Journal Club

SUSS May Journal Club – ENT

SUSS invites you to our May Journal club, where this month we’re focusing on ENT surgery. We are also pleased to introduce a new surgical anatomy teaching segment to help Stage 3 students prepare for their surgery barrier exams. Vijidha Shree will be conducting an interactive ENT anatomy tutorial and take us through surgical management of thyroid disease. Hafila Makhani will also be discussing a review of hypoglossal nerve stimulation in the treatment of obstructive sleep apnoea.

Join us at the RPA Institute for Academic Surgery on Wednesday 15 May at 6pm. Presenters and Papers:

Hafila Makhani
Wray, C. M., & Thaler, E. R. (2016). Hypoglossal nerve stimulation for obstructive sleep apnea: A review of the literature. World Journal of Otorhinolaryngology – Head and Neck Surgery, 2(4), 230–233. doi:10.1016/j.wjorl.2016.11.005

Data: Wednesday 15 May
Time: 6PM
Location: RPA IAS

SUSS April Journal Club – Paediatrics

SUSS invites you to our April Journal club, where this month we’re focusing on frontiers in paediatric neurosurgery.

Preet Makker will present a case report discussing the multidisciplinary approach to separating craniopagus conjoined twins (joined at the cranium). The complex surgical approach required 3D modelling and the input of neuroradiologists, intensivists, paediatricians and neurosurgeons to achieve success.

Neil Mgaeith will then compare outcomes between the use of robotic and manual paediatric neurosurgery to provide accurate, safe and minimally invasive solutions to surgical problems in what can often be difficult variant anatomy with no margin for error.

Join us at the RPA Institute for Academic Surgery on Wednesday 24th April at 6pm.

Presenters and Papers:

Preet Makker
Heuer, G. G., Madsen, P. J., Flanders, T. M., Kennedy, B. C., Storm, P. B., & Taylor, J. A. (2019). Separation of Craniopagus Twins by a Multidisciplinary Team. The New England Journal of Medicine, 380(4), 358-364. doi:10.1056/NEJMoa1805132

Neil Mgaieth
Benedictis, A. D., Trezza, A., Carai, A., Genovese, E., Procaccini, E., Messina, R., Marras, C. E. (2017). Robot-assisted procedures in pediatric neurosurgery. Neurosurgical Focus, 42(5), E7. doi:10.3171/2017.2.focus16579

SUSS March Journal Club: Neurosurgery

SUSS invites you to the first Journal Club of 2019, where this month we’re focusing on neurosurgery!

Kimberley Dean will give us an overview of a common complication of neurosurgery – Central Diabetes Insipidus, including the role of neuroimaging, and the implications of neurosurgery on the prevalence of CDI.

Chantal Arce will be discussing the use of spinal cord stimulation in treating constant pain in patients who have exhausted other therapeutic modalities. Although the procedure is commonly performed there is some debate as to how the stimulators are placed. This study focused on patient alertness during the procedure to compare if patients that were awake had better outcomes than those that were under general anaesthesia. To be awake, or to not be awake? That is the question!

Join us at the RPA Institute for Academic Surgery on Wednesday 13th March at 6pm.

Presenters and Papers:

Kimberley Dean

Adams, N. C., Farrell, T. P., O’Shea, A., O’Hare, A., Thornton, J., Power, S., . . . Looby, S. (2018). Neuroimaging of central diabetes insipidus—when, how and findings. Neuroradiology, 60(10), 995-1012. doi:10.1007/s00234-018-2072-7

Chantal Arce

Falowski, M., Sharan, M., McInerney, M., Jacobs, M., Venkatesan, M., & Agnesi, M. (2019). Nonawake vs Awake Placement of Spinal Cord Stimulators: A Prospective, Multicenter Study Comparing Safety and Efficacy. Neurosurgery, 84(1), 198–205. https://doi.org/10.1093/neuros/nyy062

Event Details:

Date: Wednesday 13 March 2019

Time: 6pm- 7pm

Venue: RPA Institute of Academic Surgery, Cnr Brown & Missenden Rd Camperdown 2050

RVSP via our Facebook group

SUSS October Journal Club: Women in Surgery

This month the SUSS Journal Club will focus on Women in Surgery. Despite advances in gender equality in other specialties and occupations, there is still a gender divide in surgical training in Australia. While 50% of medical graduates are women only 12% of surgeons are female. There are significant hurdles encountered by women before and during training including lack of female role models, lifestyle factors, and discrimination.

