Abstract Dissection of the mesoappendix from appendix is a crucial step in laparoscopic appendicectomies. Variation position during this common operation has not been previously described. We propose classification system for seen laparoscopically and evaluate impact each on operative difficulty surgical approach. The positions appendicectomies between January 2023 2024 were classified into four categories M1 to M4. Patients grouped according their positions. Outcomes evaluated included...

Abstract Background The goal of cytoreductive surgery for peritoneal malignancy is to remove all macroscopic disease, which occasionally requires the excision umbilicus. While absence umbilicus can be aesthetically undesirable patients, umbilical reconstruction rarely performed due perceived complexity and increased risk wound infections (Sakata et al. in Colorectal Dis 23:1153–1157, 2021). This study aims evaluate outcomes, cosmetic results patient satisfaction during surgery. Methods...

Abstract Background Minimally invasive colectomy is common for diverticular disease. Natural orifice specimen extraction (NOSE) an innovative adjunct that avoids the morbidity of abdominal incisions. The aim this study to evaluate outcome NOSE in laparoscopic surgery complications disease, and assess role post-operative inflammatory markers. Methods A multi-centre prospective was conducted from 2012 2024. Consecutive patients who underwent emergency elective disease were included....

Early recovery after surgery (ERAS) protocols in breast optimizes resources and reduces healthcare costs by facilitating early discharges. These are well established tertiary centres, but not commonly adopted regional centres. ERAS implementation potentially impacts smaller hospitals significantly, where limited persistent bed shortages with mounting waitlist pressures exist. Our study evaluates the feasibility of discharge application our protocol to mastectomies a resource-constrained...

The role of routine intraoperative cholangiograms (IOCs) for prevention bile duct injury (BDI) is contentious. There are recent reports limited utility IOC in preventing BDI. In Australia, IOCs used more frequently than internationally. This study aimed to evaluate the rate use Australia and explore potential changes practice light evolving evidence IOC.Data were collated using service item numbers Medicare Benefits Scheme records on Australian Government website, services claimed between 1...

Cytoreductive surgery with hyperthermic intraperitoneal chemotherapy (CRS/HIPEC) has enabled better prognosis for patients peritoneal surface malignancies. However, in older age groups, short -and long-term outcomes are still perceived as poor. We evaluated aged 70 and over determine if is a predictor of morbidity, mortality overall survival (OS).A retrospective cohort analysis was performed on CRS/HIPEC categorised by age. The primary outcome survival. Secondary included mortality, hospital...

Background/Aim: Low-grade appendiceal mucinous neoplasm (LAMN) with pseudomyxoma peritonei (PMP), otherwise known as disseminated peritoneal adenomucinosis (DPAM), is treated cytoreductive surgery (CRS) and hyperthermic intraperitoneal chemotherapy (HIPEC) or without early postoperative (EPIC). These tumours can vary significantly intraoperatively in terms of macroscopic appearance consistency, this may have an effect on survival outcomes. This study examines the differences between soft...

<title>Abstract</title> Background The goal of cytoreductive surgery for peritoneal malignancy is to remove all macroscopic disease, which occasionally requires the excision umbilicus. While absence umbilicus can be aesthetically undesirable patients, umbilical reconstruction rarely performed due perceived complexity and increased risk wound infections [1]. This study aims evaluate outcomes, cosmetic results, patient satisfaction during surgery. Methods Consecutive patients from a...

The current General Surgery Education and Training (GSET) Program in Australia New Zealand requires trainees to independently complete 200 gastroscopies 100 colonoscopies. Conjoint Committee for the Recognition of Gastrointestinal Endoscopy (CCRTGE) is responsible certifying setting minimal standards training endoscopy Australia. These require (including 20 interventional procedures) a total colonoscopies, with 90% caecal or terminal ileum intubation rate.1 Recertification colonoscopies...

Background/Aim: While controversial, cytoreductive surgery (CRS) with heated intra-peritoneal chemotherapy (HIPEC) and early postoperative (EPIC) remains the mainstay of treatment for low grade appendiceal neoplasm pseudomyxoma peritonei (PMP). Our study aimed to investigate difference in survival when administering HIPEC alone vs. + EPIC. Additionally, we examined whether duration EPIC affects survival. Patients Methods: We compared 238 patients who underwent CRS HIPEC/EPIC combination...

Acute pancreatitis is a common surgical presentation with multitude of causative factors. While the pathogenesis not completely understood, new potential triggers have been described in recent literature. Contrast-induced one these rare phenomena. We present case acute patient who underwent coronary angiography and discuss suspected behind contrast-induced pancreatitis. A 65-year-old man background cholecystectomy UroLift procedure two-stage elective following an episode angina. He had...

Gastric volvulus is a surgical emergency that requires prompt recognition and management. The acromegalic patient has number of pathophysiological factors predispose to gastric slow gastrointestinal (GI) transit. Authors aimed present case hiatus hernia in with acromegaly review the current literature on GI anomalies this population. A 70-year-old female presented our institute epigastric pain coffee-ground vomiting background secondary pituitary adenoma (resected 1997). She was found have...

Necrobiotic xanthogranuloma (NXG) is a rare skin disorder characterized by the development of large violaceous plaques all over body. Rarely, these become infected and require surgical debridement. The current literature lacking on outcomes intervention in this patient population. Hence case report aims to describe management for with NXG presenting Shoalhaven District Memorial Hospital review pathophysiology treatment modalities condition. A 61-year-old man presented an plaque his left calf...

Appendiceal cancer is a rare malignancy, occurring in roughly 1.2 per 100,000 year. Low grade appendiceal neoplasams (LAMN) particular can lead to pseudomyxoma peritonei (PMP), and respond poorly systemic chemotherapy. Standard treatment includes cytoreduction surgery (CRS) with addition of heated intraoperative peritoneal chemotherapy (HIPEC). Several centres include early postoperative intraperitoneal (EPIC) however; the literature mixed on benefits. We aim examine benefits additional EPIC...

Sentinel lymph node biopsy (SLNB) is the standard of care for axillary staging in patients with clinically negative early breast cancer, reducing need dissection (ALND) and its associated risks. Intra-operative frozen section a method rapid pathological assessment sentinel to identify presence metastatic disease potentially avoid second operation patient who will require an dissection. A retrospective review prospectively collected cancer database was performed. All underwent SLNB and/or...

Malignant ascites places a significant burden on the healthcare system and has profound effect patient quality of life. Albendazole (ABZ) is an anti-helminthic agent that shown to rapidly reduce malignant with minimal side effects in pre-clinical trials. The following case study explores ABZ ascitic volume secondary metastatic colorectal adenocarcinoma. 54-year-old man who underwent ultrasound guided drainage for worsening hepatic metastases from sigmoid He was commenced based literature...

Background: Early Post-operative Intra-Peritoneal Chemotherapy (EPIC) following Cytoreductive Surgery (CRS) and Hyperthermic (HIPEC) in high-grade appendiceal peritoneal cancer remains controversial with unclear survival benefit. The study evaluates the outcomes highgrade patients receiving varying days of EPIC addition to CRS HIPEC, if varied between different subtypes. Patients Methods: A monocentric retrospective analysis cancers managed from 1994 2018 was undertaken. An performed...