Surgical aspects of carcinoma of the thyroid gland.

abstract：:After thyroidectomy there is an appreciable incidence of hypothyroidism as judged by FT4I estimates. Pharmacological doses of iodine (10-300 mg/day) usually suppress, whereas physiological doses of iodine (< 5 mg/day) have been reported to both decrease and increase thyroid function. The value of iodine supplementatio...

journal_title：Annals of the Royal College of Surgeons of England

authors： Taylor JD,Radcliffe SN,Basu PK,Atkins P

更新日期：1993-05-01 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：:A previously fit 37-year-old man developed superior mesenteric venous thrombosis after undergoing a laparoscopic Nissen fundoplication. Despite receiving thrombo-embolic prophylaxis on postoperative day 16, he presented with a gradual onset of vague, but severe, umbilical and epigastric pains. Laboratory tests, abdomi...

journal_title：Annals of the Royal College of Surgeons of England

authors： Davies M,Satyadas T,Akle CA

更新日期：2002-05-01 00:00:00

abstract：:Introduction Short hospital stays and accelerated discharge within 72 hours following colorectal cancer resections have not been widely achieved. Series reporting on accelerated discharge involve heterogeneous patient populations and exclude important groups. Strict adherence to some discharge requirements may lead to...

journal_title：Annals of the Royal College of Surgeons of England

authors： Emmanuel A,Chohda E,Botfield C,Ellul J

更新日期：2018-01-01 00:00:00

abstract：:The treatment of erectile dysfunction has been revolutionised with the introduction of orally active phosphodiesterase inhibitors which are successful in 70-80% of men. However, there remain a group of men in whom conservative treatment fails and surgical insertion of a penile prosthesis is required. This type of surg...

journal_title：Annals of the Royal College of Surgeons of England

authors： Jain S,Terry TR

更新日期：2006-07-01 00:00:00

abstract：:The aims of this study were to identify prospectively 'concealed' postoperative problems, to assess the burden of paediatric day care surgery on primary care services and to define a normal recovery period for common children's procedures. At their first postoperative clinic visit, patients and parents were asked dire...

journal_title：Annals of the Royal College of Surgeons of England

authors： de la Hunt MN

更新日期：1999-05-01 00:00:00

abstract：INTRODUCTION:Multi-Professional Triage Teams (MPTTs) were created to reduce the caseload of hospital orthopaedic clinics and this prospective study evaluated referrals made to a district general hospital orthopaedic department from a lower limb MPTT clinic. PATIENTS AND METHODS:Over 9 months, 277 referrals to a lower ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Rogers BA,Kabir C,Bradley N

更新日期：2008-11-01 00:00:00

abstract：:The introduction of modern business management practices in the National Health Service has exposed different levels of management training and expertise between clinicians and hospital managers. This is undesirable and frequently unproductive. This article puts the case for the inclusion of business management traini...

journal_title：Annals of the Royal College of Surgeons of England

authors： Hornick P,Hornick C,Taylor K,Ratnatunga C

更新日期：1997-09-01 00:00:00

abstract：:The value of nasogastric tube decompression after elective abdominal operations was assessed in a randomised trial in which 97 patients were and 100 were not allocated postoperative nasogastric decompression. Only two patients in the latter group subsequently required decompression. There was no statistically signific...

journal_title：Annals of the Royal College of Surgeons of England

authors： Nathan BN,Pain JA

更新日期：1991-09-01 00:00:00

abstract：:Introduction Transnasal oesophagoscopy is a relatively new method of examining the upper aerodigestive tract via the nasal passage as an outpatient procedure without the need for sedation. It has been shown to be a well tolerated, safe and accurate technique, that can therefore be used in the investigation of patients...

journal_title：Annals of the Royal College of Surgeons of England

authors： Sanyaolu LN,Jemah A,Stew B,Ingrams DR

更新日期：2016-01-01 00:00:00

abstract：:Four cases of unilateral digital ischaemia in the upper limb secondary to embolisation from atheromatous plaques in the proximal subclavian artery are presented. Digital subtraction angiography or arch aortography were used to demonstrate the site of atheroma. In one case diagnostic delay resulted from failure to visu...

journal_title：Annals of the Royal College of Surgeons of England

authors： Bryan AJ,Hicks E,Lewis MH

更新日期：1989-03-01 00:00:00

abstract：:Delay in operating on trauma patients leads to increased morbidity, mortality, length of hospital stay and overall cost. The urgency of operative intervention depends on the injury sustained. There are no published guidelines on what constitutes a reasonable delay between admission and operation. As part of the clinic...

journal_title：Annals of the Royal College of Surgeons of England

authors： Lankester BJ,Paterson MP,Capon G,Belcher J

更新日期：2000-09-01 00:00:00

abstract：:Over the past decade fibre supplementation has achieved widespread acceptance in the management of symptomatic diverticular disease, although the efficacy of this treatment has been debated. We have conducted a retrospective review of 72 patients admitted to hospital with symptomatic diverticular disease over a ten ye...

journal_title：Annals of the Royal College of Surgeons of England

authors： Leahy AL,Ellis RM,Quill DS,Peel AL

更新日期：1985-05-01 00:00:00

abstract：:INTRODUCTION While clinical guidelines stress the importance of the judicious perioperative intravenous fluid administration, data show that adherence to these protocols is poor. The reasons have not been identified. We therefore audited the magnitude and indications of fluid and electrolyte administration in a teachi...

