- Esophageal and GI Pathology
- Gastroesophageal reflux and treatments
- Bariatric Surgery and Outcomes
- Gallbladder and Bile Duct Disorders
- Gastric Cancer Management and Outcomes
- Pediatric Hepatobiliary Diseases and Treatments
- Pancreatic and Hepatic Oncology Research
- Appendicitis Diagnosis and Management
- Intestinal and Peritoneal Adhesions
- Uterine Myomas and Treatments
- Foreign Body Medical Cases
- Gastrointestinal Tumor Research and Treatment
- Gastrointestinal disorders and treatments
- Endometriosis Research and Treatment
- Bone fractures and treatments
- Reconstructive Facial Surgery Techniques
- Esophageal Cancer Research and Treatment
- Pregnancy-related medical research
- Hernia repair and management
- Breast Lesions and Carcinomas
- Ovarian cancer diagnosis and treatment
- Intestinal Malrotation and Obstruction Disorders
- Ear and Head Tumors
- Organ Transplantation Techniques and Outcomes
- Reconstructive Surgery and Microvascular Techniques
St George Hospital
2019-2024
UNSW Sydney
2022-2024
Sutherland Hospital
2024
St. George Hospital
2024
Liverpool Hospital
2021-2022
South Western Sydney Local Health District
2022
Nepean Hospital
2017-2020
The University of Sydney
2019-2020
Abstract Background Many patients with locally advanced gastro-oesophageal cancers are unable to complete adjuvant 5-fluorouracil, leucovorin, oxaliplatin, and docetaxel (FLOT) chemotherapy, raising questions about its therapeutic utility. The aim of this study was examine whether pathological response neoadjuvant FLOT can guide use. Methods Patients non-metastatic adenocarcinoma who received underwent surgery from 1 January 2017 2022 43 hospitals across 12 countries were analysed....
We present a case of 43-year-old man with Crohn’s disease who presented epigastric and right upper quadrant abdominal pain, initially suspected to be acute cholecystitis or flare-up. CT revealed curvilinear, hyperdense foreign body adjacent the duodenum, concerning micro-perforation. Endoscopic examination confirmed findings 3 cm fish bone lodged in pylorus. extraction was successful without significant mucosal damage, patient recovered well postoperatively. This highlights rarity pyloric...
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Transmesenteric hernia is a rare cause of bowel obstruction and strangulation. It can be due to iatrogenic injury, trauma, inflammatory less likely congenital. We present case true congenital transmesenteric in 26-year-old male with no previous surgical history or trauma. The patient presented acutely prior symptoms. Investigations provided limited information towards the diagnosis hernia, but suggestive mid-gut volvulus. Emergency laparotomy was performed find >75% small herniating through...
The aim of this report is to describe the management an iatrogenic diaphragmatic eventration following surgery relieve neurogenic symptoms thoracic outlet syndrome in a patient with prior history sleeve gastrectomy. We discuss case 46-year-old woman 6-month gastro-oesophageal reflux and dyspnoea. Imaging demonstrated left hemidiaphragm hiatus hernia. underwent laparoscopic plication hemidiaphragm, repair hernia, omega loop gastric bypass, satisfactory resolution her symptoms. This...
Abstract Introduction: Reflux symptoms associated with stenosis after laparoscopic sleeve gastrectomy can occur secondary to anatomical abnormality including mechanical and axial deviation, commonly occurring mid-sleeve. Treatment options include endoscopic intervention, dilatation, stenting, myotomy, surgical revision, Roux-en-Y gastric bypass (RYGB) being preferred by many. In this case series, we report six patients who have undergone gastrogastrostomy (GG) for propose as a possible...
Abstract Objective This case report describes an uncommon presentation of epigastric pain from pyloric perforation secondary to ingestion a fish bone. The objective is emphasize the need for increased awareness foreign body as differential acute abdominal pain. Prompt diagnosis and endoscopic intervention required in cases gastrointestinal due bodies. Case We describe 43-year-old man G with background Crohn’s disease presenting 2 days right upper quadrant pain, associated fevers loose...
Abstract Purpose Reflux after laparoscopic sleeve gastrectomy (LSG) may result from anatomical and functional anomalies in the gastric conduit. Three-dimensional CT scans (3DCT) offer a comprehensive view of anatomy. This study aims to establish specific measurements associated with abnormalities standardise reporting 3DCT which help management LSG complications. Materials Methods retrospective analysed 64 post-LSG patients who underwent 3DCT. Data included clinical demographics, pre-LSG...
Iterative cytoreduction (iCRS) and hyperthermic intraperitoneal chemotherapy is a treatment for recurrence of peritoneal carcinomatosis. There are considerable upfront costs this approach which the cost-effectiveness has not been evaluated.We used prospectively maintained database patients having undergone primary iterative at St. George Hospital between January 1, 2014, December 31, 2017, was linked with financial data. Cost effectiveness survival outcomes were to compare (pCRS) in addition...
Endoscopic sleeve gastroplasty (ESG) is a new obesity control modality. Limited data are available to describe post ESG findings and approaches surgically revise this procedure. Two female patients with persistent despite multiple procedures underwent laparoscopic gastrectomy (LSG). Pre- post-ESG, LSG body mass index (BMI), weight, excess weight loss percentage (EWL%) were recorded. revisional technique carefully documented. Pre-ESG BMI of the 44 52 kg/m2. Pre-LSG 44.6 50 gastroscopy...
Background Ultrasound has been demonstrated to accurately diagnose rectal deep endometriosis (DE) and pouch of Douglas (POD) obliteration. The role ultrasound in the assessment patients who have undergone surgery for DE POD obliteration not evaluated. Aim To describe transvaginal (TVS) findings DE. Materials Methods An observational cross‐sectional study at a tertiary care centre Sydney, Australia between January April 2017. Patients previously treated (low anterior resection vs shaving/disc...
Abstract Objective: Presenting our experience with chondrocutaenous flap reconstruction of the ear to obtain more aesthetic results fewer complications. Background: Satisfactory following a resection helix, scapha and anti-helix remains an ongoing problem in plastic surgery. Many techniques had been developed approach this issue minimise complications raised from tumours as well. However, no studies have yet mentioned specific details outcomes. Methodology: The study is retrospective design,...
The data that support the short and long term outcomes of this case is available from corresponding author, upon reasonable request.