Should business management training be part of medical education?

abstract：:Gastric tube conduit is the method of choice for restoring continuity of the digestive track after a partial or total esophagectomy. Redundant gastric conduit (i.e. an elongated, floppy conduit) is a rare cause of dysphagia in patients with long survival. Gastric tube volvulus is exceedingly rare with only three cases...

journal_title：Annals of the Royal College of Surgeons of England

authors： Schizas D,Michalinos A,Vergadis C,Oikonomou D,Baili E,Sougioultzis S,Moris D,Liakakos T

更新日期：2019-01-01 00:00:00

abstract：:A postoperative radiograph demonstrated a folded radio-opaque structure in the nasopharynx, resembling a retained throat pack, despite her not having any respiratory symptoms. Retention of a throat pack is a never event. ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Cousin G,Markose G

更新日期：2020-07-01 00:00:00

abstract：:Endoscopic papillotomy without cholecystectomy has been performed in 20 elderly patients with complications of bile duct stones. Good biliary drainage was achieved in 17, and there were no complications. One cholecystectomy was subsequently required. Later deaths have been due to unrelated causes. It is concluded that...

journal_title：Annals of the Royal College of Surgeons of England

authors： Leow CK,Thompson MH

更新日期：1986-11-01 00:00:00

abstract：:The most important development in determining successful organ transplantation has been the improved understanding of the immune response and the interactions between antigens, antibody, immune complexes, complement component, lymphocytes and macrophages. The initiation and termination of an immune response, whether c...

journal_title：Annals of the Royal College of Surgeons of England

authors： Marks C

更新日期：1983-05-01 00:00:00

abstract：:The three main risk factors for cardiovascular disease, smoking, hypertension, and hyperlipidaemia, are examined in the light of changing world trends and the mechanisms by which they aggravate this large group of conditions. Prostaglandin activity within the vessel wall and the blood platelets may be disturbed by the...

journal_title：Annals of the Royal College of Surgeons of England

authors： Eastcott HH

更新日期：1982-01-01 00:00:00

abstract：:Appendiceal intussusception is an rare diagnosis that may be found on imaging or at the time of surgery, as seen in this case of a 33-year-old female presenting with gastrointestinal symptoms. Images are presented with differential diagnosis as well as treatment options. ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Birriel TJ,Smith E,Eyvazzadeh D

更新日期：2017-01-01 00:00:00

abstract：INTRODUCTION:The purpose of this study was to explore the effectiveness of two chitosan formulations, Omni-Stat® granules and Celox Gauze®, in a model of major hepatic injury in the presence of clotting dysfunction. MATERIALS AND METHODS:Major hepatic injuries in moderately heparinised swine were treated with either O...

journal_title：Annals of the Royal College of Surgeons of England

authors： Millner R,Lockhart AS,Marr R

更新日期：2010-10-01 00:00:00

abstract：:A young woman who presented with loin pain and pyuria after a prolonged period of investigations and treatment, finally having a nephrectomy for non-functioning kidney, was revealed to have schistosomial infestation with an adult worm in the ureter. Unusually, she only developed bladder manifestations later. ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Ajit MK,Groenewald EA,Speakman M

更新日期：2005-11-01 00:00:00

abstract：:A non-woven alginate dressing has been used on experimental, full and partial thickness wound models for periods up to 14 days, to assess its effects on wound healing. Histological evaluation has shown that it is an effective haemostat, generally well tolerated by body tissues. Good epidermal healing was seen on all w...

journal_title：Annals of the Royal College of Surgeons of England

authors： Barnett SE,Varley SJ

更新日期：1987-07-01 00:00:00

abstract：:The authors present a case of pyomyositis of the piriformis muscle. This case, the first in the English speaking literature of piriformis involvement in a juvenile, serves to illustrate the need for a high index of suspicion when treating children with symptoms related to impalpable pathology deep in the pelvis and th...

journal_title：Annals of the Royal College of Surgeons of England

authors： Burton DJ,Enion D,Shaw DL

更新日期：2005-01-01 00:00:00

abstract：INTRODUCTION:Complications of epidural catheterisation can cause significant morbidity. Epidural abscess following epidural catheterisation is rare and the reported incidence is variable. The purpose of this study was to review the incidence of epidural abscess in patients undergoing open abdominal aortic aneurysm (AAA...

