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  1. Article ; Online: Outcomes of robotic modified Freyer's prostatectomy in an Australian patient cohort.

    Okullo, Alfin / Saad, Jeremy / Ashrafi, Darius / Bagheri, Nasser / Haxhimolla, Hodo

    BJUI compass

    2023  Volume 4, Issue 6, Page(s) 729–737

    Abstract: Introduction: The study aims to demonstrate the feasibility, safety and efficacy of robotic simple prostatectomy (RSP) using the modified Freyer's approach in an Australian patient cohort. Although RSP is performed in several Australian centres, there ... ...

    Abstract Introduction: The study aims to demonstrate the feasibility, safety and efficacy of robotic simple prostatectomy (RSP) using the modified Freyer's approach in an Australian patient cohort. Although RSP is performed in several Australian centres, there is a paucity of published Australian data.
    Methods: We reviewed prospectively collected perioperative and outcomes data for patients who underwent a robotic modified Freyer's prostatectomy (RMFP) from June 2019 to March 2022. Statistics were completed using SPSS statistics v27.0 and reported as mean and range with a
    Results: There were 27 patients who underwent RMFP over the study period with a mean age of 67 years and prostate volume of 159.74 cc (100-275). The mean console time was 168 min (122-211), blood loss of 233 ml (50-600) and average length of hospital stay of 3.8 days (3-8). The preoperative versus postoperative outcome means were as follows: serum prostate-specific antigen was 9.69 versus 1.2 ng/mL, IPPS score was 17.1 versus 1.25, quality of life (QOL) score 3.4 versus 0.4, postvoid residual volume: 223.6 versus 55.9 ml, Q-max 7.86 versus 29.6 ml/s. These were all statistically significant (
    Conclusions: Data from our patient cohort demonstrate the feasibility, safety and efficacy of RMFP for benign prostatic hyperplasia in an Australian patient cohort. Our outcomes compare favourably with published studies on RSP.
    Language English
    Publishing date 2023-05-19
    Publishing country United States
    Document type Journal Article
    ISSN 2688-4526
    ISSN (online) 2688-4526
    DOI 10.1002/bco2.247
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: Techniques - Mini-incision and plication (MIP) cure hydrocele: A minimally invasive surgical variation.

    Nassour, Anthony Joe / Ashrafi, Darius / Patel, Dinesh

    Canadian Urological Association journal = Journal de l'Association des urologues du Canada

    2022  Volume 16, Issue 5, Page(s) E294–E297

    Abstract: In this single-surgeon case series of 92 men, we present the mini-incision and plication (MIP) cure hydrocele technique for the treatment of idiopathic hydrocele. This minimally invasive, open surgical variant achieves the desired eversion and plication ... ...

    Abstract In this single-surgeon case series of 92 men, we present the mini-incision and plication (MIP) cure hydrocele technique for the treatment of idiopathic hydrocele. This minimally invasive, open surgical variant achieves the desired eversion and plication with minimal hydrocele manipulation, providing excellent results independent of hydrocele size, with fewer complications and a recurrence rate of <1%.
    Language English
    Publishing date 2022-01-10
    Publishing country Canada
    Document type Journal Article
    ZDB-ID 2431403-1
    ISSN 1911-6470
    ISSN 1911-6470
    DOI 10.5489/cuaj.7561
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  3. Article: Bariatric surgery and gastroesophageal reflux disease.

    Ashrafi, Darius / Osland, Emma / Memon, Muhammed Ashraf

    Annals of translational medicine

    2020  Volume 8, Issue Suppl 1, Page(s) S11

    Abstract: With the rapidly increasing prevalence of obesity globally, the practice of bariatric surgery is being adopted routinely to prevent the development of chronic conditions as well as some forms of cancers associated with obesity. Gastroesophageal reflux ... ...

