A5082423280- Trauma and Emergency Care Studies
- Trauma, Hemostasis, Coagulopathy, Resuscitation
- Gallbladder and Bile Duct Disorders
- Cardiac, Anesthesia and Surgical Outcomes
- Abdominal Trauma and Injuries
- Blood donation and transfusion practices
- Appendicitis Diagnosis and Management
- Mental Health Treatment and Access
- Hip and Femur Fractures
- Cardiovascular Function and Risk Factors
- Suicide and Self-Harm Studies
- Global Health and Surgery
- Cardiovascular and exercise physiology
- Pediatric Hepatobiliary Diseases and Treatments
- Healthcare professionals’ stress and burnout
- Anorectal Disease Treatments and Outcomes
- Diversity and Career in Medicine
- Ureteral procedures and complications
- Biliary and Gastrointestinal Fistulas
- Gynecological conditions and treatments
- Heart Rate Variability and Autonomic Control
- Minimally Invasive Surgical Techniques
- Abdominal vascular conditions and treatments
- Omental and Epiploic Conditions
- Breast Implant and Reconstruction
Gold Coast Hospital
2020-2024
Queensland Health
2023
Griffith University
2017-2023
Toowoomba Hospital
2023
Townsville Hospital
2023
Bond University
2022-2023
Robina Hospital
2022
Royal Gwent Hospital
2022
Aneurin Bevan University Health Board
2022
Gold Coast Health
2019
Background80% of individuals with cancer will require a surgical procedure, yet little comparative data exist on early outcomes in low-income and middle-income countries (LMICs). We compared postoperative breast, colorectal, gastric surgery hospitals worldwide, focusing the effect disease stage complications mortality.MethodsThis was multicentre, international prospective cohort study consecutive adult patients undergoing for primary or requiring skin incision done under general neuraxial...
Abstract Background Gallbladder cancer (GBC) is an uncommon, but highly aggressive cancer. Half of these cases are diagnosed pre‐operatively, and the remaining discovered incidentally on post‐cholecystectomy specimens. There a significant geographical variability in GBC incidence, with increasing age, female sex, prolonged duration cholelithiasis being risk factors for GBC. The primary aim was to define overall local incidence incidental management cases. secondary determine any pertinent...
Objective: Fibrinogen is one of the first coagulation factors to be depleted during traumatic haemorrhage, and evidence suggests hypofibrinogenaemia leads poor outcomes. A number fibrinogen replacement products are currently available, with no clear consensus on ideal product use in severe haemorrhage. We hypothesised that it will possible rapidly administer concentrate (FC) guided by rotational thromboelastometry (ROTEM) FIBTEM A5 patients presenting trauma Methods: examined 36 consecutive...
Abstract Background The accuracy with which healthcare professionals (HCPs) and risk prediction tools predict outcomes after major lower limb amputation (MLLA) is uncertain. aim of this study was to evaluate the predicting short-term (30 days MLLA) mortality, morbidity, revisional surgery. Methods PERCEIVE (PrEdiction Risk Communication outcomE following amputation: a collaboratIVE) launched on 1 October 2020. It an international multicentre study, including adults undergoing MLLA for...
The incidence of choledocholithiasis on routine intraoperative cholangiogram (IOC) during cholecystectomy is approximately 12%. Cholecystectomy without IOC may lead to undiagnosed placing patients at risk complications such as pancreatitis or cholangitis. This study aims determine the intraoperatively well associated factors and methods management.A retrospective observational analysis all laparoscopic cholecystectomies with Gold Coast Hospital Health Service from 1 January 2016 2 December...
Background Cholecystectomy is the second most common non-obstetric indication for surgery during pregnancy; however, there little recent literature specifically exploring perioperative care approaches, and a paucity of Australian data exists. This study investigates incidence laparoscopic cholecystectomy (LC) pregnancy, peri-operative management, post-operative outcomes in single tertiary center. Methods A retrospective analysis LCs performed on pregnant patients between ages 16 50 years at...
Background Australian clinical guidelines recommend further investigation in females with postmenopausal bleeding (PMB) and endometrial thickness (ET) of ≥4 mm on transvaginal ultrasound (TVUS). However, the literature indicates that an ET ≥3 as upper limit is a more sensitive predictor malignancy (EM) PMB. Aims To assess whether for PMB 4 investigation, enough detection. Material Methods A retrospective study was performed tissue results presentations to Gold Coast Hospital Health Service...
Abstract Background The breast reconstruction (BR) rate for women undergoing mastectomy cancer management is 18% in Australia. Australian Access to Breast Reconstruction Collaborative Group recommends that all should have access BR. This study presents BR uptake and outcomes from a surgical unit. Methods A retrospective observational identified who had curative between 1 January 2016 31 December 2021. Patient factors complications were compared no (NBR) patients. Results Out of 929...
Abstract Background The Acute Surgical Unit (ASU) is a busy service receiving Emergency Department (ED) referrals for adult and paediatric general surgery care alongside trauma. ASU model deviates from the traditional on‐call has been shown to improve efficiency patient outcomes. primary aim was evaluate time surgical review ED presentation referral. Secondary aims were assess referral numbers, pathology demographics at our institution. Methods A retrospective observational analysis...
Pancreatic pseudocysts are a common complication of pancreatitis. Conservative management and repeat imaging appropriate to monitor spontaneous regression. However, in some cases, rupture haemorrhage can lead life-threatening events requiring urgent intervention. We present male patient his 30s who was presented the emergency department with severe pancreatitis context alcohol excess. Past medical history included small pseudocyst splenic vein thrombosis for which he anticoagulated six weeks...
Abstract Purpose Rotational thromboelastometry (ROTEM®) allows guided blood product resuscitation to correct trauma induced coagulopathy in bleeding patients. FIBTEM amplitude at 10 minutes (A10) has been widely used identify hypofibrinogenaemia; locally a threshold of < 11 mm fibrinogen replacement. Amplitude 5 (A5) carries an inherent time advantage. The primary aim was explore the relationship between A5 and A10 trauma. Secondary investigate use as surrogate for within...