Professor Guy Maddern
MBBS PhD MS MD FRACS
RP Jepson Professor of Surgery; Head of Discipline
Contact details
Discipline of Surgery
Level 6A, Main Building
The Queen Elizabeth Hospital
Ph: +61 (0)8 8222 6756
Fax: +61 (0)8 8222 6028
Email: guy.maddern@adelaide.edu.au
Biography
- Interim Head, School of Medicine, University of Adelaide
- Director, Division of Surgery, The Queen Elizabeth Hospital
- Director, Basil Hetzel Institute, The Queen Elizabeth Hospital
- Surgical Director, Australian Safety and Efficacy Register of New Interventional Procedures - Surgical (ASERNIP-S)
- Surgical Director, Country Health SA
- Clinical Director of Surgery, Central Adelaide Local health Network
- Head, Discipline of Surgery, University of Adelaide
Clinical interests
- Colorectal hepatic metastatic disease
- Minimally invasive surgery
Research interests
- Evidence based surgical appraisal
- Evaluation of hepatic surgical outcomes
- Minimally invasive surgery
- Development of techniques for liver tumour destruction (particularly minimally invasive techniques capable of destroying both primary and secondary liver tumours by the insertion of electrodes)
Recent publications
Perera CL, Bridgewater FHG, Thavaneswaran P, Maddern GJ (2010) Safety and efficacy of nontherapeutic male circumcision: A systematic review. Annals of Family Medicine 8(1): 64-72
Mann CD, Metcalfe MS, Lloyd DM, Maddern GJ, Dennison AR (2010) The safety and efficacy of ablative techniques adjacent to the hepatic vasculature and biliary system. ANZ Journal of Surgery 80: 41-49
Marlow N, Barraclough B, Collier NA, Dickinson IC, Fawcett J, Graham JC, Maddern GJ (2010) Centralization and the relationship between volume and outcome in knee arthroplasty procedures. ANZ Journal of Surgery 80: 234-241
Garcea G, Chee W, Ong SL, Maddern GJ (2010) Preoperative biliary drainage for distal obstruction: the case against revisited. Pancreas 39(2): 119-126
Wang J, Kollias J, Boult M, Babidge W, Zorbas H, Roder D, Maddern G (2010) Patterns of surgical treatment for women with breast cancer in relation to age. The Breast Journal 16(1): 60-65
Lauder CIW, Strickland A, Maddern GJ (2010) A novel technique for Biliary T-tube fixation. Ann R CollSurgEngl 92: 169
Lauder C, Strickland A, Maddern GJ (2010) Abdominal adhesion prevention: time to change our everyday practice? ANZ Journal of Surgery 80(5): 306-307
Lauder C, Marlow N, Maddern G, Barraclough BH, Collier N, Dickinson I, Fawcett J, Graham J (2010) Systematic review of the impact of volume of oesophagectomy on patient outcome. ANZ Journal of Surgery 80(5): 317-323
Thavaneswaran P, Maddern GJ (2010) Maximizing health outcomes from government investment in surgical interventions. ANZ Journal of Surgery 80(5): 308-309
Lauder C, Garcea G, Strickland A, Maddern G (2010) Abdominal adhesion prevention: still a sticky subject?Digestive Surgery 27(5): 347-358
Lauder CIW, Strickland A, Maddern GJ (2010) Laparoscopic mesh measurement. Annals of the Royal College of Surgeons of England 92: 262-263
Ho P, Pesicka D, Schafer A, Maddern G (2010) Physician Assistants: Trialling a new surgical health professional in Australia. ANZ Journal of Surgery 80(6): 430-437
Kanhere H, Satyadas T, Maddern G (2010) Surgical outcomes following pancreatic resection at a low-volume community hospital. Do all patients need to be sent to a regional cancer center? American Journal of Surgery 199(6): 866-867
Flora DE, Perera CL, Cameron AL, Maddern GJ (2010) Deep brain stimulation for essential tremor: A systematic review. Movement Disorders 25(11): 1550-1559
Dobbins C, Strickland AD, Maddern GJ (2010) Local recurrence of colorectal liver metastases following RFA - can we do BETA? ANZ Journal of Surgery 80(7-8): 482-483
