A5025877024- Venous Thromboembolism Diagnosis and Management
- Cardiac, Anesthesia and Surgical Outcomes
- Vascular Procedures and Complications
- Colorectal Cancer Surgical Treatments
- Renal Transplantation Outcomes and Treatments
- Organ Transplantation Techniques and Outcomes
- Appendicitis Diagnosis and Management
- Trauma and Emergency Care Studies
- Abdominal Surgery and Complications
- Organ Donation and Transplantation
- Enhanced Recovery After Surgery
- Central Venous Catheters and Hemodialysis
- Breast Cancer Treatment Studies
- Breast Lesions and Carcinomas
- Acute Myocardial Infarction Research
- Surgical site infection prevention
- Tracheal and airway disorders
- Diabetes Management and Education
- Diabetic Foot Ulcer Assessment and Management
- Atherosclerosis and Cardiovascular Diseases
- Hip and Femur Fractures
- Abdominal Trauma and Injuries
- Chronic Disease Management Strategies
- Peripheral Artery Disease Management
- Pelvic and Acetabular Injuries
The University of Sydney
2016-2025
Westmead Hospital
2015-2024
Sydney Local Health District
2022-2023
Christchurch Hospital
2020
Westmead Institute
2018
Örebro University
2017
Cairns Hospital
2016
James Cook University
2016
Royal Australasian College of Surgeons
2016
Flinders Medical Centre
2016
Total colectomy with an ileorectal anastomosis (IRA) is a commonly performed operation. Postoperative mortality and morbidity are reported to be low functional outcome generally rated as good excellent. The aim of this study was review postoperative mortality, results in effort identify risk factors predictive poor outcome.Some 215 patients (118 women 97 men) median age 33 (interquartile range (i.q.r.) 25-47) years underwent IRA between November 1990 December 1999. Median follow-up 2 9...
Evidence demonstrates short-term benefits of laparoscopic surgery for colon cancer. The situation rectal cancer is less clear.This review assessed the use and outcomes elective open resections within an area health service.This was a multicenter, retrospective prospective database.All in western zone Sydney South West Area Health Service from 2001 until 2008 were included.Included 1721 patients who underwent either (n = 434) or 157) resection 742) 388) resection.: Outcome measures included...
Background: Endovascular treatment of autogenous arteriovenous haemodialysis fistula stenosis has high reintervention rates. We investigate the effect drug-eluting balloons in recurrent stenosis. Methods: This is a randomised, controlled, investigator-initiated and run, prospective, blinded, multicentre trial. Patients with received standard endovascular plus balloon or uncoated (Sham). Primary endpoint was late lumen loss trial area on ultrasound at 6 weeks, 3, 12 months. Secondary...
Abstract Background The clinical management of the axilla in early breast cancer has changed since Z0011 trial, which showed that axillary lymph node dissection (ALND) is not necessary select patients with a positive sentinel biopsy (SLNB). Studies have shown significant decrease rates completion ALND (cALND) Z0011. aims this study were to investigate effect trial on nodes and trends surgical 2005 Australia New Zealand. Methods This utilized prospectively maintained data from BreastSurgANZ...
Abstract Background Australia is ranked ninth of 39 countries in the Western Pacific region most affected by diabetes. Patients with diabetes are at high risk developing foot ulcerations that can develop into non‐healing wounds. Recent studies suggest lifetime a diabetic ulcer as 25%. Few have reported prevalence of, factors and socioeconomic status associated with, ulcers Australia. The aim this study was to evaluate characteristics tertiary referral outpatient hospital setting Sydney,...
To assess the analgesia practices of ambulance personnel and emergency department staff treating patients with fractured neck femur.This is a retrospective analysis 176 an admission diagnosis femur, who presented to major western Sydney teaching hospital, between January November 1999.One hundred twenty-eight met inclusion criteria. The median age was 82, there were more female than male subjects. Ambulance officers made clinical femur in 68% cases. In 49% cases no given. Patients given...
Abstract Objective To describe the practice of endotracheal intubation in ED a tertiary hospital A ustralia, with particular emphasis on indication, staff seniority, technique, number attempts required and rate complications. Methods prospective observational study. Results Two hundred ninety‐five intubations occurred 18 months. Trauma was indication for 30.5% (95% CI 25.3–36.0) medical conditions 69.5% 64.0–74.5). Emergency physicians were team leaders 64.0–74.5), whereas registrars or...
Abstract Objective To investigate the first pass success rate, airway grade and complications in two tertiary ED s with C ‐ MAC video laryngoscope ( VL ), when compared standard direct laryngoscopy DL ). Methods This was a retrospective analysis of prospectively collected data entered into an registry database EDs R oyal N orth S hore t G eorge H ospitals SGH ) over 30 month period. Doctors had choice using either M acintosh or iller blade for intubation. Results Six hundred nineteen...
Specific monocyte and macrophage subsets have been implicated in atherosclerosis, with intermediate monocytes proportionally elevated cardiovascular disease M1 macrophages abundant unstable atherosclerotic plaques. While several studies shown altered proportions of these examining functional phenotypic subset alterations remain scarce.We used whole blood flow cytometry to investigate the expression (CD86) M2 (CD163) markers on patients controls.Atherosclerotic had a more inflammatory profile...
Abstract Laparoscopic rectal surgery within the confines of a narrow pelvis may be associated with high rate open conversion. In obese and morbidly patient, complexity laparoscopic increases substantially. Robotic technology is known to reduce risk conversion, but it unclear if can overcome technical challenges obesity. The ACS NSQIP database was used identify patients who underwent elective or robotic-assisted resection from 2015 2016. Obesity defined as body mass index (BMI) greater than...
Military and civilian data would suggest that hemostatic resuscitation results in improved outcomes for exsanguinating patients. However, identification of those patients who are at risk significant hemorrhage is not clearly defined. We attempted to identify factors predict the need massive transfusion (MT) an Australasian trauma population, by comparing did receive with not.Between 1985 2010, 1,686 receiving least 1 U packed red blood cells were identified from our prospectively maintained...
Abstract Background Hospital‐associated venous thromboembolism (HA‐VTE) is a serious adverse event, preventable with appropriate care during and post‐admission. Accurate measurement of in‐hospital post‐discharge incidences essential for implementation evaluation prevention strategies monitoring. Aims To estimate diagnosed VTE, trends risk factors. Methods This was population‐based study in New South Wales, Australia, using linked hospital admission emergency department data 2010–2013 adult...
The post-operative incidence of venous thromboembolism (VTE) is high for patients undergoing hip fracture surgery. Proven prophylactic measures are available although underutilized due to concern on bleeding with use anticoagulants. This study retrospectively reviewed the clinical VTE and utilisation thromboprophylactic protocols over an eight year period. Demographic details, mechanism injury, risk factors, modalities (mechanical pharmacological), operation duration, mode anaesthesia,...