journal_title：Annals of the Royal College of Surgeons of England

authors： Simpson RG,Quayle J,Stylianides N,Carlson G,Soop M

更新日期：2017-07-01 00:00:00

abstract：BACKGROUND:Haemorrhagic radiation proctitis frequently presents as a problem in management. We analysed the technique of formalin dab in its management. PATIENTS AND METHODS:Twenty patients presenting with haemorrhagic radiation proctitis and treated with formalin dab were prospectively analysed. RESULTS:Twelve patie...

journal_title：Annals of the Royal College of Surgeons of England

authors： Ismail MA,Qureshi MA

更新日期：2002-07-01 00:00:00

abstract：:Perirectal sepsis is a potentially severe complication which may follow minor anorectal intervention and be slow to be diagnosed and treated. We report the presentation and outcome of three patients with perirectal sepsis of differing aetiologies. Awareness of the possible diagnosis, urgent investigation with cross-se...

journal_title：Annals of the Royal College of Surgeons of England

authors： Aldouri AQ,Alexander DJ

更新日期：2008-07-01 00:00:00

abstract：BACKGROUND:Ureteric lithiasis is a common urological problem in Kuwait. Because of the different interventional approaches, we carried out an audit on the morbidity associated with the surgical management of the disorder. PATIENTS AND METHODS:The surgical records were reviewed of all patients with the diagnosis of ure...

journal_title：Annals of the Royal College of Surgeons of England

authors： Kehinde EO,Al-Awadi KA,Al-Hunayan A,Okasha GH,Al-Tawheed A,Ali Y

更新日期：2003-09-01 00:00:00

abstract：INTRODUCTION:The retrojugular approach for carotid endarterectomy (CEA) has been reported to have the advantages of shorter operative time and ease of dissection, especially in high carotid lesions. Controversial opinion exists with regard to its safety and benefits over the conventional antejugular approach. METHODS:...

journal_title：Annals of the Royal College of Surgeons of England

authors： Antoniou GA,Murray D,Antoniou SA,Kuhan G,Serracino-Inglott F

更新日期：2014-04-01 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：:Five patients with parathyroid carcinoma are reported. In the first case the clinical and histological features of malignancy at initial surgery were not recognised and recurrence of the tumour occurred within two years. Referring to previously published series this sequence appeared to be typical and underlined the l...

journal_title：Annals of the Royal College of Surgeons of England

authors： Lillemoe KD,Dudley NE

更新日期：1985-07-01 00:00:00

abstract：:In an attempt to reduce the high recurrence rate after repair of parastomal hernia, a technique was devised in which non-absorbable mesh was used to provide a permanent closure of the gap between the emerging bowel and abdominal wall. Seven patients were treated during the period 1990-1992. Five-year follow-up has giv...

journal_title：Annals of the Royal College of Surgeons of England

authors： Morris-Stiff G,Hughes LE

更新日期：1998-05-01 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：:The technique of regional anaesthesia for hand surgery is described. This has been successfully carried out in a series of 179 patients treated as day cases. The advantages and disadvantages of the technique are discussed. Emphasis is placed on careful patient selection and attention to detail in applying the techniqu...

journal_title：Annals of the Royal College of Surgeons of England

authors： Slack CJ,Sylvester BS

更新日期：1983-11-01 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

abstract：AIM:To identify what proportion of patients who, having sustained an initial distal radial fragility fracture and a subsequent femoral neck fracture, had had their osteoporosis addressed in the interval between the two events. PATIENTS AND METHODS:The hospital electronic information system was used to identify all pat...

journal_title：Annals of the Royal College of Surgeons of England

authors： Smith MG,Dunkow P,Lang DM

更新日期：2004-09-01 00:00:00

abstract：BACKGROUND:For patients with gastric cancer intraoperative macroscopic serosal change is not always consistent with pathological T stage. We investigated whether macroscopic serosal change is associated with unfavourable prognosis of patients with gastric cancer. METHODS:We reviewed 856 patients with stage T3 gastric ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Zhao B,Mei D,Zhang J,Zou S,Lu H,Xu H,Huang B

更新日期：2019-04-01 00:00:00

abstract：:The nature of inhaled foreign bodies in the respiratory tract and problems in their removal are reviewed with reference to experience in a series of 41 cases, 36 of them in children under 4 years old. Bronchoscopic removal under general anaesthesia is preferred to inhalational therapy and postural drainage. ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Bose P,El Mikatti N

更新日期：1981-03-01 00:00:00

abstract：:Failure to provide sufficient information to a patient when seeking consent can result in a claim in negligence. When determining what information to provide, you should be guided by what this particular patient needs to know in order to make an informed decision. Adult patients must be assumed to have capacity to giv...

journal_title：Annals of the Royal College of Surgeons of England

authors： Shah J,Fitz-Henry J

更新日期：2011-05-01 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:Suspected testicular torsion (TT) is a surgical emergency, usually requiring urgent scrotal exploration. Provision of urology on-call cover varies widely between hospitals and often falls under the remit of the general surgical team. The purpose of this study was to investigate whether the management of su...

journal_title：Annals of the Royal College of Surgeons of England

authors： Tydeman C,Davenport K,Glancy D

更新日期：2010-11-01 00:00:00