A new deal for ENT surgeons--The Manchester experience 1992-3.

abstract：:Conflicting reports exist for the efficacy of intermittent wound perfusion with bupivacaine in the relief of postoperative pain. A study was devised to assess postoperative pain relief objectively using a Patient Controlled Analgesic Device (PCAD) during continuous wound perfusion with bupivacaine or saline. Thirty co...

journal_title：Annals of the Royal College of Surgeons of England

authors： Chester JF,Ravindranath K,White BD,Shanahan D,Taylor RS,Lloyd-Williams K

更新日期：1989-11-01 00:00:00

abstract：:The addition of pressure and flow rate recordings to conventional cystourethrography is relatively inexpensive in terms of cost and of radiologist's time, each investigation requiring approximately half an hour.The value of this investigation in males lies in assessing the severity and site of outlet obstruction, part...

journal_title：Annals of the Royal College of Surgeons of England

authors： Arnold EP,Brown AD,Webster JR

更新日期：1974-08-01 00:00:00

abstract：INTRODUCTION:The purpose of this study was to explore the effectiveness of two chitosan formulations, Omni-Stat® granules and Celox Gauze®, in a model of major hepatic injury in the presence of clotting dysfunction. MATERIALS AND METHODS:Major hepatic injuries in moderately heparinised swine were treated with either O...

journal_title：Annals of the Royal College of Surgeons of England

authors： Millner R,Lockhart AS,Marr R

更新日期：2010-10-01 00:00:00

abstract：:Wound infiltration with bupivacaine provided complete postoperative pain relief in 14 of 19 women undergoing excision biopsy of a benign breast lump under general anaesthesia. Fifteen patients formed a control group in whom the wound was infiltrated with saline. They had inadequate relief of pain despite receiving sig...

journal_title：Annals of the Royal College of Surgeons of England

authors： Owen H,Galloway DJ,Mitchell KG

更新日期：1985-03-01 00:00:00

abstract：:We report a prospective trial of 100 consecutive patients undergoing primary total hip or knee arthroplasty in order to assess their blood transfusion requirements amid recent fears of the transmission of viruses, particularly hepatitis C, from donor to recipient. Of the patients, 84% were transfused one or more units...

journal_title：Annals of the Royal College of Surgeons of England

authors： Clarke AM,Dorman T,Bell MJ

更新日期：1992-09-01 00:00:00

abstract：INTRODUCTION:Nosocomial MRSA infection has become an important healthcare issue. We present 6 cases of MRSA enteritis, acquired following bowel surgery and ileostomy formation. PATIENTS AND METHODS:The data set was obtained from the experience of one consultant surgeon over 6 years in one medical centre. The clinical ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Haq AI,Cook LJ

更新日期：2007-04-01 00:00:00

abstract：:Introduction The National Institute for Health and Care Excellence guidance Improving Supportive and Palliative Care for Adults with Cancer (2004) and the Cancer Reform Strategy (2007) support the premise that assessment and discussion of patients' needs for physical, social, psychological, and spiritual wellbeing sho...

journal_title：Annals of the Royal College of Surgeons of England

authors： Rogers SN,Thomson F,Lowe D

更新日期：2018-03-01 00:00:00

abstract：:The results of selective visceral angiography and colonoscopy were compared in the diagnosis of angiodysplasia of the large bowel. Fifty six patients were diagnosed as having angiodysplasia on angiography and 34 of these patients also underwent colonoscopy. Twenty three of the colonoscopies were positive giving a diag...

journal_title：Annals of the Royal College of Surgeons of England

authors： Salem RR,Wood CB,Rees HC,Kheshavarzian A,Hemingway AP,Allison DJ

更新日期：1985-07-01 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：:A patient presented with a recurrent incarcerated inguinoscrotal hernia requiring urgent surgery. The defect was through the gap in the mesh left originally for the cord structures. As a result, a modified funnel repair was performed. An innovative approach was adopted that was best suited to tackling and reducing the...

journal_title：Annals of the Royal College of Surgeons of England

authors： Merali N,Verma A,Davies T

更新日期：2014-11-01 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：:Tubular ectasia of the rete testis is a pathologically benign process with complex and varied aetiology. It must be differentiated from neoplastic disease of the testis clinically with patient age, mode of presentation, tumour marker status and the characteristic ultrasound and Doppler study findings. Awareness and di...

journal_title：Annals of the Royal College of Surgeons of England

authors： Nair R,Abbaraju J,Rajbabu K,Anjum F,Sriprasad S

更新日期：2008-10-01 00:00:00

abstract：INTRODUCTION:A study was completed to determine if operating has an effect on a surgeon's muscular fatigue. SUBJECTS AND METHODS:Six head and neck surgery consultants, two ENT registrars, 20 normal controls from two tertiary referral centres in the West Midlands participated in the study. Electromyography (EMG) measur...

