Competencies of basic surgical trainees.

abstract：:Primary breast carcinoma is a common pathology in the UK. It can present with metastatic deposits but it is rare that lesions in the breast are the sole primary or secondary presentation for metastatic cancer from other sources. We present a case of a primary peritoneal cancer recurring after optimal treatment with a...

journal_title：Annals of the Royal College of Surgeons of England

authors： Coyne PE,Kenny L,Barnes E,Westley R,Ward E,Jain M,Iwuchukwu O

更新日期：2012-03-01 00:00:00

abstract：BACKGROUND:Ureteric lithiasis is a common urological problem in Kuwait. Because of the different interventional approaches, we carried out an audit on the morbidity associated with the surgical management of the disorder. PATIENTS AND METHODS:The surgical records were reviewed of all patients with the diagnosis of ure...

journal_title：Annals of the Royal College of Surgeons of England

authors： Kehinde EO,Al-Awadi KA,Al-Hunayan A,Okasha GH,Al-Tawheed A,Ali Y

更新日期：2003-09-01 00:00:00

abstract：:During the period 1978 to 1986, 13 children aged 2-15 years underwent surgical resection of malignant thoracic tumours. Five children with neuroblastomas presented with chest pain and infections, pleural effusions, dysphagia, lymphadenopathy and paraplegia. Chemo- and radiotherapy were given preoperatively to previous...

journal_title：Annals of the Royal College of Surgeons of England

authors： Lodge JP,Hamilton JR,Walker DR,Bailey CC

更新日期：1988-03-01 00:00:00

abstract：INTRODUCTION:The usefulness of thoracic damage control (DC) for trauma requiring a thoracotomy is not established. The aim of this study was to clarify the usefulness of thoracic packing as DC surgery. METHODS:This was a retrospective case series study of 12 patients with thoracic trauma suffering uncontrollable intra...

journal_title：Annals of the Royal College of Surgeons of England

authors： Moriwaki Y,Toyoda H,Harunari N,Iwashita M,Kosuge T,Arata S,Suzuki N

更新日期：2013-01-01 00:00:00

abstract：:A 62-year old man who presented unwell with no specific symptoms or signs was found to have portal venous circulation gas complicating a small diverticular abscess. He was successfully managed with a course of antibiotics and had full resolution of symptoms, therefore avoiding the need for surgical intervention. While...

journal_title：Annals of the Royal College of Surgeons of England

authors： Kong CY,Goh HL,Anderson JE

更新日期：2020-09-01 00:00:00

abstract：:Modern stapling equipment makes it possible to perform the vertical banded gastroplasty without major technical difficulties. Follow-up to date confirms its efficacy as a weight reducing procedure in the morbidly obese. ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Harrison RA,Clark CG

更新日期：1984-09-01 00:00:00

abstract：:Bochdalek hernias rarely contain an intrathoracic kidney, and there are few reports of their operative repair. A woman presented with progressive dyspnoea limiting her quality of life. Imaging showed a Bochdalek hernia containing omentum, large bowel and the left kidney. The woman was unexpectedly admitted to the inte...

journal_title：Annals of the Royal College of Surgeons of England

authors： Halle-Smith JM,Pande R,Griffiths EA

更新日期：2021-01-01 00:00:00

abstract：:A case is reported of a patient who sustained a significant haemothorax while playing with a Nintendo Wii console. ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Peek AC,Ibrahim T,Abunasra H,Waller D,Natarajan R

更新日期：2008-09-01 00:00:00

abstract：:The problems encountered in introducing a pulmonary artery (PA) pressure and cardiac output (CO) measurement facility in a district general hospital intensive care unit are enumerated. The indications for its use are briefly reviewed. ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Smith HS

更新日期：1983-09-01 00:00:00

abstract：INTRODUCTION:Cochlear implants are surgically inserted electrical devices that enable severely or profoundly deaf individuals to interpret sounds from their environment and communicate more effectively. As a result of their electrical nature, they are susceptible to electromagnetic interference and can be damaged by e...

