An audit of the surgical workload on a renal unit.

abstract：:The value of nasogastric tube decompression after elective abdominal operations was assessed in a randomised trial in which 97 patients were and 100 were not allocated postoperative nasogastric decompression. Only two patients in the latter group subsequently required decompression. There was no statistically signific...

journal_title：Annals of the Royal College of Surgeons of England

authors： Nathan BN,Pain JA

更新日期：1991-09-01 00:00:00

abstract：:Three hundred and forty consecutive patients received successful spinal anaesthesia with 0.5% plain bupivacaine. A small randomised study of 40 of these cases showed little difference between 3.5 and 3 ml; however, analysis of its use in 200 patients receiving 3.5 ml (mean block T10.5 +/- 1 segment) and 100 receiving ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Ryan DW,Pridie AK,Copeland PF

更新日期：1983-01-01 00:00:00

abstract：:Hand-held Doppler (HHD) examination and duplex ultrasound scanning of patients with varicose veins are more accurate than clinical assessment alone. To assess how the introduction of HHD and the availability of duplex ultrasound scanning affects patient management, a retrospective review was carried out comparing the ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Pleass HC,Holdsworth JD

更新日期：1996-11-01 00:00:00

abstract：:In the differential diagnosis of a swollen elbow, the palpation of the supratrochlear glands is useful. They are not enlarged in a traumatic elbow joint. They are enlarged, discrete and shotty in rheumatoid arthritis. In tuberculosis, they are enlarged, matted and they may caseate and form a cold abscess on the medial...

journal_title：Annals of the Royal College of Surgeons of England

authors： Patel DA

更新日期：2001-11-01 00:00:00

abstract：:Despite published criteria predicting poor survival after operation for ruptured abdominal aortic aneurysm (RAAA), little is known about the factors which influence surgeons not to operate. Questionnaires were sent to all 404 members of the Vascular Surgical Society of Great Britain and Ireland, posing questions about...

journal_title：Annals of the Royal College of Surgeons of England

authors： Hewin DF,Campbell WB

更新日期：1998-05-01 00:00:00

abstract：:Introduction Angiolipoma is a histological variant of lipoma and is the most common neoplasm in the trunk and extremities of young adults. It is extremely rare in elderly people, and its size is ≤4cm. Few data are available for large angiolipomas. Case History An 86-year-old patient was admitted to our surgical depart...

journal_title：Annals of the Royal College of Surgeons of England

authors： Papakonstantinou PE,Korkolopoulou P,Lassithiotakis D,Lolis ED

更新日期：2016-07-01 00:00:00

abstract：:We describe the case of an 89-year old Caucasian woman admitted with confusion and severe clinical manifestations of acute hypercalcaemia. There was no history suggestive of any malignancy and initial management included correction of the hypercalcaemia with intravenous fluid therapy. Sestamibi parathyroid scintigraph...

journal_title：Annals of the Royal College of Surgeons of England

authors： D'cruz RT,Seet JE,Parameswaran R

更新日期：2020-10-01 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：:This is a case of a very unusual cause of an acute groin lump in a 71-year-old woman that was presumed initially to either be an incisional or inguinal hernia. However, with subsequent computed tomography it was shown to be thrombophlebitis of collateral vessels secondary to a previous deep vein thrombosis. This case...

journal_title：Annals of the Royal College of Surgeons of England

authors： Davey PT,Byrnes C

更新日期：2012-01-01 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：:BACKGROUND Arthroscopy is the established 'gold standard' diagnostic investigation for detection of shoulder disorders. We aimed to compare the diagnostic accuracy of arthroscopy with magnetic resonance arthrography (MRA) for detection of shoulder disorders. METHODS Patients who underwent arthroscopy by a single surge...

journal_title：Annals of the Royal College of Surgeons of England

authors： Saqib R,Harris J,Funk L

更新日期：2017-04-01 00:00:00

abstract：INTRODUCTION:Adequate peri-operative analgesia following total knee arthroplasty (TKA) promotes earlier rehabilitation but remains problematic because of the drug side-effects. Peri-articular multimodal drug infiltration (PMDI) has been developed as an alternative strategy to avoid such complications. Autologous retran...

journal_title：Annals of the Royal College of Surgeons of England

authors： Gill I,Gallagher K,Busch CA

更新日期：2010-05-01 00:00:00

abstract：:A randomized controlled trial has been conducted into the effects of discharging patients from hospital either at 48 h or 6-7 days after operation for inguinal hernia or varicose veins. There was no statistically significant difference in the frequency of major postoperative complications between the two lengths of st...

journal_title：Annals of the Royal College of Surgeons of England

authors： Adler ME

更新日期：1977-05-01 00:00:00

abstract：:Forty-eight patients treated for haemorrhoids by Lord's procedure have been followed up for 5 years. Preoperative anal pressure and motility studies suggest that the best long-term results occur in patients with an active internal sphincter. Anal pressure was reduced by dilatation and remained static over the next 5 y...

journal_title：Annals of the Royal College of Surgeons of England

authors： Hancock BD

更新日期：1982-11-01 00:00:00

abstract：INTRODUCTION:There has been a shift away from gross anatomy teaching and hands-on cadaveric dissection. This has been replaced by a variety of teaching modalities including problem-based learning, models and prosections, and computer-assisted learning. We aim to pilot a technique of endoscopic visualisation of upper li...

