The Falklands war: Army field surgical experience.

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

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：:Traumatic wounding to the upper aerodigestive tract can cause acute airway compromise. In these circumstances establishment of a safe airway is vital. We present a case report illustrating the decision making pathway in such a difficult case. ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Mepani VN,Antscherl J

更新日期：2012-01-01 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：: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：:A questionnaire survey of general surgeons was undertaken to estimate the incidence of abdominal adhesions as a clinical problem and to establish current attitudes to the treatment of adhesional bowel obstruction and the prevention of adhesion formation. Replies were received from 362 of 416 surgeons (response rate 87...

journal_title：Annals of the Royal College of Surgeons of England

authors： Scott-Coombes DM,Vipond MN,Thompson JN

更新日期：1993-03-01 00:00:00

abstract：INTRODUCTION:Hip fractures are common injuries in elderly patients presenting to the trauma surgeon. Mortality following such injuries approaches 10% at one month, rising to 30% at one year. Of those who survive, most experience a decrease in mobility and independence. The authors believe that the general public are no...

journal_title：Annals of the Royal College of Surgeons of England

authors： McBride TJ,Panrucker S,Clothier JC

更新日期：2011-01-01 00:00:00

abstract：:Bochdalek hernias rarely contain an intrathoracic kidney, and there are few reports of their operative repair. A woman presented with progressive dyspnoea limiting her quality of life. Imaging showed a Bochdalek hernia containing omentum, large bowel and the left kidney. The woman was unexpectedly admitted to the inte...

journal_title：Annals of the Royal College of Surgeons of England

authors： Halle-Smith JM,Pande R,Griffiths EA

更新日期：2021-01-01 00:00:00

abstract：:Introduction Transurethral resection of the prostate (TURP) is considered the gold standard surgical treatment for lower urinary tract symptoms (LUTS) secondary to benign prostatic hyperplasia. The number of TURPs performed has declined significantly over the last three decades owing to pharmaceutical therapy. TURP da...

journal_title：Annals of the Royal College of Surgeons of England

authors： Young MJ,Elmussareh M,Morrison T,Wilson JR

更新日期：2018-04-01 00:00:00

abstract：:We describe the case of an 89-year old Caucasian woman admitted with confusion and severe clinical manifestations of acute hypercalcaemia. There was no history suggestive of any malignancy and initial management included correction of the hypercalcaemia with intravenous fluid therapy. Sestamibi parathyroid scintigraph...

journal_title：Annals of the Royal College of Surgeons of England

authors： D'cruz RT,Seet JE,Parameswaran R

更新日期：2020-10-01 00:00:00

abstract：INTRODUCTION:Laparoscopic donor nephrectomy (LDN) is now a well established method for kidney procurement from living donors. In our centre, LDN is currently offered only to donors suitable for left nephrectomy. The aim of this study was to investigate the incidence of testicular pain and swelling following LDN. METH...

journal_title：Annals of the Royal College of Surgeons of England

authors： Jalali M,Rahmani S,Joyce AD,Cartledge JJ,Lewis MH,Ahmad N

更新日期：2012-09-01 00:00:00

abstract：:Introduction Large, complicated ventral hernias are an increasingly common problem. The transversus abdominis muscle release (TAMR) is a recently described modification of posterior components separation for repair of such hernias. We describe our initial experience with TAMR and sublay mesh to facilitate abdominal wa...

journal_title：Annals of the Royal College of Surgeons of England

authors： Appleton ND,Anderson KD,Hancock K,Scott MH,Walsh CJ

更新日期：2017-04-01 00:00:00

abstract：OBJECTIVES:To reduce junior doctors' hours by introducing an on-call system involving cross-cover at SHO level between two separate ENT units. DESIGN:Prospective collection of data on the cross-cover system introduced in September 1992 with analysis after 12 months. SETTING:ENT departments within Salford and Central ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Hartley C,Rothera MP

更新日期：1994-09-01 00:00:00

abstract：:Median arcuate ligament syndrome (MALS) is a rare disorder due to coeliac trunk compression by the median arcuate ligament, resulting in coeliac artery stenosis characterised by chronic, recurrent abdominal pain. Patients with MALS are often middle-aged females presenting with a triad of postprandial epigastric pain, ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Rubinkiewicz M,Ramakrishnan PK,Henry BM,Roy J,Budzynski A

更新日期：2015-09-01 00:00:00

abstract：INTRODUCTION:Intraoperative neural monitoring of the recurrent laryngeal nerve has been widely used to avoid nerve injury during thyroidectomy. We discuss the results of the change in surgical strategy after unilateral signal loss surgeries using intermittent intraoperative neural monitoring in a high-volume referral c...

journal_title：Annals of the Royal College of Surgeons of England

authors： Gür EO,Haciyanli M,Karaisli S,Haciyanli S,Kamer E,Acar T,Kumkumoglu Y

更新日期：2019-11-01 00:00:00

abstract：OBJECTIVES:To determine the effects of cuts in surgical beds and operating lists upon the waiting list. To evaluate the effects of the Waiting List Initiative upon the total number of patients on the waiting list, the number of patients waiting for more than one year, and the ratio of patients with low priority, non-li...

