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Publications and Presentations

PUBLISHED ARTICLES

A rare case of co-secreting adrenocortical oncocytoma.
Kovacic J, Louie-Johnsun M.Urol Case Rep. 2022 Nov 25;46

Cameron J Parkin, Daniel Gilbourd, Richard Grill, Sue Chapman, Sydney Weinstein, Neil Joshi, Balasubramaniam Indrajit, Jonathan Kam, Teresa Smilovic, Andrew Shepherd, Njeri Gikenye, Mark W Louie-Johnsun. Transrectal ultrasound-guided prostate needle biopsy remains a safe method in confirming a prostate cancer diagnosis: a multicentre Australian analysis of infection rates World J Urol. 2022 Feb;40(2):453-458.

Cameron J Parkin, Daniel Gilbourd, Richard Grill, Sue Chapman, Sydney Weinstein, Neil Joshi, Balasubramaniam Indrajit, Jonathan Kam, Teresa Smilovic, Andrew Shepherd, Njeri Gikenye, Mark W Louie-Johnsun. Transrectal ultrasound-guided prostate needle biopsy remains a safe method in confirming a prostate cancer diagnosis: a multicentre Australian analysis of infection rates World J Urol. (online Oct 21)

Parkin CJ, Acland G, Louie-Johnsun M. Solitary Metastasis of Renal Cell Carcinoma to the Adrenal Gland – Treatment Outcomes following Laparoscopic Retroperitoneal Adrenalectomy J Urological Surgery (accepted Feb 2021)

Gavin D, Kam J, Krellea M, Louie-Johnsun M, Sutherland T, Koschel S, Jenkins M, Yuminaga Y, Kim R, Aluwihare K, Skinner S, Brennan J, Wong L. Quantifying the Effect of Location Matching on Accuracy of Multiparametric Magnetic Resonance Imaging Prior to Prostate Biopsy—A Multicentre Study Eur Urol Open Sci. 2020 Aug 12;20:28-36.

Parkin CJ, Acland G, Sulaiman B, Louie-Johnsun M, Latif E. Malakoplakia, a malignant mimic. Bladder (San Franc) 2020 Sep 2;7(3):e44.

Malalasekera A, Louie-Johnsun M, Wang A, van Diepen DC, Gottlieb T, Chan L.Malalasekera A, et al. Is a 10-minute surgical scrub necessary in urologic prosthetic surgery? A randomized study of the effect of a 5- vs 10-minute surgical scrub on bacterial colony counts in the genital skin.  Neurourol Urodyn. 2019 Mar;38(3):990-995.

Kam J, Yuminaga Y, Krelle M, Gavin D, Koschel S, Aluwihare K, Sutherland T, Skinner S, Brennan J, Wong LM, Louie-Johnsun M . Evaluation of the accuracy of multiparametric MRI for predicting prostate cancer pathology and tumour staging in the real world: an multicentre study. BJU Int 2019 Aug:124(2):297-30

Kam J, Khadra S, Tran QH, Ainsworth H, Louie-Johnsun M , Winter M.J Surg Educ. 2018 Sep 22. Portable Video Media Versus Standard Verbal Communication in Surgical Teaching: A Prospective, Multicenter, and Randomized Controlled Crossover Trial.

Kam J, Yuminaga Y, Kim R, Aluwihare K, Macneil F, Ouyang R, Ruthven S, Louie-Johnsun M .Prostate Int. 2018 Sep;6(3):88-93. Does magnetic resonance imaging-guided biopsy improve prostate cancer detection? A comparison of systematic, cognitive fusion and ultrasound fusion prostate biopsy.

Bunn R, Liu S, Stokes S, Turner J, Louie-Johnsun M .Urology. 2018 Aug;118:3-5. Mucinous Lung Adenocarcinoma Metastasis to Testis in a 29 Year Old-A Case Report.

Handmer M, Chabert C, Cohen R, Gianduzzo T, Kearns P, Moon D, Ooi J, Shannon T, Sofield D, Tan A, Louie-Johnsun M. The Australian laparoscopic radical prostatectomy learning curve. ANZ J Surg. 2018 Jan;88(1-2):100-103.

March B, Koufogiannis G, Louie-Johnsun M.Prostate Int. 2017 Dec;5(4):139-142. Management and outcomes of Gleason six prostate cancer detected on needle biopsy: A single-surgeon experience over 6 years.

