See previous Department of Surgery news at www.med.monash.edu.au/surgery/alfred/newsletters/
See all Central Clinical School news at http://www.med.monash.edu.au/cecs/headlines/ccs-news.html
Burns treatment research finds cadaver skin grafts work well
Heather Cleland's group in the Skin Culture Laboratory, Victorian Adult Burns Service and Department of Surgery, Monash University, The Alfred Hospital have found that cadaver skin which has been frozen has, on analysis, a "positive and definite role as an adjunct to conventional dressing and grafting where available, particularly in patients with large TBSA [total body surface area] burns." Tissue viability in cadaveric allograft may not be essential for its clinical function as a wound dressing or even as permanent dermal substitute. Reference . Posted 23/10/2013.
Head injury prevention for bicyclists - helmets make a difference
Peter Cameron, Frank McDermott and Jeffrey V. Rosenfeld write in the 21 Oct 2013 issue of the MJA how wearing helmets does improve cyclists' safety in the event of accidents. "There is good evidence that preventing head injuries in cyclists will prevent most major morbidity and mortality... [H]elmet wearing appreciably lessens the risk of serious injury and death in bicycle crashes..." MJA story link. Posted 23/10/2013.
Lancet review article on bomb blast traumatic injury
Professor Jeffrey V. Rosenfeld AM, OBE, Head, Department of Surgery, Monash University, is lead author on a review article in The Lancet on bomb blast brain injury, published 22 July 2013. As a military surgeon he has seen injuries from war zones. In this video www.youtube.com/watch?v=zADazb8GUWk, he describes what the article is about. See more >> Article link; biography detail. Posted 20/08/2013.
OBE Queen’s birthday honour for Professor Jeffrey V. Rosenfeld
Congratulations to Professor Jeffrey V. Rosenfeld, HOD Surgery, who was awarded Officer of The Order of the British Empire (OBE) for services to neurosurgery and the University of Papua New Guinea School of Medicine, Queen’s birthday honours list 2013: Commonwealth. Rosenfeld biography detail. Posted 19/06/2013.
Treating spine trauma in morbidly obese patients
Hannah Rosenfeld, 5th year MBBS student at University of Adelaide, et al, has published a paper on the logistic, medical, and societal challenges faced in treating spine trauma in morbidly obese patients. Last author on the paper is Hannah's father, Prof Jeffrey V. Rosenfeld, HOD Surgery. Based on a case series of six patients treated at the Alfred Hospital, who were injured in high-speed motor vehicle accidents, the authors categorize difficulties faced in the care of morbidly obese patients from on-scene immobilization and medical transport through spinal imaging, surgery, and postoperative care. See digest at News Medical. See full journal article. Image: www.spineuniverse.com. Posted 27/05/2013.
Advances in treatment for patients with thyroid cancer
Pictured, Professor Jonathan Serpell, whose speciality is the thyroid, examining a patient. Prof Serpell and the Monash University Endocrine Surgery Unit have developed a thyroid cancer registry resulting in advances in treatment for patients with thyroid cancer. Research into monitoring of recurrent laryngeal nerve function during thyroidectomy has demonstrated several important findings including: that split nerves occur in 23% of cases; an anatomical discovery that the motor branches to the larynx are located in the front branch; and supportive evidence shows that most recurrent laryngeal nerve palsies are temporary (good news for sufferers). See more about Surgery research. Posted 29/04/2013.
Grant to further heart transplant research
Professor Frank Rosenfeldt , Department of Surgery, has been awarded a $100,000 grant from the Health Market Validation Program (Health MVP) to continue his research on transplant donor heart preservation. The research is currently in the pre-clinical stage. The grant will be used to further develop the device for a donor heart to be resuscitated and evaluated for transplant. Hearts are easily damaged, and this device works to revive and keep a heart healthy after the donor has died and before transplant. See detail of grant program at Health MPV. Posted 13/02/2013.
