2021 |
Knight SR, Shaw CA, Pius R, Drake TM, Norman L, Ademuyiwa AO, et al., 'Global variation in postoperative mortality and complications after cancer surgery: a multicentre, prospective cohort study in 82 countries', The Lancet, 397 387-397 (2021)
© 2021 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY-NC-ND 4.0 license Background: 80% of individuals with cancer will require a surgica... [more]
© 2021 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY-NC-ND 4.0 license Background: 80% of individuals with cancer will require a surgical procedure, yet little comparative data exist on early outcomes in low-income and middle-income countries (LMICs). We compared postoperative outcomes in breast, colorectal, and gastric cancer surgery in hospitals worldwide, focusing on the effect of disease stage and complications on postoperative mortality. Methods: This was a multicentre, international prospective cohort study of consecutive adult patients undergoing surgery for primary breast, colorectal, or gastric cancer requiring a skin incision done under general or neuraxial anaesthesia. The primary outcome was death or major complication within 30 days of surgery. Multilevel logistic regression determined relationships within three-level nested models of patients within hospitals and countries. Hospital-level infrastructure effects were explored with three-way mediation analyses. This study was registered with ClinicalTrials.gov, NCT03471494. Findings: Between April 1, 2018, and Jan 31, 2019, we enrolled 15 958 patients from 428 hospitals in 82 countries (high income 9106 patients, 31 countries; upper-middle income 2721 patients, 23 countries; or lower-middle income 4131 patients, 28 countries). Patients in LMICs presented with more advanced disease compared with patients in high-income countries. 30-day mortality was higher for gastric cancer in low-income or lower-middle-income countries (adjusted odds ratio 3·72, 95% CI 1·70¿8·16) and for colorectal cancer in low-income or lower-middle-income countries (4·59, 2·39¿8·80) and upper-middle-income countries (2·06, 1·11¿3·83). No difference in 30-day mortality was seen in breast cancer. The proportion of patients who died after a major complication was greatest in low-income or lower-middle-income countries (6·15, 3·26¿11·59) and upper-middle-income countries (3·89, 2·08¿7·29). Postoperative death after complications was partly explained by patient factors (60%) and partly by hospital or country (40%). The absence of consistently available postoperative care facilities was associated with seven to 10 more deaths per 100 major complications in LMICs. Cancer stage alone explained little of the early variation in mortality or postoperative complications. Interpretation: Higher levels of mortality after cancer surgery in LMICs was not fully explained by later presentation of disease. The capacity to rescue patients from surgical complications is a tangible opportunity for meaningful intervention. Early death after cancer surgery might be reduced by policies focusing on strengthening perioperative care systems to detect and intervene in common complications. Funding: National Institute for Health Research Global Health Research Unit.
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2021 |
'Preoperative nasopharyngeal swab testing and postoperative pulmonary complications in patients undergoing elective surgery during the SARS-CoV-2 pandemic', British Journal of Surgery, 108 88-96 (2021)
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2020 |
Whitcher S, Magnusson M, Gani J, Oldmeadow C, Pockney PG, 'Comparison of colonic neoplasia detection rates in patients screened inside and outside the National Bowel Cancer Screening Program', Medical Journal of Australia, 212 275-276 (2020) [C1]
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2020 |
Glasbey JC, Nepogodiev D, Omar O, Simoes JFF, Ademuyiwa A, Fiore M, et al., 'Delaying surgery for patients with a previous SARS-CoV-2 infection', British Journal of Surgery, 107 e601-e602 (2020)
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2020 |
Fenton M, Gani J, Pockney P, 'Adverse Events After Inpatient Colonoscopy in Octogenarians: Patient Selection Key for Colonoscopies', JOURNAL OF CLINICAL GASTROENTEROLOGY, 54 484-484 (2020)
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2020 |
Feng D, Petschack L, Marr G, Gani J, 'Surgeon Preference May Be More Important Than Models of Care When It Comes to Early Laparoscopic Cholecystectomy Rates for Acute Cholecystitis', Journal of Surgery, 8 228-232 (2020)
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2020 |
Eliezer DD, Holmes M, Sullivan G, Gani J, Pockney P, Gould T, et al., 'High-Risk Emergency Laparotomy in Australia: Comparing NELA, P-POSSUM, and ACS-NSQIP Calculators', Journal of Surgical Research, 246 300-304 (2020) [C1]