Gravante G, Ong S, Metcalfe M, Sorge R, Overton J, Lloyd D, Maddern G, Dennison A (2010) Cytokine response of electrolytic ablation in an ex-vivo perfused liver model. ANZ Journal of Surgery 80(7-8): 537-541
Wilson A, Marlow NE, Maddern GJ, Barraclough B, Collier NA, Dickinson IC, Fawcett J, Graham JC (2010)Radical prostatectomy: a systematic review of the impact of hospital and surgeon volume on
patient outcome. ANZ Journal of Surgery 80(1-2):24-29
Satyadas T, Kanhere HA, Lauder C, Maddern GJ (2010) Evolution in technique of laparoscopic pancreaticoduodenectomy: a decade long experience from a tertiary center. Journal of Hepatobiliary and Pancreatic Science 17(3): 367-368
Thavaneswaran P, Rudkin GE, Cooter RD, Moyes DG, Perera CL, Maddern GJ (2010) Brief reports: paravertebral block for anesthesia: a systematic review. Anesthesia and Analgesia 110(6): 1740-1744
Gough IR, Dickinson I, Maddern G, Grigg M, Hillis DJ (2010) Winds of change: growing demands for transparency in the relationship between doctors and the pharmaceutical industry. Medical Journal of Australia 192(5): 293-294
Marsh C, Wang J, Kollias J, Boult M, Rice J, Maddern G (2010) Disparities in access to breast care nurses for breast surgeons: a National Breast Cancer Audit survey. Breast 19(2): 142-146
Maddern GJ, Marlow NE (2010) The current state of Australian laparoscopic surgical skills training. ANZ Journal of Surgery 80: 673-674
Hughes CF, Fearnside M, Maddern GJ (2010) Surgical audit - still an eccentric view? ANZ Journal of Surgery 80: 864
Lane SM, Maddern GJ (2010) ANZAC war artist depicting surgery. ANZ Journal of Surgery 80: 865-867
Marlow NE, Barraclough B, Collier NA, Dickinson IC, Fawcett J, Graham JC, Maddern GJ
(2010) Effect of hospital and surgeon volume on patient outcomes following treatment of abdominal
aortic aneurysms: a systematic review. European Journal of Vascular and Endovascular Surgery 40(5): 572-579
Roder D, Wang JX, Zorbas H, Kollias J, Maddern G (2010) Survival from breast cancers managed by surgeons participating in the National Breast Cancer. Audit of the Royal Australasian College of Surgeons
ANZ Journal of Surgery 80(11): 776-780
Watt AM, Patkin M, Sinnott MJ, Black RJ, Maddern GJ (2010) Scalpel safety in the operative setting: a systematic review. Surgery 147(1): 98-106
Gravante G, Ong S, Metcalfe M, Sorge R, Fox A, Lloyd D, Maddern G, Dennison A (2010) Changes in acid-base balance during electrolytic ablation in an ex vivo perfused liver model. Journal of Surgical Research 204(5):666-70
Lauder C, Garcea G, Strickland A, Maddern G (2011) Use of a modifided chitosan-dextran gel to prevent peritoneal adhesions in a rat model. Journal of Surgical Research, 171(2):877-82
Gravante G, Ong SL, Metcalfe MS, Bhardwaj N, Maddern GJ, Lloyd DM, Dennison AR (2011) Experimental application of electrolysis in the treatment of liver and pancreatic tumours: Principles, preclinical and clinical observations and future perspectives. Surgical Oncology 20(2): 106-120
Strickland A, Fairhurst K, Lauder C, Hewett P, Maddern G (2011) Development of an ex vivo simulated training model for laparoscopic liver resection. Surgical Endoscopy 25(5): 1677-1682
Klemp M, Frønsal KB, Facey K, and the HTAi Policy Forum (2011) What principles should govern the use of managed entry agreements? International Journal of Technology Assessment in Health Care 27(1): 77-83
Kanhere H, Kanhere M, Maddern G (2011) Re: risk-based selective referral for cancer surgery: a potential strategy to improve preoperative outcomes. Annals of Surgery 253(3): 632-633
Naef M, Mouton W, Naef U, van der Weg B, Maddern G, Wagner H (2011) Esophagealdysmotility disorders after laparoscopic gastric banding - an underestimated complication. Annals of Surgery 253(2): 285-290
