A day of day plastic surgery in a district general hospital.

abstract：:An observational study was conducted of 105 patients presenting with an open fracture of the tibia or ankle to determine the impact of a dedicated orthoplastic operating list on our management of these injuries over the time period January 2012 to July 2014. There were 51 patients before and 54 after the introduction ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Fernandez MA,Wallis K,Venus M,Skillman J,Young J,Costa ML

更新日期：2015-09-01 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：:Two years individual experience of spine and joint tuberculosis in the North West Frontier of Pakistan is summarised. The problems of treating a population that presents late in the course of the disease, and of coping with an added influx of highly affected Afghans, feature prominently in surgical practice. ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Currie MA

更新日期：1984-03-01 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:In 2006 the National Confidential Enquiry into Patient Outcome and Death undertook a large prospective study of trauma care, which revealed several findings pertaining to the management of head injuries in a sample of 493 patients. METHODS:Case note data were collected for all trauma patients admitted to ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Smith NC,Findlay GP,Weyman D,Freeth H

更新日期：2013-03-01 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：:A computerised audit system was used to monitor clinical and administrative management of surgical patients in a District General Hospital. In one year (1985) there were 1,060 discharges from 27 beds (39.3 patients/bed/year). Operative treatment was required in 652 patients but 408 patients did not undergo surgery. Of...

journal_title：Annals of the Royal College of Surgeons of England

authors： Glass RE,Thomas PA

更新日期：1987-05-01 00:00:00

abstract：:The successful treatment of major burns depends upon accurate and early fluid replacement in the first 36 h. A burns calculator has been designed, based upon the Muir and Barclay formula, which should facilitate the estimation of fluid requirements in burned patients and therefore improve their immediate management in...

journal_title：Annals of the Royal College of Surgeons of England

authors： Jenkinson LR

更新日期：1982-09-01 00:00:00

abstract：:As general surgeons, we are regularly referred patients with epigastric pain. There are a huge number of common pathologies which cause this complaint, most of which are gastrointestinal in origin. Although the old adage goes 'common things are common', we must always keep our minds open to the possibility of the unco...

journal_title：Annals of the Royal College of Surgeons of England

authors： Sharkey A,Cooper G

更新日期：2010-10-01 00:00:00

abstract：:The results of the secretin-pancreozymin test, duodenal aspirate cytology and hypotonic duodenography (the Triple Test), performed during a single duodenal intubation in patients with pancreatic or ampullary carcinoma, chronic pancreatitis and non-pancreatic disease were analysed retrospectively. Thirty-five of 36 car...

journal_title：Annals of the Royal College of Surgeons of England

authors： Thompson HH,Brown CL,Murray RS,Wingate DL,Ritchie HD

更新日期：1983-05-01 00:00:00

abstract：INTRODUCTION:Antegrade insertion of ureteric stent has become an established mode of management of upper tract obstruction secondary to ureteric pathology. It is conventionally performed as a two-stage procedure for various reasons but, more recently, a one-stage approach has been adopted. PATIENTS AND METHODS:We disc...

journal_title：Annals of the Royal College of Surgeons of England

authors： Chitale S,Raja V,Hussain N,Saada J,Girling S,Irving S,Cockburn JF

更新日期：2010-04-01 00:00:00

abstract：INTRODUCTION:Surgical procedures incorporating a cosmetic element such as septorhinoplasty and otoplasty are currently under threat in the National Health Service (NHS) as they are deemed to be procedures of 'limited clinical benefit' by many primary care providers. Patient reported outcome measures (PROMs), which asse...

journal_title：Annals of the Royal College of Surgeons of England

authors： Biggs TC,Fraser LR,Ward MJ,Sunkaraneni VS,Harries PG,Salib RJ

更新日期：2015-01-01 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：:This is a report of a 2-year experience with the management of penetrating injury of the cervical trachea. There were 29 cases. The respiratory status of the patient on admission dominated the initial management: 12 patients required emergency intubation and were immediately taken to operation, while 17 patients were ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Levy RD,Degiannis E,Hatzitheophilou C,Maberti P,Kantarovsky A,John KD,Saadia R

更新日期：1997-05-01 00:00:00

abstract：:In a personal series of 162 tumours, 101 were pleomorphic adenomas 28 of which were removed by elective local extra capsular dissection and 73 by a conventional nerve dissection. There were no recurrences in either group after a mean follow-up 10.3 years, range 3-21 years for local dissection and 8.3 years, range 3-22...

journal_title：Annals of the Royal College of Surgeons of England

authors： Hancock BD

更新日期：1999-09-01 00:00:00

abstract：:Mean anaesthetic, surgical and turnover times were used to predict finishing times for elective general surgical operating lists. A predicted early finish was correct in 70 per cent, a predicted on-time finish in 19 per cent, and a predicted late finish in 56 per cent. Overall, predictions of an early or late finish h...

