Local anaesthesia and inguinal hernia repair: a cautionary tale.

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：:Introduction Procedure specific consent forms (PSCFs) have been shown to improve consenting practice for a standardised list of complications. The aim of this study was to assess the current usage and quality of PSCFs in the National Health Service (NHS) for cholecystectomy, specifically comparing the listed complicat...

journal_title：Annals of the Royal College of Surgeons of England

authors： Courtney MJ,Royle TJ

更新日期：2018-07-01 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:More aesthetically acceptable treatment options have been sought to minimise the morbidity associated with open surgery for gynaecomastia. This study investigated the use of a vacuum-assisted biopsy device (VABD) and liposuction to provide minimally invasive approach. PATIENTS AND METHODS:Patients diagnos...

journal_title：Annals of the Royal College of Surgeons of England

authors： Qutob O,Elahi B,Garimella V,Ihsan N,Drew PJ

更新日期：2010-04-01 00:00:00

abstract：:A detailed account is given of the mechanics of converting the manuscript results from a period of research into a thesis that is also a first-class, readable book. ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Kelly MJ

更新日期：1981-07-01 00:00:00

abstract：:A comparative review of changing patterns between 1997 and 2002 of who performs appendicectomy and a snapshot of the surgical approaches in use. It also indicates the stage at which competency in appendicectomy may be achieved by contemporary trainees in surgery and anaesthesia. ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Lansdown MR,Gray AJ,Treasure T,Layer GT

更新日期：2006-10-01 00:00:00

abstract：:The risk of venous thromboembolism increases during pregnancy and postpartum. The incidence in the first six weeks following delivery is approximately 0.15%. Deep vein thrombosis may present with acute appendicitis-like symptoms such as right iliac fossa pain, nausea and vomiting. A 22-year-old woman was admitted with...

journal_title：Annals of the Royal College of Surgeons of England

authors： Karaisli S,Selcuk E

更新日期：2020-11-01 00:00:00

abstract：INTRODUCTION:Safe and effective haemostasis in surgery is clearly essential, and in the neck where risks of airway compromise are also present any new technology that purports to offer advantages must be rigorously evaluated. We describe our experience with the use of the Harmonic Scalpel [Ethicon UK] in thyroidectomy....

journal_title：Annals of the Royal College of Surgeons of England

authors： Foreman E,Aspinall S,Bliss RD,Lennard TW

更新日期：2009-04-01 00:00:00

abstract：:Total colectomy, mucosal proctectomy and ileal pouch formation has been carried out in 18 patients over a 4 year period. The rectum was divided 5 cm above the anorectal junction and a J-shaped ileal pouch was formed with a 15 cm limb. Two patients had an initial colectomy for toxic dilatation of the colon and mucosal ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Taylor TV

更新日期：1987-01-01 00:00:00

abstract：:A case is reported of a patient who sustained a significant haemothorax while playing with a Nintendo Wii console. ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Peek AC,Ibrahim T,Abunasra H,Waller D,Natarajan R

更新日期：2008-09-01 00:00:00

abstract：:Gastric spiral organisms were first described in man in 1939 and identified as Helicobacter pylori causing peptic ulcers in the early 1980s. Surgical specimens of gastric resections from 1939 showed H. pylori to be present. Full-thickness sections of gastric mucosa from gastric specimens from the eighteenth-century Hu...

journal_title：Annals of the Royal College of Surgeons of England

authors： Walker MM,Baron JH

更新日期：1997-09-01 00:00:00

abstract：:Primary breast carcinoma is a common pathology in the UK. It can present with metastatic deposits but it is rare that lesions in the breast are the sole primary or secondary presentation for metastatic cancer from other sources. We present a case of a primary peritoneal cancer recurring after optimal treatment with a...

journal_title：Annals of the Royal College of Surgeons of England

authors： Coyne PE,Kenny L,Barnes E,Westley R,Ward E,Jain M,Iwuchukwu O

更新日期：2012-03-01 00:00:00

abstract：:All surgical procedures are characterised by a sequence of steps and instrument changes. Although surgical efficiency and training in operative technique closely relate to this process, few studies have attempted to analyse it quantitatively. Because efficiency is particularly important in day surgery and lower third ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Shepherd JP,Brickley M