journal_title：Annals of the Royal College of Surgeons of England

authors： Frampton SJ,Ismail-Koch H,Mitchell TE

更新日期：2012-11-01 00:00:00

abstract：:Spontaneous rupture of colon or rectum is a rare event. Protrusion of several loops of small bowel through the anal orifice is a bizarre condition which has only rarely been reported in the literature. We report the first case where Thiersch repair was used to manage spontaneous perforation of rectal prolapse and prov...

journal_title：Annals of the Royal College of Surgeons of England

authors： Shoab SS,Saravanan B,Neminathan S,Garsaa T

更新日期：2007-01-01 00:00:00

abstract：:A term neonate was born with a grossly swollen and discoloured left hand and forearm. He was transferred from the local hospital to the plastic surgical unit, where a diagnosis of compartment syndrome was made and he underwent emergency forearm fasciotomies at six hours of age. Following serial debridements of necroti...

journal_title：Annals of the Royal College of Surgeons of England

authors： Martin B,Treharne L

更新日期：2016-09-01 00:00:00

abstract：:Extensive cephalic spread of solution occurred in three out of seven cases studied during coeliac plexus blockade. Spread on to cardiac nerves and plexus may be a factor in hypotension following this procedure. Incremental dosage and careful screening is recommended. ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Hardy PA,Wells JC

更新日期：1989-01-01 00:00:00

abstract：:A retrospective review of surgical treatment for portal hypertension during a 23-year period in a regional unit is reported and the immediate and subsequent management of patients with bleeding oesophageal varices is discussed. Fifty-four patients with recurrent varix haemorrhage uncontrolled by conservative methods h...

journal_title：Annals of the Royal College of Surgeons of England

authors： Kirby R,Burke FD,Jones JD

更新日期：1975-09-01 00:00:00

abstract：INTRODUCTION:Surgical skills courses are an important part of learning during surgical training. The assessments at these courses tend to be subjective and anecdotal. Objective assessment using multiple choice questions (MCQs) quantifies the learning experience for both the organisers and the participants. MATERIALS A...

journal_title：Annals of the Royal College of Surgeons of England

authors： John J,Kuiper JH,Kelly CP

更新日期：2008-03-01 00:00:00

abstract：:Falls are the most common accident occurring to patients in hospital, especially those undergoing rehabilitation. The types, causes, and consequences of such falls are discussed in relation to the patients' age and underlying condition with reference to 386 accidents occurring over a 5-month period in a hospital with ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Watkins JS,Robson P

更新日期：1981-11-01 00:00:00

abstract：:The incidence of bacteriological contamination of drainage fluid (water constituting the underwater seal plus drainage effluent) was studied in 38 patients (50 chest drains), up to 6 days after thoracotomy. No bacteriological contamination was demonstrated in any of the samples taken during this period of time. We con...

journal_title：Annals of the Royal College of Surgeons of England

authors： Hornick P,John LC,Wallis J,Wilkins V,Rees GM,Edmondson SJ

更新日期：1992-01-01 00:00:00

abstract：INTRODUCTION:This observational study investigated the incidence of distal radius fractures in children, to determine whether the rate is rising, the effect of seasonal variation on incidence and whether fracture type and rate of surgical intervention has changed, to help in determining costs for secondary care and to ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Mamoowala N,Johnson NA,Dias JJ

更新日期：2019-04-01 00:00:00

abstract：:A series of 45 patients undergoing a second operation for recurrent colorectal cancer is reported. The majority developed recurrence within 2 years of their initial surgery. Despite regular follow-up, in only 27% of patients submitted to further surgery was the recurrence detected at routine review, and only three of ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Pollard SG,Macfarlane R,Everett WG

更新日期：1989-09-01 00:00:00

abstract：INTRODUCTION:To address concerns about reduced opportunities for operative training, a programme of training operating lists for senior house officers was established. The entire patient pathway was used as a learning resource so that training was offered in a range of areas including development of knowledge, communic...

journal_title：Annals of the Royal College of Surgeons of England

authors： Feldman M,Nasmyth G

更新日期：2005-07-01 00:00:00

abstract：:We describe a rare case of a leiomyosarcoma in the inguinal canal in a patient presenting clinically with an inguinal hernia. The clinical details, histological findings and surgical management are reviewed. ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Patel R,Chana P,Armstrong J,Lawrence R

