Journal articles: 'Surgery, Plastic – Australia'

1

&NA;. "NOTICE PLASTIC SURGERY IN AUSTRALIA." Plastic and Reconstructive Surgery 75, no. 3 (March 1985): 461. http://dx.doi.org/10.1097/00006534-198503000-00106.

Full text

APA, Harvard, Vancouver, ISO, and other styles

2

Perotti, Olivia M., Storm Holwill, Sadhishaan Sreedharan, Daniel J. Reilly, Warren M. Rozen, and David J. Hunter-Smith. "Plastic and reconstructive surgical research in Australia and New Zealand: A bibliometric analysis." Australasian Journal of Plastic Surgery 1, no. 1 (March 1, 2018): 130–34. http://dx.doi.org/10.34239/ajops.v1n1.48.

Full text

Abstract:

Background: Bibliometrics is the analysis of research produced by individuals and institutions. While previous analyses have assessed sub-specialty fields, as well as contributions of individual countries to the plastic surgical literature, no bibliometric analyses to date have measured the contribution of plastic surgeons from Australia and New Zealand.Methods: Plastic surgery journals with the 15 highest impact factors were identified. Total publications in a ten-year period from October 2007 to September 2017 by Australian and New Zealand Plastic Surgeons were recorded, as were h-indices for all surgeons.Results: 588 articles were published by 498 surgeons, with the largest numbers in Plastic and Reconstructive Surgery (142), Burns (133), and the Journal of Plastic, Reconstructive and Aesthetic Surgery (112). Mean h-index for Associate Professors was 9.29, and for Professors was 17.17.Conclusion: Australian and New Zealand plastic surgeons continue to be actively involved in world-class research and innovation. The volume and quantity of research produced supports the development of an Australasian Journal of Plastic Surgery.

APA, Harvard, Vancouver, ISO, and other styles

3

Perotti, Olivia M., Storm Holwill, Sadhishaan Sreedharan, Daniel J. Reilly, Warren M. Rozen, and David J. Hunter-Smith. "Plastic and reconstructive surgical research in Australia and New Zealand: A bibliometric analysis." Australasian Journal of Plastic Surgery 1, no. 1 (January 30, 2018): 132–36. http://dx.doi.org/10.34239/ajops.v1i1.48.

Full text

Abstract:

Background: Bibliometrics is the analysis of research produced by individuals and institutions. While previous analyses have assessed sub-specialty fields, as well as contributions of individual countries to the plastic surgical literature, no bibliometric analyses to date have measured the contribution of plastic surgeons from Australia and New Zealand.Methods: Plastic surgery journals with the 15 highest impact factors were identified. Total publications in a ten-year period from October 2007 to September 2017 by Australian and New Zealand Plastic Surgeons were recorded, as were h-indices for all surgeons.Results: 588 articles were published by 498 surgeons, with the largest numbers in Plastic and Reconstructive Surgery (142), Burns (133), and the Journal of Plastic, Reconstructive and Aesthetic Surgery (112). Mean h-index for Associate Professors was 9.29, and for Professors was 17.17.Conclusion: Australian and New Zealand plastic surgeons continue to be actively involved in world-class research and innovation. The volume and quantity of research produced supports the development of an Australasian Journal of Plastic Surgery.

APA, Harvard, Vancouver, ISO, and other styles

4

Tam, D. "PR50Pï¿½THE PIONEERS OF PLASTIC SURGERY IN AUSTRALIA." ANZ Journal of Surgery 79 (May 2009): A64. http://dx.doi.org/10.1111/j.1445-2197.2009.04927_50.x.

Full text

APA, Harvard, Vancouver, ISO, and other styles

5

Stanley, Guy HM, Melissa J. Hirth, and Michael W. Findlay. "Collaborative research in Australasian plastic surgery." Australasian Journal of Plastic Surgery 4, no. 2 (September 29, 2021): 5–7. http://dx.doi.org/10.34239/ajops.v4n2.337.

Full text

Abstract:

Many specialist groups have developed clinical trial initiatives in response to the growing need for more collaborative research, and these are proliferating in multiple countries across the globe. The Royal Australasian College of Surgeons (RACS), under the direction of Professor John Windsor, established the clinical trials network of Australia and New Zealand (CTANZ). CTANZ supports the Australasian clinical trials in plastic, reconstructive and aesthetic surgery (ACTPRAS) research group which has already facilitated two multicentre, international, collaborative studies.

APA, Harvard, Vancouver, ISO, and other styles

6

Rozen, Warren M. "The Jack Brockhoff Reconstructive Plastic Surgery Research Fellowship Melbourne, Australia." Annals of Plastic Surgery 62, no. 3 (March 2009): 227–29. http://dx.doi.org/10.1097/sap.0b013e31819a64f6.

Full text

APA, Harvard, Vancouver, ISO, and other styles

7

Penna, Anthony, Queenie Chan, and Damian D. Marucci. "Compliance of plastic surgeons with advertising guidelines." Australasian Journal of Plastic Surgery 2, no. 1 (March 14, 2019): 37–43. http://dx.doi.org/10.34239/ajops.v2i1.103.

Full text

Abstract:

Background: Changes in the marketing of plastic surgery services in Australia has resulted in more plastic surgeons advertising on personal professional websites. In May 2014 the Australian Health Practitioner Regulation Agency (AHPRA) published ‘Guidelines for advertising regulated health services’. This study evaluates the compliance of plastic surgeons with these advertising standards. Method: The professional websites for all members of the Australian Society of Plastic Surgeons (ASPS) were analysed using the AHPRA guidelines. Each website was assessed by two independent medical reviewers noting the use of deceptive advertising, gifts/discounts, comparison with other surgeons, website photos, inappropriate marketing phraseology to encourage surgery and the creation of unreasonable expectations. Results: Over 80 per cent of ASPS members are fully compliant with the AHPRA guidelines. Less than one per cent of surgeons listed information considered to be misleading, deceptive, or creating unreasonable expectations. Gifts or discounts were offered by 5.8 per cent, 5.5 per cent used inappropriate marketing phraseology, 4.9 per cent made comparisons with other surgeons and 1.3 per cent had website photos that did not comply with recommended guidelines. Thirty-four per cent of surgeons were on Facebook, 20.4 per cent on Twitter and 19.4 per cent on Instagram. Of NSW surgeons, 13.8 per cent of had inappropriate website photos. Approximately 19 per cent of surgeons in WA and SA used inappropriate marketing to encourage surgery. Conclusion: The majority of ASPS members are compliant with the national advertising guidelines. Regional non-compliance with specific areas was noted suggesting targeted education may be of benefit.

APA, Harvard, Vancouver, ISO, and other styles

8

Bryant, Keith, and Nicola R. Dean. "Innovation in rural workforce strategies by a national surgical society." Australasian Journal of Plastic Surgery 4, no. 1 (March 30, 2021): 3–5. http://dx.doi.org/10.34239/ajops.v4n1.299.

Full text

Abstract:

Health services exist to address the health needs of the community. But in Australia at present there are not enough detailed data to tell us to what extent, community by community, our highly regarded health system is meeting those needs. We know that demand for health care services is growing faster than the overall economy, and that we no longer have a general shortage of doctors, but most problematically there is a significant geographic maldistribution of those doctors away from rural and regional areas.iFor plastic surgery services, there is very little understanding of what the aggregate needs of rural communities are, or how these needs vary by community. We know by anecdote that there is significant inequity in plastic surgery services and that rural and regional locations often have unfilled positions and diminished services. We note that 80 per cent of specialist plastic surgeons live and work wholly within the five largest Modified Monash level 1 (MM1) Australian cities.1 Only 8.5 per cent of specialist plastic surgeons are permanently based outside those five cities. We also note that this is a more serious negative divergence than other comparable surgical specialties.While we briefly explore the basis for some ‘innovative’ solutions in this paper, we are constantly reminded that a prerequisite of any ‘solution’ should be an in-depth study of what Australian rural communities need or want in terms of plastic surgery services.