Boult M, Fitzpatrick K, Maddern G, Fitridge R (2011) A guide to multi-centre ethics for surgical research in Australia and New Zealand. ANZ Journal of Surgery 81: 132-136
Neo EL, Beeke C, Price T, Maddern G, Karapetis C, Luke C, Roder D, Padbury R (2011) South Australian clinical registry for metastatic colorectal cancer. ANZ Journal of Surgery 81(5): 352-357
Koch M, Garden OJ, Padbury R, Rahbari N, Adam R, Capussotti L, Fan S, Yokoyama Y, Crawford M, Makuuchi M, Christophi C, Banting S, Brooke-Smith M, Usatoff V, Nagino M, Maddern G, Hugh T, Vauthey J-N, Greig P, Rees M, Nimura Y, Figueras J, Dematteo R, Büchler M, Weitz J (2011) Bile leakage after hepatobiliary and pancreatic surgery: A definition and grading of severity by the International Study Group of Liver Surgery Surgery 149(5): 680-688
Rahbari NN, Garden JO, Padbury R, Brooke-Smith, M, Crawford M, Adam R, Koch M, Makuuchi M, Dematteo RP, Christophi C, Banting S, Usatoff V, Nagino M, Maddern G, Hugh T, Vauthey J-N, Greig P, Rees M, Yokoyama Y, Fan S, Nimura Y, Figueras J, Capussotti L, Büchler M, Weitz J (2011) Posthepatectomy liver failure: A definition and grading by the the International Study Group of Liver Surgery (ISGLS) Surgery 149(5): 713--724
Fairhurst K, Strickland A, Maddern G (2011) The LapSim virtual reality simulator: promising but not yet proven. Surgical Endoscopy 25(2): 343-355
Sturm L, Cooter R, Mutimer K, Graham J. Maddern G (2011) A systematic review of dermal fillers for age-related lines and wrinkles. ANZ Journal of Surgery 81(1-2): 9-17
Ho PB, Maddern GJ (2011) Physician assistants: employing a new health provider in the South Australian health system. Medical Journal of Australia 194(5): 256-258
Tiong L, Maddern GJ (2011) Systematic review and meta-analysis of survival and disease recurrence after radiofrequency ablation for hepatocellular carcinoma. British Journal of Surgery 98: 1210-1224
Sturm L, Dawson D, Vaughan R, Hewett P, Hill AG, Graham JC, Maddern GJ (2011) Effects of fatigue on surgeon performance and surgical outcomes: a systematic review. ANZ Journal of Surgery 81: 502-509
Rahbari NN, Garden JO, Padbury R, Maddern G, Koch M, Hugh T, Fan ST, Nimura Y, Figueras J, Vauthey J-N, Rees M, Adam R, Dematteo RP, Greig P, Usatoff V, Banting S, Nagino M, Capussotti L, Yokoyama Y, Brooke-Smith, M, Crawford M, Christophi C, Makuuchi M, Büchler M, Weitz J (2011) Posthepatectomy haemorrhage: a definition and grading by the the International Study Group of Liver Surgery (ISGLS)HPB 13: 526-535
Fairhurst K, Strickland A, Maddern GJ (2011) Simulation speak. Journal of Surgical Education 68(5): 382-386
Ahern E, Thavaneswaran P, Babidge W, Maddern GJ (2011) Consumer perspectives in surgical research and audit. Interntional Journal of Technology Assessment in Health Care 27(4): 337-342
Tiong LU, Finnie JW, Field J, Maddern G (2011) Bimodal Electric Tissue Ablation (BETA): A study on ablation size when the anode is placed on the peritoneum and the liver. Journal of Surgical Research 176(1):114-20
Tiong LU, Finnie JW, Field J, Maddern G (2011) Bimodal Electric Tissue Ablation (BETA): Effect of reversing the polarity of the direct current on the size of ablation. Journal of Surgical Research 174(2):305-11
Boult M, Fitzpatrick K, Barnes M, Maddern G, Fitridge R (2011) Developing tools to predict outcomes following cardiovascular surgery. ANZ Journal of Surgery 81: 768-773
Ahern E, Thavaneswaran P, Babidge W, Maddern GJ (2011) Consumer perspectives in surgical research and audit. International Journal of Technology Assessment in Health Care 27(4): 337-342
Lauder C, Garcea G, Strickland A, Maddern G (2011) Use of a modified chitosan-dextran gel to prevent peritoneal adhesions in a rat model. Journal of Surgical Research 171(2): 877-882