© 2019 Background: The National Emergency Laparotomy Audit (NELA) highlights the importance of identifying high-risk patients due to the potential for significant morbidity and mo... [more]
© 2019 Background: The National Emergency Laparotomy Audit (NELA) highlights the importance of identifying high-risk patients due to the potential for significant morbidity and mortality. The NELA risk prediction calculator (NRPC) was developed from data in England and Wales and is one of several calculators available. We seek to determine the utility of NRPC in the Australian population and compare it with Portsmouth Physiological and Operative Severity Score for the enumeration of mortality and Morbidity (P-POSSUM) and American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP) calculators. Methods: A retrospective review of all emergency laparotomies undertaken at four Australian centers was performed between January 2016 and December 2017. Data extracted from patient records were used to calculate NRPC, ACS-NSQIP, and P-POSSUM scores for 30-day mortality risk. The sensitivity of NRPC was assessed using the NELA high-risk cohort score of =10% and this was compared with the other two calculators. Results: There were 562 (M = 261, mean age = 66 [±17] y) patient charts reviewed in the study period. 59 patients died within 30 d (10.5%). NRPC was able to identify 52 (sensitivity = 88.1%) of these as being within the high-risk group. Using the NELA high-risk cutoff, NRPC identified 52 deaths of 205 (25.4%) high-risk patients, P-POSSUM identified 46 of 245 (18.8%), and ACS-NSQIP identified 46 of 201 (22.9%). Using the McNemar test, no significant difference was noted between NRPC and P-POSSUM (P = 0.07) or NRPC and ACS-NSQIP (P = 0.18). Conclusions: In the Australian context, the NRPC is a highly sensitive and useful tool for predicting 30-day mortality in high-risk emergency laparotomy patients and is comparable with P-POSSUM and ACS-NSQIP calculators.
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2020 |
Gani J, Pockney P, 'Comparison of colonic neoplasia detection rates in patients screened inside and outside the National Bowel Cancer Screening Program', MJA, (2020)
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2020 |
Tan HLE, McDonald G, Payne A, Yu W, Ismadi Z, Tran H, et al., 'Incidence and Management of Hypertriglyceridemia-Associated Acute Pancreatitis: A Prospective Case Series in a Single Australian Tertiary Centre.', J Clin Med, 9 (2020)
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2020 |
Corbetta Machado MJ, Gray A, Cerdeira MP, Gani J, 'Short- and long-term outcomes of percutaneous cholecystostomy in an Australian population', ANZ Journal of Surgery, 90 1660-1665 (2020) [C1]
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2019 |
Clarke L, Pockney P, Gillies D, Foster R, Gani J, 'Direct access colonoscopy service for bowel cancer screening produces a positive financial benefit for patients and local health districts', Internal Medicine Journal, 49 729-733 (2019) [C1]
© 2018 Royal Australasian College of Physicians Background: A direct access colonoscopy service (DACS) for the National Bowel Cancer Screening Program has become standard of care ... [more]
© 2018 Royal Australasian College of Physicians Background: A direct access colonoscopy service (DACS) for the National Bowel Cancer Screening Program has become standard of care in Newcastle public hospitals because of the effect it has on time to colonoscopy. Cost-effectiveness has not been studied to date. Aim: The aim of this retrospective study was to analyse the cost-effectiveness of a DACS. Methods: Data were collected for patients referred to DACS between January 2014 and June 2016, and patients who were treated on the normal service pathway in 2013 prior to the introduction of the process. A cost-benefit analysis from the patient¿s and local health district¿s perspective was undertaken. Results: Introduction of the DACS produces a direct financial gain to patients in the form of reduced direct costs. It produces an indirect financial gain in terms of increased productivity if the patient is in work, and of increased leisure time if not in work. The DACS is modest income generating for the local health district, an evaluation which is sensitive to internal policies for distribution of government funding within a district. The DACS increases the availability of outpatient consultations to other patients, which is not a quantifiable economic benefit, but is likely to be an overall health benefit. Conclusion: The introduction of DACS in the public system in Australia is of financial benefit to patients and to the local health service provider. It is likely to produce health benefits to non-screening patients, by means of freeing consultations to be used for other indications.
