The computerised surgical logbook: why bother?

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

abstract：:Median arcuate ligament syndrome (MALS) is a rare disorder due to coeliac trunk compression by the median arcuate ligament, resulting in coeliac artery stenosis characterised by chronic, recurrent abdominal pain. Patients with MALS are often middle-aged females presenting with a triad of postprandial epigastric pain, ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Rubinkiewicz M,Ramakrishnan PK,Henry BM,Roy J,Budzynski A

更新日期：2015-09-01 00:00:00

abstract：INTRODUCTION:Accurate clinical diagnosis depends on the reliable recognition of signs and symptoms. This expertise comes from experience in seeing patients which has been traditionally gained over a long training period. Shortened specialist training (Modernising Medical Careers) has led to a greater reliance on struct...

journal_title：Annals of the Royal College of Surgeons of England

authors： Pearl RA,Townley W,Stott D,Grobbelaar AO

更新日期：2009-09-01 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：: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：INTRODUCTION:Faecal incontinence is a prevalent and important condition, with a range of treatment options. Neuromodulation via sacral nerve stimulators is efficacious, but expensive and associated with complications due to device implantation. Peripheral neuromodulation via posterior tibial nerve stimulation (PTNS) ha...

journal_title：Annals of the Royal College of Surgeons of England

authors： Findlay JM,Yeung JM,Robinson R,Greaves H,Maxwell-Armstrong C

更新日期：2010-07-01 00:00:00

abstract：:Benign breast disease accounts for the majority of referrals to a specialist breast clinic. Delayed investigation prolongs patient anxiety and increases outpatient waiting lists. Few centres offer the triple test of clinical examination, fine needle aspiration cytology (FNAC) and breast imaging by mammography and/or u...

journal_title：Annals of the Royal College of Surgeons of England

authors： Roche NA,Ray SA,Layer GT

更新日期：1997-07-01 00:00:00

abstract：:In the recent Falklands campaign four Army Field Surgical Teams were deployed in the two phases of the war. They functioned as Advanced Surgical Centres and operated on 233 casualties. There were 3 deaths. The patterns of wounding and the methods of casualty management are discussed and compared with other recent camp...

journal_title：Annals of the Royal College of Surgeons of England

authors： Jackson DS,Batty CG,Ryan JM,McGregor WS

更新日期：1983-09-01 00:00:00

abstract：INTRODUCTION:The equivalence of breast-conserving surgery followed by postoperative radiotherapy against mastectomy is now firmly established in patients with early breast cancer. The results of surgery in large-breasted women can be poor, with radiation-induced fibrosis, chronic pain and poor cosmesis contributing to ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Currie A,Chong K,Davies GL

更新日期：2013-04-01 00:00:00

abstract：:The primary objective of the Hospital Recognition Committee is to ensure that the so-called lost tribe of SHOs in surgery obtain a properly structured training during each six-month post (1). Systematic, supervised training for Senior House Officers (SHOs) is a vital prelude to optimum Higher Specialist Training (2). ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Ilott I,Bunch G

更新日期：1998-01-01 00:00:00

abstract：:Gross enlargement of the male breast with skin redundancy and ptosis cannot be effectively managed by subcutaneous mastectomy alone. A technique is described in which the excess breast tissue and skin are excised along a design which allows the nipple-areolar complex, mounted on a vertical deepithelialised pedicle, to...

journal_title：Annals of the Royal College of Surgeons of England

authors： Ward CM,Khalid K

更新日期：1989-07-01 00:00:00

abstract：:Intra-operative injury to the ureter is a well known but fortunately uncommon complication of any major pelvic surgical procedure. If recognised on table, it can be repaired by either a substitution ureteroplasty or end-to-end anatomical repair depending upon the extent of tissue loss. Either of these anastomoses coul...

journal_title：Annals of the Royal College of Surgeons of England

authors： Chitale SV,Webb RJ

更新日期：2001-07-01 00:00:00

abstract：INTRODUCTION:Extensor mechanism ruptures might be easily overlooked and misdiagnosed, and delayed diagnosis of quadriceps tendon rupture is frequent. However, the literature recommends early surgical repair within 72 h. PATIENTS AND METHODS:This paper describes a new simple clinical diagnostic test that directly evalu...

journal_title：Annals of the Royal College of Surgeons of England

authors： Jolles BM,Garofalo R,Gillain L,Schizas C

更新日期：2007-04-01 00:00:00

abstract：:We report the first case of infective endocarditis caused by Paenibacillus provencensis. A mitral valve vegetation was incidentally discovered by intraoperative transoesophageal echocardiography in a 70-year-old woman undergoing aortic valve replacement. The precise identification of the causative agent was by means o...

journal_title：Annals of the Royal College of Surgeons of England

authors： Pinho-Gomes AC,Nasir A,Mosca R,Mirza S,Kadir I

更新日期：2017-02-01 00:00:00

abstract：:Apposition of skin edges in plastic surgical procedures can be achieved by sutures or stainless steel staples. This retrospective study reviews 45 skin falp operations and finds that 20.6% of sutured flaps are complicated by partial necrosis or slow healing. These complications occur in 62.5% of stapled flaps. It is p...

journal_title：Annals of the Royal College of Surgeons of England

authors： Coupland RM

更新日期：1986-01-01 00:00:00

abstract：INTRODUCTION:Randomised controlled trials have shown that laparoscopic colorectal surgery is equal in terms of safety to open surgery. Benefits have been seen for length of stay, blood loss, immune suppression and analgesia requirements. The aim of this study was to assess the safety and feasibility of introducing lapa...

journal_title：Annals of the Royal College of Surgeons of England

authors： Smith JK,Acheson AG,Simpson JA,Stewart J,Beckingham IJ,Gornall CB,Williams JP,Robinson MH,Maxwell-Armstrong CA

