Surgery

Metastatic lymphadenopathy as the primary provisional diagnosis in adults with cystic neck masses

Chris Wratten MB BS, BMedSci, FRANZCR · Sravan Anne · Minh Thi Tieu MB BS, BSc(Med), FRANZCR · Balasubramaniam Kumar MD, DNB, FRANZCR · Robert Eisenberg MB BS, FRACS

More enlightened teaching would go a long way towards solving problems of discrimination in medicine

Merrilyn M Walton BA, MSW, PhD

Splenic abscesses are a rare but potentially life-threatening complication of non-typhoidal bacteraemia

Jonathan R Sillar BEng(Hons)/BCom, MB BS(Hons) · Aiveen M Bannan MB BS, FRACP, MPH · Leigh Dahlenburg BMedSc, MB BS(Hons), FRACP

Warfarin-induced skin necrosis is a rare complication of a commonly used medication

Ryan M O’Dempsey MB BS, BPhty · Andrew MTL Choong MB BS, FRCS, FEBVS · Amit Patel MRCP(UK), MRCS(Eng), PhD · Jason Miller MB BS, FRACS(Gen) · Philip J Walker MB BS, FRACS(Vasc) · Allan Kruger MB BS, FRACS(Vasc), DDU

How can we best protect patients while making progress?

Guy J Maddern MD, PhD, FRACS

Surgical blitzes may achieve short-term gains, but they inhibit the development of sustainable local services

Hugh R Taylor AC, MD, FRANZCO · Tim R M Henderson MB ChB, FRCOphth, FRANZCO · Richard T Le Mesurier MA, FRCS, FRCOphth

The current emphasis is on individual skills rather than responding to community needs

David J Hillis · Michael W Gorton AM, FRACS(Hon), FANZCA(Hon) · Bruce H Barraclough AO, FRACS, FACS · David Beckett PhD, FACEL, FPESA

A multimodal perioperative care pathway leads to shorter hospital stays

Nicholas Christelis FFPMRCA, FANZCA, FFPMANZCA · Sophie Wallace BHSc(Nurs), GradCertInfectCont, MPH · Claire E Sage BAppSci(Nurs), MNurs · Uate Babitu MB BS, FANZCA · Susan Liew MB BS(Hons), FRACS(Orth) · James Dugal MB BS, FRACS · Ibolya Nyulasi MSc, GradDipMgt · Nora Mutalima BSc, MB ChB, DPhil · Ton Tran MB BS, FRACS, FAOA · Paul S Myles MD, FRARCSI, FANZCA

A reduced rate of breastfeeding after breast augmentation highlights a need for support

Christine L Roberts MB BS, FAFPHM, DrPH · Amanda J Ampt DipAppSc, MHIM, PostGradDipClinEp · Charles S Algert MPH · Mark S Sywak MB BS, MMedSc(ClinEpi), FRACS · Jian Sheng C Chen MStats, MPH, PhD

There are few useful indications for groin ultrasounds

David Phillips MB BS, FRCS, FRACS

An example of how boycotting the system can achieve result

Robert J Davies MB BS, FRACS

Surgeons who teach anatomy are a valuable, rare resource, providing an essential clinical context to students

Annette W Burgess PhD, MMEd, MEd · George Ramsey-Stewart MD, FRACS

Rates of wound infection and adverse events were no higher when using non-sterile clean boxed gloves compared with sterile gloves

Clare Heal FRACGP, PhD · Shampavi Sriharan MB BS(Hons), DCH · Petra G Buttner PhD, MSc · Deborah Kimber RN, BN, CDE

Meeting standards in disaster response

Nicholas R Coatsworth MB BS(Hons), MIntPH, FRACP

Surgery for obesity complicated by severe comorbidity should be accessible to all

Michael Edye MB BS, FRACS, FACS · Michael L Talbot MB ChB, FRACS

Biopsy should be routinely considered for intermediate thickness melanoma

David E Gyorki MB BS, MD, FRACS · Michael A Henderson BMedSc, MD, FRACS

In reply: Does institutional volume matter?

Nicola Creighton · Ross C Smith · David C Currow

Differences by area of residence point to the potential to reduce deaths in NSW through increased resection

David C Currow MPH, PhD, FRACP · Hui You BEngSc, MInfSc, MAppStats · Sanchia Aranda PhD, MN · Brian C McCaughan MB BS, FRACS · Stephen Morrell PhD, BA, BSc · Deborah F Baker BAppSc, MPH, GradDipAppEpid · Richard Walton MSc · David M Roder MPH, DDSc(Epid)

A lack of demonstrable harms means HIV professionals should be allowed to practise

Sean R Atkinson

An expression of support for Bruce Hall and his significant contributions to the field of transplantation

Jeremy R Chapman · Geoffrey W McCaughan · Philip J O’Connell

Publicly funded surgery is as effective as that performed in the private sector; improved access can reduce health inequities for those in need

Natalie Lukas MB BS(Hons), BPhty · Janet Franklin BMedSci(Hons), MNutr/Diet, PhD · Crystal M Y Lee PhD, MIPH, BMedSc(Hons) · Craig J Taylor MB BS(Hons), FRACS · David J Martin MB BS, FRACS · Nic Kormas MB BS(Hons), FRACP · Ian D Caterson MB BS(Hons), PhD, FRACP · Tania P Markovic MB BS(Hons), PhD, FRACP

Zenker diverticuli are rare, but cause significant morbidity and mortality

Laura Lamprell · David Wright

What we do and why we do it matters more than how

Frank A Frizelle FRACS, FACS, FNZMA · Jacob J McCormick FRACS