Wirginia Maixner

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Wirginia Maixner
Born 28 June 1963
Known for 2007 performed the first auditory brainstem implant on a child in Australasia; 2009 separation of conjoined twins
Medical career
Profession Director of Neurosurgery
Institutions Royal Children's Hospital, Melbourne
Specialism Neurosurgery
Research Pediatric Hydrocephalus, Spina Bifida, traumatic brain injury, Neuro-Oncology, Neuropathology, Neurosurgery

Wirginia June Maixner (born 28 June 1963[1][2]) is an Australian neurosurgeon and the director of neurosurgery at the Royal Children's Hospital in Melbourne, Australia. She is known for having performed the first auditory brainstem implant on a child in Australia in 2007, and later having separated the conjoined twins, Trishna and Krishna in 2009.

Early life[edit]

Maixner grew up on Sydney's northern beaches. Her father was a window dresser and her mother, a public servant. Inspired by her aunt who was Australia's first female flying doctor, she pursued a career in medicine and surgery.[3]

Early life and education[edit]

Maixner attended Sancta Sophia College, University of Sydney,[4] and in 1986 graduated from the University of Sydney's School of Medicine with a Bachelor of Medicine, Bachelor of Surgery.[5]

Surgical training[edit]

She became the third woman accepted into the Royal Australasian College of Surgeons four-year neurosurgery training program. In the early 1990s, while half-way through her training, she became pregnant with her daughter. She remained in the program and became the first person to be granted maternity leave by the Australian Royal College of Surgeons.[6] Maixner went on to complete her training as a single parent and later spent two years in Paris and Canada gaining international hospital experience.[3]

Career[edit]

Maixner was appointed to the position of Director of the Royal Children's Hospital Neurosurgery Department in 2001,[7] becoming one of the youngest neurosurgery department heads in Australia and the first female head of neurosurgery at the Children's Hospital.[6]

From October 2001 until July 2004 Maixner served on the Victorian Surgical Consultative Council,[8] a special purpose council established in 2001 by the then-Minister of Health, John Thwaites, which reports to the Minister for Health and analyses, studies and reports on potentially preventable surgical deaths in Victoria, with the aim of improving the safety and quality of surgery in Victoria.[9]

Achievements[edit]

In 2006, Maixner was credited with performing "ground-breaking" surgery when she operated on a three-year-old girl to successfully stop seizures caused by a rare genetic condition. Maixner told media at the time that the surgery was of the same complexity as open-heart surgery.[10]

On 16 May 2007, Maixner worked with Rob Briggs, the medical director at the Royal Victorian Eye and Ear Hospital's Cochlear Implant Clinic and using "pioneering technology" they performed the first auditory brainstem implant on a child in Australasia. At the time, the surgery was hailed as an advancement that "could pave the way for revolutionary advances in medicine".[11]

Between 30–31 August 2009, Maixner presented at the XIV World Congress of Neurological Surgery in Boston, Massachusetts as a faculty member of the "Pediatric Neurosurgery: An Overview with Sub-specialty Applications" program and as a panelist on the "Chiari Type I Malformation in Children" discussion panel.[12]

On 16 and 17 November 2009, Maixner led a team of 16 neurosurgeons, plastic surgeons, and other specialist medical staff at the Royal Children's Hospital in the 32-hour "groundbreaking surgery" to successfully separate three-year-old Bangladeshi conjoined twins, Trishna and Krishna.[13] The twins were found in 2007 by two Australian Aid volunteers in Mother Teresa's orphanage in Dhaka and brought to Australia by Moira Kelly and the Children First Foundation for life saving medical treatment, which involved a series of operations in January, February, March, May, October, and November 2008 and January and August 2009, in preparation for the final separation in November 2009.[14] Maixner had performed four major operations on the twins to separate and close shared blood vessels and insert tissue expanders and prior to the final surgery, she gave the twins a 25 percent chance of surviving the operation, a 25 percent chance of dying and a 50 percent chance of suffering "catastrophic" brain damage, but without surgical intervention, both children would die.[15][16] On 19 November 2009, Maixner told the press that Trishna had woken from the medically induced coma.[17] Krishna began to wake up on 20 November 2009.[18] On 21 December 2009, five weeks after the surgery to separate the twins, they were released from the hospital.[19]