journal_title：Annals of the Royal College of Surgeons of England

authors： Matteucci P,Lagopoulos M,Southern S

更新日期：2011-04-01 00:00:00

abstract：:The pattern of preoperative investigation was audited in 256 patients entering hospital for elective surgery over a 12-week period. During the initial 6 weeks (phase one), no guidance was given to the house surgeons and the investigations were assessed as being 'indicated' or 'not indicated' according to preset criter...

journal_title：Annals of the Royal College of Surgeons of England

authors： Billings PJ,Davies JP,Richards R,Aubrey DA

更新日期：1993-05-01 00:00:00

abstract：:Cystic nephroma is a rare lesion, but there has been an increased number of cases reported in the recent literature. Most cases have been discovered incidentally either on routine examination or during radiological investigations. There are two peaks of incidence, one in childhood and one in middle age and the conditi...

journal_title：Annals of the Royal College of Surgeons of England

authors： Upadhyay AK,Neely JA

更新日期：1989-11-01 00:00:00

abstract：:Pancreatic injuries are uncommon, difficult to diagnose and there is no uniform standard for treatment. The purpose of this study was to audit the management of pancreatic injuries in our practice. Equally important is to attempt to find out a simple management plan particularly in the era of increasing conservative t...

journal_title：Annals of the Royal College of Surgeons of England

authors： el-Boghdadly S,al-Yousef Z,al Bedah K

更新日期：2000-07-01 00:00:00

abstract：:Over the past 15 years, 32 cases of tuberculosis have been seen and diagnosed in the surgical and gynaecological departments of the Northern General Hospital, Sheffield. The average age of patients was 42.8 years. Of the sites affected, 17 had head, neck or axillary swellings, 6 affected the female genital tract, 3 ha...

journal_title：Annals of the Royal College of Surgeons of England

authors： Hodgson TJ,Duncan JL,Rogers K

更新日期：1988-05-01 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：:Delay in operating on trauma patients leads to increased morbidity, mortality, length of hospital stay and overall cost. The urgency of operative intervention depends on the injury sustained. There are no published guidelines on what constitutes a reasonable delay between admission and operation. As part of the clinic...

journal_title：Annals of the Royal College of Surgeons of England

authors： Lankester BJ,Paterson MP,Capon G,Belcher J

更新日期：2000-09-01 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：:Changes in anal pressure have been monitored during the induction of anaesthesia. Falls in pressure accompany loss of consciousness following bolus doses of commonly used intravenous and inhalational anaesthetic agents. Subsequent rises in pressure towards pre-anaesthetic levels are usually associated with the time ta...

journal_title：Annals of the Royal College of Surgeons of England

authors： Harrison MJ,Tomlinson PA,Ubhi CS,Wright J,Hardcastle JD

更新日期：1988-03-01 00:00:00

abstract：:The initial teaching and learning experience of four surgeons performing a laparoscopic Nissen fundoplication is reported. A total of 33 patients underwent the laparoscopic approach for Nissen fundoplication. Two patients also underwent concomitant cholecystectomy. A loose 360 degrees fundoplication secured by three o...

journal_title：Annals of the Royal College of Surgeons of England

authors： Watson DI,Reed MW,Johnson AG,Stoddard CJ

更新日期：1994-07-01 00:00:00

abstract：AIM:The analgesia provided for children is often less than for adults with the same underlying pathology. This paper attempts to quantify the postoperative analgesic requirements of patients undergoing appendicectomy. METHODS:Patients between 6 and 30 years of age who underwent an unscheduled appendicectomy were prosp...

journal_title：Annals of the Royal College of Surgeons of England

authors： Lambert AW,Mayor A

更新日期：2000-03-01 00:00:00

abstract：:The first 50 patients who underwent arthroscopic surgery as a half-day procedure in Doncaster Royal Infirmary were studied: 22 patients underwent an arthroscopic meniscectomy and 6 patients had other procedures. The mean return-to-work time for meniscectomy patients was 23.9 days. The cost improvement per patient, whe...

journal_title：Annals of the Royal College of Surgeons of England

authors： Redden JF

更新日期：1988-07-01 00:00:00

abstract：:Luc's abscess is a rare but important complication of acute otitis media (AOM), whereby infection spreads from the middle ear, resulting in a subperiosteal collection beneath the temporal muscle. Unlike other extracranial abscesses relating to AOM, Luc's abscess is not believed to involve the mastoid bone. We present ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Scrafton DK,Qureishi A,Nogueira C,Mortimore S

更新日期：2014-07-01 00:00:00

abstract：OBJECTIVE:To ascertain whether a written information sheet is acceptable to patients and improves recall of the consent interview. DESIGN:Prospective randomised controlled study using questionnaires, comparing a group of patients given information in a written sheet with appropriate explanation to a group given verbal...

journal_title：Annals of the Royal College of Surgeons of England

authors： Langdon IJ,Hardin R,Learmonth ID

更新日期：2002-11-01 00:00:00

abstract：:We present a case of massive pneumoperitoneum in association with pneumatosis intestinalis that was successfully managed without surgery despite a clinical picture of an acute abdomen and biochemical evidence of inflammation and systemic upset. Recognition of non-surgical pneumoperitoneum is important to avoid unneces...

journal_title：Annals of the Royal College of Surgeons of England

authors： Brill SE,Skipworth J,Stoker DL

更新日期：2008-03-01 00:00:00

abstract：:This report describes the mortality in 100 liver resections performed in 96 patients for seven benign and 93 malignant liver tumours. Repeat hepatectomy was performed in four patients who developed recurrences after the first liver resection. Two patients died within 30 days. The first was a 67-year-old man who died o...

journal_title：Annals of the Royal College of Surgeons of England

authors： Habib NA

更新日期：1995-03-01 00:00:00