APA, Harvard, Vancouver, ISO, and other styles

9

Rimal, Debesh, Ju Hui Huang Fu, and David Gillett. "Our experience in using telehealth for paediatric plastic surgery in Western Australia." ANZ Journal of Surgery 87, no. 4 (February 20, 2017): 277–81. http://dx.doi.org/10.1111/ans.13925.

Full text

APA, Harvard, Vancouver, ISO, and other styles

10

Morley, G. L., J. H. Matthews, I. Verpetinske, and G. A. Thom. "A Comparative Study Examining the Management of Bowen’s Disease in the United Kingdom and Australia." Dermatology Research and Practice 2015 (2015): 1–5. http://dx.doi.org/10.1155/2015/421460.

Full text

Abstract:

Background and Aim. The optimum management of Bowen’s Disease (BD) is undefined. A review of current practice is required to allow the development of best practice guidelines.Methods. All BD cases, diagnosed in one UK centre and one Australian centre over a year (1 July 2012–30 June 2013), were analysed retrospectively. Patients with BD were identified from histopathology reports and their medical records were analysed to collect demographic data, site of lesion, and treatment used.Results. The treatment of 155 lesions from the UK centre and 151 lesions from the Australian centre was analysed. At both centres BD was most frequently observed on the face: UK had 70 (45%) lesions and Australia had 83 (55%) lesions (P=0.08). The greatest number of lesions was managed by the plastic surgery department in the UK centre, 72 (46%), and the dermatology department in the Australian centre, 121 (80%). The most common therapy was surgical excision at both centres.Conclusions. In both UK and Australia, BD arises on sun-exposed sites and was most commonly treated with surgical excision despite a lack of robust evidence-based guidelines.

APA, Harvard, Vancouver, ISO, and other styles

11

Paynter, Jessica Anne, Vicky Tobin, Warren M. Rozen, and David J. Hunter-Smith. "Dupuytren Disease Management Trends: A Survey of Hand Surgeons." Journal of Hand Surgery (Asian-Pacific Volume) 25, no. 04 (October 28, 2020): 453–61. http://dx.doi.org/10.1142/s2424835520500502.

Full text

Abstract:

Background: Management of Dupuytren Disease is variable, and influenced by multiple factors including location, extent of disease, surgical preference and familiarity with different treatment techniques. The objective of this study was to determine current Dupuytren Disease management trends in Australia. Methods: A questionnaire was sent through The Australian Hand Surgery Society to all members. In addition to demographic data, indications and preferences for different management interventions were surveyed on location of disease, age and activity level of the patient. Results: 99 (48%) of the Australian Hand Surgery Society members completed the survey. Respondents were primarily Orthopaedic (50%) or Plastic (49%) Surgeons, and most worked in private (99%) and public (71%) practice. Surgeon’s believed that Tubiana’s treatment goals to correct deformity was the most important (60%) and to shorten post-operative recovery (60%) was the least important. Only 42% of respondents perform needle aponeurotomy for Dupuytren Disease. In contrast 70% of respondents perform collagenase injections, with manipulation most commonly undertaken on the second day (46%) and skin tears (52%) the most common complication. Seventy-five percent of the respondents feel there is sufficient evidence to support the treatment of Dupuytren disease with collagenase injections. Ninety nine percent of all respondents perform fasciectomes for Dupuytren Disease, with Limited (without graft) (76%) the most routine performed. Conclusions: Several procedural options for the treatment of Dupuytren Disease exist within Australia. This study shows current Australian practice trends and highlights the increasing use of collagenase.

APA, Harvard, Vancouver, ISO, and other styles

12

Nguyen, Dai Q. A. "Fellowship Review: Head and Neck and Plastic Surgery Fellowship at St Vincentʼs Hospital, Sydney, Australia." Annals of Plastic Surgery 66, no. 3 (March 2011): 219. http://dx.doi.org/10.1097/sap.0b013e3181c60fbd.

Full text

APA, Harvard, Vancouver, ISO, and other styles

13

Thienpaitoon, Peera, Wareeporn Disphanurat, and Naree Warnnissorn. "Breast implant-associated anaplastic large cell lymphoma in an Asian patient: The first case report from Thailand." Archives of Plastic Surgery 47, no. 5 (September 15, 2020): 478–82. http://dx.doi.org/10.5999/aps.2020.00108.

Full text

Abstract:

Breast implant-associated anaplastic large cell lymphoma (BIA-ALCL) has received increasing interest among plastic surgeons as a long-term complication of breast augmentation. Although the prognosis is usually good, mortality is a possible outcome. Most of the cases reported in the past two decades have been from the United States, Europe, and Australia, whereas cases of BIA-ALCL in Asia remain rare. Herein, we describe the first known case of BIA-ALCL in Thailand, in which a 32-year-old woman developed BIA-ALCL 3 years after breast augmentation using textured implants. The patient underwent bilateral removal of the implants and ipsilateral total capsulectomy. This case report—the first of its kind from Thailand—should increase awareness of BIA-ALCL among plastic surgeons in Asia. The true incidence of BIA-ALCL in Asia may be underreported.

APA, Harvard, Vancouver, ISO, and other styles

14

McCombe, David. "Dupuytrens disease–where to from here?" Australasian Journal of Plastic Surgery 2, no. 1 (March 14, 2019): 3–4. http://dx.doi.org/10.34239/ajops.v2i1.144.

Full text

Abstract:

The advent of fasciotomy by intralesional collagenase injection has been a significant step forward in the treatment of Dupuytren’s contracture. While the therapeutic benefit of collagenase injection in the treatment of Dupuytren’s contracture has been established, seeking its value relative to the surgery has stimulated an interesting debate about the management of the condition, causing us to examine the results of surgery in more detail. Dupuytren’s disease and its treatment has become topical and will be the subject of the hand surgery symposium at this year’s Plastic Surgery Congress from 30 May – 1 June 2019 at the Melbourne Convention and Exhibition Centre, Victoria, Australia.

APA, Harvard, Vancouver, ISO, and other styles

15

Lee, Mark, and Mark Ashton. "Light at the end of the tunnel." Australasian Journal of Plastic Surgery 4, no. 1 (March 30, 2021): 1–2. http://dx.doi.org/10.34239/ajops.v4n1.296.

Full text

Abstract:

It is not hard to list some of the profound effects COVID-19 has had on the specialty of plastic surgery. World-wide many of our colleagues have suffered serious illness and many have died. Even in countries like Australia and New Zealand, relatively spared from the ravages of the disease, we have all had significant disruptions to our lives and practicesLimitations on elective surgery during lockdown, reduced rates of screening for breast cancer and melanoma (Figure 1), consulting with masks—all affect our ability to provide a safe and effective service for our patients. Eminent plastic surgeons choosing to take early retirement is a great loss of institutional memory. Opportunistic governments and administrators taking advantage and using COVID-19 as an excuse to push through ‘urgent’ changes challenge our ability to provide a safe and effective service

APA, Harvard, Vancouver, ISO, and other styles

16

Sulaiman, Ahmad, Claire Yinn Lim, Marcio Brussius Coelho, Peter Hayward, Sean Nicklin, and Mark Gianoutsos. "Effects of COVID-19 lockdown on emergency paediatric plastic surgery admissions." Australasian Journal of Plastic Surgery 5, no. 2 (September 30, 2022): 60–65. http://dx.doi.org/10.34239/ajops.v5n2.320.