journal_title：Annals of the Royal College of Surgeons of England

authors： Widdison AL

更新日期：1995-11-01 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：INTRODUCTION:The effect of primary total knee replacement on the employment status of 56 patients under 60 years of age was examined at a mean follow-up of 64 months. PATIENTS AND METHODS:A total of 56 primary total knee replacements performed on patients under the age of 60 years by two surgeons between 1996 and 2003...

journal_title：Annals of the Royal College of Surgeons of England

authors： Lyall H,Ireland J,El-Zebdeh MY

更新日期：2009-07-01 00:00:00

abstract：INTRODUCTION:Patient reported outcome measures (PROMs) are being used increasingly to assess the quality of healthcare delivery in the UK. It is important when using PROMs to know the score of the background population against which any clinical intervention may be benchmarked. The purpose of this study was to measure ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Guyver PM,Cattell AE,Hall MJ,Brinsden MD

更新日期：2013-09-01 00:00:00

abstract：:The value and accuracy of a scoring system applied to clinical examination, aspiration cytology and mammography has been assessed in the diagnosis of 224 consecutive 'new' patients attending a breast clinic with a breast lump. In 72 of 99 patients with breast cancer (80%) the scores were high enough to allow definitiv...

journal_title：Annals of the Royal College of Surgeons of England

authors： Smallwood J,Khong Y,Boyd A,Guyer P,Herbert A,Cooke T,Taylor I

更新日期：1984-07-01 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：:A new jig is described which enables the technique for abdominal aortic aneurysm to be taught and practiced as it is performed by arterial surgeons at the present time. The aneurysm jig enables a plastic simulated aortic aneurysm to be opened as at operation to allow the inlaying of a Dacron tube sutured into place wi...

journal_title：Annals of the Royal College of Surgeons of England

authors： Greenhalgh RM,Eastcott HH,Mansfield AO,Taylor DE

更新日期：1987-09-01 00:00:00

abstract：:It is timely to review the place of surgery in the treatment of thyroid disease when for some years endocrinologists, pharmacologists, and radiotherapists have made most of the running. This account falls naturally into three parts, simple, malignant, and toxic goitre. ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Taylor S

更新日期：1979-03-01 00:00:00

abstract：:A 56-year-old woman presented with abdominal pain after using a Jacuzzi hours earlier. Abdominal radiographs revealed intra-peritoneal free gas and, as she presented symptomatically, a laparotomy was performed. This revealed fluid and gas but no visceral perforation or intra-abdominal pathology to account for this. Pe...

journal_title：Annals of the Royal College of Surgeons of England

authors： Inston N,Lake S

更新日期：2000-09-01 00:00:00

abstract：:A total of 14 patients had operations for massive colonic haemorrhage. Of the seven who had a right hemicolectomy, four had the bleeding site localised, and three had only 'equivocal' indications of a right-sided source. One of these rebled 11 months later, but all survived and are well. Of the remaining patients, two...

journal_title：Annals of the Royal College of Surgeons of England

authors： Milewski PJ,Schofield PF

更新日期：1989-07-01 00:00:00

abstract：INTRODUCTION:The equivalence of breast-conserving surgery followed by postoperative radiotherapy against mastectomy is now firmly established in patients with early breast cancer. The results of surgery in large-breasted women can be poor, with radiation-induced fibrosis, chronic pain and poor cosmesis contributing to ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Currie A,Chong K,Davies GL

更新日期：2013-04-01 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：:The history of the technique of promoting dissolution of retained gallstones in the biliary tree is briefly reviewed. Present methods are described in detail and our own experience recorded. We have treated six patients with retained calculi by means of heparinized saline and sodium cholate infusions of the common bil...

journal_title：Annals of the Royal College of Surgeons of England

authors： Wheeler MH

更新日期：1977-03-01 00:00:00

abstract：:Patients with extensive chronic Crohn's disease of the small bowel, who may have had repeated excisional surgery, sometimes develop intestinal obstruction due to the development of a stricture. Surgery is usually thought to be contraindicated since further resections would leave the patient with insufficient small int...

journal_title：Annals of the Royal College of Surgeons of England

authors： Lee EC,Papaioannou N

更新日期：1982-07-01 00:00:00

abstract：:Introduction Emergency general surgery services in England are undergoing rapid structural change with the aim of improving care. In our centre, the key issues identified were high numbers of admissions, inappropriate referrals, prolonged waiting times, delayed senior input and poor patient satisfaction. A new model w...

journal_title：Annals of the Royal College of Surgeons of England

authors： Navarro AP,Hardy E,Oakley B,Mohamed E,Welch NT,Parsons SL

更新日期：2017-09-01 00:00:00