Endoscopic papillotomy without cholecystectomy for bile duct stones.

abstract：INTRODUCTION:Accurate clinical diagnosis depends on the reliable recognition of signs and symptoms. This expertise comes from experience in seeing patients which has been traditionally gained over a long training period. Shortened specialist training (Modernising Medical Careers) has led to a greater reliance on struct...

journal_title：Annals of the Royal College of Surgeons of England

authors： Pearl RA,Townley W,Stott D,Grobbelaar AO

更新日期：2009-09-01 00:00:00

abstract：INTRODUCTION:Auxiliary partial orthotopic liver transplantation (APOLT) in acute liver failure acts as a bridge to native liver regeneration with potential for immunosuppression free survival. While technical concerns limit its universal acceptance, the indications in acute liver failure also need to be examined for th...

journal_title：Annals of the Royal College of Surgeons of England

authors： Shrivastav M,Rammohan A,Reddy MS,Rela M

更新日期：2019-03-01 00:00:00

abstract：:Primary hyperparathyroidism may be cured surgically by complete excision of abnormal parathyroid tissue. Reoperation for persistent hypercalcaemia due to residual abnormal parathyroid tissue may be associated with a high complication rate. It is possible to assay intact parathormone (iPTH) intraoperatively and as iPTH...

journal_title：Annals of the Royal College of Surgeons of England

authors： Tan P,Leveson SH,Wilkinson H

更新日期：1995-01-01 00:00:00

abstract：:Chylothorax is a well-recognised complication of oesophagectomy, occurring in around 3% of cases. If managed conservatively, the mortality rate can be over 50%. We describe our experience of managing a patient with a chylothorax following oesophagectomy, and the use of a blood patch (a novel technique) to overcome per...

journal_title：Annals of the Royal College of Surgeons of England

authors： Windhaber RA,Holbrook AG,Krysztopik RJ

更新日期：2010-05-01 00:00:00

abstract：BACKGROUND:Serious complications of laparoscopic fundoplication (LF) have been reported by surgeons new to LF. We investigated whether the reported benefits of LF could be realised by an established consultant, new to LF, without compromising safety, control of reflux or dysphagia rates obtained after open surgery. PA...

journal_title：Annals of the Royal College of Surgeons of England

authors： Tan LC,Samanta S,Hosking SW

更新日期：2002-03-01 00:00:00

abstract：:Internal herniation of the small bowel through a defect in the falciform ligament and subsequent small bowel obstruction is exceedingly rare with the majority of previous cases being attributed to congenital abnormalities. As laparoscopic techniques approach the forefront of modern surgery, an iatrogenic source for a ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Dusu K,Dindyal S,Gadhvi V

更新日期：2015-09-01 00:00:00

abstract：INTRODUCTION:The aim of this study was to determine the awareness of Clostridium difficile infection amongst healthcare professionals. SUBJECTS AND METHODS:A total of 132 healthcare professionals (18 consultants, 40 trainee doctors, and 74 nursing staff) in our hospital were randomly surveyed using a questionnaire con...

journal_title：Annals of the Royal College of Surgeons of England

authors： Aroori S,Blencowe N,Pye G,West R

更新日期：2009-09-01 00:00:00

abstract：:Arterial disease changes the shape of Doppler ultrasound waveforms recorded noninvasively from arteries in the lower limbs. These changes can be described numerically by computer analysis of waveforms, and techniques currently in use are pulsatility index, Laplace transform and principal component analysis. These wave...

journal_title：Annals of the Royal College of Surgeons of England

authors： Campbell WB

更新日期：1986-03-01 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：:A non-woven alginate dressing has been used on experimental, full and partial thickness wound models for periods up to 14 days, to assess its effects on wound healing. Histological evaluation has shown that it is an effective haemostat, generally well tolerated by body tissues. Good epidermal healing was seen on all w...

journal_title：Annals of the Royal College of Surgeons of England

authors： Barnett SE,Varley SJ

更新日期：1987-07-01 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：: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：:We present a case a 48-year-old man who was diagnosed with an upper limb deep vein thrombosis post clavicle fracture. He was successfully investigated with a computed tomography (CT) venogram, thrombophilia was excluded, and he was subsequently treated with a 3-month course of anticoagulation. We illustrate this case ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Jones RE,McCann PA,Clark DA,Sarangi P

更新日期：2010-07-01 00:00:00

abstract：BACKGROUND:In 1999, a statement of best practice in primary total hip replacement was approved by the Council of the British Orthopaedic Association (BOA) and by the British Hip Society (BHS) to provide a basis for regional and national auditable standards. We have compared practice in the North West Region of England ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Malik MH,Gambhir AK,Bale L,Pradhan N,Porter ML

更新日期：2004-03-01 00:00:00

abstract：:Spondylodiscitis is often iatrogenic in nature. We report the case of a 69-year-old man presenting with spondylodiscitis and associated epidural abscess following transrectal ultrasonography guided prostate biopsy despite ciprofloxacin cover. To our knowledge, this is the first case of spondylodiscitis secondary to fl...

journal_title：Annals of the Royal College of Surgeons of England

authors： Dobson G,Cowie CJ,Holliman D

更新日期：2015-07-01 00:00:00

abstract：INTRODUCTION:The incidence of wound infection following total hip and knee arthroplasty has fallen with the introduction of laminar vertical laminar airflow, occlusive clothing and prophylactic antibiotics. However, infection still occurs after prosthetic joint replacement and can have devastating consequences. Intra-o...

