Replantation and reconstructive microvascular surgery. Part I.

abstract：INTRODUCTION:Upper gastrointestinal (GI) bleeding in patients who undergo hip and knee arthroplasty tends to be associated with non-steroidal anti-inflammatory drug use, steroid intake, pre-existing peptic ulcers and smoking. The use of aspirin for thromboprophylaxis is an added risk for the occurrence of GI bleed. The...

journal_title：Annals of the Royal College of Surgeons of England

authors： Madhusudhan TR,Rangan A,Gregg PJ

更新日期：2008-05-01 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：: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：:Bleeding from the edge of an ileostomy site is a common problem. In those who have undergone a proctocolectomy with ileostomy formation in conjunction with a risk of chronic liver disease (even with normal liver function tests), this may be due to peristomal varices. If this is the case, significant, difficult-to-cont...

journal_title：Annals of the Royal College of Surgeons of England

authors： Farquharson AL,Bannister JJ,Yates SP

更新日期：2006-09-01 00:00:00

abstract：:Of 1,033 patients with colorectal carcinoma, 238 (23%) presented with obstruction. The majority of tumours (74%) were potentially curable (Dukes B/C) at presentation. Tumours situated at the splenic flexure, transverse or descending colon were most likely to obstruct. Perioperative mortality was high following either ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Waldron RP,Donovan IA

更新日期：1986-07-01 00:00:00

abstract：:There has been renewed emphasis on research following the Calman recommendations for higher training. It is often considered essential for progression in training to have participated in research projects and to have some publications to one's credit. Orthopaedic surgery is usually thought to lag behind other discipli...

journal_title：Annals of the Royal College of Surgeons of England

authors： Singh GK,Qadir W,Deshmukh RG

更新日期：2003-01-01 00:00:00

abstract：:Surgical practice must be driven by wise professional judgements, involving complex deliberation, in the interests of ensuring the safe care of patients. Large amounts of energy are now being concentrated in training doctors in skills (competencies) in the belief that this will reduce risk to patients. Little thought ...

journal_title：Annals of the Royal College of Surgeons of England

authors： de Cossart L

更新日期：2005-07-01 00:00:00

abstract：:A simple, inexpensive method for one-way collection and measurement of secretions is described. This method has been used successfully in surgical practice in Bath for more than 20 years (1). ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Chester JF,Britton DC

更新日期：1986-09-01 00:00:00

abstract：:Epigastric hernia involving the falciform ligament is exceptionally rare. Most reported cases are incisional hernia secondary to prior abdominal surgery. We report a case of primary falciform ligament herniation into the epigastric region repaired by the laparoscopic preperitoneal approach. In this case, an accompanyi...

journal_title：Annals of the Royal College of Surgeons of England

authors： Liang TJ,Wang KC,Tsai CC,Chen IS

更新日期：2020-05-01 00:00:00

abstract：:The anaesthetic requirements for microsurgery of the larynx are described and techniques in frequent use reviewed. A method involving the Coplans nasotracheal cuffed tube and using controlled ventilation is described and its advantages detailed. The illustrations and blood gas measurements support the authors' view th...

journal_title：Annals of the Royal College of Surgeons of England

authors： Keen RI,Kotak PK,Ramsden RT

更新日期：1982-03-01 00:00:00

abstract：:We present the case of a 27-year-old man who underwent percutaneous atrial septal defect (ASD) repair using the Amplatzer(®) (St Jude Medical, St Paul, MN, US) septal occluder (ASO). Six weeks later, he presented with heart failure and was found to have an aorto-right atrial fistulation. He required urgent surgical de...

journal_title：Annals of the Royal College of Surgeons of England

authors： Bashir M,Abudhaise H,Mustafa H,Fok M,Bashir A,Hammoud I,Mascaro J

更新日期：2014-07-01 00:00:00

abstract：INTRODUCTION:Despite an increasing emphasis on data-driven quality improvement, few validated quality indicators for emergency surgical services have been published. The aims of this study therefore were: 1) to investigate whether the acute cholecystectomy rate is a valid process indicator; and 2) to use this rate to e...

journal_title：Annals of the Royal College of Surgeons of England

authors： Palser TR,Navarro AP,Swift S,Beckingham IJ

更新日期：2019-07-01 00:00:00

abstract：INTRODUCTION:Wound ooze is common following total knee arthroplasty (TKA) and persistent wound infection is a risk factor for infection, and increased length and cost of hospitalisation. PATIENTS AND METHODS:We undertook a prospective study to assess the effect of tourniquet time, peri-articular local anaesthesia and ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Butt U,Ahmad R,Aspros D,Bannister GC

更新日期：2011-01-01 00:00:00

abstract：INTRODUCTION:Since its first publication in 1997, minimally invasive video-assisted thyroidectomy (MIVAT) has developed into the predominant minimally invasive surgery of the thyroid. A major advantage over conventional thyroid surgery is the superior cosmetic result. However, there are still few data comparing the lon...

journal_title：Annals of the Royal College of Surgeons of England

authors： Sahm M,Otto R,Pross M,Mantke R

更新日期：2019-03-01 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 new surgical approach to the sublingual salivary gland is described, the key feature of which is the use of a flap rather than the usual incision. The flap includes the submandibular duct and, because of the relationship of the duct and lingual nerve, allows early identification of the latter before dissection of th...