Maddern G, Smith JW (2011) Surgical ethics, law and mandatory reporting. ANZ Journal of Surgery 81(12): 855-856
Graves SE, Maddern GJ (2012) Device regulation: what next? Medical Journal of Australia 196(4): 222-223
Campbell B, Patrick H, on behalf of the REGISTER Group (2012) International collaboration in the use of registries for new devices and procedures. British Journal of Surgery 99: 744-745
Tan SC, Marlow N, Field J, Altree M, Babidge W, Hewett P, Maddern G (2012) A randomized crossover trial examining low- versus high-fidelity simulation in basic laparoscopic skills training. Surgical Endoscopy 26(11):3207-14
Gurgacz SL. Smith JA, Truskett PG, Babidge WJ, Maddern GJ (2012) Credentialing of surgeons: a systematic review across a number of jurisdictions. ANZ Journal of Surgery 82(7-8):492-8
Gravante G, Ong SL, Metcalfe MS, Sorge R, Fox AJ, Lloyd DM, Maddern GJ, Dennison AR (2012) Changes in acid-based balance during electrolytic ablation in an ex vivo perfused model. American Journal of Surgery 204: 666-670
Gravante G, Ong SL, West K, McGregor A, Metcalfe M, Dennison A (2012) Patterns of histological changes following hepatic electrolytic ablation in an ex-vivo perfused model. Pathology and Oncology Research 18: 1085-1089
Whitfield R, Kollias J, de Silva P, Turner J, Maddern G (2012) Management of ductal carcinoma in situ according to Van Nuys Prognostic Index in Australia and New Zealand. ANZ Journal of Surgery 82: 518-523
Wong THI, Guy G, Babidge W, Maddern GJ (2012) Impact of consultant operative supervision and surgical mortality in Australia. ANZ Journal of Surgery 82: 895-901
Recent Conferences
"Surgical audit, inevitable or essential?" 62nd Uruguayan Congress of Surgery. Montevideo, 24 November 2011
"How should we assess new surgical technologies", 62nd Uruguayan Congress of Surgery, Montevideo, 25 November 2011
"Synchronous stage IV colorectal cancer" 62nd Uruguayan Congress of Surgery, Montevideo, 25 November 2011
"How should we assess new surgical technologies?" Carman Oration, Christian Medical College, Vellore, India, 1 December 2011
"Health technology: the Australian experience" Cruces Hospital, Basque, Spain, 21 December 2011
"A clinician's view of disinvestment" HTAi Policy Forum, San Francisco, 23 January 2012
Hypothetical: "Conduct under the microscope" Medical Insurance Group Australia, 11 February 2102, Brisbane, 18 February 2012, Adelaide, 3 March 2012, Sydney
"Evaluating new technologies in surgery: Are they worthwhile?" Australian Healthcare Week, Future of Surgery 2012, Melbourne, 22 February 2012
"Do audits of surgical mortality alter surgical outcomes?" Recognising the Deteriorating Patient, South Australian Audit of Perioperative Mortality/SA Health, Adelaide, 28 February 2012
"When to treat, when to refer on" Specialist Surgery for the General Surgeon, 19th Seminars in Operative Surgery, Adelaide, 9 March 2012
"Significance of comparative effectiveness through health technology assessment" e-Health - Delivering improved, high quality care. 2012 Australian e-Health Reseach Colloquium, Brisbane, 13 March 2012
"Surgical research at TQEH. What it means for you!" The Hospital Research Foundation Corporate Research Breakfast, Adelaide, 19 June 2012
"How to best use limited capacity for pragmatic evidence generation internationally" - Panel session, 9th HTAi Annual Meeting, Bilbao, Spain, 25 June 2012
"Methods in HTA" - Session Chair. 9th HTAi Annual Meeting, Bilbao, Spain, 26 June 2012
"Common bile duct injury" - Session Chair, 9th HTAi Annual Meeting, Bilbao, Spain, 26 June 2012
"Traps in new technologies" Johnson & Johnson Market Access Pathways Program, Sydney, 26 July 2012
Hypothetical: "Dr Jekyll or Mr Hyde - Will you let the Court decide?". Medical Insurance Group Australia, 4 August 2012, Melbourne: 18 August 2012, Sydney: 8 September 2012, Adelaide: 22 September 2012, Barossa Valley: 24 November 2012, Adelaide