    Abstract With the rapidly increasing prevalence of obesity globally, the practice of bariatric surgery is being adopted routinely to prevent the development of chronic conditions as well as some forms of cancers associated with obesity. Gastroesophageal reflux disease (GERD) is one of those chronic conditions. Furthermore, there is accumulating data that obesity is associated with complications related to longstanding GERD such as erosive esophagitis (EE), Barrett's esophagus (BE), and esophageal adenocarcinoma (EAC). Central obesity, rather than body mass index (BMI), appears to be more closely associated with these complications. It should be expected, therefore, that weight loss procedures should result in improvement in GERD symptoms and its associated complications. However, in reality the different bariatric surgical procedures have unpredictable effects on an established GERD and may even produce GERD symptoms for the very first time (
    Language English
    Publishing date 2020-04-16
    Publishing country China
    Document type Journal Article ; Review
    ZDB-ID 2893931-1
    ISSN 2305-5847 ; 2305-5839
    ISSN (online) 2305-5847
    ISSN 2305-5839
    DOI 10.21037/atm.2019.09.15
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Cholangiocarcinoma after choledochoduodenostomy.

    Ashrafi, Darius / Slater, Kellee

    ANZ journal of surgery

    2017  Volume 87, Issue 9, Page(s) 743

    MeSH term(s) Aged ; Cholangiocarcinoma/diagnosis ; Cholangiocarcinoma/etiology ; Choledochostomy ; Common Bile Duct Neoplasms/diagnosis ; Common Bile Duct Neoplasms/etiology ; Fatal Outcome ; Female ; Humans ; Postoperative Complications/diagnosis
    Language English
    Publishing date 2017-09-06
    Publishing country Australia
    Document type Case Reports ; Letter
    ZDB-ID 2050749-5
    ISSN 1445-2197 ; 1445-1433 ; 0004-8682
    ISSN (online) 1445-2197
    ISSN 1445-1433 ; 0004-8682
    DOI 10.1111/ans.14083
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    Zs.A 180: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
    Jg. 1995 - 2021: Lesesall (1.OG)
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  5. Article ; Online: Interesting case of an abdominal wall Merkel cell carcinoma highlighting the importance of developing an Australian clinical practice guideline.

    Nassour, Anthony-Joe / Ashrafi, Darius / Lah, Kevin / Sivananthan, Suntharalingham

    BMJ case reports

    2020  Volume 13, Issue 9

    Abstract: A 66-year-old Australian male farmer was referred for management of an asymptomatic, rapidly expanding, anterior abdominal wall mass. It was firm and well circumscribed. There were no overlying skin changes, constitutional symptoms or weight loss. His ... ...

    Abstract A 66-year-old Australian male farmer was referred for management of an asymptomatic, rapidly expanding, anterior abdominal wall mass. It was firm and well circumscribed. There were no overlying skin changes, constitutional symptoms or weight loss. His medical history included small bowel obstruction and resection from a Meckel's diverticulitis and a 40-pack-year smoking history. Core biopsy was suggestive of a neuroendocrine tumour and Gallium-68-Dodecane-Tetraacetic-Acid (68GaTate) positron emission tomography revealed an avid solitary lesion confined to the subcutaneous space in the left anterior abdominal wall. Wide local excision was performed, and histopathology revealed Merkel cell carcinoma (MCC). Although classically regarded as a primary cutaneous neuroendocrine tumour, MCC may originate from the subcutaneous fat without obvious skin involvement. Older patients with asymptomatic, rapidly enlarging lesions, particularly if immunosuppressed, with significant ultraviolet sunlight exposure, should raise a high index of suspicion for MCC. Like melanoma, non-metastatic MCC should be treated aggressively for best prognosis.
    MeSH term(s) Abdominal Wall/diagnostic imaging ; Abdominal Wall/pathology ; Abdominal Wall/surgery ; Aged ; Asymptomatic Diseases ; Biopsy, Large-Core Needle/standards ; Carcinoma, Merkel Cell/diagnosis ; Carcinoma, Merkel Cell/pathology ; Carcinoma, Merkel Cell/therapy ; Humans ; Male ; Margins of Excision ; Medical Oncology/standards ; Neoplasm Staging/standards ; Positron Emission Tomography Computed Tomography ; Practice Guidelines as Topic ; Queensland ; Radiotherapy, Adjuvant/standards ; Sentinel Lymph Node Biopsy/standards ; Skin Neoplasms/diagnosis ; Skin Neoplasms/pathology ; Skin Neoplasms/therapy ; Subcutaneous Fat, Abdominal/diagnostic imaging ; Subcutaneous Fat, Abdominal/pathology ; Subcutaneous Fat, Abdominal/surgery
    Language English
    Publishing date 2020-09-13
    Publishing country England
    Document type Case Reports ; Journal Article ; Review
    ISSN 1757-790X
    ISSN (online) 1757-790X
    DOI 10.1136/bcr-2020-235927
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Chilaiditi's sign: a rare presentation of pseudo-pneumoperitoneum masquerading as an acute abdomen.