journal_title：Annals of the Royal College of Surgeons of England

authors： Slack PS,Coulson CJ,Ma X,Webster K,Proops DW

更新日期：2008-11-01 00:00:00

abstract：:During the period 1978 to 1986, 13 children aged 2-15 years underwent surgical resection of malignant thoracic tumours. Five children with neuroblastomas presented with chest pain and infections, pleural effusions, dysphagia, lymphadenopathy and paraplegia. Chemo- and radiotherapy were given preoperatively to previous...

journal_title：Annals of the Royal College of Surgeons of England

authors： Lodge JP,Hamilton JR,Walker DR,Bailey CC

更新日期：1988-03-01 00:00:00

abstract：:A series of 12 femoral herniae in children is presented. Nine were misdiagnosed, eight as inguinal hernia. Nine were reducible. The sex incidence, M:F was 7:5 and nine presented between the ages of 8 and 10 years. One presented as intestinal obstruction due to a Richter's hernia and two had had a previous ipsilateral ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Zaman K,Taylor JD,Fossard DP

更新日期：1985-07-01 00:00:00

abstract：:This paper considers the potential role of videoconferencing technology for postgraduate dental and medical education. Drawing on work from the University of Bristol Dental School, it presents an analysis of the potential cost savings achievable by using videoconferencing compared to traditional face-to-face teaching ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Cook JH,Stevens CD

更新日期：2000-05-01 00:00:00

abstract：INTRODUCTION:Minimally-invasive, video-assisted thyroidectomy (MIVAT) was developed to reduce scarring/trauma associated with cervical incisions used in open thyroidectomy. Results from various centres have been published internationally but none from the UK. This study reports the first results from the UK and compare...

journal_title：Annals of the Royal College of Surgeons of England

authors： Samy AK,Ridgway D,Orabi A,Suppiah A

更新日期：2010-07-01 00:00:00

abstract：:One hundred and four patients with second, third degree or thrombosed prolapsed piles, treated by cryotherapy, were studied pre- and postoperatively. A computer analysis was made of all relevant data such as pile mass, freezing time and results of treatment. The method, which is easy to perform and cost effective, is ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Southam JA

更新日期：1983-07-01 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：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：:Inguinal hernia often presents as an emergency with obstruction and subsequent strangulation. We report a unique case where an inguinoscrotal sliding type hernia contained the entire hepatic flexure as its lead point, resulting in acute colonic obstruction and caecal wall perforation. ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Skelly BL,Neill AK

更新日期：2013-09-01 00:00:00

abstract：:Accessory nerve injury produces considerable disability. The nerve is most frequently damaged as a complication of radical neck dissection, cervical lymph node biopsy and other surgical procedures. The problem is frequently compounded by a failure to recognise the error immediately after surgery when surgical repair h...

journal_title：Annals of the Royal College of Surgeons of England

authors： London J,London NJ,Kay SP

更新日期：1996-03-01 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：:A simple technique is presented for the control of bleeding from the posterior aspect of an aortic end-to-end anastomosis. ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Hosseinpour AR,Rajan S,Nashef SA

更新日期：2001-11-01 00:00:00

abstract：:Infection is an important arbiter of success or failure of surgical practice and the incidence of infection is incorporated into all surgical audit systems. If audit is to be of value the outcome end points of clinical practice must be defined. We have attempted to derive clinical definitions suitable for bedside diag...

journal_title：Annals of the Royal College of Surgeons of England

authors： Peel AL,Taylor EW

更新日期：1991-11-01 00:00:00

abstract：INTRODUCTION:Septal surgery has been identified as suitable for day-surgery, but is not widely performed as such. Guidelines for day-surgery state that the unexpected admission rate should be 2-3%. Previous audits have not achieved this figure and septoplasty is not universally considered suitable for day-surgery. We h...

journal_title：Annals of the Royal College of Surgeons of England

authors： Georgalas C,Obholzer R,Martinez-Devesa P,Sandhu G

更新日期：2006-03-01 00:00:00

abstract：:The causes of pain in the amputation stump or in the so-called phantom limb are far from clear and a wide variety of methods of treatment have been used with varying degrees of success. Surgical techniques do not always give lasting relief and it is suggested that conservative methods such as vibration therapy and var...

journal_title：Annals of the Royal College of Surgeons of England

authors： Berger SM

更新日期：1980-03-01 00:00:00

abstract：:We present a case of symptomatic trochanteric non-union following total hip replacement treated initially with a Dall-Miles grip plate. After failure of this treatment, the patient had a two-stage revision. Trochanteric non-union is one of the well-described complications after total hip replacement. It is frequently ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Drampalos E,Bayam L,Oakley J,Hemmady M,Hodgkinson J

更新日期：2019-07-01 00:00:00

abstract：:INTRODUCTION In our regional spinal injuries unit, complex pressure ulcer reconstruction is facilitated by a monthly multidisciplinary team clinic. This study reviews a series of the more complex of these patients who underwent surgery as a joint case between plastics and other surgical specialties, aiming to provide ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Thomson CH,Choudry M,White C,Mecci M,Siddiqui H

更新日期：2017-02-01 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