journal_title：Annals of the Royal College of Surgeons of England

authors： Mackain-Bremner AA,Owens K,Wylde V,Bannister GC,Blom AW

更新日期：2008-07-01 00:00:00

abstract：:INTRODUCTION Laparoscopic surgery has become the standard for colorectal cancer resection in the UK but it can be technically challenging in patients who are obese. Patients whose body fat is mainly inside the abdominal cavity are more challenging than those whose fat is mainly outside the abdominal cavity. Abdominal ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Scott SI,Farid S,Mann C,Jones R,Kang P,Evans J

更新日期：2017-01-01 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：:To assess and compare the safety and efficiency of a surgical unit at a District General Hospital and a Community Hospital for elective cold surgery. A retrospective survey was made using regional computer Hospital Activity Analysis data and monthly audit meeting records of all inpatients having selected elective gene...

journal_title：Annals of the Royal College of Surgeons of England

authors： Sanger R,Clyne CA

更新日期：1991-07-01 00:00:00

abstract：:Brachytherapy involves the therapeutic implantation of a radio-active seed source into, or close to, prostate cancer. We report the rare case of a 76-year-old man who presented with a prostate abscess after months of intractable pelvic pain following prostate cancer treatment with iodine-125 brachytherapy. Despite mul...

journal_title：Annals of the Royal College of Surgeons of England

authors： Gilmore PE,Baird AD,Javle PM

更新日期：2009-05-01 00:00:00

abstract：:Overseas Doctors have been coming for higher surgical training to the UK for many years. Little is known about the reasons they choose to come here, what their expectations are and if the training they receive fulfils these expectations and prepares them for a career back home. The aim of this study was to address the...

journal_title：Annals of the Royal College of Surgeons of England

authors： Dawson R,Shukla HS,Mansel RE,Lewis MH

更新日期：1997-11-01 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：:A 1-year prospective study of all surgical activity was undertaken by the Orthopaedic Unit using two weighting systems for operative complexity: the Intermediate Equivalent (IE) and the Operative Complexity Score (OCS). The objectives were to define the difference between caseload and workload, and to formulate a reas...

journal_title：Annals of the Royal College of Surgeons of England

authors： Pozo JL,Jones CB

更新日期：1993-09-01 00:00:00

abstract：:INTRODUCTION Often, left-sided colorectal surgery requires splenic flexure mobilisation (SFM) to allow a tension-free anastomosis to be carried out. This step is difficult and not without risk. We investigated a system of anatomical siting of the splenic flexure using computed tomography (CT). METHODS The Shrewsbury S...

journal_title：Annals of the Royal College of Surgeons of England

authors： Meecham L,Brookes A,Macano C,Stone T,Cheetham M

更新日期：2017-03-01 00:00:00

abstract：:Giant central lumbar disc protrusions can pose a significant operative challenge. Clinically, these patients are at risk of permanent disability, due not only to preoperative neural compromise caused by the protrusion itself but also to the potential iatrogenic risks associated with the standard extradural microdiscec...

journal_title：Annals of the Royal College of Surgeons of England

authors： Tulloch I,Papadopoulos MC

更新日期：2018-03-01 00:00:00

abstract：:In a 6-month prospective study of management of surgical emergencies in a district general hospital, we have tried firstly to determine the degree to which non-life-threatening emergencies could be managed within 'social hours' (0800-1800), and secondly to identify examples of and reasons for potentially hazardous del...

journal_title：Annals of the Royal College of Surgeons of England

authors： Flook DJ,Crumplin MK

更新日期：1990-01-01 00:00:00

abstract：INTRODUCTION:More aesthetically acceptable treatment options have been sought to minimise the morbidity associated with open surgery for gynaecomastia. This study investigated the use of a vacuum-assisted biopsy device (VABD) and liposuction to provide minimally invasive approach. PATIENTS AND METHODS:Patients diagnos...

journal_title：Annals of the Royal College of Surgeons of England

authors： Qutob O,Elahi B,Garimella V,Ihsan N,Drew PJ

更新日期：2010-04-01 00:00:00

abstract：INTRODUCTION:We have previously shown that Picolax bowel preparation causes a significant dehydrating effect, which can be minimised by administering a calculated volume of intravenous fluid. The aim of this prospective study was to assess whether peri-operative outcome is affected by administering a calculated volume ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Sanders G,Arthur CH,Hosie KB,Lambert AW

更新日期：2007-07-01 00:00:00

abstract：:Groin vessels are most commonly used to obtain vascular access for angiography because of their size and accessibility. Haemostasis at the puncture site can be achieved with manual compression alone or by using a vascular closure device. We highlight the case of a 68-year-old woman who developed acute claudication in ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Hussain T,Al-Hamali S

更新日期：2011-09-01 00:00:00

abstract：:Massive haemorrhage is an uncommon complication in pancreatitis. Most affected patients suffer from chronic disease with associated pseudocyst. We present five patients (four male) with a mean age of 41 years (range 34-48 years). All patients had alcohol-induced pancreatitis complicated either by haematemesis (3), int...

journal_title：Annals of the Royal College of Surgeons of England

authors： Ammori BJ,Madan M,Alexander DJ

更新日期：1998-09-01 00:00:00