Shared electric scooter injuries admitted to Auckland City Hospital: a comparative review one year after their introduction.

Aim: E-scooters were introduced to New Zealand in 2018 as a means of city transport. Since their introduction, their use has resulted in high injury rates. No studies have directly compared e-scooters to other forms of transport.

Diagnostic laparoscopy in penetrating abdominal trauma.

Background: Penetrating abdominal trauma is uncommon in Australia. There are multiple potential approaches to the patient without an indication for immediate laparotomy. This study examined the management of patients with a penetrating anterior abdominal injury in a Level 1 trauma centre, and in particular investigated the outcomes of those patients who underwent diagnostic laparoscopy.

Crohn's disease presenting as gastric outlet obstruction.

We present a unique presentation of Crohn's disease in a 25-year-old male with a 3-month history of progressive gastric outlet obstruction symptoms including reflux, vomiting, postprandial pain and weight loss, with no other symptoms. Multiple imaging investigations as well as gastroscopic biopsies revealed a non-specific prepyloric lesion, without evidence of malignancy. A distal gastrectomy was performed.

Predicting hollow viscus injury in blunt abdominal trauma with computed tomography.

Background: Evaluation of blunt abdominal trauma is controversial. Computed tomography (CT) of the abdomen is commonly used but has limitations, especially in excluding hollow viscus injury in the presence of solid organ injury. To determine whether CT reports alone could be used to direct operative treatment in abdominal trauma, this study was undertaken.

Penetrating thoraco-abdominal injuries: the Auckland City Hospital experience.

Background: Penetrating injuries to the thoraco-abdominal region are rare in New Zealand. Most are low velocity wounds and are managed by general surgeons. However, injuries to major vascular structures and the heart are best managed by a multidisciplinary approach.

Acute care surgery: can New Zealand afford to wait?

Until about two decades ago, the provision of emergency surgery was implicitly linked to all aspects of surgical care in all surgical specialties. While this remains true in the smaller surgical specialties, in the larger specialties the development of subspecialisation has eroded the comprehensive nature of acute care provision. In general surgery, the numerically largest of the nine surgical specialties, the greatest challenges in provision of acute care exist.