Combined use of Kirschner wires and hinged external fixator for capitellar and trochlear fractures: a minimum 24 ‐month follow‐up
ConclusionK ‐wires, absorbable rods and sutures combined with hinged external fixator are feasible for fixation of capitellar and trochlear fractures. However, due to the absence of a control group (such as Herbert screw fixation), comparative studies are still needed to demonstrate the safety and reliability of K‐wires for fixation. (Source: ANZ Journal of Surgery)
Source: ANZ Journal of Surgery - November 28, 2018 Category: Surgery Authors: Shu ‐Kun He, Si‐Chun Zhao, Jin‐Hai Guo, Ting‐Wu Qin, Fu‐Guo Huang Tags: Original Article Source Type: research

Solitary colorectal liver metastasis after curative intent surgery: prognostic factors affecting outcomes and survival
ConclusionPatients who underwent a curative resection for CRC with a single liver metastasis had a relatively favourable prognosis; in these patients, node positivity and no adjuvant chemotherapy were independent prognostic factors for OS. Furthermore, a high serum carcinoembryonic antigen concentration at the time of recurrence, the treatment type after recurrence (chemotherapy or no treatment) and a left hepatic metastasis may be independent prognostic factors for OS in patients with recurrence. The left hepatic metastasis group tended to have a multiple hepatic relapse more frequently than the right hepatic metastasis g...
Source: ANZ Journal of Surgery - November 28, 2018 Category: Surgery Authors: Heeji Shin, Chan Wook Kim, Jong Lyul Lee, Yong Sik Yoon, In Ja Park, Seok ‐Byung Lim, Chang Sik Yu, Jin Cheon Kim Tags: Original Article Source Type: research

Pre ‐treatment wait time for head and neck cancer patients in Western Australia: description of a new metric and examination of predictive factors
ConclusionsThis study demonstrates that time from referral to biopsy represents a significant portion of total wait time, and we suggest that this be incorporated into future wait time metrics for improved clinical relevance. Furthermore, we have identified factors predicting increased wait time which can be targeted for future service improvement. (Source: ANZ Journal of Surgery)
Source: ANZ Journal of Surgery - November 12, 2018 Category: Surgery Authors: Stephanie Flukes, Stephen Garry, Anton Hinton ‐Bayre, Andrew Lindsay Tags: Original Article Source Type: research

Emergency presentations of acute biliary pain: changing patterns of management in a tertiary institute
ConclusionIndex hospital admission and cholecystectomy for biliary colic decrease patient representations, time to surgery, post ‐operative stay and complications of gallstone disease. This study demonstrates the impact of the policy with initial improvement, the dangers of policy attrition and the need for continued reinforcement. (Source: ANZ Journal of Surgery)
Source: ANZ Journal of Surgery - November 9, 2018 Category: Surgery Authors: Daniel R. A. Cox, Jonathan Fong, Chon Hann Liew, Su Kah Goh, Michael Yeoh, Michael A. Fink, Robert M. Jones, Jude Mukkadayil, Mehrdad Nikfarjam, Marcos V. Perini, Greg Rumler, Graham Starkey, Chris Christophi, Vijayaragavan Muralidharan Tags: Original Article Source Type: research

Management of in ‐transit melanoma metastases: a review
In ‐transit metastases (ITM) of cutaneous melanoma are locoregional recurrences confined to the superficial lymphatics that occur in 3.4–6.2% of patients diagnosed with melanoma. ITM are a heterogeneous disease that poses a therapeutic dilemma. Patients may have a prolonged disease trajectory invol ving multiple or repeat treatment modalities for frequent recurrences. The management of ITM has evolved without the development of a standardized protocol. Owing to the variability of the disease course there are few dedicated clinical trials, with a number of key trials in stage III melanoma exclu ding ITM patients. Thus, ...
Source: ANZ Journal of Surgery - November 9, 2018 Category: Surgery Authors: Emilia Nan Tie, Michael A. Henderson, David E. Gyorki Tags: Review Article Source Type: research

Management of papillary lesions without atypia of the breast diagnosed on needle biopsy
ConclusionYounger patients diagnosed with small central benign papillary lesions without atypia on needle biopsy, and without suspicious imaging, may be managed conservatively with surveillance. (Source: ANZ Journal of Surgery)
Source: ANZ Journal of Surgery - November 9, 2018 Category: Surgery Authors: Yue Yu, Elizabeth Salisbury, David Gordon ‐Thomson, Jia‐Lin Yang, Philip J. Crowe Tags: Original Article Source Type: research