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2019 |
Clarke L, Pockney P, Gillies D, Foster R, Gani J, 'Time to colonoscopy for patients accessing the direct access colonoscopy service compared to the normal service in Newcastle, Australia', Internal Medicine Journal, 49 1132-1137 (2019) [C1]
© 2018 Royal Australasian College of Physicians Background: The 2017 National Bowel Cancer Screening Program report records a median time from positive faecal occult blood test to... [more]
© 2018 Royal Australasian College of Physicians Background: The 2017 National Bowel Cancer Screening Program report records a median time from positive faecal occult blood test to colonoscopy of 53 days. There is some intrinsic delay in accessing specialist medical opinion prior to colonoscopy. Aim: To examine the effect of the introduction of a Direct Access Colonoscopy Service (DACS). Methods: Using prospectively maintained databases, patients undergoing normal service (NS) colonoscopy and those referred to DACS were compared. The primary outcome measure was the time from general practitioner (GP) referral to colonoscopy. Secondary outcome measures included the proportion of patients who met the current recommended 30 days from GP referral to colonoscopy, and the proportion of patients who waited longer than 90 days. Results: There were 289 patients in the NS group, and 601 patients who progressed on the DACS pathway. The demographics of both groups were comparable. DACS patients had a median waiting time of 49 days, significantly shorter than NS patients whose median wait was 79 days (P < 0.0001). Approximately 15.1% patients in the DACS group had their colonoscopy within 30 days from GP referral, significantly better than in the NS group (4.5%, P < 0.001). In the NS group, 41.2% patients waited longer than 90 days from GP referral to colonoscopy, compared with 16.3% in the DACS group (P < 0.001). Conclusion: DACS reduces waiting times to colonoscopy and is associated with an increased proportion of patients undergoing colonoscopy in a timely manner.
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2019 |
March B, Leigh L, Brussius-Coelho M, Holmes M, Pockney P, Gani J, 'Can CRP velocity in right iliac fossa pain identify patients for intervention? A prospective observational cohort study', Surgeon, 17 284-290 (2019) [C1]
© 2018 Royal College of Surgeons of Edinburgh (Scottish charity number SC005317) and Royal College of Surgeons in Ireland Introduction: Previous studies have shown single CRP meas... [more]
© 2018 Royal College of Surgeons of Edinburgh (Scottish charity number SC005317) and Royal College of Surgeons in Ireland Introduction: Previous studies have shown single CRP measurements at time of presentation to have limited predictive benefit for appendicitis. Our objective was to determine the diagnostic utility of serial CRP measurements (to determine CRP velocity [CRPv]) in patients with right iliac fossa (RIF) pain. Methods: A single-centre prospective observational study was conducted on adult patients admitted with RIF pain. CRP was measured on admission, at midnight, and the following morning. Appendicitis was diagnosed on histopathology, or diagnostic imaging in non-operatively managed patients. Therapeutic interventions included all appropriate operative procedures and effective non-operative treatment with antibiotics. Logistic regression was used to generate predictors of therapeutic intervention, and then used to create a new risk score incorporating CRPv. Results: 98 of 112 (87.5%) participants had complete CRP data. 58 patients met the criteria for appendicitis (59.2%). Most patients presented with intermediate Modified Alvarado Scores (MAS) 5¿6 (40.8%) or Appendicitis Inflammatory Response Scores (AIRS) 5¿8 (49%). Our risk score had an AUROC of 0.88 (95% CI 0.81¿0.96) in predicting therapeutic intervention. This score was superior to MAS, AIRS, and single admission biomarker measurements. Patients with an increasing CRPv had 14 times the odds (OR 14.07, 95% CI 0.63¿315.2) of complicated appendicitis, and no cases of complicated appendicitis were observed in patients with a flat CRPv. Conclusions: CRP velocity is superior to single CRP at predicting intervention. Our v-Score shows promise as a decision making-aide by predicting the need for surgical intervention in RIF pain. A flat CRPv identifies a group of patients with a very low risk of complicated appendicitis.
