Publications by authors named "M J Hollands"
Objectives: While emergency cholecystectomy is the preferred treatment for acute cholecystitis, conservative management can be used as a bridge to definitive surgical management in situations where emergency surgical services are limited. The objective of this systematic review is to identify factors associated with conservative management failure as defined as either failed resolution of symptoms on initial presentation, or the recurrence of symptoms whilst awaiting an elective cholecystectomy. This study aims to allow clinicians to make evidence-based recommendations for conservative versus operative management.
View Article and Find Full Text PDFBackground: Failure to rescue (FTR), defined as death after a major complication, is increasingly being used as a surrogate for assessing quality of care following major cancer resection. The aim of this paper is to determine the failure to rescue (FTR) rate after oesophagectomy and explore factors that may contribute to FTR within Australia.
Methods: A retrospective review of the American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP) database from 2015 to 2023 at five Australian hospitals was conducted to identify patients who underwent an oesophagectomy.
The tension that exists between the medical and legal professions regarding expert evidence is longstanding. In this article, we will examine some of the issues regarding expert evidence particularly as it relates to matters involving surgeons. Many of the current aspects of the Australian uniform evidence law in relation to expert testimony were based on the Federal Rules of Evidence promulgated in the United States in 1975.
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- - The study examines a surgeon's nine-year experience in implementing laparoscopic pancreaticoduodenectomy (LPD), highlighting that its complexity has hindered widespread use despite potential benefits.
- - Initially, patients underwent a hybrid approach (laparoscopic resection with open reconstruction), which transitioned to a total laparoscopic procedure, with data on patient outcomes carefully tracked.
- - Results showed no 90-day mortality, but three cases of postoperative pancreatic fistula occurred in the hybrid group, while the total laparoscopic group had none, suggesting that a careful approach is crucial for safe implementation of LPD.
Background: Gastric diverticula (GD) are the rarest form of gastrointestinal tract diverticulum, with an estimated incidence of 0.013-2.6%.
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