An inexpensive method of quality assessment in anastomosis workshops.

Abstract:

:A method of comparing the quality of intestinal anastomoses performed in craft workshops is described. The equipment is readily available in any hospital, inexpensive and requires no technical construction. The apparatus accurately measures the intraluminal pressure at the first sign of anastomotic leak and a method of deriving the wall tension is explained. Calculation of wall tension at the point of failure allows comparison of anastomoses of different size. An instructor can therefore monitor the improvement of an individual trainee or rank a class according to the quality of their anastomoses.

journal_name

J R Army Med Corps

authors

Royle CA,Phillips RK

doi

10.1136/jramc-139-03-06

subject

Has Abstract

pub_date

1993-10-01 00:00:00

pages

105-8

issue

3

eissn

0035-8665

issn

2052-0468

journal_volume

139

pub_type

杂志文章
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    abstract::This paper is a corollary of the recent Class Action against the MoD 2003 and should be read in conjunction with Palmer 2003. As fear is a prerequisite for the diagnosis of Post Traumatic Stress Disorder (PTSD) it was examined in some detail during this case. This paper serves to amplify those deliberations. ...

    journal_title:Journal of the Royal Army Medical Corps

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    doi:10.1136/jramc-150-02-03

    authors: Palmer I

    更新日期:2004-06-01 00:00:00

  • "Bomb explosion on the Nis express" - lessons from a major incident, Kosovo 16 Feb 2001.

    abstract::On Friday 16 February 2001, terrorists detonated a bomb under a civilian coach travelling from Nis in Serbia to Gracanica in Kosovo. 10 people were killed at the scene. 13 casualties were treated in the British KFOR hospital (Reynolds Hospital) in Pristina. Another 8 casualties were evacuated to the American KFOR hosp...

    journal_title:Journal of the Royal Army Medical Corps

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    doi:10.1136/jramc-151-01-04

    authors: Vassallo DJ,Graham PJ,Gupta G,Alempijevic Dj

    更新日期:2005-03-01 00:00:00

  • Operation GRITROCK: the Defence Medical Services' story and emerging lessons from supporting the UK response to the Ebola crisis.

    abstract::This paper is a record of the UK Defence Medical Services (DMS) contribution to the UK response to the Ebola crisis in West Africa from the start of planning in July 2014 to the closure of the Ministry of Defence Ebola Virus Disease Treatment Unit at the end of June 2015. The context and wider UK government decisions ...

    journal_title:Journal of the Royal Army Medical Corps

    pub_type: 杂志文章

    doi:10.1136/jramc-2015-000512

    authors: Bricknell M,Hodgetts T,Beaton K,McCourt A

    更新日期:2016-06-01 00:00:00

  • A 2-year review of the general internal medicine admissions to the British Role 3 Hospital in Camp Bastion, Afghanistan.

    abstract:BACKGROUND:Detailed knowledge of the likely volume and nature of the diseases presenting to deployed secondary care facilities aids operational planning. Now the British operation in Afghanistan has ended and a record of the experience is useful to preserve the lessons learned. METHODS:Over a 2-year period from April ...

    journal_title:Journal of the Royal Army Medical Corps

    pub_type: 杂志文章

    doi:10.1136/jramc-2014-000385

    authors: Cox AT,Lentaigne J,White S,Burns DS,Parsons I,O'Shea M,Stacey M,Sharma S,Wilson D

    更新日期:2016-02-01 00:00:00

  • Freedom from frozen: the first British military use of lyophilised plasma in forward resuscitation.

    abstract::Prehospital use of blood products may improve survival. However, transfusion support with frozen blood components is logistically burdensome and constrains the configuration of prehospital medical support. Alternatives to frozen plasma, including lyophilised plasma, offer the potential for advanced resuscitation in th...

    journal_title:Journal of the Royal Army Medical Corps

    pub_type: 杂志文章,评审

    doi:10.1136/jramc-2014-000361

    authors: Gokhale SG,Scorer T,Doughty H

    更新日期:2016-02-01 00:00:00

  • The Triservice Anaesthetic Apparatus: a review.