Jeremy Grummet joins Department of Surgery
We welcome Mr Jeremy Grummet , Urologist at the Alfred Hospital who has been appointed Adjunct Senior Lecturer at Monash University, Department of Surgery, Central Clinical School. He has a keen interest in active surveillance for low risk prostate cancer and is an investigator on the PRIAS study. See more about Jeremy on his AUA Urology web page. Posted 29/11/12
2012 Robert Power Prize in Surgery
The Robert Power Prize in Surgery for MBBS undergraduates at the Alfred and Centre Clinical School was held 10 November 2012 and awarded to Ms Nishanthinie Parathithasan with the runner-up being Ms Jasmin Tan. The prize involves a written exam and then a short listing for an oral exam. It is a prestigious Alfred Hospital surgical prize for undergraduates and demonstrates the striving for excellence and an interest in surgery on the part these students. Congratulations to Nishanthinie and Jasmin. Posted 13/11/12
Prof Russell Gruen awarded the 2013 John Mitchell Crouch Fellowship
Prof Russell Gruen, Director of the National Trauma Research Institute, was recently named the 2013 recipient of the John Mitchell Crouch Fellowship, the premier research award of the Royal Australasian College of Surgeons. The associated $150,000 research grant will support Russell's investigations into improved methods of managing high risk patients during surgery. See more detail about NTRI research. Posted 23/10/12
Practical Management of Head and Neck Injury Book launch
Prof Jeffrey V. Rosenfeld AM, has written a text which comprehensively covers the patient journey from injury to the rehabilitation phase including diagnosis and management of head and neck injury. Many other special conditions and classes of patient are covered. The launch takes place on 16 October. See detail at Monash story: Advancing treatment for head and neck injury. Photo: Book cover Posted 16/10/12
Lancet series highlights Monash trauma surgery research
Monash CCS researchers have scored unprecedented coverage in ‘The Lancet’ this week, with the publication of a major Clinical Series on Trauma Surgery. The Monash authors include Prof Russell Gruen, Prof Jeffrey V. Rosenfeld, Dr Peter Bragge, A/Prof Belinda Gabbe (SPHPM) and Adjunct A/Prof Cristina Morganti Kossmann. See complete story at The Lancet after 9.00 am Thursday 20/09/2012. For more about NTRI research see www.ntri.org.au. Photo: Professor Russell Gruen (right) & colleague. Posted 19/09/12
Successful MUSIG Surgery workshop
Surgery will always need hands-on practice with real flesh and blood. Prof Frank Rosenfeldt ran a highly successful Monash University Surgery Interest Group (MUSIC) workshop on 25 August, attended by 54 students. See photo gallery at 25 August 2012 Surgery workshop on the CCS Intranet. For further information on Department of Surgery education and teaching see Surgery Education. Photo: Prof Rosenfeldt (left) and Prof Rosenfeld (right) demonstrating for a student. Posted 09/09/12
2012 Sir John Monash Medal to Professor Rosenfeld
Prof Jeffrey V. Rosenfeldt has been awarded the 2012 Sir John Monash Medal. This is an honour created by The Rotary Club of Melboune to recognise a community leader's contribution. Prof Rosenfeld was awarded the Medal for ‘outstanding Leadership, Integrity and Service, contributing to the Australian community and beyond throughout his career as a leading international surgeon, researcher, clinician, military surgeon, humanitarian and advocate to reduce traumatic brain injury and landmine injuries'. See detail at Monash News.
2012 RACS Surgery Award to Professor Frank Rosenfeldt
Prof Frank Rosenfeldt has won the 2012 Royal Australasian College of Surgeons (RACS) Surgical Research Award. This is an honour created by RACS to recognise the contribution of a pre-eminent surgical scientist who has made significant contributions to surgical research. One of Prof Rosenfeldt's major research interests is to increase the viability of donor hearts for heart transplants. For more detail of his research see The Age article 4 Jan 2011, and CCS article.
2011 Rosengarten Prize awarded to Dr Vlad Bolshinsky
Dr Vlad Bolshinsky is a surgical registrar in the Department of General Surgery at the Alfred Hospital. He won the 2011 D.S. Rosengarten Surgical Trainee Research Prize for his presentation on 3 December, on "Excisional Biopsy of Cutaneous Melanoma - what we leave behind". Pictured is Dr Bolshinsky receiving the award from Mrs Candice Rosengarten, David Rosengarten's widow. For more detail see 2011 D.S. Rosengarten Prize symposium abstracts.
2011 Robert Power Prize in Surgery awarded to Jane Doan
Ms Jane Doan, pictured, has completed her MBBS third year, based at the Alfred Hospital, and on November 26 was awarded the 2011 Robert Power Prize in Surgery. Dr Leanda Griffin in the Directorate of Undergraduate Medical Education together with Mr Simon Grodski, Department of Surgery, coordinated the examination and award.
The National Trauma Research Institute (NTRI) is based at The Alfred Hospital, provider of Australia's largest trauma service and a world-leading trauma centre, and in conjunction with Monash University undertakes research into the care of those immediately affected by trauma. The NTRI held an event to announce the new strategic direction of the Institute on 18 November 2011 at The Royal Australian College of Surgeons in Melbourne. Professor Russell Gruen, Director of the NTRI, said that the NTRI's research worked towards the development of more effective treatments, higher quality care, and better trauma systems. See NTRI website for detail.