    Nassour, Anthony-Joe / Ashrafi, Daniel / Gatmaitan, Raleene / Ashrafi, Darius / Raufian, Kasra

    ANZ journal of surgery

    2021  Volume 91, Issue 11, Page(s) 2540–2542

    MeSH term(s) Abdomen ; Abdomen, Acute/diagnosis ; Abdomen, Acute/etiology ; Colon ; Humans ; Pneumoperitoneum/diagnostic imaging ; Pneumoperitoneum/etiology
    Language English
    Publishing date 2021-03-12
    Publishing country Australia
    Document type Case Reports ; Journal Article
    ZDB-ID 2050749-5
    ISSN 1445-2197 ; 1445-1433 ; 0004-8682
    ISSN (online) 1445-2197
    ISSN 1445-1433 ; 0004-8682
    DOI 10.1111/ans.16747
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    In stock of ZB MED Cologne/Königswinter

    Zs.A 180: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
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  7. Article ; Online: Management of oesophageal intramucosal carcinoma.

    Ashrafi, Darius / Memon, Breda / Memon, Muhammed Ashraf

    BMJ case reports

    2018  Volume 2018

    Abstract: We present an interesting case of an intramucosal carcinoma (IMC) in the setting of Barrett's oesophagus in a 66-year-old woman. Her clinical course highlights the shifting paradigm in the approach to management of Barrett's oesophagus and IMC. With ... ...

    Abstract We present an interesting case of an intramucosal carcinoma (IMC) in the setting of Barrett's oesophagus in a 66-year-old woman. Her clinical course highlights the shifting paradigm in the approach to management of Barrett's oesophagus and IMC. With innovation in imaging and endoscopic treatment modalities, patients are detected earlier and managed prior to development of malignancy. The patient was treated with endoscopic modalities, and after 3 years' follow-up, she remains recurrence free.
    MeSH term(s) Aged ; Barrett Esophagus/complications ; Barrett Esophagus/pathology ; Diagnosis, Differential ; Endoscopic Mucosal Resection/methods ; Endoscopy, Gastrointestinal/methods ; Esophageal Neoplasms/diagnostic imaging ; Esophageal Neoplasms/pathology ; Esophageal Neoplasms/surgery ; Esophagogastric Junction/diagnostic imaging ; Esophagogastric Junction/pathology ; Female ; Humans ; Incidental Findings ; Treatment Outcome
    Language English
    Publishing date 2018-09-14
    Publishing country England
    Document type Case Reports ; Journal Article
    ISSN 1757-790X
    ISSN (online) 1757-790X
    DOI 10.1136/bcr-2018-224893
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  8. Article ; Online: Signet cell carcinoma of the colon: a rare presentation to a rural surgical service.