    abstract::The Triservice Anaesthetic Apparatus was designed around 30 years ago as a robust and highly portable anaesthesia delivery system for medical support to airborne operations and it has been the core anaesthesia system for the Defence Medical Services since then. Over this period there have been a number of equipment ch...

    journal_title:Journal of the Royal Army Medical Corps

    pub_type: 杂志文章,评审

    doi:10.1136/jramc-156-04s-19

    authors: Frazer RS,Birt DJ

    更新日期:2010-12-01 00:00:00

  • A personal view--6 months in a FOB.

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    journal_title:Journal of the Royal Army Medical Corps

    pub_type: 杂志文章

    doi:10.1136/jramc-156-01-14

    authors: Cooper DJ

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  • American cutaneous leishmaniasis.

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    journal_title:Journal of the Royal Army Medical Corps

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  • The Combat Fitness Test--its Victorian origins.

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    journal_title:Journal of the Royal Army Medical Corps

    pub_type: 传,历史文章,杂志文章

    doi:10.1136/jramc-135-02-12

    authors: Bennett JD

    更新日期:1989-06-01 00:00:00

  • Historical origins and current concepts of wound debridement.

    abstract::In the late 18th Century wound debridement consisted of incision of skin and deep fascia to release the swelling associated with ballistic injury, however extremity war wounds were more usually managed non-operatively or by amputation. During the First World War debridement was redefined to include excision of all non...

    journal_title:Journal of the Royal Army Medical Corps

    pub_type: 社论,历史文章

    doi:10.1136/jramc-157-02-01

    authors: Guthrie HC,Clasper JC

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  • Battlefield Advanced Trauma Life Support (BATLS).

    abstract::The vast majority of casualties will only require a common sense approach to their preparation for evacuation, by asking simple questions, most problems can be identified and resolved prior to the evacuation. Ask? Are aeromed teams available to undertake this task? (Contact them). If aeromed teams are unavailable but ...

    journal_title:Journal of the Royal Army Medical Corps

    pub_type: 杂志文章

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  • Injuries of the sterno-clavicular joint in backpackers.

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    journal_title:Journal of the Royal Army Medical Corps

    pub_type: 杂志文章

    doi:10.1136/jramc-148-03-10

    authors: Shoaib A,Mehraj Q,Jepson F

    更新日期:2002-09-01 00:00:00

  • Japanese encephalitis in southeastern Nepal: clinical aspects in the 1986 epidemic.

    abstract::A multi disciplinary team furthered the collaborative study of acute encephalitis in southeastern Nepal during a major epidemic which occurred in the monsoon period of 1986. Viral studies of serum and cerebro-spinal fluid (CSF) confirmed Japanese Encephalitis Virus (JEV) as the causative agent. Analysis of epidemiolog...

    journal_title:Journal of the Royal Army Medical Corps

    pub_type: 杂志文章

    doi:10.1136/jramc-137-01-03

    authors: McCallum JD

    更新日期:1991-02-01 00:00:00

  • Forward trauma surgery in Afghanistan: lessons learnt on the modern asymmetric battlefield.

    abstract::The deployment of 16 Air Assault Brigade to Helmand Province, Afghanistan in April-October 2006 was supported by a two -surgeon Field Surgical Team (FST) embedded within a 25 bed medical facility. We report the summative operative experience of the FST in order to analyse workload, case-mix and outline future training...

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    pub_type: 杂志文章

    doi:10.1136/jramc-154-01-05

    authors: Tai N,Hill P,Kay A,Parker P

    更新日期:2008-03-01 00:00:00

  • Nutrition of the critically ill patient in field hospitals on operations.