Full text

Abstract:

Objective: On 23rd March 2020, Australia went into a nationwide lockdown that led to school closures. As a result, children spent more time at home, increasing their vulnerability to injuries sustained at home. This study aims to analyse the patterns of emergency paediatric plastic surgery admissions into a tertiary paediatric hospital in Sydney during the COVID-19 lockdown period, and to raise awareness on the impacts of lockdown measures on the vulnerable pediatric population. Methods: A retrospective analysis was conducted at a tertiary paediatric hospital in Sydney. Admissions into the Plastic and Reconstructive Surgery department during the lockdown period of 23rd March to 15th May 2020, and the same period in 2019 were included in the analysis. Ethics approval for the study was obtained from the Sydney Children’s Hospitals Network Human Research Ethics Committee [HREC Reference 2021/ETH00451] Results: There were 37 and 91 admissions in 2020 and 2019 respectively. The proportion of injuries sustained at home increased by 24% in 2020, consistent with increased time spent at home. The percentage of injuries due to animal bites and sharp objects increased while number of sports-related injuries and falls decreased during the lockdown. Motor vehicle accidents increased in 2020. More patients also opted for conservative management in 2020. Conclusion: This study has shown that during a pandemic lockdown, home injuries are more common, children are less likely to present to hospital and more likely to opt for conservative management. With a greater understanding of patterns of paediatric injuries during lockdowns, the relevant authorities can develop targeted advisories for dissemination to the public on how to create a safe home environment for children.

APA, Harvard, Vancouver, ISO, and other styles

17

Wyld, Lynda, Isabel T. Rubio, and Tibor Kovacs. "Education and Training in Breast Cancer Surgery in Europe." Breast Care 14, no. 6 (2019): 366–72. http://dx.doi.org/10.1159/000502638.

Full text

Abstract:

Background: The substantial increase in the complexity of breast cancer care in the last few decades has resulted in significant improvements in survival rates and also in the quality of life of breast cancer survivors. However, across Europe there are variations in outcomes and access to the latest techniques. Whilst much of this variance is due to differences in health economies between European member states, training variation may also play a part. Training in breast cancer surgery varies greatly across Europe, not only in its basal discipline (general surgery, gynaecology or plastic surgery) but also in the length of training and whether there is any requirement for specialist training. Several countries have been leading the way in training breast specialist surgeons (the USA, the UK, Australia and New Zealand) with dedicated 1- or 2-year fellowships either within or in addition to standard training. Access to such training is limited and consequently many women in Europe are still treated by generalists, potentially denying them access to the best care. This paper reviews the issues surrounding training provision in breast surgery and some of the challenges which need to be addressed to improve the current situation. Summary: Breast surgery training in Europe is of variable quality and duration, which may result in variations in the quality of care received by patients with breast cancer. Specialist training standards are urgently required which should be adopted by all European member states. Excellent models are available in the USA, the UK and Australia and New Zealand on which to base this training. Key Messages: The quality of training in breast surgery needs to be upgraded and harmonised across Europe.

APA, Harvard, Vancouver, ISO, and other styles

18

Pelc, Zuzanna, Magdalena Skórzewska, Andrzej Kurylcio, Paweł Olko, Joanna Dryka, Piotr Machowiec, Marcela Maksymowicz, Karol Rawicz-Pruszyński, and Wojciech Polkowski. "Current Challenges in Breast Implantation." Medicina 57, no. 11 (November 7, 2021): 1214. http://dx.doi.org/10.3390/medicina57111214.

Full text

Abstract:

Breast implantation (BI) is the most common plastic surgery worldwide performed among women. Generally, BI is performed both in aesthetic and oncoplastic procedures. Recently, the prevalence of breast implant-associated anaplastic large cell lymphoma (BIA-ALCL) or breast implant illness (BII) has aroused concerns. As a result, several countries, like Australia, Korea or the United Kingdom, introduced national registries dedicated to the safety and quality of BI surgeries. This narrative review aimed to focus on the clinical challenges, management and the current state of knowledge of BI. Both short and long-term outcomes of BI are determined by various alternatives and differences, which surgeons must consider during the planning and performing breast augmentation along with further complications or risk of reoperation. Proper preoperative decisions and aspects of surgical technique emerged to be equally important. The number of performed breast reconstructions is increasing, providing the finest aesthetic results and improving patient’s quality of life. Choice of prosthesis varies according to individual preferences and anatomical variables. A newly diagnosed cases of BIA-ALCL with lacking data on prevention, diagnosis, and treatment are placing it as a compelling medical challenge. Similarly, BII remains one of the most controversial subjects in reconstructive breast surgery due to unspecified diagnostic procedures, and recommendations.

APA, Harvard, Vancouver, ISO, and other styles

19

Yousef, Justin, and Wayne Morrison. "Australian and New Zealand contribution to Plastic Surgery." ANZ Journal of Surgery 91, no. 7-8 (March 3, 2021): 1428–34. http://dx.doi.org/10.1111/ans.16650.

Full text

APA, Harvard, Vancouver, ISO, and other styles

20

Morrison, Wayne. "Plastic Surgeons and Their Contributions to Australian Surgery." World Journal of Surgery 33, no. 8 (June 17, 2009): 1570–74. http://dx.doi.org/10.1007/s00268-009-0089-0.

Full text

APA, Harvard, Vancouver, ISO, and other styles

21

Mendelson, Bryan C. "The time for Australian plastic surgery to have one voice." Australasian Journal of Plastic Surgery 1, no. 1 (March 1, 2018): 3–5. http://dx.doi.org/10.34239/ajops.v1n1.58.

Full text

APA, Harvard, Vancouver, ISO, and other styles

22

Mendelson, Bryan C. "The time for Australian plastic surgery to have one voice." Australasian Journal of Plastic Surgery 1, no. 1 (January 20, 2018): 3–5. http://dx.doi.org/10.34239/ajops.v1i1.58.

Full text

APA, Harvard, Vancouver, ISO, and other styles

23

Adams, Christopher. "Future development of plastic and reconstructive surgery in Australasia." Australasian Journal of Plastic Surgery 5, no. 1 (March 31, 2022): 5–6. http://dx.doi.org/10.34239/ajops.v5n1.381.

Full text

APA, Harvard, Vancouver, ISO, and other styles

24

Goel, Raghav, Harsh Kanhere, and Markus Trochsler. "The 'Surgical Time': a myth or reality? Surgeons' prediction of operating time and its effect on theatre scheduling." Australian Health Review 44, no. 5 (2020): 772. http://dx.doi.org/10.1071/ah19222.

Full text

Abstract:

ObjectiveIn Australia, 2.7 million surgical procedures were performed in the year 2016–17. This number is ever increasing and requires effective management of operating theatre (OT) time. Preoperative prediction of theatre time is one of the main constituents of OT scheduling, and anecdotal evidence suggests that surgeons grossly underestimate predicted surgical time. The aim of this study is to assess surgeons’ accuracy at predicting OT times across different specialties and effective theatre scheduling. MethodsA database was created with de-identified patient information from a 3-month period (late 2016). The collected data included variables such as the predicted time, actual surgery time, and type of procedure (i.e. Emergency or Elective). These data were used to make quantifiable comparisons. ResultsData were categorised into a ‘Theatre list’ and ‘Scopes list’. This was further compared as ‘Actual–Predicted’ time, which ranged from an average underestimation of each procedure by 19min (Ear Nose and Throat surgeons) to an average overprediction of 13.5min (Plastic Surgery). Urgency of procedures (i.e. Emergency and Elective procedures) did not influence prediction time for the ‘Theatre list’, but did so for the ‘Scopes list’ (P<0.001). Surgeons were poor at predicting OT times for complex operations and patients with high American Society of Anaesthesiologists grades. Overall, surgeons were fairly accurate with their OT prediction times across 1450 procedures, with an average underestimation of only 2.3 min. ConclusionsIn terms of global performance at The Queen Elizabeth Hospital institution, surgeons are fairly accurate at predicting OT times. Surgeons’ estimates should be used in planning theatre lists to avoid unnecessary over or underutilisation of resources. What is known about the topic?It is known that variables such as theatre changeover times and anaesthesia time are some of the factors that delay the scheduled start time of an OT. Furthermore, operating time depends on the personnel within the operating rooms such as the nursing staff, anaesthesiologists, team setup and day of time. Studies outside of Australia have shown that prediction models for OT times using individual characteristics and the surgeon’s estimate are effective. What does this paper add?This paper advocates for surgeons’ predicted OT time to be included in the process of theatre scheduling, which currently does not take place. It also provides analysis of a wide range of surgical specialties and assesses each professions’ ability to accurately predict the surgical time. This study encompasses a substantial number of procedures. Moreover, it compares endoscopic procedures separately to laparoscopic/open procedures. It contributes how different variables such as the urgency of procedure (Emergency/Elective), estimated length of procedure and patient comorbidities affect the prediction of OT time. What are the implications for practitioners?This will encourage hospital administrators to use surgeons’ predicted OT time in calculations for scheduling theatre lists. This will facilitate more accurate predictions of OT time and ensure that theatre lists are not over or underutilised. Moreover, surgeons will be encouraged to make OT time predictions with serious consideration, after understanding its effect on theatre scheduling and associated costs. Hence, the aim is to try to make an estimation of OT time, which is closer to the actual time required.