    Ciampa, Christopher / Mantha, Pranay / Ashrafi, Darius / Dyke, Garry

    ANZ journal of surgery

    2018  Volume 89, Issue 10, Page(s) E454–E455

    MeSH term(s) Carcinoma, Signet Ring Cell/diagnostic imaging ; Carcinoma, Signet Ring Cell/pathology ; Carcinoma, Signet Ring Cell/surgery ; Colonic Neoplasms/diagnostic imaging ; Colonic Neoplasms/pathology ; Colonic Neoplasms/surgery ; Humans ; Male ; Rural Health Services ; Tomography, X-Ray Computed ; Young Adult
    Language English
    Publishing date 2018-08-17
    Publishing country Australia
    Document type Case Reports ; Journal Article
    ZDB-ID 2050749-5
    ISSN 1445-2197 ; 1445-1433 ; 0004-8682
    ISSN (online) 1445-2197
    ISSN 1445-1433 ; 0004-8682
    DOI 10.1111/ans.14743
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    Zs.A 180: Show issues Location:
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  9. Article ; Online: Snapshot of trauma laparotomy deaths in Queensland.

    Ashrafi, Darius / Rey-Conde, Therese / North, John B / Wysocki, Arkadiusz P

    ANZ journal of surgery

    2018  Volume 88, Issue 6, Page(s) 569–572

    Abstract: Background: Trauma remains the most frequent cause of death for patients under 35 years of age. Head injury and catastrophic haemorrhage account for the majority of early deaths. A trauma laparotomy is often necessary to arrest haemorrhage.: Methods: ...

    Abstract Background: Trauma remains the most frequent cause of death for patients under 35 years of age. Head injury and catastrophic haemorrhage account for the majority of early deaths. A trauma laparotomy is often necessary to arrest haemorrhage.
    Methods: All patients who died in Queensland hospitals between 2011 and 2016 having had a trauma laparotomy were identified from the Queensland Audit of Surgical Mortality.
    Results: About 69.0% of the 84 deaths were male with a median age of 47.6 years. About 64.3% of deaths occurred within the first 2 days following trauma. Mechanism of injury was typically road traffic accident (77.4%). Sixteen patients underwent a non-therapeutic laparotomy. Following peer-review, different management was recommended for only three patients.
    Conclusion: This group of patients who died in the setting of a trauma laparotomy received high quality trauma care. Ongoing education is needed as some non-therapeutic laparotomies may be avoidable.
    MeSH term(s) Abdominal Injuries/mortality ; Abdominal Injuries/surgery ; Adult ; Age Factors ; Aged ; Cause of Death ; Cohort Studies ; Female ; Hospital Mortality/trends ; Humans ; Incidence ; Injury Severity Score ; Laparotomy/methods ; Laparotomy/mortality ; Male ; Middle Aged ; Quality Assurance, Health Care ; Queensland/epidemiology ; Retrospective Studies ; Risk Assessment ; Sex Factors ; Wounds and Injuries/mortality ; Wounds and Injuries/surgery
    Language English
    Publishing date 2018-03-06
    Publishing country Australia
    Document type Journal Article
    ZDB-ID 2050749-5
    ISSN 1445-2197 ; 1445-1433 ; 0004-8682
    ISSN (online) 1445-2197
    ISSN 1445-1433 ; 0004-8682
    DOI 10.1111/ans.14431
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    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
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  10. Article ; Online: Correction to: Causes of recurrence in laparoscopic inguinal hernia repair.

    Siddaiah-Subramanya, Manjunath / Ashrafi, Darius / Memon, Breda / Memon, Muhammed Ashraf

    Hernia : the journal of hernias and abdominal wall surgery

    2018  Volume 22, Issue 6, Page(s) 987

    Abstract: In the original publication, affiliation 3 was incorrectly published for the author 'Darius Ashrafi'. The correct affiliation should read as 'Department of Surgery, Sunshine Coast University Hospital, Birtinya, QLD, Australia. ...

    Abstract In the original publication, affiliation 3 was incorrectly published for the author 'Darius Ashrafi'. The correct affiliation should read as 'Department of Surgery, Sunshine Coast University Hospital, Birtinya, QLD, Australia.
    Language English
    Publishing date 2018-08-24
    Publishing country France
    Document type Journal Article ; Published Erratum
    ZDB-ID 1388125-5
    ISSN 1248-9204 ; 1265-4906
    ISSN (online) 1248-9204
    ISSN 1265-4906
    DOI 10.1007/s10029-018-1831-z
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    Zs.A 5390: Show issues Location:
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