College of Surgeons Morbidity and Audit Logbook Tool.

Results

During the study period, 21 652 procedures were carried out by general surgeons. A total of 58.7% (12711) of these procedures consisted of general surgical procedures and 35.9% (7763) were endoscopic procedures. A total of 5.4% of procedures carried out by general surgeons fell outside the scope of traditional general surgery, including cardiothoracic, orthopaedic, ear, nose and throat, neurosurgical, vascular and urological procedures. All general surgeons performed operations in surgical specialities outside of general surgery.

Conclusion

This study adds weight to the value of a broad skill set in provision of surgical services in a rural setting.

Analysis of social media use among Australian and New Zealand otolaryngologists

June 10, 2019 - 00:38
Background

Social media's rapid worldwide growth has permeated surgical practice. To date, no study has evaluated social media use amongst Australian and New Zealand otolaryngologists.

Methods

Cross‐sectional study of all members of the Australian and New Zealand Societies of Otolaryngology Head and Neck Surgery with comprehensive searches of websites and social media platforms (Facebook, Twitter, LinkedIn, ResearchGate and Instagram) was performed.

Results

A total of 498 otolaryngologists were identified with 81.7% working in Australia; 79.1% had some form of online presence – either professional website or activity on ≥1 social media platform and 53.0% of otolaryngologists had a professional website and mean number of social media profiles averaged 1.35 per surgeon. LinkedIn was the most widely used social media platform (51.6%). 38.8% of otolaryngologists had Facebook accounts with 11.9% of those ‘public’ accounts used for business purposes. Otolaryngologists with a research and authorship interest had the highest mean number of social media accounts (1.78) and were more likely to be associated with ResearchGate, LinkedIn and website ownership. Facial plastic surgeons averaged the second highest mean number of social media accounts per surgeon (1.71) and were most active on Facebook, Instagram and YouTube. There was a linear decline in the mean number of social media accounts per surgeon and rate of professional website ownership with increasing years in practice.

Conclusion

Social media uptake amongst otolaryngologists appears consistent with colleagues in other surgical specialties. Otolaryngologists with fewer years in practice and specialty interests in facial plastic surgery and authorship and research are significantly more active on social media.

Response to Re: External fixation of unstable pelvic fractures: a systematic review and meta‐analysis

June 10, 2019 - 00:38
ANZ Journal of Surgery, Volume 89, Issue 6, Page 787-787, June 2019.

Re: Fulminant amoebic colitis and septic shock in a returning traveller

June 10, 2019 - 00:38
ANZ Journal of Surgery, Volume 89, Issue 6, Page 786-787, June 2019.

Re: External fixation of unstable pelvic fractures: a systematic review and meta‐analysis

June 10, 2019 - 00:38
ANZ Journal of Surgery, Volume 89, Issue 6, Page 787-787, June 2019.

Re: Oncoplastic partial breast reconstruction improves patient satisfaction and aesthetic outcome for central breast tumours

June 10, 2019 - 00:38
ANZ Journal of Surgery, Volume 89, Issue 6, Page 786-786, June 2019.

Introduction of new surgical techniques and technologies

June 10, 2019 - 00:38
ANZ Journal of Surgery, Volume 89, Issue 6, Page 625-626, June 2019.

25, 50 & 75 years ago

June 10, 2019 - 00:38
ANZ Journal of Surgery, Volume 89, Issue 6, Page 632-633, June 2019.

Adult intussusception involving colonic lipoma: a case study

June 10, 2019 - 00:38
ANZ Journal of Surgery, Volume 89, Issue 6, Page E272-E273, June 2019.

Internal hernia following laparoscopic low anterior resection: a serious complication often misdiagnosed

June 10, 2019 - 00:38
ANZ Journal of Surgery, Volume 89, Issue 6, Page E276-E277, June 2019.

Idiopathic sclerosing encapsulating peritonitis: a rare surgical presentation

June 10, 2019 - 00:38
ANZ Journal of Surgery, Volume 89, Issue 6, Page E274-E275, June 2019.

Acute scrotum in the setting of acute necrotizing pancreatitis: a surprise

June 10, 2019 - 00:38
ANZ Journal of Surgery, Volume 89, Issue 6, Page E268-E269, June 2019.

Appendiceal intussusception

June 10, 2019 - 00:38
ANZ Journal of Surgery, Volume 89, Issue 6, Page E263-E264, June 2019.

A rare case of gestational gigantomastia

June 10, 2019 - 00:38
ANZ Journal of Surgery, Volume 89, Issue 6, Page E282-E283, June 2019.

Laparoscopic repair of a complex Morgagni hernia in a patient with Marfan syndrome

June 10, 2019 - 00:38
ANZ Journal of Surgery, Volume 89, Issue 6, Page E284-E285, June 2019.

Giant hepatic hydatid extending subcutaneously to the anterior abdomen piercing the rectus sheath

June 10, 2019 - 00:38
ANZ Journal of Surgery, Volume 89, Issue 6, Page E246-E247, June 2019.

Pancreatic cleft mimicking traumatic pancreatic transection

June 10, 2019 - 00:38
ANZ Journal of Surgery, Volume 89, Issue 6, Page E248-E249, June 2019.

Gastric cancer with solitary liver metastasis accompanied by cyst formation

June 10, 2019 - 00:38
ANZ Journal of Surgery, Volume 89, Issue 6, Page 784-785, June 2019.