APA, Harvard, Vancouver, ISO, and other styles

25

Kadin, Marshall E., Helen Hu, Elena Elena Shklovskaya, Anand Deva, Mark Dooner, and Haiying Xu. "Abstract A08: Diagnosis of breast implant associated anaplastic large cell lymphoma by analysis of cytokines in peri-implant effusions." Blood Cancer Discovery 3, no. 5_Supplement (September 6, 2022): A08. http://dx.doi.org/10.1158/2643-3249.lymphoma22-a08.

Full text

Abstract:

Abstract Introduction: Breast implant associated anaplastic large cell lymphoma (BIA-ALCL) was recently recognized by the WHO as a lymphoma presenting a median of 8 years after insertion of breast implants for reconstructive surgery following breast cancer, for prophylactic mastectomy due to high genetic risk of breast cancer, e.g. BRACA1/2 mutations, or for other cosmetic reasons. The American Society of Plastic Surgeons BIA-ALCL Global Network reports there are 1,158 known cases of BIA-ALCL and 35 deaths across 46 countries worldwide as of January 28, 2022. Approximately 80% of Australian women present with a peri-implant effusion whereas in the USA, 30% present with a mass +/- lymphadenopathy. Five-year overall survival is 90.1% when disease is confined to a peri-implant effusion and capsule but 72.4% when disease extends beyond the capsule. Therefore, we set out to develop a diagnostic test for early disease detection in peri-implant effusions. Experimental procedure: Our initial publications from the USA and Italy revealed higher mean concentrations of IL-9, IL-10 and IL-13 in BIA-ALCL than in more common benign effusions due to capsule contracture, leakage, trauma and infection. To validate these findings in a larger number of patients, mostly from another geographic region (Australia), we evaluated cryopreserved peri-implant effusions of 25 patients with BIA-ALCL and 30 patients with benign seromas collected at Macquarie University Medical School in Sydney AU and Rhode Island Hospital in the USA. Informed consent and Institutional approvals were obtained. Cytokine concentrations were determined with the Biolegend Human Th Cytokine 12 plex multianalyte flow assay kit (Cat. No. 741028), San Diego, USA. Results: The results show that mean levels of IL-9, IL-10 and IL-13 were elevated 72-, 716- and 22-fold, respectively, in BIA-ALCL compared to benign effusions, and each cytokine separated the two groups with little overlap (P < 0.0001), Mann-Whitney test. For IL-10, there was 92% sensitivity, 100% specificity, Youden Index (YIA08_92), cut-off value 150pg/ml; for IL-9, 96% sensitivity, 80% specificity (YI=76) cut-off value 88pg/ml; for IL-13, 76% sensitivity, 96.7% specificity, (YI= 72.7) cut-off value 714pg/ml. Furthermore, the geometric mean of the 3 cytokines has an area under the Receiver Operated Curve (AUROC) value of 0.9947 with 100% sensitivity and 96% specificity (Youden index of 96). Only one other cytokine, IFNgamma, showed significant diagnostic value.Conclusions: Measurement of a panel of 12 cytokines representing different T helper subsets discriminates with high sensitivity and specificity peri-implant effusions of BIA-ALCL from benign peri-implant effusions, facilitating early diagnosis with potential for curative surgery. The consistent cytokine profile of IL-9, IL-10 and IL-13 in malignant peri-implant effusions in this and 2 previous studies of 40 patients across 3 continents suggest that a specific immune response to unique etiologic agent(s) is an early event in the pathogenesis of BIA-ALCL. Citation Format: Marshall E Kadin, Helen Hu, Elena Elena Shklovskaya, Anand Deva, Mark Dooner, Haiying Xu. Diagnosis of breast implant associated anaplastic large cell lymphoma by analysis of cytokines in peri-implant effusions [abstract]. In: Proceedings of the Third AACR International Meeting: Advances in Malignant Lymphoma: Maximizing the Basic-Translational Interface for Clinical Application; 2022 Jun 23-26; Boston, MA. Philadelphia (PA): AACR; Blood Cancer Discov 2022;3(5_Suppl):Abstract nr A08.

APA, Harvard, Vancouver, ISO, and other styles

26

Paix, B. R., R. Capps, G. Neumeister, and T. Semple. "Anaesthesia in a Disaster Zone: A Report on the Experience of an Australian Medical Team in Banda Aceh following the ‘Boxing Day Tsunami’." Anaesthesia and Intensive Care 33, no. 5 (October 2005): 629–34. http://dx.doi.org/10.1177/0310057x0503300513.

Full text

Abstract:

We report on the experience of a 23-member Australian medical team in Banda Aceh, Indonesia, following the 2004 Boxing Day tsunami. Arriving 13 days after the tsunami that devastated the city, killed 100,000 of its inhabitants and injured thousands more, we carried out 130 surgical procedures in austere conditions over a 12-day period. Most surgery was peripheral, principally for plastic surgical or orthopaedic procedures to lower limb injuries. Intravenous ketamine anaesthesia was the technique of choice, with good surgical conditions and few significant side-effects.

APA, Harvard, Vancouver, ISO, and other styles

27

Song, K., W. Lee, Y. Chun, I. Lee, S. Yeon, and D. K. Vanderwall. "80 USE OF THE SHORT DISPOSABLE NEEDLE SYSTEM FOR FOLLICLE ASPIRATION IN MARES." Reproduction, Fertility and Development 22, no. 1 (2010): 198. http://dx.doi.org/10.1071/rdv22n1ab80.

Full text

Abstract:

To achieve success in equine somatic cell nuclear transfer (SCNT), it is important to obtain recipient oocytes of good quality. Transvaginal ultrasoundguided follicle aspiration (TVUFA) is one of the methods to obtain recipient oocytes in equine SCNT, but the commercial long double-lumen needle for TVUFA in large animals is not currently purchasable. The aims of the present study were (1) to compare the recovery rate of short disposable needle system (14G) with that of the long double-lumen needle (12G) and (2) to investigate the developmental competency of recovered oocytes after SCNT and embryo transfer (ET). A real-time ultrasound scanner (Mylab30 vet, Esaote, Italy) equipped with a 7.5-MHz convex array transducer (model EC123) housed in a plastic vaginal device with stainless steel needle guidance was used for TVUFA from pre-ovulatory follicles 25 to 40 mm in diameter on synchronized thoroughbred mares between 6 and 9 years of age. Two types of needles were used: (1) a 12G double-lumen long needle (V-EOAD-1260L; Cook, Brisbane, Australia); (2) a 14G single-lumen disposable needle (2.1 × 80mm; Bovi-vet, Kruuse, Denmark) inserted with 18G inner needle (0.8 × 600 mm) using stainless steel connector and tube. Recovered oocytes were matured in vitro in TCM-199 with 5 mU mL-1 FSH (Folltropin-V, Bioniche, Belleville, ON, Canada) and 10% fetal bovine serum (Sigma, St. Louis, MO, USA) for 12 to 16 h. Matured oocytes were enucleated and electrically fused with equine skin fibroblasts (2.25 kV cm-1, 20μs, 2 pulses). Fused couplets were activated with 5 μM ionomycin for 4 min followed by 5 h culture in 1 mM 6-DMAP. Immediately following SCNT procedures, cloned embryos were surgically transferred to the oviducts of recipient mares (n = 2 to 5 embryos per recipient) that had ovulated within 24 hours before the transfer. An initial pregnancy examination was performed using transrectal ultrasonography between Days 14 and 16 (Day 0 = surgery). The recovery rate of the short disposable needle (n = 89, 44.1%) was slightly increased compared with that of the long needle (n = 34, 29.8%), but the difference was not significant. Nineteen SCNT embryos were transferred to 8 mares, and 1 mare is maintaining pregnancy for 60 days. The results of this study demonstrated that our short disposable needle system could be used instead of the commercial long needle and in vivo development of oocyte recovered with the 14G needle could be maintained after nuclear transfer and embryo transfer.

