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Surgical research at Peninsula Health

Last week the research being conducted by the surgical team at Peninsula Health was showcased, at the annual Surgical Symposium.

Medical students, medical interns, registrars and residents presented research they have done over the last year, to be considered for the Professor Jonathan Serpell Prize for Excellence in Surgical Research and Endeavour and the Frankston Orthopaedic Research Prize.

Congratulations to everyone who presented their work at the symposium and also to the below award winners.

Frankston Orthopaedic Research Prize

Dr Christopher Stokes

Chris has made multiple contributions in the orthopaedic research space – he presented at the national Trauma meeting in Noosa on humeral shaft fractures and in Perth at the Shoulder and Elbow Society ASM on biceps tenodesis. He has also worked tirelessly on Peninsula Health’s contribution to the Australia and New Zealand hip fracture registry and he wrote national guidelines on Urinary tract management at the time of Hip and Knee Joint Replacement (soon to be endorsed by the Australian Orthopaedic Association).Dr Chris

The Jonathon Serpell Prize for Excellence in Surgical Research and Endeavour

Jessica Paynter (BMedSci student) first place

Jessica’s aim was to compare how clinics to treat patients with Dupuytren’s disease using collagenase clostridium histolyticum are designed in different Health Groups in the Victorian Public Health System. While she found the clinic design differed substantially across hospitals, these differences did not impact upon the effectiveness and safety of collagenase clostridium histolyticum treatment for Dupuytren’s disease when assessing therapeutic effect, and patient reported treatment effectiveness. Assessment of financial differences incurred by clinic design differences is ongoing.Medical student Jessica

Dr Laura McDonald-Wedding (medical intern,) second place

Laura conducted a systematic review of medical literature to compare the different tests used for diagnosis of acromioclavicular joint pathology. She found many of the tests had widely ranging measures of sensitivity or specificity or had not been measured for either. She also found many of the tests to be subject to bias. Her research has revealed a need for the identification and validation of a new diagnostic test or validation of one of the existing tests.Dr Laura

Dr Sam Farah (Vascular surgery registrar) third place

Dr Farah and his colleagues have conducted the first Australasian study to examine the prescription of best medical therapy (BMT) on discharge after infrainguinal bypass surgery. Recent guidelines recommend BMT should consist of single-agent antiplatelet therapy and statins and either ACE inhibitors or angiotensin receptor blocking (ARB) agents, with strong evidence this regimen reduces mortality following vascular surgery and improves vascular bypass graft patency. This multicentre study involving five Australian hospitals found over half of the study cohort were not prescribed complete BMT following infrainguinal bypass surgery as 20% didn’t prescribe statins, 44% didn’t prescribe ACE/ARB inhibitors and 22% didn’t prescribe anti-hypertensive medications. Thus there is potential for improved vascular risk-factor control and subsequent outcomes of infrainguinal bypass surgery through a focus on best medical therapy prescription.Dr Sam