journal_title：Annals of the Royal College of Surgeons of England

authors： Wallace D,Bright E,London NJ

更新日期：2010-01-01 00:00:00

abstract：INTRODUCTION:Postoperative urinary retention requiring urethral catheterisation increases the risk of joint sepsis following arthroplasty. Spinal anaesthesia with opiate administration is used widely in lower limb arthroplasty. We sought to establish whether the choice of opiate agent had any effect on the incidence of...

journal_title：Annals of the Royal College of Surgeons of England

authors： Fernandez MA,Karthikeyan S,Wyse M,Foguet P

更新日期：2014-09-01 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：INTRODUCTION:The diagnostic performance of ultrasound-fine needle aspiration to identify thyroid nodules harbouring malignancy remains variable. The aim of this study was to determine thyroid nodule size and cytological classification as predictors of malignancy risk. MATERIALS AND METHODS:We conducted a retrospective...

journal_title：Annals of the Royal College of Surgeons of England

authors： Jinih M,Faisal F,Abdalla K,Majeed M,Achakzai AA,Heffron C,McCarthy J,Redmond HP

更新日期：2020-01-01 00:00:00

abstract：:The value and accuracy of a scoring system applied to clinical examination, aspiration cytology and mammography has been assessed in the diagnosis of 224 consecutive 'new' patients attending a breast clinic with a breast lump. In 72 of 99 patients with breast cancer (80%) the scores were high enough to allow definitiv...

journal_title：Annals of the Royal College of Surgeons of England

authors： Smallwood J,Khong Y,Boyd A,Guyer P,Herbert A,Cooke T,Taylor I

更新日期：1984-07-01 00:00:00

abstract：:Extraskeletal Ewing sarcoma (EES) is a rare soft tissue neoplasm of primitive mesenchymal cells. There is a scarcity of data on EES involving the head and neck, with studies being over years or even decades. We are the first to report a case of EES involving the carotid artery and its subsequent surgical excision and ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Kallala R,Nikkhah D,Nix P,Woodhead C

更新日期：2012-05-01 00:00:00

abstract：INTRODUCTION:The aim of this study was to assess the safety and the efficacy of hepatic resective surgery in the treatment of single lobe hepatolithiasis. PATIENTS AND METHODS:Retrospective analysis and comparison between hepatic resections in patients with hepatolithiasis (hepatolithiasis group [HG]) and liver masses...

journal_title：Annals of the Royal College of Surgeons of England

authors： Catena M,Aldrighetti L,Finazzi R,Arzu G,Arru M,Pulitanò C,Ferla G

更新日期：2006-07-01 00:00:00

abstract：INTRODUCTION:Screening for prostate cancer with serum prostate specific antigen (PSA) remains a controversial topic. The UK NHS Executive has issued extensive guidance stressing the importance of adequate counselling prior to performing this test. This study aims to assess men's knowledge of the PSA test at the time of...

journal_title：Annals of the Royal College of Surgeons of England

authors： Lamplugh M,Gilmore P,Quinlan T,Cornford P

更新日期：2006-05-01 00:00:00

abstract：:Oesophageal stent migration is a recognised complication; however, few present distal to the stomach causing obstruction. To date, this has never been reported as occurring later than 2 years after insertion. An 84-year-old woman presented with small bowel obstruction secondary to a fractured migrated metallic oesopha...

journal_title：Annals of the Royal College of Surgeons of England

authors： Harries R,Campbell J,Ghosh S

更新日期：2010-09-01 00:00:00

abstract：INTRODUCTION:Acute pancreatitis is a common surgical emergency. Identifying variations in presentation, incidence and management may assist standardisation and optimisation of care. The objective of the study was to document the current incidence management and outcomes of acute pancreatitis against international guide...

journal_title：Annals of the Royal College of Surgeons of England

authors： PanWessex Study Group.,Wessex Surgical Trainee Research Collaborative.,Mirnezami A,Knight B,Moran B,Noble F,Branagan G,Primrose J,Pearson K,West M,Curtis N,Pucher P,Cuttress R,Pugh S,Underwood T

更新日期：2019-09-01 00:00:00

abstract：INTRODUCTION:Intraoperative neural monitoring of the recurrent laryngeal nerve has been widely used to avoid nerve injury during thyroidectomy. We discuss the results of the change in surgical strategy after unilateral signal loss surgeries using intermittent intraoperative neural monitoring in a high-volume referral c...