APA, Harvard, Vancouver, ISO, and other styles

28

Cabalag, Miguel S., Michael P. Chae, George S. Miller, Warren M. Rozen, and David J. Hunter-Smith. "Use of three-dimensional printed ‘haptic’ models for preoperative planning in an Australian plastic surgery unit." ANZ Journal of Surgery 87, no. 12 (May 19, 2015): 1057–59. http://dx.doi.org/10.1111/ans.13168.

Full text

APA, Harvard, Vancouver, ISO, and other styles

29

Allnutt, Stephen, Anthony Samuels, and Gregory Taylor. "The harassment and stalking of plastic surgeons by their patients in Australasia." ANZ Journal of Surgery 79, no. 7-8 (July 2009): 533–36. http://dx.doi.org/10.1111/j.1445-2197.2009.04984.x.

Full text

APA, Harvard, Vancouver, ISO, and other styles

30

Crabtree, Merrill, and Michael Lyons. "Focal Points and Relationships: A Study of Clinical Reasoning." British Journal of Occupational Therapy 60, no. 2 (February 1997): 57–64. http://dx.doi.org/10.1177/030802269706000204.

Full text

Abstract:

This article reports on a single case study of an occupational therapist working in a plastic surgery unit at an Australian public hospital. A phenomenological approach was used to explore the therapist's clinical reasoning in depth. Data were gathered over a 3–week period through semi-structured interviews with the informant and through participant observation of therapy sessions with patients and associated activities engaged in by the informant. The resulting narrative data were analysed inductively. The focus of this discussion is on the aspects of personal interactions that influence clinical reasoning. The article examines how such constructs as power, responsibility, caring and competence combine to influence clinical reasoning.

APA, Harvard, Vancouver, ISO, and other styles

31

Ellis, Lisa, Patricia Terrill, George Miller, Kin Seng Tong, and Miguel Cabalag. "Postoperative management of lower limb split-thickness skin grafts in Australia." Australasian Journal of Plastic Surgery 3, no. 2 (September 30, 2020): 11–21. http://dx.doi.org/10.34239/ajops.v3n2.232.

Full text

Abstract:

Background: Evidence for postoperative management of split-thickness skin grafts (SSGs) to lower leg wounds has shown early mobilisation has no adverse effects on graft take, while improving patient outcomes and significantly reducing hospitalisation costs. The development of negative-pressure wound therapy (NPWT) for SSGs led to new options for bolster dressings. This study aimed to determine the current postoperative mobilisation and dressing choices of Australian plastic surgeons. Methods: Australian plastic surgeons were invited electronically to participate in a questionnaire regarding their postoperative regimens for lower limb SSG in 2013, and again in 2018. A literature review was performed to establish whether surgeon-reported practice was in line with current evidence for early mobilisation of lower limb SSGs and also for NPWT on SSGs. Results: In 2013, 119 responses were received and in 2018, 110 responses were received. Survey responses showed significant reductions in the numbers of patients kept immobilised for more than five days (30% to 9%, p = 0.001) between 2013 and 2018. Surgeons reported immobilising their patients longer with standard dressings than with NPWT dressings (p = 0.003 by multinomial logistic regression). More than two-thirds of surgeons reported NPWT use in both 2013 (66%) and 2018 (70%). Conclusion: Between 2013 and 2018, NPWT use increased slightly and the percentage of surgeons mobilising their patients early significantly increased, in accordance with evidence in the literature. A link was noted between NPWT use and an increased tendency to early mobilisation. However, a large proportion of surgeons continued to prescribe bed rest postoperatively.

APA, Harvard, Vancouver, ISO, and other styles

32

Silinzieds, Annette, Leonie Simmons, Karen-leigh Edward, and Cally Mills. "Nurse Education in Developing Countries—Australian Plastics and Microsurgical Nurses in Nepal." Plastic Surgical Nursing 32, no. 4 (2012): 148–55. http://dx.doi.org/10.1097/psn.0b013e3182728267.

Full text

APA, Harvard, Vancouver, ISO, and other styles

33

Katris, Paul, John G. Crock, and Bruce N. Gray. "RESEARCH NOTE: THE LIONS CANCER INSTITUTE AND THE WESTERN AUSTRALIAN SOCIETY OF PLASTIC SURGEONS SKIN CANCER SCREENING PROGRAMME." ANZ Journal of Surgery 66, no. 2 (February 1996): 101–4. http://dx.doi.org/10.1111/j.1445-2197.1996.tb01122.x.

Full text

APA, Harvard, Vancouver, ISO, and other styles

34

Dhepnorrarat, Rataphol C., Mark A. Lee, and Jenny A. Mountain. "Incompletely excised skin cancer rates: a prospective study of 31 731 skin cancer excisions by the Western Australian Society of Plastic Surgeons." Journal of Plastic, Reconstructive & Aesthetic Surgery 62, no. 10 (October 2009): 1281–85. http://dx.doi.org/10.1016/j.bjps.2008.04.028.

Full text

APA, Harvard, Vancouver, ISO, and other styles

35

Goel, D., A. Wilson, A. O'Donnell, S. Rao, H. Herbert, N. Pachter, B. Hamden, and D. Gillett. "O009 Keep The Chin Up: Evidence-based standardised care pathway for infants with Pierre Robin Sequence (PRS)." SLEEP Advances 3, Supplement_1 (October 1, 2022): A4—A5. http://dx.doi.org/10.1093/sleepadvances/zpac029.008.

Full text

Abstract:

Abstract Background Management of upper airway obstruction in neonates with Pierre Robin Sequence (PRS) is challenging given difficulties in grading severity of disease, difficulties obtaining early polysomnography (PSG) and variable practices with no widely accepted standard protocol. We aimed to develop a standardised care pathway for infants with PRS. Methods Total 190 publications were identified of which 21 were reviewed in detail. Majority were review articles or retrospective studies. Consultation was obtained from the Complex Airway Team (multidisciplinary team of neonatologist, paediatric sleep specialist, otolaryngologist, plastic surgeon, clinical nurse specialist and speech pathologist), geneticists, audiologists, the consumer group “PRS Australia” and ANZ paediatric sleep physicians. Final recommendations were based on consensus and quality of the evidence. Results We developed a pathway outlining sequential interventions to manage OSA based on functional assessment by PSG (7-14 day of life) and structural assessment by flexible nasal endoscopy “FNE” (0-7 day of life). Conduct of bedside PSG in NICU instead of sleep lab enables innovative, timely, patient-centred and cost-effective service delivery. We standardised reporting of glossoptosis (Yellon classification), laryngomalacia (Olney et.al) and airway (Seattle DISE scoring) on FNE. Early multidisciplinary involvement, structured assessment of feeding, synchronous airway lesions and associated genetic syndromes is also considered. The pathway allows for standardised management and discharge planning with clearly defined multidisciplinary follow-ups. Intended outcome/impact This project is likely first in Australia to standardise care pathway for infants with PRS encompassing collaborative, innovative and structured care delivery principles. The project provides foundation for future clinical and research collaboration.

