Surgical implications of portal venous system malformation.

abstract：:Tailgut cysts are rare benign retrorectal cysts arising from persistent remnants of an embryonic hindgut. Malignant transformation inside this lesion is very uncommon and occurrence of neuroendocrine tumours in this context is extremely rare. We report the case of a 56-year-old woman who underwent surgical excision of...

journal_title：Annals of the Royal College of Surgeons of England

authors： Mora-Guzmán I,Alonso-Casado A,Rodríguez Sánchez A,Bermejo Marcos E

更新日期：2017-02-01 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: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：INTRODUCTION:Surgeons and physicians encounter blood transfusions on a daily basis but a robust evidence-based strategy on indications and timing of transfusion in asymptomatic anaemic patients is yet to be determined. For judicious use of blood products, the risks inherent to packed red blood cells, the patient's co-m...

journal_title：Annals of the Royal College of Surgeons of England

authors： Chan AW,de Gara CJ

更新日期：2015-11-01 00:00:00

abstract：INTRODUCTION:Necrotising fasciitis is a life-threatening illness that is often difficult to diagnose. Immediate debridement and intravenous antibiotic therapy are required to limit the spread of infection. This five-year audit aimed to review the number and outcomes of all cases of necrotising fasciitis admitted to a ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Swain RA,Hatcher JC,Azadian BS,Soni N,De Souza B

更新日期：2013-01-01 00:00:00

abstract：:Introduction Pseudoaneurysm formation following ankle arthroscopy is a rare but potentially catastrophic complication. The placement of anterior ankle portals carries inherent risk to the superficial and deep peroneal nerves, as well as to the dorsalis pedis artery. Anatomical variations in the dorsalis pedis and the ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Parikh S,Dawe E,Lee C,Whitehead-Clarke T,Smith C,Bendall S

更新日期：2017-04-01 00:00:00

abstract：INTRODUCTION:Tranexamic acid has been used for many years to minimise blood loss during surgery and, more recently, to reduce morbidity after major trauma. While small studies have confirmed reduction in blood loss during tonsillectomy with its use, the rate of primary haemorrhage following tonsillectomy has not been r...

journal_title：Annals of the Royal College of Surgeons of England

authors： Robb PJ,Thorning G

更新日期：2014-03-01 00:00:00

abstract：:Malignant peripheral nerve sheath tumours (MPNSTs) are a rare but aggressive form of soft tissue sarcoma with few reported cases in the anatomic location seen with the case presented here. This case involves a 23-year-old man presenting with a soft tissue mass under the mandible found to be a MPNST, which was investig...

journal_title：Annals of the Royal College of Surgeons of England

authors： Olivier JB

更新日期：2017-05-01 00:00:00

abstract：:A new method of audit delivery is described, based on the first large scale comparative audit meeting held at The Royal College of Surgeons of England. The concept of comparative audit is introduced and the methods of undertaking such an exercise are described. This comparative audit processed the clinical activity of...

journal_title：Annals of the Royal College of Surgeons of England

authors： Emberton M,Rivett R,Ellis BW

更新日期：1991-11-01 00:00:00

abstract：INTRODUCTION:The aim of this study was to investigate the degree of contamination of a surgeon's hand following use of chlorhexidine gluconate or alcohol gel as disinfectants. MATERIALS AND METHODS:In this prospective, randomised trial, orthopaedic surgeons were allocated to one of two different hand-washing protocols...

journal_title：Annals of the Royal College of Surgeons of England

authors： Hajipour L,Longstaff L,Cleeve V,Brewster N,Bint D,Henman P

更新日期：2006-01-01 00:00:00

abstract：BACKGROUND:Giant-cell tumour of the distal radius is a rare neoplasm that affects the peri-articular metaphysial region of the bone. Curettage alone or with bone grafting has been reported to be associated with high incidence of local recurrence in these tumours. In the present series, we report the results of curettag...

journal_title：Annals of the Royal College of Surgeons of England

authors： Khan MT,Gray JM,Carter SR,Grimer RJ,Tillman RM

更新日期：2004-01-01 00:00:00

abstract：:Chemotherapy may cause oral ulceration but a thorough investigation of symptoms and signs is important to determine the underlying diagnosis accurately. We describe a case of a patient with a poorly differentiated urothelial carcinoma of the bladder developing a tongue metastasis. This is a challenging diagnosis to ma...

journal_title：Annals of the Royal College of Surgeons of England

authors： Kaleva AI,Hone RW,Szakacs SM,Streeter E,Nixon IJ

更新日期：2015-03-01 00:00:00

abstract：:Neurofibromas of the common bile duct are extremely rare. The lack of specific clinical or radiological features makes preoperative diagnosis in the absence of histology difficult. We report the case of a female patient who presented with obstructive jaundice and evidence of a common bile duct stricture on imaging. Sh...

journal_title：Annals of the Royal College of Surgeons of England

authors： De Rosa A,Gomez D,Zaitoun AM,Cameron IC

更新日期：2013-03-01 00:00:00

abstract：:Paragangliomas are rare lung tumours; endobronchial localisation is even more rare. This report describes the case of a 59-year-old patient with a symptomatic endobronchial paraganglioma successfully resected by means of pulmonary lobectomy. Recognition of this uncommon tumour can lead to a correct diagnosis and thera...

