Trephine colostomy: a warning.

abstract：:Overseas Doctors have been coming for higher surgical training to the UK for many years. Little is known about the reasons they choose to come here, what their expectations are and if the training they receive fulfils these expectations and prepares them for a career back home. The aim of this study was to address the...

journal_title：Annals of the Royal College of Surgeons of England

authors： Dawson R,Shukla HS,Mansel RE,Lewis MH

更新日期：1997-11-01 00:00:00

abstract：INTRODUCTION:Introducing laparoscopic colorectal surgery is a challenge to the whole surgical team. It is usual for an assistant to hold the laparoscope and be responsible for the surgeon's view of the operative field and a lack of expertise in the assistant can add significant difficulties. The EndoAssist is a robotic...

journal_title：Annals of the Royal College of Surgeons of England

authors： Gilbert JM

更新日期：2009-07-01 00:00:00

abstract：INTRODUCTION:Much literature reports on selective nerve root blocks (SNRBs) in cases of lumbosacral radiculopathy. Unfortunately, authors only inconsistently reveal the exact needle tip position relative to the causative pathology at the time of injection. Different injection sites may provide different symptomatic ben...

journal_title：Annals of the Royal College of Surgeons of England

authors： Eastley NC,Spiteri V,Newey ML

更新日期：2013-10-01 00:00:00

abstract：INTRODUCTION:Recent studies have shown that women who recall childhood abuse are at increased risk of emotional problems following a breast cancer diagnosis. How services should respond is unclear given the risk of compounding the emotional trauma of cancer with questioning about abuse. Our aim was to present the resea...

journal_title：Annals of the Royal College of Surgeons of England

authors： Clark L,Holcombe C,Fisher J,Salmon P

更新日期：2014-07-01 00:00:00

abstract：:This report is based on a Hygienist Panel Meeting held at St Anne's Manor, Wokingham on 24-25 June 2009. The panel agreed that greater use should be made of antiseptics to reduce reliance on antibiotics with their associated risk of antibiotic resistance. When choosing an antiseptic for clinical use, the Biocompatibil...

journal_title：Annals of the Royal College of Surgeons of England

authors： Leaper D,McBain AJ,Kramer A,Assadian O,Sanchez JL,Lumio J,Kiernan M

更新日期：2010-09-01 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:The aim of this study was to investigate the degree of contamination of a surgeon's hand following use of chlorhexidine gluconate or alcohol gel as disinfectants. MATERIALS AND METHODS:In this prospective, randomised trial, orthopaedic surgeons were allocated to one of two different hand-washing protocols...

journal_title：Annals of the Royal College of Surgeons of England

authors： Hajipour L,Longstaff L,Cleeve V,Brewster N,Bint D,Henman P

更新日期：2006-01-01 00:00:00

abstract：:This is a retrospective review of 80 intra-articular calcaneal fractures treated with open reduction and internal fixation by a specialist team under supervision of a single surgeon in a tertiary centre between 2005 and 2014. The fractures were evaluated with plain radiography and computed tomography, and graded using...

journal_title：Annals of the Royal College of Surgeons of England

authors： Vasukutty N,Kumar V,Diab M,Moussa W

更新日期：2017-04-01 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：:The treatment of erectile dysfunction has been revolutionised with the introduction of orally active phosphodiesterase inhibitors which are successful in 70-80% of men. However, there remain a group of men in whom conservative treatment fails and surgical insertion of a penile prosthesis is required. This type of surg...

journal_title：Annals of the Royal College of Surgeons of England

authors： Jain S,Terry TR

更新日期：2006-07-01 00:00:00

abstract：:Over the past decade fibre supplementation has achieved widespread acceptance in the management of symptomatic diverticular disease, although the efficacy of this treatment has been debated. We have conducted a retrospective review of 72 patients admitted to hospital with symptomatic diverticular disease over a ten ye...

journal_title：Annals of the Royal College of Surgeons of England

authors： Leahy AL,Ellis RM,Quill DS,Peel AL

更新日期：1985-05-01 00:00:00

abstract：INTRODUCTION:The use of postoperative drains following total knee replacement (TKR) has recently been modified by the use of re-transfusion drains. The aim of our study was to investigate the optimal time for removal of re-transfusion drains following TKR. PATIENTS AND METHODS:The medical records of 66 patients who ha...

journal_title：Annals of the Royal College of Surgeons of England

authors： Leeman MF,Costa ML,Costello E,Edwards D

更新日期：2006-03-01 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：:In cases where surgeons face litigation over operative misadventure, the result of a trial is uncertain. In order to identify factors in cases of surgical litigation that have influenced the final decision of the courts, we have previously reviewed reported cases where the outcome turned on actions taken by surgeons. ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Wheeler R,Blackburn S,Biggs H

更新日期：2015-04-01 00:00:00

abstract：INTRODUCTION:Nosocomial MRSA infection has become an important healthcare issue. We present 6 cases of MRSA enteritis, acquired following bowel surgery and ileostomy formation. PATIENTS AND METHODS:The data set was obtained from the experience of one consultant surgeon over 6 years in one medical centre. The clinical ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Haq AI,Cook LJ

更新日期：2007-04-01 00:00:00

abstract：INTRODUCTION:The correction of anaemia prior to total hip arthroplasty reduces surgical risk, hospital stay and cost. This study considers the benefits of implementing a protocol of identifying and treating pre-operative anaemia whilst the patient is on the waiting list for surgery. PATIENTS AND METHODS:From a prospec...