APA, Harvard, Vancouver, ISO, and other styles

36

Dzonov, Boro, Lazo Noveski, Suzana Nikolovska, and Elizabeta Zhogovska. "Doppler Comparative Measurements in the Reconstruction of Limbs with Flaps and Grafts." Macedonian Medical Review 71, no. 1 (January 1, 2017): 56–63. http://dx.doi.org/10.1515/mmr-2017-0011.

Full text

Abstract:

Abstract Doppler technique was first described by the Australian physicist and mathematician Christian Doppler. Doppler effect is defined as a reflection of high frequency sound waves of different frequency when they come in contact with the movable structure in the blood vessel. Waves that go to transducers are coded red, while waves that move away from the transducer are coded blue. Doppler main types can be classified as following: continuous wave (CW) Doppler, spectral Doppler, color Doppler and Power Doppler color. The study was realizedat the University Clinic for Plastic and Reconstructive Surgery. It is a randomized prospective study. During the study two groups of 30 patientseach were formed. Each patient was required a permission for reconstructive surgery procedure and an informed consent for participation in the study. For all patients a specially designed questionnaire (non-standardized) was filled out. 1. First (I) group of patients treated with flaps. In this group a type of reconstructive technique with skin or complex flapshas been applied. 2. Second group (II) of patients treated with grafts (split thickness grafts). In this group applied reconstruction comprised application of skin grafts with partial thickness. The study included patients with defects of the skin and soft tissues, whohad an indication for reconstructive surgery procedure. Exclusion criteria of patients for participation in the study were: children under 14 years of age, adults over 75 years, people with systemic diseases that can affect the results of reconstructive intervenetions and patients who have without periosteum bone-like surface defect as contraindication for skin grafting. The results of the reconstructive procedures according to the objectives set were investigated clinically into three time periods: preoperative, postoperative day 7 and day 30 postoperatively. The following investigations were carried out: determination of the circulation levels by means of Doppler; determination of the levels of limbs circulation is distal to the site of reconstruction in the pre-and postoperative period (day 7 and day 30); For the evaluation of blood flow the following parameters were used: • PSV-Peak systolic velocity • PI - Pulsatility index RI - Resistance indexPI and RI were calculated using the formula: • PI = PSV - EDV / Vmean • RI = PSV - EDV / PSV EDV indicates the flow velocity in late diastole and V mean, the average speed of blood flow through the artery. By assessment of arterial status before and after surgery through the analysis ofvascular waves at different locations of the vascular tree of the upper and lower extremities, we registered significant difference between the two examined groups, which speaks in favor of the use of flaps in reconstruction of the lower limbs.

APA, Harvard, Vancouver, ISO, and other styles

37

Nugent, Mary, Jedediah H. May, Jack D. Parker, David C. Kieser, Michael Douglas, Ron Pereira, Khoon S. Lim, and Gary J. Hooper. "Does Tranexamic Acid Reduce Knee Swelling and Improve Early Function Following Arthroscopic Meniscectomy? A Double-Blind Randomized Controlled Trial." Orthopaedic Journal of Sports Medicine 7, no. 8 (August 2019): 232596711986612. http://dx.doi.org/10.1177/2325967119866122.

Full text

Abstract:

Background: Arthroscopic meniscectomy often results in rapid recovery and return to preinjury activities; however, postoperative hemarthrosis and swelling can lead to pain, decreased range of motion, and delayed return to work and leisure activities. Tranexamic acid (TXA) is a lysine-based inhibitor of plasminogen to plasmin that has gained popularity in arthroplasty surgery for reducing blood loss and, more recently, in anterior cruciate ligament reconstruction by reducing postoperative hemarthrosis, swelling, and pain while increasing function in the short term. Purpose: To determine whether there is a role for TXA in improving the short-term results of swelling, pain, and function following arthroscopic meniscectomy. Study Design: Randomized controlled trial; Level of evidence, 2. Methods: We performed a prospective double-blinded randomized controlled trial in 41 patients undergoing arthroscopic meniscectomy by comparing patients treated with intravenous TXA with those treated with a placebo (normal saline). A single surgeon treated all patients. Following randomization, a dose of 1 g of TXA in 100 mL of normal saline (treatment group) or 100 mL of normal saline (placebo group) was given intravenously at induction prior to tourniquet inflation by the anesthetist. The anesthetist administering the TXA or placebo was not blinded, but all other clinicians involved were. Patients were evaluated by a blinded observer at postoperative days 3, 14, and 30, with the range of motion, swelling, pain levels (visual analog scale), and Lysholm and Tegner knee scores recorded. Results: Patient demographics were similar in both groups. In the treatment group, there was a nonsignificant improvement in range of motion ( P = .056) and swelling ( P = .384) at 14 days; however, there was a significant improvement in the Tegner score at 3 days ( P = .0064). The complication profile was similar between the groups. Conclusion: The administration of 1 g of intravenous TXA in routine arthroscopic meniscectomy may improve early functional recovery without increased risk. A larger study is required to confirm these results and further evaluate any potential benefit. Registration: ACTRN12618001600235 (Australian New Zealand Clinical Trials Registry).

APA, Harvard, Vancouver, ISO, and other styles

38

O'Hare, Caitlin, Michael McKeough, Melanie Hickson, Rebekah Ferris, Jay Wiper, and Michael Wagels. "Skin lesion assessment and management model: optimising existing resources in the management of non-melanoma skin cancer." Australasian Journal of Plastic Surgery 5, no. 1 (March 31, 2022): 88–95. http://dx.doi.org/10.34239/ajops.v5n1.252.

Full text

Abstract:

Abstract Background Skin cancer is a relatively common cancer in Australia, with early, simple treatment conferring a high likelihood of cure. Early diagnosis and treatment are important to reduce morbidity and mortality. A see-and-treat clinic seeks to offer earlier diagnosis and treatment as compared with a traditional model of care. The aim was to implement this model using pre-existing infrastructure with a hypothesis that this service will reduce wait times with reduced costs and high levels of patient satisfaction Methods Referrals were screened and those suitable underwent consultation with a Plastic and Reconstructive Surgeon and same-day operative management with their choice of anaesthesia. Patients were reviewed 1 week and 4 weeks postoperatively. Results 206 patients had 286 skin lesions removed over 23 operating lists. Over 75% of excisions were on the face. Local anaesthetic with sedation was the most popular anaesthetic technique There were 22 complications and the incomplete excision rate was 4.2%. Average wait time for SLAM-suitable patients reduced by 76%, and category 1 outpatient waitlists were reduced by 100%. An estimated gross saving of $1,339 per patient was calculated. A survey of patients post-operatively showed all patients would recommend this model. Conclusion This see-and-treat model was shown to reduce wait times and cost, along with high levels of patient satisfaction. It was also easily implemented using pre-existing infrastructure. It is a service that continues to be offered and expanded, with ongoing patient satisfaction.

APA, Harvard, Vancouver, ISO, and other styles

39

Lu, David, Courtney Hall, and Rodrigo Teixeira. "Microsurgery training for plastic surgery trainees in Australia." Australasian Journal of Plastic Surgery 3, no. 2 (September 30, 2020). http://dx.doi.org/10.34239/ajops.v3n2.198.

Full text

APA, Harvard, Vancouver, ISO, and other styles

40

"Bioboard." Asia-Pacific Biotech News 14, no. 07 (July 2010): 3–12. http://dx.doi.org/10.1142/s0219030310000297.