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2018 |
Rutledge A, Carroll G, Smith S, Gani J, 'Response to Re: How to do it: use of the Alexis wound protector as a laparostomy device', ANZ JOURNAL OF SURGERY, 88 117-118 (2018)
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2017 |
Joshi T, Woodford P, Maiti K, Smith R, Gani J, Acharya S, 'Giant Retroperitoneal Teratoma Associated With Unexpected Postoperative Adrenal Insufficiency: Crh And Acth Secretion From Teratoma?', AACE Clinical Case Reports, 3 e8-e11 (2017)
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2017 |
Gani JS, 'How to do it: Use of the Alexis wound protector as a laparostomy device', ANZJSurg, (2017)
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2017 |
Burnett D, Gani JS, 'Routine magnetic resonance imaging is not the panacea to common duct stones', ANZ JOURNAL OF SURGERY, 87 743-744 (2017)
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2016 |
Burnett D, Gani J, 'Response to Re: Single-stage laparoscopic cholecystectomy and intraoperative endoscopic retrograde cholangiopancreatography: is this strategy feasible in Australia?', ANZ JOURNAL OF SURGERY, 86 1069-1069 (2016)
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2016 |
Burmeister EA, Jordan SJ, O'Connell DL, Beesley VL, Goldstein D, Gooden HM, et al., 'Using a Delphi process to determine optimal care for patients with pancreatic cancer.', Asia-Pacific journal of clinical oncology, 12 105-114 (2016) [C1]
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2016 |
March B, Burnett D, Gani J, 'Single-stage laparoscopic cholecystectomy and intraoperative endoscopic retrograde cholangiopancreatography: is this strategy feasible in Australia?', ANZ Journal of Surgery, 86 874-877 (2016) [C1]
© 2016 Royal Australasian College of Surgeons Currently in Australasia, concomitant cholecystolithiasis and choledocholithiasis are usually managed with two procedures: laparoscop... [more]
© 2016 Royal Australasian College of Surgeons Currently in Australasia, concomitant cholecystolithiasis and choledocholithiasis are usually managed with two procedures: laparoscopic cholecystectomy (LC) and pre or postoperative endoscopic retrograde cholangiopancreatography (ERCP). This approach exposes the patient to the risk of complications from the common bile duct stone(s) while awaiting ERCP, the risks of the ERCP itself (particularly pancreatitis) and the need for a second anaesthetic. This article explores the evidence for a newer hybrid approach, single stage LC and intraoperative ERCP (SSLCE) and compares this approach with the commonly used alternatives. SSLCE offers reduced rates of pancreatitis, reduced length of hospital stay and reduced cost compared with the two-stage approach and requires only one anaesthetic. There is a reduced risk of bile leak compared with procedures that involve a choledochotomy, and ductal clearance rates are superior to trans-cystic exploration and equivalent to the standard two-stage approach. Barriers to widespread implementation relate largely to operating theatre logistics and availability of appropriate endoscopic expertise, although when bile duct stones are anticipated these issues are manageable. There is compelling justification in the literature to gather prospective evidence surrounding SSLCE in the Australian Healthcare system.