journal_title：Annals of the Royal College of Surgeons of England

authors： Muriana P,Bandiera A,Ciriaco P,Arrigoni G,Negri G,Zannini P

更新日期：2017-01-01 00:00:00

abstract：:Neutropaenic patients are at particular risk of developing a pseudomonal fasciitis known as ecthyma gangraenosum. Despite the similarities with necrotising fasciitis, Fournier's gangrene has a very different aetiology and management. ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Arul GS,Spicer RD

更新日期：2001-01-01 00:00:00

abstract：:Hand-held Doppler (HHD) examination and duplex ultrasound scanning of patients with varicose veins are more accurate than clinical assessment alone. To assess how the introduction of HHD and the availability of duplex ultrasound scanning affects patient management, a retrospective review was carried out comparing the ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Pleass HC,Holdsworth JD

更新日期：1996-11-01 00:00:00

abstract：:It is often accepted by hospital staff that patients would prefer to be at home for the Christmas and Easter holiday periods. This is one of the reasons that elective surgery is reduced at these times. However there is very little evidence to prove whether this is true. To investigate this question 310 patients attend...

journal_title：Annals of the Royal College of Surgeons of England

authors： Whiteley MS,Williams DJ,Hocken D

更新日期：1997-03-01 00:00:00

abstract：:To assess the efficacy of emergency thoracotomy performed for thoracic trauma in the accident and emergency department, a retrospective analysis of patients who underwent this procedure and were brought to hospital by the Helicopter Emergency Medical Service was carried out. Between 1991 and 1994, 16 patients had emer...

journal_title：Annals of the Royal College of Surgeons of England

authors： Jahangiri M,Hyde J,Griffin S,Magee P,Youhana A,Lewis T,Wood A

更新日期：1996-05-01 00:00:00

abstract：:Some 1000 postcard questionnaires were sent to Fellows of the British Orthopaedic Association (BOA) to establish current follow-up practice of primary total hip replacement (THR) patients. For cemented THRs, 50% of surgeons saw their patients for under 1 year, 78% under 5 years with indefinite follow-up being performe...

journal_title：Annals of the Royal College of Surgeons of England

authors： Bankes MJ,Coull R,Ferris BD

更新日期：1999-09-01 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：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：:Lymphadenopathy is a common presentation in surgical assessment units and has numerous differential diagnoses. In one-stop breast clinics, its discovery often raises concerns of malignancy. This case report focuses on the case of a 33-year-old pregnant woman presenting to the breast clinic with a right axillary lump, ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Jalilzadeh Afshari S,Saad Abdalla Al-Zawi A,Idaewor P,Chicken DW

更新日期：2020-09-01 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：:Introduction A bronchobiliary fistula (BBF) following liver directed therapy (resection/ablation) is a rare complication in which an abnormal communication between the biliary tract and bronchial tree is formed. This case report describes the successful management of a persistent BBF following multiple liver wedge res...

journal_title：Annals of the Royal College of Surgeons of England

authors： Pinsker N,Papoulas M,Sodergren M,Harrison P,Heaton N,Menon K

更新日期：2018-04-01 00:00:00

abstract：:Percutaneous transluminal angioplasty (PTA) is often used for patients who would not previously have been treated, due for example, to their poor general condition or their symptoms being relatively mild. The approximate overall initial success and complication rates are 80% and 10%, respectively. Iliac angioplasties ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Armstrong MW,Torrie EP,Galland RB

更新日期：1992-07-01 00:00:00

abstract：:A 74-year old man underwent a radical cholecystectomy for presumed gallbladder cancer. The histology of the resected specimen in fact revealed the lesion to be metastatic renal cell carcinoma from his resected right nephrectomy performed 14 years previously. ...

journal_title：Annals of the Royal College of Surgeons of England

authors： McWhirter D,den Dulk M,Terlizzo M,Malik HZ,Fenwick SW,Poston GJ

更新日期：2013-11-01 00:00:00

abstract：:This study suggests that appendicectomy should be routinely performed at laparoscopy for suspected acute appendicitis and that this can be achieved with minimal morbidity. ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Grabham JA,Sutton C,Nicholson ML

更新日期：1999-07-01 00:00:00

abstract：:Eleven patients underwent primary mandibular reconstruction following resection of a head and neck squamous cell carcinoma. Reconstruction consisted of a free rib graft and a pectoralis major myocutaneous flap. One rib graft failed and one graft, although successful, required removal during a wider resection for tumou...

journal_title：Annals of the Royal College of Surgeons of England

authors： Banerjee AR,Westmore GA

更新日期：1995-07-01 00:00:00

abstract：INTRODUCTION:Patients undergoing colorectal surgical resections have a high incidence of surgical site infection (SSI). Many patient-specific risk factors have been recognised in association with SSI in such patients, but environmental contamination is increasingly recognised as a contributor to hospital-acquired infec...

journal_title：Annals of the Royal College of Surgeons of England

authors： Brady RR,Kalima P,Damani NN,Wilson RG,Dunlop MG

更新日期：2007-10-01 00:00:00

abstract：INTRODUCTION:The optimal method for creation of a pericardial window (PW) is still controversial and it remains a surgical challenge, mainly in obese patients. The aim of this study was to evaluate the efficacy and safety of a novel approach that has not been described previously, for creation of a PW in patients with ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Altman E,Rutsky O,Shturman A,Yampolsky Y,Atar S

更新日期：2015-07-01 00:00:00