journal_title：Annals of the Royal College of Surgeons of England

authors： Yates C

更新日期：1994-03-01 00:00:00

abstract：:A retrospective review of surgical treatment for portal hypertension during a 23-year period in a regional unit is reported and the immediate and subsequent management of patients with bleeding oesophageal varices is discussed. Fifty-four patients with recurrent varix haemorrhage uncontrolled by conservative methods h...

journal_title：Annals of the Royal College of Surgeons of England

authors： Kirby R,Burke FD,Jones JD

更新日期：1975-09-01 00:00:00

abstract：:Pharyngocutaneous fistulas following large oncological surgical resection of the upper aerodigestive tract are common and typically heal over a number of weeks. A pharyngostome is a surgically created non-healing opening into the pharynx, which is far less common and often difficult to manage. ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Stew B,Dafydd C,Berry S,Howard D

更新日期：2014-11-01 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：:Introduction There is a known correlation between anaerobic threshold (AT) during cardiopulmonary exercise testing and development of cardiopulmonary complications in high-risk patients undergoing oesophagogastric cancer surgery. This study aimed to assess the value of routine retesting following neoadjuvant chemother...

journal_title：Annals of the Royal College of Surgeons of England

authors： Drummond RJ,Vass D,Wadhawan H,Craig CF,MacKay CK,Fullarton GM,Forshaw MJ

更新日期：2018-09-01 00:00:00

abstract：INTRODUCTION:The aim of this study was to identify whether clinicians are obtaining a valid consent for surgery, and ascertain the parents' perception of parental responsibility when giving consent for their children. PATIENTS AND METHODS:Adults consenting for 100 children were questioned about the possession of paren...

journal_title：Annals of the Royal College of Surgeons of England

authors： Elmalik K,Wheeler RA

更新日期：2007-09-01 00:00:00

abstract：:We have reviewed the results of treatment of 159 consecutive limbs presenting with a clinical diagnosis of venous ulcer in 140 patients (70 male, aged 28-90 years, median 66 years). Of the patients, 61% were referred because of severe pain and 53% of the ulcers had been present > 2 years. Patients were evaluated clini...

journal_title：Annals of the Royal College of Surgeons of England

authors： Dunn JM,Cosford EJ,Kernick VF,Campbell WB

更新日期：1995-11-01 00:00:00

abstract：:Adult ingestion of caustic substances is an unusual but serious surgical problem, with injuries likely to be more extensive than those in the corresponding paediatric population. After initial stabilisation and airway management, clinicians are presented with a complex multisystemic problem, frequently requiring a mul...

journal_title：Annals of the Royal College of Surgeons of England

authors： Rollin M,Jaulim A,Vaz F,Sandhu G,Wood S,Birchall M,Dawas K

更新日期：2015-05-01 00:00:00

abstract：:Of 50 patients who had scrape cytology of the excision cavity after conservative surgery for breast carcinoma, 10 (20%) had malignant cells remaining in the cavity recognised by cytology. Of these patients, 18 had histological evidence of tumour at the resection margin, giving an accuracy of the cytology of 84%, a sen...

journal_title：Annals of the Royal College of Surgeons of England

authors： Lucarotti ME,White H,Deas J,Silver IA,Leaper DJ

更新日期：1990-11-01 00:00:00

abstract：:Spontaneous cervical lymphocoeles are extremely rare. Their surgical management can pose many challenges with the lack of clear surgical planes potentiating risks. We present the case of a patient with an extensive right-sided cervical lymphocoele. Surgical excision would have involved extensive surgery with risk to ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Qureishi A,Silva P,Lamyman A,Cox G

更新日期：2012-03-01 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 Patients with large ptotic breasts undergoing immediate implant-based reconstruction often require skin-reducing mastectomy to optimise the aesthetic outcome. However, healing complications, especially at the resulting inverted T-junction, leading to wound dehiscence, infection, skin necrosis, implant exp...

journal_title：Annals of the Royal College of Surgeons of England

authors： Kankam H,Hourston G,Forouhi P,Di Candia M,Wishart GC,Malata CM

更新日期：2018-08-16 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：INTRODUCTION:As a result of a single spinal injury seen at Frimley Park Hospital, we reviewed the injuries recorded at the Army School of Physical Training since December 1996. PATIENTS AND METHODS:This was a retrospective review of all acute accidents and injuries recorded in the Accident Book since its inception. R...

journal_title：Annals of the Royal College of Surgeons of England

authors： Griffiths DE,Hargrove R,Clasper J

更新日期：2006-09-01 00:00:00

abstract：:Malignant oesophago-respiratory fistula is an incurable and distressing condition. Surgery is difficult, unsatisfactory or impossible, and standard oesophageal tubes often fail to occlude the fistula. A new tube is described which relieves dysphagia and occludes the fistula without risk of pressure necrosis. After ins...

journal_title：Annals of the Royal College of Surgeons of England

authors： Irving JD,Simson JN

更新日期：1988-01-01 00:00:00