Accidental Fish Bone Ingestion Leading to Gastric Perforation: A Diagnostic Challenge.

Accidental ingestion of animal bones, including fish bones, often goes unnoticed and rarely leads to acute medical complications. However, in rare cases, fish bones can perforate the gastrointestinal tract, causing serious complications such as perforation, abscess formation, or fistula development, necessitating emergent surgical intervention. This case report describes a rare case of gastric perforation by a fish bone ingestion, complicated by perigastric and hepatic abscesses.

A 27-Year Experience With Day Surgery Transurethral Resection of the Prostate.

Introduction Transurethral resection of the prostate (TURP) is the standard surgical procedure for obstructive symptoms of the lower urinary tract when medical management fails. Progression in TURP procedures has led to reduced catheterization time following transurethral prostatic resection. This study describes the methods and results of TURP performed in the day surgery setting.

Hospitalizations Among Adults With CKD in Public Renal Specialty Practices: A Retrospective Study From Queensland, Australia.

Rationale & Objective: Little is known about hospital admissions in nondialysis patients with chronic kidney disease (CKD) before death or starting kidney replacement therapy (KRT).

Study Design: Retrospective observational cohort study.

Setting & Participants: Hospitalizations among 7,201 patients with CKD from 10 public renal clinics in Queensland (QLD), enrolled in the CKD.

Telehealth in surgery: an umbrella review.

Background: Telehealth use has increased worldwide during the COVID-19 pandemic. However, hands-on requirements of surgical care may have resulted in slower implementation. This umbrella review (review of systematic reviews) evaluated the perceptions, safety and implementation of telehealth services in surgery, and telehealth usage in Australia between 2020 and 2021.

Re-induction ipilimumab following acquired resistance to combination ipilimumab and anti-PD-1 therapy.

Purpose: Combination immunotherapy with nivolumab and ipilimumab has a high initial response rate in advanced melanoma; however, up to 55% of patients later progress. The efficacy and safety of ipilimumab re-induction in the setting of acquired resistance (AR) to combination immunotherapy is unknown.

Methods: Patients with advanced melanoma who initially achieved a complete response, partial response or sustained stable disease to induction combination immunotherapy then progressed and were reinduced with ipilimumab (alone or in combination with anti-PD-1) and were analysed retrospectively.

Symptoms and diagnostic criteria of acquired Megacolon - a systematic literature review.

Background: Acquired Megacolon (AMC) is a condition involving persistent dilatation and lengthening of the colon in the absence of organic disease. Diagnosis depends on subjective radiological, endoscopic or surgical findings in the context of a suggestive clinical presentation. This review sets out to investigate diagnostic criteria of AMC.

The correlation between diverticulosis and redundant colon.

Background: Diverticulosis and redundant colon are colonic conditions for which underlying pathophysiology, management and prevention are poorly understood. Historical papers suggest an inverse relationship between these two conditions. However, no further attempt has been made to validate this relationship.

Perianal pseudolymphoma: A case report and review of the literature.

Introduction: Perianal pseudolymphoma is a rare lymphoproliferative disorder that can mimic cutaneous lymphoma. The condition can present acutely with concerns of perianal sepsis. The purpose of this case review is to review the current literature on perianal pseudolymphoma and emphasise to the surgical community its presentation, suggested aetiology and management.

The Role of 18F-Sodium Fluoride PET/CT Bone Scans in the Diagnosis of Metastatic Bone Disease from Breast and Prostate Cancer.

We describe the role of F-sodium fluoride (F-NaF) PET/CT bone scanning in the staging of breast and prostate cancer. F-NaF PET was initially utilized as a bone scanning agent in the 1960s and early 1970s, however, its use was restricted by the then-available γ-cameras. The advent of hybrid PET/CT cameras in the late 1990s has shown a resurgence of interest in its use and role.

Delivering healthcare cost-effectively using available technology.

This paper identifies ways technology, including telehealth, can be utilised to reduce health delivery costs whilst providing the highest possible standard of care.

Making a virtue of necessity: managing the open abdomen.

Background: The open abdomen, or laparostomy, is becoming increasingly used in the management of critically ill surgical patients.

Methods: The published work on laparostomy is reviewed, in the light of personal experience, with particular attention to the history and pathophysiology associated with laparostomy.

Results And Conclusion: The combination of an inert plastic sheet in contact with the viscera, and the application of subatmospheric pressure on the wound, is an effective combination to maximize the prospects of delayed primary wound closure while minimizing the chance of fistula and ventral hernia.