更新日期：2014-09-01 00:00:00

abstract：:The technique of selective arterial embolisation for patients presenting with major hepatic trauma is described. We have used this technique successfully in four patients, three of whom had continued bleeding after emergency laparotomy. It can abolish localised intrahepatic arterial haemorrhage and arteriovenous shunt...

journal_title：Annals of the Royal College of Surgeons of England

authors： Pain JA,Heaton ND,Karani JB,Howard ER

更新日期：1991-05-01 00:00:00

abstract：:Introduction The aim of this study was to identify the proportion of children referred to a paediatric tertiary referral centre who required admission to the paediatric intensive care unit (PICU) following surgery for obstructive sleep apnoea (OSA) and to establish risk factors for these admissions. Methods Retrospect...

journal_title：Annals of the Royal College of Surgeons of England

authors： Sharma SD,Gupta S,Wyatt M,Albert D,Hartley B

更新日期：2018-01-01 00:00:00

abstract：INTRODUCTION:The aim of this study was to determine the efficacy and complications of postoperative endoscopic retrograde cholangiopancreatography (ERCP) in confirming and treating choledocholithiasis found at intraoperative cholangiography during laparoscopic cholecystectomy. METHODS:Patients who had undergone ERCP f...

journal_title：Annals of the Royal College of Surgeons of England

authors： Lynn AP,Chong G,Thomson A

更新日期：2014-01-01 00:00:00

abstract：BACKGROUND:For patients with gastric cancer intraoperative macroscopic serosal change is not always consistent with pathological T stage. We investigated whether macroscopic serosal change is associated with unfavourable prognosis of patients with gastric cancer. METHODS:We reviewed 856 patients with stage T3 gastric ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Zhao B,Mei D,Zhang J,Zou S,Lu H,Xu H,Huang B

更新日期：2019-04-01 00:00:00

abstract：:INTRODUCTION Central venous catheterisation (CVC) is a commonly performed procedure in a wide variety of hospital settings and is associated with appreciable morbidity. There is a paucity of literature focusing on mechanical complications specifically in the trauma setting. The aim of our study was to determine the sp...

journal_title：Annals of the Royal College of Surgeons of England

authors： Odendaal J,Kong VY,Sartorius B,Liu TY,Liu YY,Clarke DL

更新日期：2017-05-01 00:00:00

abstract：:Twenty-one patients have been studied in the 48 h after valve replacement to determine the possible contribution of abnormalities of left ventricular myocardial blood flow and oxygen consumption to the impaired cardiac performance which is sometimes evident in such patients. In the 14 patients making an uneventful rec...

journal_title：Annals of the Royal College of Surgeons of England

authors： Wisheart JD

更新日期：1975-08-01 00:00:00

abstract：:We report a patient with ulcerative colitis who, in the period following surgery, developed recurrent episodes of acute adrenal insufficiency presenting clinically as a high output ileostomy. ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Rai S,Hemingway D

更新日期：2003-03-01 00:00:00

abstract：INTRODUCTION:Admission for overnight or longer hospital stay from a day-case unit is an unwelcome event. This audit was designed to identify the incidence of unplanned admissions and also to detect the potential factors for such overstays. PATIENTS AND METHODS:Details of plastic surgical day-case patients were obtaine...

journal_title：Annals of the Royal College of Surgeons of England

authors： Mandal A,Imran D,McKinnell T,Rao GS

更新日期：2005-11-01 00:00:00

abstract：INTRODUCTION:Septal surgery has been identified as suitable for day-surgery, but is not widely performed as such. Guidelines for day-surgery state that the unexpected admission rate should be 2-3%. Previous audits have not achieved this figure and septoplasty is not universally considered suitable for day-surgery. We h...

journal_title：Annals of the Royal College of Surgeons of England

authors： Georgalas C,Obholzer R,Martinez-Devesa P,Sandhu G

更新日期：2006-03-01 00:00:00