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2014 |
March B, Gillies D, Gani J, 'Appendicectomies performed > 48 hours after admission to a dedicated acute general surgical unit', Annals of the Royal College of Surgeons of England, 96 614-617 (2014)
Introduction: Acute general surgical units (AGSUs) are changing the way in which acute appendicitis is managed. In the AGSU at John Hunter Hospital, some patients wait more than 4... [more]
Introduction: Acute general surgical units (AGSUs) are changing the way in which acute appendicitis is managed. In the AGSU at John Hunter Hospital, some patients wait more than 48 hours from admission to undergo an appendicectomy, usually because they are not unwell enough to precipitate an operation before that time. We analysed this subgroup of appendicectomy patients to determine how effectively they are being managed and how this might be improved. Methods: A retrospective review of prospectively collected data was conducted of all patients who received an appendicectomy while admitted under the AGSU at John Hunter Hospital in the five years between January 2009 and December 2013. Results: A total of 1,039 appendicectomies were performed in the study period, with 81 patients (7.8%) waiting > 48 hours for their operation (delayed appendicectomy group). Overall, the negative appendicectomy (NA) rate was 21.6%; the NA rate in delayed appendicectomies was 50.62% and a non-therapeutic operation occurred in 47% of this group (n=38). No significant difference was found in the incidence of perforation/gangrenous appendicitis between patients having surgery in <48 hours and the delayed appendicectomy groups (11.2% vs 9.9%, p=0.85). A combination of negative diagnostic imaging result, a normal white cell count and normal C-reactive protein (ie a negative 'triple test') was the best predictor of a negative appendicectomy (p=0.0158, negative predictive value: 0.91, 95% confidence interval: 0.59-0.99), in the delayed appendicectomy group. Conclusions: In the delayed appendicectomy group, the incidence of perforation/gangrenous appendicitis was not significantly different from that found in patients having appendicectomy performed sooner. However, the NA and non-therapeutic operation rates were unacceptably high. An appendix triple test can improve diagnostic accuracy significantly without an unacceptable rise in the rates of perforation/gangrenous appendicitis.
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2014 |
Ho YM, Gani J, Draganic BD, Smith SR, 'Bladeless stoma creation using muscle separation technology: a novel technique', TECHNIQUES IN COLOPROCTOLOGY, 18 299-300 (2014) [C3]
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2013 |
Gillies D, Lack J, Gani J, Proietto T, 'IDENTIFYING SHORTCOMINGS AND VARIATION IN THE DIAGNOSIS OF COLORECTAL CANCER PATIENTS', ASIA-PACIFIC JOURNAL OF CLINICAL ONCOLOGY, 9 148-148 (2013) |
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2013 |
Gani JS, '21st century appendicitis: selecting non-operative winners', ANZ JOURNAL OF SURGERY, 83 6-7 (2013) [C3]
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2012 |
Gani J, Lewis K, 'Hepaticocholecystoenterostomy as an alternative to hepaticojejunostomy for biliary bypass', Annals of the Royal College of Surgeons of England, 94 472-475 (2012)
Introduction: Hepaticojejunostomy is the standard biliary bypass technique for periampullary cancer when trial dissection reveals unresectable disease or endoscopic stent placemen... [more]
Introduction: Hepaticojejunostomy is the standard biliary bypass technique for periampullary cancer when trial dissection reveals unresectable disease or endoscopic stent placement is not possible. This anastomosis can be technically demanding and potentially difficult. The simpler technique of hepaticocholecystoenterostomy (HCE) has only previously been reported in very limited numbers and without outcome data. Methods: All patients undergoing HCE for the management of periampullary cancer were identified from a prospectively maintained computerised database of a single surgeon and were reviewed retrospectively. The HCE technique achieves a biliary bypass by two anastomoses, using the gallbladder as a conduit. It involves an anastomosis of the infundibulum of the gallbladder to the common hepatic duct followed by a second anastomosis of the gallbladder fundus to the proximal small bowel. Results: From 1996 to 2010, 30 patients with pancreatic adenocarcinoma required a biliary bypass after a failed trial of Whipple procedure (80%) or failed endoscopic stenting (20%). There were 19 men and 11 women with a mean age of 64.5 years. The mean operative time for HCE alone was 92 minutes. The mean length of hospital stay was nine days. There was a single grade 2 complication (readmission with gastric emptying delay) and a single grade 3 complication (bile leak requiring reoperation). Thirty-day mortality was zero and the mean survival was 12 months (with one patient still alive at the time of writing). There were no readmissions with recurrent biliary obstruction or cholangitis. One patient had developed an incisional hernia by the 24-month follow-up appointment. Conclusions: HCE in periampullary cancer is safe and effective in selected patients. It involves two simple anastomoses with good access rather than one more demanding anastomosis. Morbidity, patency and overall survival are comparable with contemporary published series of hepaticojejunostomy.