On 26 November 2009, Maixner and other members of the medical and surgical team who cared for Trishna and Krishna were honoured with a civic reception hosted at Government House in Melbourne by Governor of Victoria, David de Kretser and Premier John Brumby.[20]

Maixner and fellow Royal Children's Hospital neurosurgeon Alison Wray began sitting for Australian artist Raelene Sharp in December 2009. Sharpe's portrait of the surgeons will be submitted to the Australian portrait competition, the Archibald Prize. The competition will be judged in March 2010 and carries a A$50,000 prize.[21] Maixner was also featured in a photo shoot by Australian Women's Weekly in December 2009.[22]

Publications[edit]

  • Maixner, Wirginia J. (Editor), and Cinalli, Giuseppe (Editor), Sainte-Rose, Christian (Editor), Pediatric Hydrocephalus, Springer, USA, 9 November 2004, ISBN 88-470-0225-7
  • Maixner, Wirginia; Kornberg, Andrew; Harvey, Simon; Nash, Margot; "Neurological condition", in Paediatric Handbook, Wiley-Blackwell, 5 August 2005, ISBN 978-0-86793-431-1
  • Maixner, Wirginia J. (Editor), and Özek, M. Memet, Editor), Cinalli, Giuseppe (Editor), Spina Bifida: Management and Outcome, Springer, USA, 7 July 2008, ISBN 88-470-0650-3
  • Maxiner, Wirginia; Skelton, Ruth; Isaacs, David; "Sinusitis-induced subdural empyema", Disease in Childhood - The Journal of the British Paediatric Association, December 1992
  • Maixner, Wirginia; Sekhon, Lali H. S.; Morgan, Michael K.; Besser, Michael; "Controversies in the Management of Brainstem Cavernous Angioma:Report of Two Cases", Journal of Surgery, 1992 62(10) 763-767
  • Maixner, Wirginia; Caruso, Denise A.; Orme, Lisa M.; Neale,Alana M.; Radcliff, Fiona J.; Amor, Gerlinda M.; Downie, Peter; Hassall, Timothy E.; Tang, Mimi L.K.; and Ashley, David M.; "Results of a phase 1 study utilizing monocyte-derived dendritic cells pulsed with tumor RNA in children and young adults with brain cancer", Neuro-Oncology, 2004 6(3):236-246
  • Maixner, Wirginia; Aziz, Azian Abd.; Coleman, Lee; Morokoff, Andrew; "Diffuse choroid plexus hyperplasia: an under-diagnosed cause of hydrocephalus in children?", Pediatric Radiology, Volume 35, Number 8, August 2005
  • Maixner Wirginia;Heggie AA; Holmes A; Greensmith A; Meara J; Low P; "Complete correction of severe scaphocephaly: total vault remodelling with occipital elevation", International Journal of Oral and Maxillofacial Surgery, 2005; 34(Supp 1–029.1):57.
  • Maixner, Wirginia, "Hypothalamic hamartomas—clinical, neuropathological and surgical aspects",Child's Nervous System, Volume 22, Number 8, August 2006
  • Maixner, Wirginia; Haloi, Achyut K.; Ditchfield, Michael; "Mucocele of the sphenoid sinus", Pediatric Radiology, Volume 36, Number 9, September 2006
  • Maixner, Wirginia, and Stargatt, Robyn; Rosenfeld, Jeffrey V.; Anderson, Vicki; Hassall, Timothy; Ashley, David; "Intelligence and adaptive function in children diagnosed with brain tumour during infancy", Journal of Neuro-Oncology, Volume 80, Number 3, December 2006
  • Maixner, Wirginia; Gonzales, Michael; Dale, Susan; Susman, Marleen; Nolan, Prudence; Ng Wai, Hoe; Laidlaw, John; "Dysembryoplastic neuroepithelial tumor (DNT)-like oligodendrogliomas or Dnts evolving into oligodendrogliomas: two illustrative cases", Neuropathology : official journal of the Japanese Society of Neuropathology, 2007;27(4):324-30
  • Maixner, Wirginia; Josan, Vivek; Smith, Paul; Kornberg, Andrew; Rickert, Christian; "Development of a pilocytic astrocytoma in a dysembryoplastic neuroepithelial tumor. Case report," Journal of Neurosurgery, 2007;106(6 Suppl):509-12
  • Maixner, Wirginia; Stargatt, Robyn; Rosenfeld, Jeffrey V; ; Ashley, David; "Multiple factors contribute to neuropsychological outcome in children with posterior fossa tumors", Developmental Neuropsychology, 2007;32(2):729-48
  • Maixner, W, and Poomthavorn,P, Zacharin, M, "Pituitary function in paediatric survivors of severe traumatic brain injury", Archives of Disease in Childhood, February 2008; 93: 133 - 137