Full text

Abstract:

AUSTRALIA – Silk Microchip for Rapid Medical Testing. AUSTRALIA – New Insulin that Won't Need Cooling -a Boon for Diabetics. AUSTRALIA – Scientists Developing Synthetic Skin. AUSTRALIA – Australian Scientists' Lung Breakthrough. AUSTRALIA – Aussie Scientists Find the 'Lazy' Eye Gene. AUSTRALIA – Researchers Probe New Malaria Treatment. AUSTRALIA – Cancer Treatment Pioneered in Melbourne being Hailed as a Global Lifesaver. CHINA – Plastic Surgery Increasingly Popular Among Seniors. CHINA – Scientists Develop New Nanotech Approach. INDIA – India to Promote Biotech R&D Activities in NE States. INDIA – India to Set Up Academy of Scientific and Innovative Research. INDIA – Rare Ear Surgery Performed on Dubai Boy. INDIA – Global Biotech Firms Seek Partnerships in India for Bigger Gains. SINGAPORE – GSK, EDB to Fund S$50 mn to Support Manufacturing in Singapore. SINGAPORE – A*STAR, UK Unite to Fight Infectious Disease. SINGAPORE – New Treatment Option for Women Who Suffer from Incontinence. THAILAND – Thailand Builds Capabilities in Nanotech Research. OTHER REGIONS — NORTH AMERICA – Scientists Predict Lifespan. OTHER REGIONS — NEW ZEALAND – Orthopedic Implants Made from Shell.

APA, Harvard, Vancouver, ISO, and other styles

41

Barreto, Savio George. "Professor Fiona Wood, AM, FAHMS (Plastic Surgeon, Western Australia)." World Journal of Surgery, July 3, 2021. http://dx.doi.org/10.1007/s00268-021-06224-y.

Full text

APA, Harvard, Vancouver, ISO, and other styles

42

Van Essen, Phillipa, Natasha Keillor, Randall Long, and Nicola Dean. "Surgeon-driven preoperative psychiatric evaluation of plastic surgery patients." Australasian Journal of Plastic Surgery 4, no. 2 (September 29, 2021). http://dx.doi.org/10.34239/ajops.v4n2.253.

Full text

Abstract:

Objectives: Dissatisfaction with body image is common in patients seeking corrective plastic surgery. However, surgery may not be suitable for every patient. Surgery can enhance quality of life in mentally healthy patients but those with psychopathology such as body dysmorphic disorder (BDD) tend to have poorer outcomes. For these patients, surgery is not always recommended and psychiatric care can have a useful role. This paper aimed to estimate the rates of psychopathology in a select group of elective plastic surgery candidates and discuss the role of preoperative psychoplastic referral in triaging these candidates. Method: A retrospective cohort study of patients considering elective surgery at Flinders Medical Centre in South Australia referred by their surgeon for psychoplastic evaluation from 2010 to 2016. Medical records were reviewed to determine compliance with psychiatric referral, the number and types of psychiatric diagnosis and rates of subsequent surgery. Results: We found 83 per cent (54/65) of surgical candidates assessed by our psychiatrist had a mental illness. Post-traumatic stress disorder (n=19, 34.5%) and major depressive disorder (n=19, 34.5%) were most common. Nine patients (13.6%) were diagnosed with BDD. A total of 57 (87.7%) patients were considered to need some kind of psychiatric care to improve potential surgery outcomes. Conclusions: In our study, the rate of psychopathology in patients referred for psychiatric evaluation suggests that careful screening is important for clinical decision making. A combined surgical /psychiatric approach is effective in ensuring vulnerable patients are identified and managed appropriately.

APA, Harvard, Vancouver, ISO, and other styles

43

Budden, Curtis R., Francesca Rannard, Joanna Mennie, and Neil Bulstrode. "The Impact of COVID-19 on Plastic Surgery Training in the United Kingdom, Canada and Australia—A Cross-Sectional Study." Indian Journal of Plastic Surgery, September 16, 2021. http://dx.doi.org/10.1055/s-0041-1734569.

Full text

Abstract:

Abstract Background Surgical trainees worldwide have been thrust into a period of uncertainty, with respect to the implications COVID-19 pandemic will have on their roles, training, and future career prospects. It is currently unclear how plastic surgery trainees are being affected by COVID-19. This study examined the experience of plastic surgery trainees in Canada, the UK, and Australia to determine trainee roles during the early COVID-19 emergency response and how training changed during this time. Methods A cross-sectional survey-based study was designed for plastic surgery trainees in the UK, Canada and Australia. In total, 110 trainees responded to the survey. Statistical tests were conducted to determine differences in responses, based on year of training and country of residence. Results In total, 9.7% (10/103) of respondents reported being deployed to cover another service. There was a significant difference between redeployment based on country (p = 0.001). Within the UK group, 28.9% of respondents were redeployed. For trainees not deployed, 95.5% (85/89) reported that there has been a reduction in operative volume. Ninety-seven (94.1%) respondents reported that there were ongoing teaching activities offered by their program. The majority of trainees (66.4%) were concerned about their training. There was a significant difference between overall concern and country (p < 0.05). Conclusion In these unprecedented times, training programs in plastic surgery should be aware of the major impact that COVID-19 has had on trainees and will have on their training. The majority of plastic surgery trainees have experienced a reduction in surgical exposure but have maintained some form of regular teaching.

APA, Harvard, Vancouver, ISO, and other styles

44

Foley, Kristen, Nicola Dean, Connie Musolino, Randall Long, and Paul Ward. "Modifying my self: A qualitative study exploring agency, structure and identity for women seeking publicly funded plastic surgery in Australia." Journal of Sociology, January 24, 2022, 144078332110685. http://dx.doi.org/10.1177/14407833211068538.

Full text

Abstract:

Our sociological knowledge base about plastic surgery has been predominantly constructed in free market contexts, leaving uncertainties as to how sociological theory around agency, identity, and structure apply in the context of publicly funded plastic surgeries. We draw on narratives of Australian women while waiting for abdominoplasty in the public system and recounting their post-surgical realities to understand the relational, dependent and interdependent agency–structure networks in which women's bodies, affects, lives and eligibility requirements are enmeshed. We found women adopted a ‘deserving’ identity to help them claim and enact agency as they felt and navigated the layered structures that govern publicly funded abdominoplasty in Australia, and theorise how this might influence unfolding patterns of social life. We explicate the importance of locating women's lived experiences of medical (dys)function vis-à-vis the sociocultural histories of medicine, health, gender and citizenship that give rise to publicly funded healthcare.

APA, Harvard, Vancouver, ISO, and other styles

45

McNaught, Carmel, Andrew Burd, Kevin Whithear, John Prescott, and Glen Browning. "It takes more than metadata and stories of success: Understanding barriers to reuse of computer facilitated learning resources." Australasian Journal of Educational Technology 19, no. 1 (March 17, 2003). http://dx.doi.org/10.14742/ajet.1702.

Full text

Abstract:

A national study in Australia in the late 1990s explored barriers to the adoption and reuse of computer facilitated learning (CFL) in Australian universities. These barriers will be summarised. One of these barriers is that it is hard to find information on courseware that is educationally sound; usually such courseware is expensive to produce and so reuse is especially desirable. However, even when information and access to electronic courseware exists, reuse may still not occur. Two cases will be described to illustrate the complexity of reuse. These cases are: 1) a collection of 169 plastic surgery websites; and 2) an international consortium of veterinary microbiology resources based on a well-evaluated case study design. Some strategies for improving reuse are suggested.

APA, Harvard, Vancouver, ISO, and other styles

46

Sreedharan, S., H. Cleland, and C. H. Lo. "Plastic surgical trainees’ perspectives toward burn surgery in Australia and New Zealand: What has changed in 17 years?" Burns, September 2021. http://dx.doi.org/10.1016/j.burns.2021.09.013.