journal_title：Annals of the Royal College of Surgeons of England

authors： Gür EO,Haciyanli M,Karaisli S,Haciyanli S,Kamer E,Acar T,Kumkumoglu Y

更新日期：2019-11-01 00:00:00

abstract：:Primary hyperparathyroidism may be cured surgically by complete excision of abnormal parathyroid tissue. Reoperation for persistent hypercalcaemia due to residual abnormal parathyroid tissue may be associated with a high complication rate. It is possible to assay intact parathormone (iPTH) intraoperatively and as iPTH...

journal_title：Annals of the Royal College of Surgeons of England

authors： Tan P,Leveson SH,Wilkinson H

更新日期：1995-01-01 00:00:00

abstract：:Brachytherapy involves the therapeutic implantation of a radio-active seed source into, or close to, prostate cancer. We report the rare case of a 76-year-old man who presented with a prostate abscess after months of intractable pelvic pain following prostate cancer treatment with iodine-125 brachytherapy. Despite mul...

journal_title：Annals of the Royal College of Surgeons of England

authors： Gilmore PE,Baird AD,Javle PM

更新日期：2009-05-01 00:00:00

abstract：:Introduction Transnasal oesophagoscopy is a relatively new method of examining the upper aerodigestive tract via the nasal passage as an outpatient procedure without the need for sedation. It has been shown to be a well tolerated, safe and accurate technique, that can therefore be used in the investigation of patients...

journal_title：Annals of the Royal College of Surgeons of England

authors： Sanyaolu LN,Jemah A,Stew B,Ingrams DR

更新日期：2016-01-01 00:00:00

abstract：INTRODUCTION:Auxiliary partial orthotopic liver transplantation (APOLT) in acute liver failure acts as a bridge to native liver regeneration with potential for immunosuppression free survival. While technical concerns limit its universal acceptance, the indications in acute liver failure also need to be examined for th...

journal_title：Annals of the Royal College of Surgeons of England

authors： Shrivastav M,Rammohan A,Reddy MS,Rela M

更新日期：2019-03-01 00:00:00

abstract：INTRODUCTION:The Intercollegiate Membership of the Royal College of Surgeons (MRCS) is a mandatory examination to enter higher surgical specialty training in the UK. It is designed to help to ensure that successful candidates are competent to practice as higher surgical trainees. The annual review of competence progres...

journal_title：Annals of the Royal College of Surgeons of England

authors： Scrimgeour D,Brennan PA,Griffiths G,Lee AJ,Smith F,Cleland J

更新日期：2018-10-05 00:00:00

abstract：INTRODUCTION:The Ganz trochanteric flip approach aims to avoid the potential risk of avascular necrosis in hip conserving surgery and may reduce the risk of femoral neck fractures, neck thinning and femoral head implant migration in hip resurfacing. Our initial audit revealed the complications of non-union and trochant...

journal_title：Annals of the Royal College of Surgeons of England

authors： Guyver PM,Cattell A,Reddy RP,Edwards C,Williams D,Dixon SM,Norton MR,Fern ED

更新日期：2010-10-01 00:00:00

abstract：:Mastectomy remains the most commonly performed surgical procedure for breast cancer, and complications such as infection or wound breakdown (which may relate to the experience of the operator) could expensively prolong hospital stay and retard the administration of additional therapy. We examined the complications, ho...

journal_title：Annals of the Royal College of Surgeons of England

authors： Funnell IC,Crowe PJ,Dent DM

更新日期：1992-05-01 00:00:00

abstract：INTRODUCTION:Lymph node metastasis is a poor prognostic indicator and is well established in tongue squamous cell carcinoma. Based on the current staging system, accurate risk stratification is difficult. There is thus a need to evaluate an alternate method for predicting recurrence and survival. The objective of the s...

journal_title：Annals of the Royal College of Surgeons of England

authors： Iftikhar H,Rozi S,Zahid N,Awan MS,Nathani KR

更新日期：2020-11-01 00:00:00

abstract：:Seatbelt associated blunt trauma to the rectum is a rare but well recognised injury. The exact mechanism of hollow visceral injury in blunt trauma is unclear. Stress and shear waves generated by abdominal compression may in part account for injury to gas containing structures. A 'seatbelt sign' (linear ecchymosis acro...

journal_title：Annals of the Royal College of Surgeons of England

authors： El Kafsi J,Kraus R,Guy R

更新日期：2016-02-01 00:00:00