"What simulation works and with whom" Royal Australasian College of Surgeons (New Zealand) Annual Scientific Meeting, Queenstown, New Zealand, 27 August 2012
"How to get the best out of audit" Royal Australasian College of Surgeons (New Zealand) Annual Scientific Meeting, Queenstown, New Zealand, 28 August 2012
"Comparative effectiveness: Just another way to restrict surgical innovation?" 10th Annual AAQHC Conference, Cairns, 5 September 2012
"Simulation: Return on Investment - Real issues in sustainable simulation" 2012 International Conference on Surgical Education and Training (ICOSET). Ottawa, Canada, 17 October 2012
"Training the well rounded surgeon - meeting society's needs" 2012 International Conference on Surgical Education and Training (ICOSET) Ottawa, Canada, 17 October 2012
"How do we ensure quality and safety from new technology?" International Society for Quality in Health Care 2012 (ISQua) Geneva, Switzerland, 22 October 2012
"The role of evidence in surgery" Joanna Briggs Institute Graduate Research Seminar Series, National Wine Centre, Adelaide, 26 October 2012
"Simulation in surgery" ANZHPBA Annual Meeting, Coolum, Queensland, 5 November 2012
"History of academic surgery in ANZ including the Surgical Research Society of Australasia" RACS Section of Academic SurgeryAnnual Meeting, Basil Hetzel Institute, Adelaide, 8 November 2012
"Unwanted variations and disinvestment" Private Healthcare Australian Conference 2012, Park Hyatt, Melbourne, 14 November 2012
"The role of Health Technology Assessment in access to innovative medical treatment" Johnson & Johnson Hospital Executive Alumni, Sydney, 15 November 2012
"The Australian and New Zealand Audit of Surgical Mortality (ANZAMSM): Has it had an impact?" 3rd Annual Clinical Audit Improvement Conference, Sydney, 28 November 2012
Current students supervised
Todd Matthews - PhD
Emma Mullin - Doctor of Medicine
Leong Tiong - Master of Surgery
Current Research Grants
TQEH Research Foundation Strategic Initiatives Funding Program Grant. G Maddern, G Jamieson, R Fitridge, P Hewett “Centre for Surgical Assessment and Training”
2009-2013 $1,250,000
NHMRC Project Grant. R Fitridge, M Boult, J Golledge, G Maddern, M Thompson, M Barnes “Prospective evaluation of a model to predict outcomes following endovascular aortic aneurysm repair”
2009-2013 $1,036,925
NHMRC. R Fitridge, M Boult, J Golledge, M Thompson, M Barnes, G Maddern "Prospective evaluation of a model to predict outcomes following endovascular aortic aneurysm repair"
2009-2013 $1,036,925
TQEH Research Foundation Program Grant. PJ Wormald, G Jamieson, R Fitridge, P Hewett, G Maddern "Development and assessment of novel surgical technologies and their introduction into the Australian healthcare system"
2009-2013 $1,250,000
ARC Linkage Grant. WA Rogers, AJ Johnson, C Townley, J Sheridan, A Ballantyune, M Lotz, D Meyerson, GF Tomosey, AA Eyers, GJ Maddern, CJ Thomson "On the cutting edge: promoting best practice in surgical innovation"
2011-2014 $255,000
HCF Health and Medical Research Foundation. W Runciman, C Mandel, T Schultz, Z Munn, G Maddern "Use of surgical and radiology checklists in Australian hospitals: uptake, barriers and enablers"
2013-2015 $311,195
NHMRC Project Grant. M Roberts, D Crawford, G Maddern "Advanced imaging to define hepatic and intestinal drug disposition in aging and liver disease"
2013-2015 $735,820
NHMRC Project Grant. PJ Wormald, S Moratti, B Robinson, S Robinson, G Maddern "In vivo evaluation of the safety and efficacy of a novel chitosan gel in the reduction of adhesions following abdominal surgery in both animal and human models"
2013-2015 $514,975