Louie-Johnsun MW, Handmer MM, Calopedos RJ, Chabert C, Cohen RJ, Gianduzzo TR, Kearns PA, Moon DA, Ooi J, Shannon T, Sofield D, Tan AH. The Australian laparoscopic non robotic radical prostatectomy experience – analysis of 2943 cases BJU Int. 2016 Oct;118 Suppl 3:43-48

Yuminaga Y, Kam J, Louie-Johnsun M. Multi-centre, prospective evaluation of the Seldinger Technique for difficult male urethral catheter insertions by non-urology trained doctors BJU Int. 2017 Nov;120 Suppl 3:21-27.

Louie-Johnsun M, Yao J. Re: Interns’ perceptions of exposure to urology during medical school education in Victoria, Australia. ANZ J Surg. 2017 Jun;87(6):523-524

Kam J, Yuminaga Y, Louie-Johnsun M. Chronic peritoneal inflammation and nodules masquerading as peritoneal carcinomatosis in Birt-Hogg-Dube syndrome. ANZ J Surg. 2017 May 3.

Winter M, Kam J, Nalavenkata S, Hardy E, Handmer M, Ainsworth H, Lee WG, Louie-Johnsun M. The use of portable video media vs standard verbal communication in the urological consent process: a multicentre, randomised controlled, crossover trial. BJU Int. 2016 Nov;118(5):823-828 (* BJU International Best of Australia and New Zealand articles list 2017)

Kam J, Ainsworth H, Handmer M, Louie-Johnsun M, Winter M. Portable Video Media Versus Standard Verbal Communication in Surgical Information Delivery to Nurses: A Prospective Multicenter, Randomized Controlled Crossover Trial Worldviews Evid Based Nurs. 2016 Oct;13(5):363-370

Louie‐Johnsun M, Handmer M. Re: Surgical dilemma: loss of open surgical skills to minimally invasive surgery ANZ J Surg. 2016 Jun;86(6):525

Louie‐Johnsun M, Yuminaga Y. Re: Transrectal ultrasound-guided biopsy sepsis and the rise in carbapenem antibiotic use ANZ J Surg. 2016 Apr;86(4):316

Kam J, Yuminaga Y, Maclean F, Louie-Johnsun M. Rapidly growing massive pleomorphic rhabdomyosarcoma of the bladder presenting with bladder outlet obstruction ANZ J Surg. 2015 Sep;17

Luke S, Delprado W, Louie-Johnsun M. Teaching Laparoscopic Radical Prostatectomy During the Primary Surgeon’s Early Learning Curve – Analysis of our first 207 cases BJU Int November 2014; 114(S1): 38-44

Handmer M, Winter M, Lee WG, Louie-Johnsun M. Unexpected tuberculosis causing ureteral stricture ANZ J Surg Published: Nov 21, 2014

Handmer MM, Louie-Johnsun M. LESS (laparo-endoscopic single-site) nephrectomy: do the technical challenges make it MORE? ANZ J Surg. 2016 Sep;86(9):728-9

Spernat D, Sofield D, Moon D, Louie-Johnsun M, Woo H. Implications of laparoscopic inguinal hernia repair on open, laparoscopic, and robotic radical prostatectomy Prostate Int 2014; 2(1): 8-11.

Wilcox C, Gilbourd D, Louie-Johnsun M Anxiety and health-related quality of life (HRQL) in patients undergoing active surveillance of prostate cancer in an Australian centre BJU Int March 2014; 113(S2): 64-68

Bull N, Louie-Johnsun M. Fibroma of the testicular tunica albuginea with Gorlin syndrome ANZ J Surg. 2015 Nov;85(11):886-7

Myint M, Luke S, Louie-Johnsun M. Laparoscopic pyelolithotomy and pyeloplasty in a horseshoe kidney ANZ J Surg. 2015 Jun;85(6):492-3

Louie-Johnsun M, Liodakis P, Sofield D. Safe introduction of a new surgical technique: remote telementoring for posterior retroperitoneoscopic adrenalectomy. ANZ J Surg Mar 2013;83(3):192

Chang JI, Gilbourd D, Louie-Johnsun M. Laparoscopic repair of spontaneous perforation of augmentation ileocystoplasty. UrologyFeb 2013;81(2):e15-6