Cynthia Chang will discuss these barriers and their effect on applications for surgery training. Meredith Bibbings will then present a paper investigating gender differences in operative autonomy during cardiothoracic surgery training.

Join us at the RPA Institute for Academic Surgery on Wednesday 17th October at 6pm.

Presenters and Papers:

Cynthia Chang

Peel, J. K., Schlachta, C. M., & Alkhamesi, N. A. (2018). A systematic review of the factors affecting choice of surgery as a career. Can J Surg, 61(1), 58-67. DOI:10.1503/cjs.008217

Meredith Bibbings

Meyerson, S. L., Sternbach, J. M., Zwischenberger, J. B., & Bender, E. M. (2017). The Effect of Gender on Resident Autonomy in the Operating room. J Surg Educ, 74(6), e111-e118. DOI:10.1016/j.jsurg.2017.06.014

Event Details:

Date: Wednesday 17 October 2018

Time: 6pm- 7pm

Venue: RPA Institute of Academic Surgery, Cnr Brown & Missenden Rd Camperdown 2050

RVSP via our Facebook event

SUSS May Journal Club: Trauma

After a short break, we return with the May SUSS Journal club theme of Trauma.

Trauma is a common presentation to ED, often requiring surgical intervention. When managing a trauma case one not only needs to consider the immediate management of a patient but also the sequelae or conditions that this patient group is at risk of developing.

Both of the presenters this week will be considering the complications of trauma. Nick Skladnev will present a study on the utility of thromboelastography (TEG) in predicting venous thromboembolism (VTE). VTE including pulmonary embolism and deep vein thrombosis is a common trauma complication and is often unpredictable as traditional plasma-based coagulation tests (PT, PTT, INR) are not predictive of VTE. TEG may present a more sensitive test for identifying at-risk patients. Huon Murray will then present a case series of head trauma resulting in hypopituitarism, which is an increasingly recognised but easily missed complication following traumatic brain injury (TBI). This paper will identify the importance of early diagnosis and appropriate management of endocrine dysfunction in patients with major head injuries to improve morbidity and mortality.

Articles and presenters:
Nick Skladnev
Brill, J. B., Badiee, J., Zander, A. L., Wallace, J. D., Lewis, P. R., Sise, M. J., … & Shackford, S. R. (2017). The rate of deep vein thrombosis doubles in trauma patients with hypercoagulable thromboelastography. Journal of Trauma and Acute Care Surgery, 83(3), 413-419.

Huon Murray
Khan, K., Saeed, S., Ramcharan, A., & Gray, S. (2018). A case series of closed head trauma with pituitary stalk disruption resulting in hypopituitarism. International journal of surgery case reports, 43, 69-71.

Date: Wednesday, May 23rd, 2018
Time: 6:00 – 7:00 pm
Venue: RPAH Institute of Academic Surgery
Topic: Trauma

RSVP via our Facebook event

Hope you see you there!

SUSS March Journal Club: Oral & Maxillofacial Surgery.

The theme of this months SUSS Journal Club is Oral & Maxillofacial Surgery.

Oral & Maxillofacial surgery is a highly specialised field in which surgeons are trained in both medicine and dentistry to treat problems that require expertise in both fields. Conditions they treat include congenital facial disproportion problems, oral cancer, tumours of jaw and facial traumas.

Both speakers this month will be presenting papers on facial fractures. Our first study is a retrospective audit of mandible fractures at one UK hospital, looking at time to fixation and complication rates. Our second paper is a randomised controlled trial looking at treatment to restore sensory function following a zygomatic fracture.

Articles and presenters:
Justin Phang
Hammond, D., Parmar, S., Whitty, J., McPhillips, M., & Wain, R. (2018). Is a fractured mandible an emergency?. British Journal of Oral and Maxillofacial Surgery, 56(1), 39-42.

Gareth Crouch
Haapanen, A., Thorén, H., Apajalahti, S., Suominen, A. L., & Snäll, J. (2017). Does Dexamethasone Facilitate Neurosensory Function Regeneration After Zygomatic Fracture? A Randomized Controlled Trial. Journal of Oral and Maxillofacial Surgery, 75(12), 2607-2612.

Date: Thursday, March 22nd, 2018
Time: 6:00 – 7:00 pm
Venue: RPAH Institute of Academic Surgery
Topic: Oral & Maxillofacial Surgery.