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    journal_title:Journal of the Royal Army Medical Corps

    pub_type: 杂志文章

    doi:10.1136/jramc-154-04-17

    authors: Henning J,Scott T,Price S

    更新日期:2008-12-01 00:00:00

  • Military clinical practice. The intra-uterine device. Part II. Technical problems.

    abstract::Proper clinical practice in the military for IUD insertion is outlined. Bimanual examination of the pelvis is prerequisite; a Cusco speculum should be used to visualize the cervix and vagina. Cervical erosion and vaginal discharges should be treated before insertion. The basic insertion method is to fix the blades ...

    journal_title:Journal of the Royal Army Medical Corps

    pub_type: 杂志文章

    doi:

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  • Case of venom ophthalmia following contact with Naja pallida: the red spitting cobra.

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    journal_title:Journal of the Royal Army Medical Corps

    pub_type: 杂志文章

    doi:10.1136/jramc-2017-000891

    authors: Handford C

    更新日期:2018-05-01 00:00:00

  • One year of burns at a role 3 Medical Treatment Facility in Afghanistan.

    abstract:OBJECTIVES:Historically, burns have formed a significant proportion of the casualties of war. The management of burns in recent conflict has been found to be a resource-heavy undertaking, though its impact on both personnel and resources in current conflicts is unclear. A case analysis has been carried out in order to ...

    journal_title:Journal of the Royal Army Medical Corps

    pub_type: 杂志文章

    doi:10.1136/jramc-2013-000100

    authors: Jeevaratnam JA,Pandya AN

    更新日期:2014-03-01 00:00:00

  • Orchidopexy in a military hospital.

    abstract::A retrospective analysis of 53 consecutive cases of orchidopexy performed at the British Military Hospital Munster between 1984 and 1988 showed that the average of referral for orchidopexy was 4 years 7 months and that the average age at surgery for mal/un-descended testes was 5 years exactly. Sixty-four percent of al...

    journal_title:Journal of the Royal Army Medical Corps

    pub_type: 杂志文章

    doi:10.1136/jramc-136-01-08

    authors: Corner NB,Bissett RJ,Hull JB,Roberts P

    更新日期:1990-02-01 00:00:00

  • The non-combatant status: importance and implications for medical personnel.

    abstract::Under the laws of armed conflict military medics are deemed non-combatants, and as such are subject to certain protections and limitations. The non-combatant status is defined in the famous Geneva Conventions, which form the basis of the international law of armed conflict. The protections afforded to medical personne...

    journal_title:Journal of the Royal Army Medical Corps

    pub_type: 社论

    doi:10.1136/jramc-2016-000732

    authors: Wilkins D,Dieppe C

    更新日期:2017-12-01 00:00:00

  • Incidence of SLAP lesions in a military population.

    abstract:OBJECTIVES:SLAP (superior labrum anterior and posterior) lesions are a recognised cause of shoulder pain and instability. They can occur following a direct blow, biceps traction and compression injuries, and are commonly seen in overhead athletes. Military personnel are physically active and often subjected to trauma. ...

    journal_title:Journal of the Royal Army Medical Corps

    pub_type: 杂志文章

    doi:10.1136/jramc-151-03-07

    authors: Kampa RJ,Clasper J

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  • A two year review of the treatment and complications of mandibular angle fractures.

    abstract::A review of all patients with treated mandibular angle fractures at a district general hospital, over a two year period, was undertaken. Forty one consecutive patients with 43 mandibular angle fractures were identified. Thirty eight fractures were treated by open reduction and internal fixation with miniplates and 5 b...

    journal_title:Journal of the Royal Army Medical Corps

    pub_type: 杂志文章

    doi:10.1136/jramc-148-02-01

    authors: Dhariwal DK,Gibbons AJ,Murphy M,Llewelyn J,Gregory MC

    更新日期:2002-06-01 00:00:00

  • Injury severity at presentation is not associated with long-term vocational outcome in British Military brain injury.

    abstract:INTRODUCTION:Injury Severity Score (ISS) and GCS can be retrospective markers of injury severity, but if used by clinicians to decide on the treatment of acutely brain-injured casualties at the point of injury may potentially limit interventions on people who may ultimately survive with good functional outcomes. METHO...