Louie-Johnsun M, Gilbourd D. Unusual retroperitoneal splenosis confirmed by laparoscopic retroperitoneal excisional biopsy. ANZ J Surg Oct 2012;82(10):758

Ooi CY, Wong K, Louie-Johnsun M, Penile preservation surgery for basaloid squamous cell carcinoma on the penile shaft. ANZ J Surg Jul-Aug 2012;82(7-8):563

Louie-Johnsun M, Ouyang R, Indrajit B, Haque M. Laparoscopic radical prostatectomy: introduction of training during our first 50 cases. ANZ J Surg March 2012;82(3):131-5

Eden CG, Neill M, Louie-Johnsun M. The UK’s first 1,000 cases of laparoscopic radical prostatectomy: evidence of multiple learning curves. BJU Int May 2009;103(9):1224-30

Louie-Johnsun M, Neill M, Cahill D, Eden C. Transition from open to robotic-assisted radical prostatectomy. BJU Int Sept 2008; 102(8): 1045-6

Louie-Johnsun M, Lalak A. The case for radical nephrectomy. Ann R Coll Surg Engl May 2008; 90 (4): 278-80

Louie-Johnsun M, Neill M, Treurnicht K, Jarmulowicz M, Eden C. Final outcome of patients with low-risk prostate cancer suitable for active surveillance but treated surgically. BJU Int Nov 2009;104 (10):1501-4

Neill M, Louie-Johnsun M, Chabert C, Eden C. Does intrafascial dissection during nerve-sparing laparoscopic radical prostatectomy compromise cancer control? BJUInt December 2009;104 (11): 1730-3

Louie-Johnsun MW, Braslis KG, Murphy DL, Neerhut GJ, Grills RJ. Radical cystectomy for primary bladder malignancy: a 10 year review. ANZ J Surg April 2007; 77 (4):265-9

Louie-Johnsun MW, Munzel B, Murphy DL. Hospital medical officers and basic urology: are they up to scratch? BJU Int Sept 2006; 98 (3):491-2

Louie-Johnsun MW, Hewitt PM, Perera DS, Morris DL. Fibrolamellar hepatocellular carcinoma in pregnancy. HPB 2003; 5 (3):191-3

 

PRESENTATIONS: STATE / NATIONAL / INTERNATIONAL MEETINGS

Surgical Robotics Innovation Summit, Sydney – June 2022
“Transitioning from Laparoscopic to Robotic Assisted Radical Prostatetomy”

USANZ – NSW Section Meeting, Kingscliff, NSW. 5th-7th November 2015

  • Can multi-parametric Magnetic Resonance Imaging (mpMRI) decrease the number of unnecessary biopsies performed for prostate cancer detection? Early experience in a regional centre
  • Does multi-parametric Magnetic Resonance Imaging (mpMRI) directed biopsies add value to standard systematic prostate needle biopsy?
  • Accuracy of multi-parametric Magnetic Resonance Imaging (mpMRI) for detection of significant prostate cancer at radical prostatectomy in a regional centre
  • International Volunteers in Urology – Vietnam

SIU – (Société Internationale d’Urologie), Melbourne. 15th-18th October 2015

  • The Australian laparoscopic non robotic radical prostatectomy experience – analysis of 2943 cases (Winner Best Poster in MP-08: Minimally Invasive Surgery Session)
  • Should we be investing in the training of laparoscopic radical prostatectomy in Australia? A Cost Analysis Based on the Australian experience of 2735 cases

USANZ – Annual Scientific Meeting, Adelaide. 12th-14th April 2015

  • The Australian laparoscopic non robotic radical prostatectomy experience – analysis of 2943 cases
  • Should we be investing in the training of laparoscopic radical prostatectomy in Australia? A Cost Analysis Based on the Australian experience of 2735 cases
  • Is There A Significant Learning Curve For Fellowship Trained Australian Laparoscopic Radical Prostatectomists? – Comparison Of First 100 To Second 100 Cases
  • Active Surveillance for prostate cancer in a regional centre in Australia

EAU, Madrid, Spain. 21st March 2015, Moderated Poster Session 16 (Minimally-invasive radical prostatectomy: A real step forward?)
The Australian laparoscopic non robotic radical prostatectomy experience – analysis of 2943 cases

USANZ – NSW Section Meeting, Hobart, Tas. 14th-16th November 2014
Laparoscopic Urological Emergencies – A video presentation

Prostate Cancer World Congress (PCWC), Melbourne, Australia. 6th August 2013. Laparoscopic Radical Prostatectomy in a Regional Centre “Is it possible to establish a Fellowship training program in a single surgeon setting during their early learning curve”

USANZ – Annual Scientific Meeting, Melbourne. April 2013 : Best of the Best Podium
Laparoscopic radical prostatectomy in a regional centre – is it possible to establish a fellowship training program in a moderate volume single surgeon setting during their early learning curve?