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2011 |
Nolan GJ, Bendinelli C, Gani J, 'Laparoscopic drainage of an intramural duodenal haematoma: a novel technique and review of the literature', WORLD JOURNAL OF EMERGENCY SURGERY, 6 (2011)
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2008 |
O'Neill CJ, Gillies DM, Gani JS, 'Choledocholithiasis: Overdiagnosed endoscopically and undertreated laparoscopically', ANZ JOURNAL OF SURGERY, 78 487-491 (2008) [C1]
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2008 |
Gani JS, 'Obesity surgery still does not equal laparoscopic gastric banding', ANZ Journal of Surgery, 78 227 (2008) [C3]
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2007 |
Matsushita T, Seah PW, Gani J, 'Giant Morgagni Hernia Causing Cardiac Tamponade', Heart Lung and Circulation, 16 392-393 (2007)
A 57-year-old man presented with worsening symptoms of shortness of breath and chest pain. He was found to have a giant Morgagni hernia with severe compression of his right ventri... [more]
A 57-year-old man presented with worsening symptoms of shortness of breath and chest pain. He was found to have a giant Morgagni hernia with severe compression of his right ventricle on computed tomography scan. The hernia which contained greater omentum, small intestine and transverse colon was urgently repaired through a median sternotomy and laparotomy with a polypropylene mesh. Morgagni hernia is a type of congenital diaphragmatic hernia, which may not be symptomatic until adulthood. Presentation with this degree of right ventricular compression is rare. © 2006 Australasian Society of Cardiac and Thoracic Surgeons and the Cardiac Society of Australia and New Zealand.
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2005 |
Spigelman AD, Gani JS, 'Pylorus-preserving pancreaticoduodenectomy for advanced duodenal disease in familial adenomatous polyposis (letter)', British Journal of Surgery, 92 253-253 (2005) [C3]
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2004 |
Spigelman AD, Gani JS, 'Pylorus-preserving pancreaticoduodenectomy for advanced duodenal disease in familial adenomatous polyposis', British Journal of Surgery, 92 253 (2004) [C1]
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2004 |
Winn RD, Laura S, Douglas C, Davidson PM, Gani JS, 'Protocol-Based approach to suspected appendicitis, incorporating the alvarado score and outpatient antibiotics', ANZ Journal of Surgery, 74 324-329 (2004) [C1]
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2004 |
Kable AK, Gibberd RW, Spigelman AD, 'Re: Complications after discharge for surgical patients', ANZ Journal of Surgery, 74 805-807 (2004) [C3]
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2003 |
MacPherson NE, Gani JS, 'White cell count and appendicitis: the missing link', ANZ Journal of Surgery, 963-965 (2003) [C3] |
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2003 |
Amid P, Gani JS, Zib M, 'Inguinal hernia repair: where to next?', ANZ Journal of Surgery, 352-355 (2003) [C3] |
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2003 |
Levy RD, Barto W, Gani JS, 'Retrospective Study of the Utility of Nuclear Scintigraphic-labelled Red Cell Scanning for Lower Gastrointestinal Bleeding', ANZ Journal of Surgery, 73 205-209 (2003) [C1]
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2003 |
Amid PK, Gani J, Zib M, 'Inguinal hernia repair: Where to next? [1] (multiple letters)', ANZ Journal of Surgery, 73 352-353 (2003)
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2003 |