Full text

APA, Harvard, Vancouver, ISO, and other styles

47

Cao, Jacob Y., Supreet P. Marathe, Diana Zannino, David S. Celermajer, Robert N. Justo, Nelson Alphonso, Yves d’Udekem, and David S. Winlaw. "Fontan operation at less than 3 years of age is not a risk factor for long-term failure." European Journal of Cardio-Thoracic Surgery, August 6, 2021. http://dx.doi.org/10.1093/ejcts/ezab355.

Full text

Abstract:

Abstract OBJECTIVES The age at which the Fontan operation is performed varies globally. Over the last decade, the median age of patients having the Fontan in Australia and New Zealand has been 4.6 years, including 6% of patients younger than 3 years. Long-term outcomes of an early Fontan operation are unclear and are described in this study. METHODS Patients from the Australian and New Zealand Fontan Registry were grouped by age at Fontan. A Fontan before 3 years (early Fontan) was compared to the combined second and third quartiles by age at surgery in the Registry (3.6–6.1 years; control). Outcomes included Fontan failure (death, transplant, New York Heart Association functional group III/IV heart failure, Fontan takedown or conversion, protein losing enteropathy and plastic bronchitis), arrhythmias, thromboembolism and reinterventions. RESULTS A total of 191 patients who had early Fontan operations were compared to 781 controls. Profound or progressive cyanosis was noted more frequently in the early than in the control group (63% vs 23%; P < 0.001). The early group was followed up for a median 22.1 years. The incidence of long-term failure was similar between the 2 groups (early, 1.08 failures per 100 patient-years of follow-up vs control, 0.99; log-rank P = 0.79). Adjusted for risk factors, early age at Fontan was not a risk factor for long-term failure [hazard ratio (HR) 1.16, 95% confidence interval (CI) 0.77–1.76; P = 0.48], new-onset arrhythmia (HR 0.93, 95% CI 0.63–1.39; P = 0.73), thromboembolism (HR 0.50, 95% CI 0.28–0.91; P = 0.024) or reintervention (HR 1.08, 95% CI 0.80–1.45; P = 0.62). CONCLUSIONS Having the Fontan operation at an early age was not a risk factor for short- or long-term adverse outcomes in our cohort.

APA, Harvard, Vancouver, ISO, and other styles

48

Diab, Jason, Benjamin Grave, Walter Flapper, Peter Anderson, David J. David, and Mark Moore. "South Australian facial trauma: a population analysis of social economic deprivation and facial fractures." Australasian Journal of Plastic Surgery 4, no. 2 (September 29, 2021). http://dx.doi.org/10.34239/ajops.v4n2.307.

Full text

Abstract:

Background: Trauma remains a leading cause of morbidity and mortality in Australia. The objective of this South Australian study was to analyse epidemiological trends in facial fractures and assess the relationship between socioeconomic disadvantage and clinical outcomes. Part one of this paper includes methods and results; part two includes discussion and conclusion. The two papers should be read together. Method: A retrospective analysis of the relationship was conducted between socioeconomic disadvantage and facial fractures. All paediatric and adult patients with facial fractures who attended the Royal Adelaide Hospital and the Women’s and Children’s Hospital Adelaide between January 2012 and January 2017 either as in- or outpatients. The medical records, progress notes, imaging and operative notes from plastics, craniofacial and oral maxillofacial surgery teams were retrospectively collated into a registry and reviewed. Ethics approval was granted from the RAH Human Research and Ethics Committee [HREC/17/RAH/402]. Results: A total of 2559 patients, 1976 males (77.2%) and 583 females (22.8%), sustained a facial fracture. The most disadvantaged group had the highest proportion of facial fractures (36.9%), with the highest incidence in the 25–34 age group (22.4%). Assaults were the most common injury with decreasing odds as socioeconomic advantage increased (p<0.05). Orbitozygomatic fractures were the most common type of facial fracture (27.7%). Indigenous patients were more likely (OR=2.8) to have surgery compared to non–indigenous patients (p<0.05). There were no significant differences in length of stay between socioeconomic groups (F(4,964.387)=2.091, p = 0.080). Conclusion: Socioeconomic status strongly influences the mechanisms on injury, types of fracture and likelihood of surgery with the most disadvantaged having higher rates compared to the least disadvantaged.

APA, Harvard, Vancouver, ISO, and other styles

49

Diab, Jason, Benjamin Grave, Walter Flapper, Peter Anderson, David J. David, and Mark Moore. "South Australian facial trauma: a population analysis of social economic deprivation and facial fractures." Australasian Journal of Plastic Surgery 4, no. 2 (September 29, 2021). http://dx.doi.org/10.34239/ajops.v4n2.339.

Full text

Abstract:

Background: Trauma remains a leading cause of morbidity and mortality in Australia. The objective of this South Australian study was to analyse epidemiological trends in facial fractures and assess the relationship between socioeconomic disadvantage and clinical outcomes. Part one of this paper includes methods and results; part two includes discussion and conclusion. The two papers should be read together. Method: A retrospective analysis of the relationship was conducted between socioeconomic disadvantage and facial fractures. All paediatric and adult patients with facial fractures who attended the Royal Adelaide Hospital and the Women’s and Children’s Hospital Adelaide between January 2012 and January 2017 either as in- or outpatients. The medical records, progress notes, imaging and operative notes from plastics, craniofacial and oral maxillofacial surgery teams were retrospectively collated into a registry and reviewed. Ethics approval was granted from the RAH Human Research and Ethics Committee [HREC/17/RAH/402]. Results: A total of 2559 patients, 1976 males (77.2%) and 583 females (22.8%), sustained a facial fracture. The most disadvantaged group had the highest proportion of facial fractures (36.9%), with the highest incidence in the 25–34 age group (22.4%). Assaults were the most common injury with decreasing odds as socioeconomic advantage increased (p<0.05). Orbitozygomatic fractures were the most common type of facial fracture (27.7%). Indigenous patients were more likely (OR=2.8) to have surgery compared to non–indigenous patients (p<0.05). There were no significant differences in length of stay between socioeconomic groups (F(4,964.387)=2.091, p = 0.080). Conclusion: Socioeconomic status strongly influences the mechanisms on injury, types of fracture and likelihood of surgery with the most disadvantaged having higher rates compared to the least disadvantaged.

APA, Harvard, Vancouver, ISO, and other styles

50

Flitcroft, Kathy, Meagan Brennan, and Andrew Spillane. "Health System Barriers to the Discussion of Breast Reconstruction Options in Australia: Improving Access Through Appropriate Referral." Archives of Breast Cancer, November 16, 2020, 168–77. http://dx.doi.org/10.32768/abc.202073168-177.

Full text

Abstract:

Background: This study aimed to document referral-based barriers impeding Australian women's informed decision-making about breast reconstruction (BR) and to propose a designated BR referral pathway to help overcome these barriers.Methods: Semi-structured, in-depth interviews were conducted with ten women previously treated for breast cancer, 9 breast and reconstructive surgeons and 6 health professionals [n=25] who had identified problems with referrals for BR. Results: Referral-based barriers to BR discussion were identified at three different levels: from a public or private screening center to a General Practitioner (GP) or breast surgeon; from a GP to a breast surgeon; and from one breast surgeon (without BR skills) to another breast or plastic reconstructive surgeon (with BR skills). A lack of designated referral pathways has meant that clinically eligible women who are interested in considering immediate BR have been denied this opportunity.Conclusions: Streamlining referral processes, along with patient and clinician education, would help to ensure that women are at least seen by the most appropriate clinicians to discuss BR options and to maximise their opportunity for BR should they choose that option. Designated referral pathways could also be useful in ensuring that preference-sensitive treatment decisions are facilitated in settings with varying degrees of resources and in a range of clinical conditions.

APA, Harvard, Vancouver, ISO, and other styles

Journal articles on the topic 'Surgery, Plastic – Australia'

Create a spot-on reference in APA, MLA, Chicago, Harvard, and other styles