更新日期：1992-11-01 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：:We present a case a 48-year-old man who was diagnosed with an upper limb deep vein thrombosis post clavicle fracture. He was successfully investigated with a computed tomography (CT) venogram, thrombophilia was excluded, and he was subsequently treated with a 3-month course of anticoagulation. We illustrate this case ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Jones RE,McCann PA,Clark DA,Sarangi P

更新日期：2010-07-01 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：: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：:Endoscopic transthoracic sympathectomy (ETS) has recently become established as a successful treatment for severe palmar and axillary hyperhidrosis. In this unit the indications for ETS have been broadened to include patients with Raynaud's syndrome and critical upper limb ischaemia and this paper is primarily concern...

journal_title：Annals of the Royal College of Surgeons of England

authors： Nicholson ML,Dennis MJ,Hopkinson BR

更新日期：1994-09-01 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：INTRODUCTION:Perioperative visual loss occurring during non-ocular surgery is a devastating event. Ischaemic optic neuropathy (ION) is a complication described following many procedures. We report the first case of ION occurring during laparoscopic proctocolectomy and discuss the aetiological factors. CASE HISTORY:A 5...

journal_title：Annals of the Royal College of Surgeons of England

authors： Mizrahi H,Hugkulstone CE,Vyakarnam P,Parker MC

更新日期：2011-07-01 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：INTRODUCTION:Polypectomy at colonoscopy may be difficult or dangerous. In such instances colonic resection may be indicated. Novel combined laparoscopic-endoscopic procedures have the potential to allow safe extensive extramucosal resection, thus avoiding resection. Laparoscopic colon mobilisation provides a more favou...

journal_title：Annals of the Royal College of Surgeons of England

authors： Wood JJ,Lord AC,Wheeler JM,Borley NR

更新日期：2011-04-01 00:00:00

abstract：:Pain arising from the abdominal wall has been implicated as a cause of non-specific abdominal pain (NSAP), and the presence of abdominal wall tenderness (AWT) has been proposed as an accurate diagnostic test for NSAP. One hundred and fifty eight patients admitted to hospital with abdominal pain were tested for the pre...

journal_title：Annals of the Royal College of Surgeons of England

authors： Gray DW,Dixon JM,Seabrook G,Collin J

更新日期：1988-07-01 00:00:00

abstract：INTRODUCTION:Gastric neuromodulation (GNM) has been advocated for the treatment of drug refractory gastroparesis or persistent nausea and vomiting in the absence of a mechanical bowel obstruction. There is, however, little in the way of objective data to support its use, particularly with regards to its effects on gas...

journal_title：Annals of the Royal College of Surgeons of England

authors： Ullah S,Arsalani-Zadeh R,Sedman P,Avery G,Duthie GS,MacFie J

更新日期：2011-11-01 00:00:00

abstract：INTRODUCTION:There has been regular dialogue regarding the importance of developing clinical networks to compensate for the steady decline in general paediatric surgery performed by adult surgeons. Despite this dialogue, there are no contemporary published data to quantify the issue. This report documents patterns in d...

journal_title：Annals of the Royal College of Surgeons of England

authors： Tiboni SG,Stewart RJ

更新日期：2020-04-01 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:Rapid-access carotid endarterectomy (RACE) is an evidence-based treatment for symptomatic carotid stenosis. Our vascular centre aims to provide this service within 48 h of symptoms in appropriate patients. This study audits safety and efficacy of the first year of RACE. SUBJECTS AND METHODS:A clear trust ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Rix TE,Singh I,Insall R,Senaratne J

更新日期：2010-11-01 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：:Analysis of the primary fellowship results showed that on average candidates were scoring a significantly higher mark in the MCQ than in the essay or viva. The level of MCQ marking has therefore been reset to the standards of the other parts of the examination. The need for continually monitoring the results of all ex...

journal_title：Annals of the Royal College of Surgeons of England

authors： Lumley JS,Browne PD,Elcock NJ

更新日期：1984-11-01 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