Holz P, Cottee DB, Gani JS, 'Delayed gastric emptying with octreotide', Anaesthesia and Intensive Care, 31 235 (2003) [C3] |
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2002 |
Zib M, Gani JS, 'Inguinal hernia repair: where to next?', ANZ Journal of Surgery, 72(8) 573-579 (2002) [C1]
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2001 |
Winn R, Douglas C, Gani JS, 'A contolled trial of a protocol drive approach to the management of right iliac fossa (RIF) pain', ANZ Journal of Surgery, 71 GS4 (2001) [C3] |
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2000 |
Gani JS, Oakes L, 'Biliary scoring as a method of selecting patients for cholecystectomy', Australian & New Zealand Journal of Surgery, 70 (9) 644-648 (2000) [C1]
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2000 |
Wills V, Eno L, Walker C, Gani JS, 'Use of an ambulance-based helicopter retrieval service', Australian & New Zealnd Journal of Surgery, 70 (7) 506-510 (2000) [C1]
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2000 |
Zib M, Gani JS, 'Is the evidence for laparoscopic hernia repair good enough?', Australian New Zealand Journal Surgery, 70 898-899 (2000) [C3]
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2000 |
Douglas CD, MacPherson NE, Davidson P, Gani JS, 'Randomised controlled trial of ultrasonography in diagnosis of acute appendicitis, incorporating the Alvarado score', British Medical Journal, 321 919 (2000) [C1]
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2000 |
Zib M, Gani J, Slater GH, Bailey M, 'Is the evidence for laparoscopic hernia repair good enough? [1] (multiple letters)', Australian and New Zealand Journal of Surgery, 70 898-900 (2000)
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1998 |
Puvaneswary M, Gani J, Kalnins IK, 'Glomus vagale presenting as a supraclavicular mass: Magnetic resonance imaging findings', Australasian Radiology, 42 367-369 (1998)
Glomus vagale are rare vascular tumours of the paraganglion cells of the vagus nerve, and they usually occur in the carotid space. Tumours can be familial, multicentric, malignant... [more]
Glomus vagale are rare vascular tumours of the paraganglion cells of the vagus nerve, and they usually occur in the carotid space. Tumours can be familial, multicentric, malignant but rarely hormonally active. A rare case is reported of glomus vagale presenting as a supraclavicular mass.
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1998 |
Gani JS, 'Can sincalide cholescintigraphy fulfil the role of a gall-bladder stress test for patients with gall-bladder stones?', AUSTRALIAN AND NEW ZEALAND JOURNAL OF SURGERY, 68 514-519 (1998)
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1998 |
Draganic B, James A, Booth M, Gani JS, 'Comparative experience of a simple technique for laparoscopic chronic ambulatory peritoneal dialysis catheter placement', AUSTRALIAN AND NEW ZEALAND JOURNAL OF SURGERY, 68 735-739 (1998)
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1997 |
Draganic BD, Gani JS, 'Retained gallstones: A pain in the back', AUSTRALIAN AND NEW ZEALAND JOURNAL OF SURGERY, 67 662-664 (1997)
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1996 |
Hayes C, Ambazidis S, Gani JS, 'Intensive care unit admissions following laparoscopic surgery: What lessons can be learned?', AUSTRALIAN AND NEW ZEALAND JOURNAL OF SURGERY, 66 206-209 (1996)
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1996 |
Draganic BD, Gani JS, 'The incidence of deep venous thrombosis after laparoscopic cholecystectomy', MEDICAL JOURNAL OF AUSTRALIA, 165 402-402 (1996)