Isolated bone marrow metastases of colorectal adenocarcinoma
ANZ Journal of Surgery, EarlyView. (Source: ANZ Journal of Surgery)
Source: ANZ Journal of Surgery - November 9, 2018 Category: Surgery Authors: Joseph M. O'Brien, Paul J. Watson, David Proud Tags: Images for Surgeons Source Type: research

Randomized controlled trial of probiotic use for post ‐colonoscopy symptoms
ConclusionThere may be a role for the use of probiotics in the subgroup of patients with preexisting symptoms; however, routine use of probiotics to ameliorate post ‐procedural symptoms of carbon dioxide insufflation colonoscopy cannot be advocated. (Source: ANZ Journal of Surgery)
Source: ANZ Journal of Surgery - November 9, 2018 Category: Surgery Authors: Tamara G. Mullaney, David Lam, Roman Kluger, Basil D'Souza Tags: Original Article Source Type: research

Follow the leader: followership and its relevance for surgeons
ANZ Journal of Surgery, EarlyView. (Source: ANZ Journal of Surgery)
Source: ANZ Journal of Surgery - November 9, 2018 Category: Surgery Authors: David A. Watters, Kyleigh Smith, Stephen Tobin, Spencer Beasley Tags: Professional Skills for Surgeons Source Type: research

Emergency presentations of acute biliary pain: changing patterns of management in a tertiary institute
ConclusionIndex hospital admission and cholecystectomy for biliary colic decrease patient representations, time to surgery, post ‐operative stay and complications of gallstone disease. This study demonstrates the impact of the policy with initial improvement, the dangers of policy attrition and the need for continued reinforcement. (Source: ANZ Journal of Surgery)
Source: ANZ Journal of Surgery - November 9, 2018 Category: Surgery Authors: Daniel R. A. Cox, Jonathan Fong, Chon Hann Liew, Su Kah Goh, Michael Yeoh, Michael A. Fink, Robert M. Jones, Jude Mukkadayil, Mehrdad Nikfarjam, Marcos V. Perini, Greg Rumler, Graham Starkey, Chris Christophi, Vijayaragavan Muralidharan Tags: Original Article Source Type: research

Management of in ‐transit melanoma metastases: a review
In ‐transit metastases (ITM) of cutaneous melanoma are locoregional recurrences confined to the superficial lymphatics that occur in 3.4–6.2% of patients diagnosed with melanoma. ITM are a heterogeneous disease that poses a therapeutic dilemma. Patients may have a prolonged disease trajectory invol ving multiple or repeat treatment modalities for frequent recurrences. The management of ITM has evolved without the development of a standardized protocol. Owing to the variability of the disease course there are few dedicated clinical trials, with a number of key trials in stage III melanoma exclu ding ITM patients. Thus, ...
Source: ANZ Journal of Surgery - November 9, 2018 Category: Surgery Authors: Emilia Nan Tie, Michael A. Henderson, David E. Gyorki Tags: Review Article Source Type: research

Management of papillary lesions without atypia of the breast diagnosed on needle biopsy
ConclusionYounger patients diagnosed with small central benign papillary lesions without atypia on needle biopsy, and without suspicious imaging, may be managed conservatively with surveillance. (Source: ANZ Journal of Surgery)
Source: ANZ Journal of Surgery - November 9, 2018 Category: Surgery Authors: Yue Yu, Elizabeth Salisbury, David Gordon ‐Thomson, Jia‐Lin Yang, Philip J. Crowe Tags: Original Article Source Type: research

Isolated bone marrow metastases of colorectal adenocarcinoma
ANZ Journal of Surgery, EarlyView. (Source: ANZ Journal of Surgery)
Source: ANZ Journal of Surgery - November 9, 2018 Category: Surgery Authors: Joseph M. O'Brien, Paul J. Watson, David Proud Tags: Images for Surgeons Source Type: research

Randomized controlled trial of probiotic use for post ‐colonoscopy symptoms
ConclusionThere may be a role for the use of probiotics in the subgroup of patients with preexisting symptoms; however, routine use of probiotics to ameliorate post ‐procedural symptoms of carbon dioxide insufflation colonoscopy cannot be advocated. (Source: ANZ Journal of Surgery)
Source: ANZ Journal of Surgery - November 9, 2018 Category: Surgery Authors: Tamara G. Mullaney, David Lam, Roman Kluger, Basil D'Souza Tags: Original Article Source Type: research