    journal_title:Journal of the Royal Army Medical Corps

    pub_type: 杂志文章

    doi:10.1136/jramc-2014-000393

    authors: Bahadur S,McGilloway E,Etherington J

    更新日期:2016-04-01 00:00:00

  • Open abdomen and VAC® in severe diffuse peritonitis.

    abstract:BACKGROUND:Currently, the open abdomen technique is the widely recognised method for treatment of life-threatening trauma, intra-abdominal sepsis, abdominal compartment syndrome and wound dehiscence. The techniques for temporary closure using negative pressure have gained increasing popularity. Although negative pressu...

    journal_title:Journal of the Royal Army Medical Corps

    pub_type: 杂志文章

    doi:10.1136/jramc-2014-000386

    authors: Mutafchiyski VM,Popivanov GI,Kjossev KT,Chipeva S

    更新日期:2016-02-01 00:00:00

  • Venous thromboembolism: reducing the risk in a Role 3 setting.

    abstract:BACKGROUND:Venous thromboembolism (VTE) represents a significant preventable cause of hospital mortality. VTE assessment and prophylaxis rates are key patient safety and quality of care indicators. The aim of this study was to audit low molecular weight heparin (LMWH) and graduated elasticated compression stockings (GE...

    journal_title:Journal of the Royal Army Medical Corps

    pub_type: 杂志文章

    doi:10.1136/jramc-2013-000199

    authors: Craig DG,Adam MG,Proffitt A,Parsons I,Tai NR,d'Arcy JL

    更新日期:2014-12-01 00:00:00

  • REBOA at Role 2 Afloat: resuscitative endovascular balloon occlusion of the aorta as a bridge to damage control surgery in the military maritime setting.

    abstract::Role 2 Afloat provides a damage control resuscitation and surgery facility in support of maritime, littoral and aviation operations. Resuscitative endovascular balloon occlusion of the aorta (REBOA) offers a rapid, effective solution to exsanguinating haemorrhage from pelvic and non-compressible torso haemorrhage. It ...

    journal_title:Journal of the Royal Army Medical Corps

    pub_type: 杂志文章

    doi:10.1136/jramc-2017-000874

    authors: Rees P,Waller B,Buckley AM,Doran C,Bland S,Scott T,Matthews J

    更新日期:2018-05-01 00:00:00

  • Creating a 'Father Confessor': the origins of research ethics committees in UK military medical research, 1950-1970. Part II, origins and organisation.

    abstract::Using a major ethics crisis as a methodological approach to study secret science environments, part II examines the origins and organisation of the Applied Biology Committee (ABC), the first independent research ethics committee (REC) at Porton Down, Britain's biological and chemical warfare establishment since the Fi...

    journal_title:Journal of the Royal Army Medical Corps

    pub_type: 历史文章,杂志文章

    doi:10.1136/jramc-2019-001207

    authors: Schmidt U

    更新日期:2019-08-01 00:00:00

  • Phytophotodermatitis after gardening.

    abstract::Phytophotodermatitis, otherwise known as 'Strimmer's Rash' is an unusual cause of a widespread rash. We present a case of phytophotodermatitis, which was initially misdiagnosed as chickenpox; the correct diagnosis was made after further careful history taking and illustrates the importance of taking a thorough history...

    journal_title:Journal of the Royal Army Medical Corps

    pub_type: 杂志文章

    doi:10.1136/jramc-154-04-08

    authors: Wild G

    更新日期:2008-12-01 00:00:00

  • British Military Hospital Dharan: surgical experience 1985-86.

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    pub_type: 杂志文章

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    更新日期:1988-02-01 00:00:00

  • Renal function after trauma.

    abstract:OBJECTIVE:The lack of need for immediate renal replacement treatment for military trauma victims suggests that the current policy of restricting operational deployment of those Service personnel with active inflammatory renal disease and significantly impaired renal function, combined with good prehospital care for all...

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