ORCID Profile
0000-0002-9480-9673
Current Organisations
Blacktown Mount Druitt Hospital
,
University of Sydney
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Publisher: Springer Science and Business Media LLC
Date: 16-08-2018
Publisher: Wiley
Date: 08-01-2018
DOI: 10.1111/ANS.14290
Publisher: Wiley
Date: 05-2023
DOI: 10.1111/ANS.18474
Publisher: Wiley
Date: 19-07-2015
Publisher: Wiley
Date: 08-06-2012
DOI: 10.1111/J.1463-1318.2012.02963.X
Abstract: The study is a retrospective review of the short-term outcome of all elective rectal resections in 114 consecutive octogenarian patients during the 10-year period January 2000 to December 2009. Sixty laparoscopic and 54 open resections were completed. The two groups were evenly matched for age (mean 83 years), American Society of Anesthesiologists score (mean 2.5) and pathology (malignancy 60%). Morbidity and mortality were comparable with no significant differences. Only length of stay in uncomplicated recoveries was significantly different in favour of laparoscopic surgery at 10 vs 14 days, P < 0.003. Laparoscopic rectal resection is suitable for octogenarians.
Publisher: CRC Press
Date: 29-12-2020
Publisher: Wiley
Date: 08-04-2021
DOI: 10.1111/CODI.15643
Abstract: High‐output enterocutaneous fistulas (ECFs) are an established cause of intestinal failure. Parenteral nutrition (PN) remains the gold standard for nutritional management but is complex, expensive and associated with significant complications. Chyme reinfusion (CR) has been reported by multiple centres as a viable option for nutritional management that improves nutritional status, provides the capacity to cease PN and is cost‐effective. The aim of this paper is to describe the first use of a novel pump device (The Insides System™) by an independent centre in Australia for the nutritional management of a patient with high‐output ECF. CR was performed on a 66‐year‐old woman with a high‐output ECF. The device consists of two main components: a centrifugal pump that sits inside the stoma appliance and a battery‐powered driver that is magnetically coupled externally onto the pump. The device allows for bolus CR at a rate of infusion that is manually controlled by the patient based on comfort, volume and effluent viscosity. CR provided adequate nutritional support, with successful cessation of PN. Effective use of the device was learnt easily by the patient with minimal demands on nursing assistance. Side effects of CR (diarrhoea, abdominal cr ing) were overcome by the patient's ability to manually adjust the reinfusion rate. Our experience with the novel Insides System™ device showed promising results in maintaining nutritional status as well as providing a minimally invasive, easy to use and low‐cost system for CR. CR should be considered as a viable alternative for the nutritional management of patients with a high‐output ECF.
Publisher: AME Publishing Company
Date: 04-2019
Publisher: Wiley
Date: 02-2021
DOI: 10.1111/CODI.15503
Publisher: Oxford University Press (OUP)
Date: 15-02-2017
DOI: 10.1002/BJS.10469
Abstract: Returning to the operating theatre for management of early postoperative complications after colorectal surgery is an important key performance indicator. Laparoscopic surgery has benefits that may be useful in surgical emergencies. This study explored the evidence for the advantages of laparoscopic reoperation. A systematic review was performed to identify publications reporting the outcomes of laparoscopy as a mode of reoperation for the management of early postoperative complications of colorectal surgery. The main outcomes examined were 30-day mortality, 30-day morbidity, length of hospital stay, second reoperation rate, ICU admission and stoma formation at reoperation. After screening 3657 citations, ten non-randomized cohort studies were identified (1137 reoperations). Laparoscopic reoperation was equivalent to or better than open reoperation, with lower rates of 30-day mortality (0–4·4 versus 0–13·6 per cent), 30-day morbidity (6–40 versus 30–80 per cent), length of stay (mean(s.d.) 15·8(2·8) versus 29·1(14·5) days), ICU admission and duration of stay in the ICU. Anastomotic leak was the most common indication, after which more patients received a defunctioning loop stoma instead of an end stoma at laparoscopic than open reoperation. Laparoscopic reoperation is feasible in selected patients, with the advantages of improved short-term outcomes.
Publisher: Wiley
Date: 17-07-2015
DOI: 10.1111/ANS.13240
Publisher: Wiley
Date: 20-12-2013
Publisher: Wiley
Date: 28-01-2016
DOI: 10.1111/JGH.13192
Location: United Kingdom of Great Britain and Northern Ireland
No related grants have been discovered for Danette Wright.