journal_title：Annals of the Royal College of Surgeons of England

authors： Umeh HN,Reece-Smith H,Faber RG,Galland RB

更新日期：1994-01-01 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：:Twenty-one patients have been studied in the 48 h after valve replacement to determine the possible contribution of abnormalities of left ventricular myocardial blood flow and oxygen consumption to the impaired cardiac performance which is sometimes evident in such patients. In the 14 patients making an uneventful rec...

journal_title：Annals of the Royal College of Surgeons of England

authors： Wisheart JD

更新日期：1975-08-01 00:00:00

abstract：:My first aim is to present the state of burn care during the few years before the Battle of Britain in August-October 1940. This gives the climate of thought in which McIndoe and his collegues faced the challenge of burns. We are inclined to forget the helplessness of surgeons faced with extensive burns at that time. ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Jackson DM

更新日期：1979-09-01 00:00:00

abstract：BACKGROUND:About 60,000 patients are treated for hip fractures each year in the UK and the incidence is increasing. The majority of these patients are elderly and sick, and delay to operation may be fatal. The National Confidential Enquiry into Peri-Operative Deaths (NCEPOD) guidelines aim to improve quality of care fo...

journal_title：Annals of the Royal College of Surgeons of England

authors： Guryel E,Redfern DJ,Ricketts DM

更新日期：2004-05-01 00:00:00

abstract：:While some degree of specialization is essential in surgery there remains a place for the general surgeon. The tendency to regard surgical intensive care as a specialty should be resisted. Similarly the surgery of trauma should remain in the field of the general surgeon in full co-operation with the orthopaedic surgeo...

journal_title：Annals of the Royal College of Surgeons of England

authors： Allgöwer M

更新日期：1975-09-01 00:00:00

abstract：:Two patients undergoing inguinal herniorrhaphy developed transient quadriceps paresis after local inguinal nerve block. One sustained a compound fracture of the distal tibia and fibula. The importance of warning the patient and of increasing the awareness of nursing staff to the possibility of quadriceps weakness afte...

journal_title：Annals of the Royal College of Surgeons of England

authors： Széll K

更新日期：1994-03-01 00:00:00

abstract：:INTRODUCTION Central venous catheterisation (CVC) is a commonly performed procedure in a wide variety of hospital settings and is associated with appreciable morbidity. There is a paucity of literature focusing on mechanical complications specifically in the trauma setting. The aim of our study was to determine the sp...

journal_title：Annals of the Royal College of Surgeons of England

authors： Odendaal J,Kong VY,Sartorius B,Liu TY,Liu YY,Clarke DL

更新日期：2017-05-01 00:00:00

abstract：:Spontaneous rupture of colon or rectum is a rare event. Protrusion of several loops of small bowel through the anal orifice is a bizarre condition which has only rarely been reported in the literature. We report the first case where Thiersch repair was used to manage spontaneous perforation of rectal prolapse and prov...

journal_title：Annals of the Royal College of Surgeons of England

authors： Shoab SS,Saravanan B,Neminathan S,Garsaa T

更新日期：2007-01-01 00:00:00

abstract：:Over the past 15 years, 32 cases of tuberculosis have been seen and diagnosed in the surgical and gynaecological departments of the Northern General Hospital, Sheffield. The average age of patients was 42.8 years. Of the sites affected, 17 had head, neck or axillary swellings, 6 affected the female genital tract, 3 ha...

journal_title：Annals of the Royal College of Surgeons of England

authors： Hodgson TJ,Duncan JL,Rogers K

更新日期：1988-05-01 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:The internal anal sphincter (IAS) is an important structure that is responsible for the majority of resting tone of the sphincter complex. It has a central role in continence and damage to the muscle has serious implications. Injury is most frequently from obstetric trauma though iatrogenic injury from pro...

journal_title：Annals of the Royal College of Surgeons of England

authors： Jones OM

更新日期：2007-09-01 00:00:00

abstract：:We present a rare case of a big oesophageal liposarcoma causing dysphagia and weight loss in a 75-year-old patient. Endoscopically, a pedunculated lesion with subtotal obstruction of the oesophageal lumen had been detected and thoracoabdominal oesophageal resection with gastric sleeve reconstruction was performed. Sur...

journal_title：Annals of the Royal College of Surgeons of England

authors： Mehdorn AS,Schmidt F,Steinestel K,Wardelmann E,Greulich B,Palmes D,Senninger N

更新日期：2017-09-01 00:00:00

abstract：:The internet provides the public with unregulated access to a wide range of medications. We present the case of a 43-year-old man who purchased oral tadalafil gel on the internet and injected it into his left radial artery. He presented 48 hours after injection with signs of ischaemia distal to the injection site requ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Vaughan EM,Yeung D,West CC,Tadros A,Curnier A

更新日期：2014-03-01 00:00:00

abstract：:The ability to use animal organs, such as from the pig, for the purposes of transplantation in humans, would clearly overcome the major shortage of human organs that greatly restricts transplantation programmes worldwide. Recent experimental advances have raised the possibility of renewed attempts at organ xenotranspl...

journal_title：Annals of the Royal College of Surgeons of England

authors： Taniguchi S,Cooper DK

更新日期：1997-01-01 00:00:00