USANZ – NSW Section Meeting, Blue Mountains. 9th-10th November 2012

  • Quantifying Anxiety and Quality of Life In Patients on Active Surveillance for Prostate Cancer
  • Laparoscopic Radical Prostatectomy 3 year Experience – Does training cases or learning curve impact on results?
  • Active Surveillance for Prostate Cancer: Early Experience in a Regional centre

EAU, Stockholm, Sweden. 20th March 2009. Moderated Poster Session 57.
Final outcome of patients with low-risk prostate cancer suitable for active surveillance but treated surgically.

WCE, Shanghai, China.

  • Nov 30th 2008 Moderated Poster Session (MP01-19). The UK’s first 1,000 cases of laparoscopic radical prostatectomy: evidence of multiple learning curves.
  • Dec 1st 2008 Moderated Poster Session (MP03-11). Laparoscopic radical prostatectomy for cT3 prostate cancer.
  • Dec 1st 2008 Free Poster Session (FP05-44). Final outcome of patients with low-risk prostate cancer suitable for active surveillance but treated surgically.
  • Dec 2nd 2008 Moderated Poster Session (MP13-12). Does intrafascial dissection of the lateral prostatic fascia during nerve sparing laparoscopic radical prostatectomy compromise cancer control?

BUG, Slough, UK. 20th September 2008, Podium Presentation
Laparoscopic radical prostatectomy for cT3 prostate cancer.

BAUS, Manchester, UK. 24th June 2008, Prostate Cancer Treatment Podium Presentation
The UK’s first 1,000 cases of laparoscopic radical prostatectomy: evidence of multiple learning curves.

EAU, Milan, Italy. 28th March 2008, Moderated Poster Session 43
Does intrafascial dissection of the lateral prostatic fascia during nerve sparing laparoscopic radical prostatectomy compromise cancer control?

USANZ – NSW Section Meeting, Hunter Valley October 2007

  • Is a 10 min surgical scrub necessary in urologic prosthetic surgery? A randomised study
  • Australian urologists in Vietnam project

USANZ – NSW Section Meeting, Norfolk Islands. 9th and 11th October, 2006.

  • Australasian urologists in Vietnam program
  • Basic urology education in junior medical officers: Are they adequately skilled?

USANZ – 59th Annual Scientific Meeting, Brisbane. 27th and 29th March, 2006.

  • Urology in Vietnam: A Personal Experience
  • Radical cystectomy for primary bladder malignancy: a 10 year review
  • Junior Medical Officers and basic urology: a questionnaire

USANZ Victorian Section Meeting, Hepburn Springs. 15th and 16th October, 2005.

  • Basic Urology and the HMO: Are they up to scratch?
  • Urinary Diversion in Geelong Hospital: A 10 Year Review
  • Radical Cystectomy for Primary Bladder Malignancy: Critical Evaluation of 50 Consecutive Patients

Royal Australasian College of Surgeons Annual Scientific Congress, Melbourne. May, 2000.

Podium presentation Trauma Session – “Blunt Intestinal Injuries – A Diagnostic Dilemma”

 

Dr Louie- Johnsun Supervisor of Research Awards for Doctors-In-Training

  • Central Coast Local Health District (CCLHD) Quality & Innovation Awards 2016 (Caring for the Coast)