更新日期：2008-10-01 00:00:00

abstract：INTRODUCTION:HIV positivity alone as a predictor of surgical outcome has not been extensively studied in regions of high prevalence. The aim was to determine the prevalence of HIV infection in surgical patients, and compare differences in their clinical course based on their serological status and CD4 counts. PATIENTS...

journal_title：Annals of the Royal College of Surgeons of England

authors： Cacala SR,Mafana E,Thomson SR,Smith A

更新日期：2006-01-01 00:00:00

abstract：:Inflammatory fibroblastic tumours are very rare. They are mostly located in the respiratory system. We present three cases of patients with fibroblastic tumours. The diversity of inflammatory fibroblastic tumours in the respiratory system and the surgical considerations are discussed. Our recommendation is that treatm...

journal_title：Annals of the Royal College of Surgeons of England

authors： Lodhia JV,Christensen TD,Trotter SE,Bishay ES

更新日期：2016-01-01 00:00:00

abstract：:Sixty patients scheduled for vaginal surgery under lumbar epidural block were randomly allocated into two groups, one of which received ethamsylate intravenously prior to induction of anaesthesia. Ethamsylate did not reduce the blood loss at operation in these patients. The possible factors underlying this observation...

journal_title：Annals of the Royal College of Surgeons of England

authors： Smith GB,Eltringham RJ,Nightingale JJ

更新日期：1983-03-01 00:00:00

abstract：:Introduction The National Institute for Health and Care Excellence guidance Improving Supportive and Palliative Care for Adults with Cancer (2004) and the Cancer Reform Strategy (2007) support the premise that assessment and discussion of patients' needs for physical, social, psychological, and spiritual wellbeing sho...

journal_title：Annals of the Royal College of Surgeons of England

authors： Rogers SN,Thomson F,Lowe D

更新日期：2018-03-01 00:00:00

abstract：:In a waiting list initiative scheme 566 operations were performed on 447 patients in 104 sessions over a period of six months. In addition the names of 78 other patients were deleted from the waiting list. Special attention was paid to pre-operative education and assessment of patients by information sheets and 'quest...

journal_title：Annals of the Royal College of Surgeons of England

authors： Parmar JR

更新日期：1993-01-01 00:00:00

abstract：INTRODUCTION:In 2006 the National Confidential Enquiry into Patient Outcome and Death undertook a large prospective study of trauma care, which revealed several findings pertaining to the management of head injuries in a sample of 493 patients. METHODS:Case note data were collected for all trauma patients admitted to ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Smith NC,Findlay GP,Weyman D,Freeth H

更新日期：2013-03-01 00:00:00

abstract：INTRODUCTION:Patient reported outcome measures (PROMs) are being used increasingly to assess the quality of healthcare delivery in the UK. It is important when using PROMs to know the score of the background population against which any clinical intervention may be benchmarked. The purpose of this study was to measure ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Guyver PM,Cattell AE,Hall MJ,Brinsden MD

更新日期：2013-09-01 00:00:00

abstract：:We studied prospectively 247 consecutive patients given morphine by continuous intravenous infusion for 24 h to provide pain relief following elective abdominal surgery. Using a dose of 1 mg/kg supplemented by additional intramuscular morphine 5 mg as necessary, only 26% required more than two additional intramuscular...

journal_title：Annals of the Royal College of Surgeons of England

authors： Ray DC,Drummond GB

更新日期：1988-09-01 00:00:00

abstract：:Introduction Large, complicated ventral hernias are an increasingly common problem. The transversus abdominis muscle release (TAMR) is a recently described modification of posterior components separation for repair of such hernias. We describe our initial experience with TAMR and sublay mesh to facilitate abdominal wa...

journal_title：Annals of the Royal College of Surgeons of England

authors： Appleton ND,Anderson KD,Hancock K,Scott MH,Walsh CJ

更新日期：2017-04-01 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：:Giant central lumbar disc protrusions can pose a significant operative challenge. Clinically, these patients are at risk of permanent disability, due not only to preoperative neural compromise caused by the protrusion itself but also to the potential iatrogenic risks associated with the standard extradural microdiscec...

journal_title：Annals of the Royal College of Surgeons of England

authors： Tulloch I,Papadopoulos MC

更新日期：2018-03-01 00:00:00

abstract：:Annular small bowel ulceration is rare. We report three patients who presented with signs of chronic gastrointestinal blood loss. In two patients the main presenting symptom was intermittent abdominal pain while the third patient subsequently developed abdominal pain during the course of investigation. Preoperative lo...

journal_title：Annals of the Royal College of Surgeons of England

authors： Ballantyne KC,Morris DL,Hawkey CJ,Hardcastle JD

更新日期：1986-05-01 00:00:00

abstract：:After thyroidectomy there is an appreciable incidence of hypothyroidism as judged by FT4I estimates. Pharmacological doses of iodine (10-300 mg/day) usually suppress, whereas physiological doses of iodine (< 5 mg/day) have been reported to both decrease and increase thyroid function. The value of iodine supplementatio...

journal_title：Annals of the Royal College of Surgeons of England

authors： Taylor JD,Radcliffe SN,Basu PK,Atkins P

更新日期：1993-05-01 00:00:00

abstract：INTRODUCTION:The aim of this study was to develop a standardised management plan for boys with abnormal appearance of meatus at circumcision for balanitis xerotica obliterans (BXO). METHODS:Between 1995 and 2008, 107 boys underwent circumcision for BXO (confirmed on histology). Of these, 23 had abnormal appearance of ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Holbrook C,Tsang T

更新日期：2011-09-01 00:00:00