Surgery’s contribution to Bionic Eye project
Professor Jeffrey V. Rosenfeld heads up the surgical component of Monash's Bionic Eye project. Using standard neurosurgery techniques, a small area of the skull will be temporarily cut away in surgery. A sterile, biologically inert chip will be placed directly on the surface of the visual cortex of the brain. The small area of the skull will then be replaced and eventually heal, providing a natural barrier to protect against infection. For more detail see http://www.monash.edu.au/bioniceye/
Victorian Adult Burns Service (VABS)
Dr Heather Cleland, pictured, heads the VABS at the Alfred, which provides the statewide service for all adult severely burn-injured patients in Victoria. The VABS provides clinical leadership in all aspects of adult burn care. Clinical, epidemiological and basic science research designed to improve multidisciplinary care for burns patients underpins clinical excellence, and informs prevention and education programs. VABS also provides education and training for rural and regional clinicians involved in caring for burn-injured patients, and collaborates with community and industry groups on burn awareness campaigns and to provide first aid education and training. For further information see VABS update 2011.
Successful Monash University Surgical Interest Workshop
Professor Frank Rosenfeldt together with Ms Hannah Tan, Ms Sarah Tan and Mrs Samantha Dix organised the 3rd annual workshop for the Surgical Interest Group in August 2011, which 24 students attended. Skills taught were suturing, knot tying, laparoscopic skills, scrubbing, gowning and gloving. With an increasingly crowded curriculum these extra-curricular activities play an important role in medical education.
2011 Queens Birthday HonoursProfessor Jeffrey V. Rosenfeld, Head of the Department of Surgery within the CCS, and Professor Suzanne Crowe, Department of Medicine, have been appointed Member (AM) in the General Division of the Order of Australia in the 2011 Queen's Birthday Honours. Professor Rosenfeld's AM is for "service to medicine tbrough clinical leadership and academic roles, particularly in the field of neurosurgery as a researcher and author, and to professional associations." Professor Crowe's AM is for "service to medical research in the area of HIV/AIDS medicine and infectious diseases as an academic, clinician and researcher, and to professional associations".
Surgeons stitch up stab wounds
Professor Russell Gruen, Director, NTRI, at the Alfred, criticised Victoria's growing knife culture, saying stabbings not only often resulted in death, but were among the trickiest injuries surgeons had to deal with. "Knife victims sustain significant blood loss and surgeons have to repair blood vessels quickly." Serious knife injuries being treated at The Alfred have doubled since 2001. For further information see 2 April 2011 The Age article. Photo: Craig Abraham
Complementary medicine affects wellbeing of surgery patients
Dr Lesley Braun, a senior research fellow in the Department of Surgery at the Alfred, and Professor Marc Cohen (RMIT) co-authored a study looking at medications taken by heart surgery patients prior to their operation. They found that half of the patients took complementary medicines, including fishoil and glucosamine which are blood thinners, in the two weeks prior to surgery. Half of those didn't tell their surgeon, potentially endangering themselves because of an increased risk of bleeding. For further information see 14 March 2011 SMH article.
Data from colorectal surgery patients helps build big picture
The surgeons of the Cabrini Monash University Department of Surgery have earned a national reputation for advanced clinical management of bowel disease. Led by Associate Professor Paul McMurrick, they are involved in surgical practice, multicentre collaborative research, including three major NHMRC studies, development of a collaborative colorectal cancer database and postgraduate teaching. The Department’s treatment and research focus is on diseases of the bowel including bowel cancer. Cabrini Health treats more colorectal and prostate cancer cases than any other hospital in Melbourne. The Cabrini Colorectal Registry will capture the case data and provide vital information for future bowel cancer research and patient treatment in Australia and New Zealand. For full text of article see March 2011 Cabrini Connections, pp.4-5. Photo: Cabrini Health. Paul McMurrick, left, operating.
Potential for brain to heal itself
Associate Professor Cristina Morganti-Kossmann, of the National Trauma Research Institute at at the Alfred,Morganti-Kossmann's laboratory has embarked on a three-year study in mice, which will look for signs of brain healing linked to erythropoietin (EPO) as well as another drug known as brain-derived neurotrophic factor (BDNF). Her lab aims to find whether both drugs in combination have more effect than each alone, while also describing the mechanism for this brain healing. For further information see 14 March 2011 SMH article.
Testing for bowel cancer
Emeritus Professor Adrian Polglase, a colorectal surgeon in the Department of Surgery at the Alfred, is a public advocate for faecal occult blood (FOB) testing for bowel cancer, the most common cancer affecting Australians, who have the highest incidence of bowel cancer in the world. He is Founder and Patron of the Let's Beat Bowel Cancer campaign. For further information see Let's Beat Bowel Cancer website.
Keeping donor hearts viable
Professor Frank Rosenfeldt has been researching a technique to keep donor hearts more viable. "[Transplant hearts] suffer a big whack ... being cooled, carried around for six hours and being sewn back in." He has developed a prototype perfusion box to store the heart and feed it a patented mix of oxygenated nutrients, which has had very promising results in large animal hearts, keeping them viable for up to three times longer. See The Age article 4 Jan 2011, and CCS article.