    1. Chief Executive Innovation Award – Award for Excellence
      Use of Portable Video Media in Urological Consent Process
    2. 1st Place – Bob Leece Transforming Health Award
      Use of Portable Video Media in Urological Consent Process
    3. 1st Place – Local Solutions
      Use of Seldinger Technique – Urinary Catheterisation
  • Dr Jonathan Kam (RMO) 1st Place Poster Presentation Clinical Urology Award at Asia-Pacific Prostate Cancer Conference (APCC), 2016
    Do multi-parametric MRI guided biopsies add value to the standard systematic prostate needle biopsy?
  • Dr Yuigi Yuminaga (SET 4 Urology trainee) Chris Farrell Prize for Best Research Study and Presentation at NSW USANZ Section Meeting (Kingscliff, NSW), November 2015
    Use of Seldinger Technique – Urinary Catheterisation
  • Dr Matthew Winter (SET 4 Urology trainee) Chris Farrell Prize for Best Research Study and Presentation at NSW USANZ Section Meeting (Hobart) November 2014
    The use of portable video media vs standard verbal communication in the urological consent process: a multicentre, randomised controlled, crossover trial.
  • Dr Matthew Winter (SET 5 Urology trainee) Keith Kirkland Prize for best Clinical Urology Registrar Research project at USANZ ASM, (Gold Coast, QLD), April 2016
    The use of portable video media vs standard verbal communication in the urological consent process: a multicentre, randomised controlled, crossover trial.
  • Dr Ross Calopedos (RMO) – Best of the Best Trainee /Fellow Presentations at Australian & New Zealand Urogenital and Prostate Cancer Trials Group (ANZUP) 2015
    • The Australian laparoscopic non-robotic radical prostatectomy experience – analysis of 2943 cases
    • Should we be investing in the training of laparoscopic radical prostatectomy in Australia? A Cost Analysis Based on the Australian experience of 2735 cases
    • Is There A Significant Learning Curve For Fellowship Trained Australian Laparoscopic Radical Prostatectomists? – Comparison Of First 100 To Second 100 Cases

 

PUBLISHED ABSTRACTS

Louie-Johnsun M, Winter M. Laparoscopic Urological Emergencies. World J. Urol. 2015; 33 Supp 1: (VID-16) 96.

44 Handmer M, Chabert C, Cohen RJ, Gianduzzo TRJ, Kearns PA, Moon DA, Ooi J, Shannon T, Sofield D, Tan AHH, Louie-Johnsun MW. The Australian laparoscopic non robotic radical prostatectomy experience – analysis of 2943 cases BJU Int April 2015;115 Supplement 4: 23

150 Keller A, Handmer M, Chabert C, Cohen RJ, Gianduzzo TRJ, Kearns PA, Moon DA, Ooi J, Shannon T, Sofield D, Tan AHH, Louie-Johnsun MW. Should we be investing in the training of laparoscopic radical prostatectomy in Australia? A Cost Analysis Based on the Australian experience of 2735 cases BJU Int April 2015;115 Supplement 4: 73

193 Handmer M, Chabert C, Cohen RJ, Gianduzzo TRJ, Kearns PA, Moon DA, Ooi J, Shannon T, Sofield D, Tan AHH, Louie-Johnsun MW. Is There A Significant Learning Curve For Fellowship Trained Australian Laparoscopic Radical Prostatectomists? – Comparison Of First 100 To Second 100 Cases BJU Int April 2015;115 Supplement 4: 92

200 Lee WG, Winter M, Louie-Johnsun M. Active Surveillance for prostate cancer in a regional centre in Australia BJU Int April 2015;115 Supplement 4: 95

190 Louie-Johnsun MW, Handmer M, Chabert C, Cohen RJ, Gianduzzo TRJ, Kearns PA, Moon DA, Ooi J, Shannon T, Sofield D, Tan AHH The Australian laparoscopic non robotic radical prostatectomy experience – analysis of 2943 cases European Urology Supplements March 2015;14/2;e190

166 Gunasegaram A, Luke S, Louie-Johnsun M. Is Laparoscopic radical prostatectomy a suitable treatment modality for high and very high-risk localized and locally advanced prostate cancer. BJU Int March 2014;113 Supplement 4: 82

167 Handmer M, Gunasegaram A, Haque M, Louie-Johnsun M, Luke S, Haque M. Laparo-endoscopic single-site (single-port) nephrectomy – is LESS in fact MORE? BJU Int March 2014;113 Supplement 4: 83

66 Louie-Johnsun M, Luke S, Haque M. Laparoscopic radical prostatectomy in a regional centre – is it possible to establish a fellowship training program in a moderate volume single surgeon setting during their early learning curve? BJU Int April 2013;111 Supplement 1: 46