References[edit]

  1. ^ "Online Computer Library Center". Retrieved 10 January 2010. 
  2. ^ "Maixner, W. J. (Wirginia June) 1963-". WorldCat Identities. Retrieved 10 January 2010. 
  3. ^ a b Stark, Jill (11 January 2009). "Queen of the Cutting Edge". Sydney Morning Herald. Retrieved 2009-11-18. 
  4. ^ News and Events, Sancta Sophia College, November 2009
  5. ^ "Sydney Medical School alumni". Medical Faculty, University of Sydney. Retrieved 2 January 2010. [dead link]
  6. ^ a b Vasek, Lanai (9 January 2010). "Separating twins an epic achievement --- Australian of the Year". The Australian. 
  7. ^ "2001 RCH Year in Review". Royal Children's Hospital. p. 4. Retrieved 10 January 2010. 
  8. ^ Rush, Jonathan (Editor), Victorian Surgical Consultative Council Inaugural Report, 2001-2004, Victorian Surgical Consultative Council, 2004
  9. ^ The Victorian Surgical Consultative Council, Victorian State Government, Department of Health, 27 August 2009
  10. ^ Critchley, Cheryl (28 October 2006). "Our medical marvels". Herald Sun. 
  11. ^ Stark, Jill (16 May 2007). "Small hole opens Jorja's mind to a sound future". The Age. Retrieved 19 November 2009. 
  12. ^ "XIV World Congress of Neurological Surgery". Archived from the original on 2009-02-06. Retrieved 10 January 2010. 
  13. ^ McArthur, Grant; Familari, Peter (18 November 2009). "Surgeons got through surgery to separate conjoined twins with coffee, music". Herald Sun. Retrieved 2009-11-19. 
  14. ^ Jenkins, Melissa (18 November 2009). "Separation anxiety Marathon surgery success, but the battle isn't over yet How the operation was performed". Geelong Advertiser. 
  15. ^ "Aussie docs to separate conjoined wins". United Press International. 13 November 2009. Retrieved 19 November 2009. 
  16. ^ Betts, Marianne (14 November 2009). "My opportunity of a lifetime to help". 'Herald Sun. 
  17. ^ Betts, Marianne (14 November 2009). "Wirginia Maixner to embark with mixed emotions on operation to separate conjoined twins". Herald Sun. Retrieved 2009-11-19. 
  18. ^ "Second twin slowly wakes". Geelong Advertiser. 21 November 2009. 
  19. ^ Lillebuen, Steve (22 December 2009). "Joy for twins' guardian". Illawarra Mercury. 
  20. ^ "After a twin miracle, team honoured". The Australian. 27 November 2009. 
  21. ^ Harris, Amelia (28 December 2009). "Artful doctors become new role models". Herald Sun. Retrieved 10 January 2010. 
  22. ^ Carbone, Suzanne (8 December 2009). "Bromley opens up his world with pictures". The Age. Retrieved 10 January 2010.