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1996 |
Draganic B, Perry R, Gani J, 'Operative cholangiography in the laparoscopic era: A retrospective review of the quality and interpretation of this investigation', AUSTRALIAN AND NEW ZEALAND JOURNAL OF SURGERY, 66 18-21 (1996)
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1995 |
GANI JS, 'MANAGEMENT OF PERFORATION OF THE DUODENUM FOLLOWING ENDOSCOPIC SPHINCTEROTOMY - A PROPOSAL FOR SELECTIVE THERAPY', AUSTRALIAN AND NEW ZEALAND JOURNAL OF SURGERY, 65 284-284 (1995)
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1994 |
DRABBLE EK, GANI JS, DAVIDSON P, WRIGHT JE, 'PARTIAL LACERATION OF THE DISTAL BILE-DUCT AND WEDGE FRACTURE OF L1 CAUSED BY BLUNT TRAUMA - A NEW PERSPECTIVE ON TREATMENT', BRITISH JOURNAL OF SURGERY, 81 120-120 (1994)
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1993 |
COTTERILL GF, FERGUSSON JAE, GANI JS, BURNS GF, 'SCANNING-TUNNELING-MICROSCOPY OF COLLAGEN-I REVEALS FILAMENT BUNDLES TO BE ARRANGED IN A LEFT-HANDED HELIX', BIOCHEMICAL AND BIOPHYSICAL RESEARCH COMMUNICATIONS, 194 973-977 (1993)
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1992 |
STOMSKI FC, GANI JS, BATES RC, BURNS GF, 'ADHESION TO THROMBOSPONDIN BY HUMAN EMBRYONIC FIBROBLASTS IS MEDIATED BY MULTIPLE RECEPTORS AND INCLUDES A ROLE FOR GLYCOPROTEIN-88 (CD36)', EXPERIMENTAL CELL RESEARCH, 198 85-92 (1992)
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1992 |
DRABBLE EM, GANI JS, 'ACUTE GASTROCNEMIUS MYOSITIS - ANOTHER EXTRAINTESTINAL MANIFESTATION OF CROHNS-DISEASE', MEDICAL JOURNAL OF AUSTRALIA, 157 318-320 (1992)
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1991 |
SUGRUE M, GANI J, SARRE R, WATTS J, 'ECTOPIA AND AGENESIS OF THE GALLBLADDER - A REPORT OF 2 SETS OF TWINS AND REVIEW OF THE LITERATURE', AUSTRALIAN AND NEW ZEALAND JOURNAL OF SURGERY, 61 816-818 (1991)
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1991 |
GANI JS, FOWLER PR, STEINBERG AW, WLODARCZYK JH, NANRA RS, HIBBERD AD, 'USE OF THE FISTULA ASSESSMENT MONITOR TO DETECT STENOSES IN ACCESS FISTULAS', AMERICAN JOURNAL OF KIDNEY DISEASES, 17 303-306 (1991)
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1990 |
GANI JS, ANSELINE PF, BISSETT RL, 'EFFICACY OF DOUBLE VERSUS SINGLE GLOVING IN PROTECTING THE OPERATING TEAM', AUSTRALIAN AND NEW ZEALAND JOURNAL OF SURGERY, 60 171-175 (1990)
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1990 |
Gani JS, Burns GF, 'Integrins and accessory adhesion molecules', Today's Life Science, 2 32-36 (1990)
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1989 |
GANI JS, FOWLER PR, STEINBERG AW, NANRA RS, HIBBERD AD, 'USE OF THE FISTULA ASSESSMENT MONITOR TO DETECT STENOSES IN ACCESS FISTULAS', KIDNEY INTERNATIONAL, 36 1167-1167 (1989) |
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1987 |
GANI JS, GILLIES JR, 'CYSTIC ARTERY EROSION - A RARE CAUSE OF UPPER GASTROINTESTINAL HEMORRHAGE', MEDICAL JOURNAL OF AUSTRALIA, 147 260-261 (1987)
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1987 |
GANI JS, MORRISON JM, 'SIMPLE THYROID CYST - CAUSE OF ACUTE BILATERAL RECURRENT LARYNGEAL NERVE PALSY', BRITISH MEDICAL JOURNAL, 294 1128-1129 (1987)
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Wijeratne A, Gani J, 'The use of a pedicalised gallbladder graft to repair a large duodenal defect: a case report and review of the literature.', Internal Medicine Review, 2
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