70 Gilbourd D, Boehm-Wilcox, Louie-Johnsun M. Quantifying anxiety and quality of life amongst patients on active surveillance for prostate cancer in an Australian setting. BJU Int April 2013;111 Supplement 1: 48

173 Nagpal R, Gilbourd D, Louie-Johnsun M. Early Experience with Active Surveillance for Prostate Cancer in a Regional Centre: Extended biopsy schemes and role of early repeat biopsies for patients meeting or not meeting the PRIAS inclusion criteria. BJU Int April 2013;111 Supplement 1: 99

453 Spernat D, Woo H, Sofield D, Moon D, Louie-Johnsun M. Implications of laparoscopic inguinal hernia repair on open , laparoscopic and robotic radical prostatectomy. European Urology Supplements March 2011;10(2):154-5

960 Arora A, Louie-Johnsun M, Eden C. Final outcome of patients with prostate cancer suitable for active surveillance but treated surgically. European Urology Supplements March 2009;8(4):360

Louie-Johnsun M, Neill M, Eden C. Laparoscopic radical prostatectomy for cT3 prostate cancer. Clinical Oncology February 2009;21(1):67

Louie-Johnsun M, Neill M, Cheng W, Eden C. Final outcome of patients with low-risk prostate cancer suitable for active surveillance but treated surgically. Clinical Oncology February 2009;21(1):69

Eden C, Louie-Johnsun M, Neill M. The learning curve for positive margin rates following laparoscopic radical prostatectomy. Clinical Oncology February 2009;21(1):69

Louie-Johnsun M, Neill M, Eden C. The UK’s first 1,000 cases of laparoscopic radical prostatectomy: evidence of multiple learning curves. Clinical Oncology February 2009;21(1):69-70

MP13-12 Louie-Johnsun M, Neill M, Eden C. Does intrafascial dissection of the lateral prostatic fascia during nerve sparing laparoscopic radical prostatectomy compromise cancer control? J Endourol November 2008;22 Supplement 1: A139

MP01-19 Louie-Johnsun M, Neill M, Eden C. The UK’s first 1,000 cases of laparoscopic radical prostatectomy: evidence of multiple learning curves. J Endourol November 2008;22 Supplement 1: A30

MP01-21 Eden C, Louie-Johnsun M, Neill M. The learning curve for positive margin rates following laparoscopic radical prostatectomy. J Endourol November 2008;22 Supplement 1: A30

MP03-11 Louie-Johnsun M, Neill M, Eden C. Laparoscopic radical prostatectomy for cT3 prostate cancer. J Endourol November 2008;22 Supplement 1: A45

051 Neill MG, Louie-Johnsun MW, Eden CG. Does intrafascial dissection during nerve-sparing laparoscopic radical prostatectomy compromise cancer control? BJU Int June 2008; 101 Supplement 5:6

052 Louie-Johnsun MW, Neill MG, Eden CG. The UK’s first 1,000 cases of laparoscopic radical prostatectomy: evidence of multiple learning curves BJU Int June 2008; 101 Supplement 5:6-7

1174 Alles A, Louie-Johnsun M, Wang A, Lee B, Gottlieb T, Chan L. Is a 10 min surgical scrub necessary in urologic prosthetic surgery? A randomised study J Urol April 2008; 179(4): 404

018 Louie-Johnsun M, Abraham T, Lam J, Vass J, White, M. Australian urologists in Vietnam project – February 2007: BJU Int February 2008; 101 Supplement 1: 5-6

042 Alles A, Louie-Johnsun M, Wang A, Lee B, Gottlieb T, Chan L. Is a 10 min surgical scrub necessary in urologic prosthetic surgery? A randomised study BJU Int February 2008; 101 Supplement 1:13

Louie-Johnsun M, Munzel B, Murphy D. Junior medical officers and basic urology: a questionnaire. BJU Int March 2006; 97 Supplement 1:20

Louie-Johnsun M, Henry M, Braslis K, Murphy D, Neerhut G, Grills R. Radical cystectomy for primary bladder malignancy: a 10-year review. BJU Int March 2006; 97 Supplement 1:9

Louie-Johnsun MW, Youssef GS, Caldwell E, Hewitt PM. Blunt intestinal injuries: A diagnostic dilemma. ANZ J Surg October 2000; 70(10):738