journal_title：Annals of the Royal College of Surgeons of England

authors： Rogers BA,Cowie A,Alcock C,Rosson JW

更新日期：2008-09-01 00:00:00

abstract：INTRODUCTION:Incisional hernia is a common complication of laparoscopic colorectal surgery. Extraction site may influence the rate of incisional hernias. Major risk factors for the development of incisional hernias include age, diabetes, obesity and smoking status. In this study, we investigated the effect of specimen ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Navaratnam AV,Ariyaratnam R,Smart NJ,Parker M,Motson RW,Arulampalam TH

更新日期：2015-01-01 00:00:00

abstract：:Internal herniation of the small bowel through a defect in the falciform ligament and subsequent small bowel obstruction is exceedingly rare with the majority of previous cases being attributed to congenital abnormalities. As laparoscopic techniques approach the forefront of modern surgery, an iatrogenic source for a ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Dusu K,Dindyal S,Gadhvi V

更新日期：2015-09-01 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：INTRODUCTION:The increased use of diagnostic laparoscopy for management of right iliac fossa pain may have lowered the threshold for removing normal appendices, particularly as there is a perception that this practice carries little additional morbidity. The aim of this retrospective audit was to determine the negative...

journal_title：Annals of the Royal College of Surgeons of England

authors： Lee M,Paavana T,Mazari F,Wilson TR

更新日期：2014-10-01 00:00:00

abstract：:A series of 21 patients (18 female) whose intractable constipation was treated by colectomy between 1976 and 1985 is reported. There was no mortality attributable to surgery in this series. Total colectomy with ileorectal anastomosis was the preferred operation, but it produced a satisfactory result in only 12 patient...

journal_title：Annals of the Royal College of Surgeons of England

authors： Walsh PV,Peebles-Brown DA,Watkinson G

更新日期：1987-03-01 00:00:00

abstract：INTRODUCTION:Nicorandil is a commonly prescribed antianginal medication that has been found to be associated with painful anal ulceration. The incidence of this complication is unknown. We have used the best data available to us to make an estimate of this figure in a health district with a remarkably stable populatio...

journal_title：Annals of the Royal College of Surgeons of England

authors： Colvin HS,Barakat T,Moussa O,Babu H,Slaughter T,Palmer JG,Hinson FL

更新日期：2012-04-01 00:00:00

abstract：:In a 4-year review of 509 patients with chronic pancreatitis, the incidence of clinically manifest fixed common bile duct (CBD) stenosis was 9% (45 patients). In 76% this was alcohol related, and pancreatic calcification was present in 51%. All patients presented with unrelenting jaundice and five (11%) had cholangiti...

journal_title：Annals of the Royal College of Surgeons of England

authors： Huizinga WK,Thomson SR,Spitaels JM,Simjee AE

更新日期：1992-03-01 00:00:00

abstract：:Some 1000 postcard questionnaires were sent to Fellows of the British Orthopaedic Association (BOA) to establish current follow-up practice of primary total hip replacement (THR) patients. For cemented THRs, 50% of surgeons saw their patients for under 1 year, 78% under 5 years with indefinite follow-up being performe...

journal_title：Annals of the Royal College of Surgeons of England

authors： Bankes MJ,Coull R,Ferris BD

更新日期：1999-09-01 00:00:00

abstract：INTRODUCTION:The aim of this study was to determine the awareness of Clostridium difficile infection amongst healthcare professionals. SUBJECTS AND METHODS:A total of 132 healthcare professionals (18 consultants, 40 trainee doctors, and 74 nursing staff) in our hospital were randomly surveyed using a questionnaire con...

journal_title：Annals of the Royal College of Surgeons of England

authors： Aroori S,Blencowe N,Pye G,West R

更新日期：2009-09-01 00:00:00

abstract：INTRODUCTION:Patients undergoing colorectal surgical resections have a high incidence of surgical site infection (SSI). Many patient-specific risk factors have been recognised in association with SSI in such patients, but environmental contamination is increasingly recognised as a contributor to hospital-acquired infec...

journal_title：Annals of the Royal College of Surgeons of England

authors： Brady RR,Kalima P,Damani NN,Wilson RG,Dunlop MG

更新日期：2007-10-01 00:00:00

abstract：INTRODUCTION:Hip fractures are common injuries in elderly patients presenting to the trauma surgeon. Mortality following such injuries approaches 10% at one month, rising to 30% at one year. Of those who survive, most experience a decrease in mobility and independence. The authors believe that the general public are no...

journal_title：Annals of the Royal College of Surgeons of England

authors： McBride TJ,Panrucker S,Clothier JC

更新日期：2011-01-01 00:00:00

abstract：:We present a rare and previously undocumented potential complication of computed tomography (CT) colonography. CT colonography is a commonly performed investigation with a relatively low risk of complications. While splenic injury is a well-documented complication after colonoscopy, it has never been reported followin...

journal_title：Annals of the Royal College of Surgeons of England

authors： Sehgal R,Whitehead-Clarke T,Tudyka V,Evans S

更新日期：2019-01-01 00:00:00

abstract：:The management of 12 patients with medullary thyroid carcinoma is reviewed. All patients underwent total thyroidectomy. Local nodal and extracapsular spread was aggressively resected, followed by radiotherapy. No patient died from uncontrolled local disease. Prolonged survival after radical treatment is demonstrated e...

journal_title：Annals of the Royal College of Surgeons of England

authors： Lannigan FJ,Watkinson JC,Clarke SE,Maisey MN,Shaheen OH

更新日期：1991-01-01 00:00:00

abstract：:Aortic angiography is widely considered the 'gold standard' for the diagnosis of traumatic thoracic aortic injury. Unfortunately, thoracic aortic angiography has many disadvantages: the technique is invasive but, more importantly, it is not routinely available in all hospitals, necessitating transfer of critically ill...

journal_title：Annals of the Royal College of Surgeons of England

authors： Beese RC,Allan R,Treasure T

更新日期：2001-01-01 00:00:00