Surgical audit in a district general hospital: a stimulus for improving patient care.

abstract：INTRODUCTION:An increasing quantity of data is required to guide precision medicine and advance future healthcare practices, but current analytical methods often become overwhelmed. Artificial intelligence (AI) provides a promising solution. Plastic surgery is an innovative surgical specialty expected to implement AI i...

journal_title：Annals of the Royal College of Surgeons of England

authors： Murphy DC,Saleh DB

更新日期：2020-10-01 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：INTRODUCTION:Intestinal intubation with a Jones' tube has been suggested to reduce the incidence of recurrent adhesive obstruction. This paper describes our experience of this technique. PATIENTS AND METHODS:A retrospective case-note review was performed on 68 patients admitted to a teaching hospital who were identifi...

journal_title：Annals of the Royal College of Surgeons of England

authors： Fazel MZ,Jamieson RW,Watson CJ

更新日期：2009-01-01 00:00:00

abstract：:A young woman who presented with loin pain and pyuria after a prolonged period of investigations and treatment, finally having a nephrectomy for non-functioning kidney, was revealed to have schistosomial infestation with an adult worm in the ureter. Unusually, she only developed bladder manifestations later. ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Ajit MK,Groenewald EA,Speakman M

更新日期：2005-11-01 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：:Cutaneous manifestations of visceral carcinomas are scarce, occurring in around 0.7-12% of internal malignancies. Lung cancer is one of the most common sources of skin metastasis, particularly in male patients. We present a case of cutaneous metastasis in a man with concurrent lung lesions and a previously treated col...

journal_title：Annals of the Royal College of Surgeons of England

authors： Thurston D,Hossain T,Waraich N,Shukla A

更新日期：2016-03-01 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:Faecal incontinence is a prevalent and important condition, with a range of treatment options. Neuromodulation via sacral nerve stimulators is efficacious, but expensive and associated with complications due to device implantation. Peripheral neuromodulation via posterior tibial nerve stimulation (PTNS) ha...

journal_title：Annals of the Royal College of Surgeons of England

authors： Findlay JM,Yeung JM,Robinson R,Greaves H,Maxwell-Armstrong C

更新日期：2010-07-01 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：: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：:We report the case of a 58-year-old woman presenting with dysphagia secondary to an intraductal papillary mucinous neoplasm arising from a heterotopic pancreas in the oesophageal wall. This was successfully treated with a laparoscopic/thoracoscopic ivor Lewis oesophagectomy. Dysphagia is the most common symptom of oe...

journal_title：Annals of the Royal College of Surgeons of England

authors： Crighton E,Botha A

更新日期：2012-03-01 00:00:00

abstract：:Despite published criteria predicting poor survival after operation for ruptured abdominal aortic aneurysm (RAAA), little is known about the factors which influence surgeons not to operate. Questionnaires were sent to all 404 members of the Vascular Surgical Society of Great Britain and Ireland, posing questions about...

journal_title：Annals of the Royal College of Surgeons of England

authors： Hewin DF,Campbell WB

更新日期：1998-05-01 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：:We present a rare and previously undocumented potential complication of computed tomography (CT) colonography. CT colonography is a commonly performed investigation with a relatively low risk of complications. While splenic injury is a well-documented complication after colonoscopy, it has never been reported followin...

journal_title：Annals of the Royal College of Surgeons of England

authors： Sehgal R,Whitehead-Clarke T,Tudyka V,Evans S

更新日期：2019-01-01 00:00:00

abstract：:Introduction While surgery is the cornerstone of bowel cancer treatment, it comes with significant risks. Among patients aged over 80 years, 30-day mortality is 13%-15%, and additionally 12% will not return home and go on to live in supportive care. The question for patients and clinicians is whether operative surgery...

journal_title：Annals of the Royal College of Surgeons of England

authors： Bethune R,Sbaih M,Brosnan C,Arulampalam T

更新日期：2016-07-01 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：INTRODUCTION:The aims of this study were to audit the outcome of elective open abdominal aortic aneurysm (AAA) repair in a district general hospital, as well as investigate the true costs for this procedure in relation to the national tariff. PATIENTS AND METHODS:A database is maintained on AAA surgery in the trust. D...

journal_title：Annals of the Royal College of Surgeons of England

authors： El Kafsi J,Wake J,Lintott P,Northeast A,McLaren A

更新日期：2009-11-01 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：:In the differential diagnosis of a swollen elbow, the palpation of the supratrochlear glands is useful. They are not enlarged in a traumatic elbow joint. They are enlarged, discrete and shotty in rheumatoid arthritis. In tuberculosis, they are enlarged, matted and they may caseate and form a cold abscess on the medial...

journal_title：Annals of the Royal College of Surgeons of England

authors： Patel DA

更新日期：2001-11-01 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

abstract：INTRODUCTION:Pulmonary staging in colorectal cancer (CRC) has traditionally been carried out by means of plain chest radiograph (CXR), although computerised tomography (CT) imaging of the chest is increasingly being performed for this purpose. The aim of this study was to assess the value of pre-operative thoracic CT f...

journal_title：Annals of the Royal College of Surgeons of England

authors： McIntosh J,Sylvester PA,Virjee J,Callaway M,Thomas MG

更新日期：2005-09-01 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：:Orthopaedic outpatient waiting lists are long and the majority of referrals are for conditions that do not respond to surgical intervention. Many of these patients are best managed by physiotherapy, orthotics or steroid injections, which can be administered by an appropriately trained physiotherapist. The effectivenes...

journal_title：Annals of the Royal College of Surgeons of England

authors： Weale AE,Bannister GC

更新日期：1995-03-01 00:00:00

abstract：:Introduction There is a known correlation between anaerobic threshold (AT) during cardiopulmonary exercise testing and development of cardiopulmonary complications in high-risk patients undergoing oesophagogastric cancer surgery. This study aimed to assess the value of routine retesting following neoadjuvant chemother...

journal_title：Annals of the Royal College of Surgeons of England

authors： Drummond RJ,Vass D,Wadhawan H,Craig CF,MacKay CK,Fullarton GM,Forshaw MJ

更新日期：2018-09-01 00:00:00

abstract：:The management of patients with severe hepatic trauma and damage to the inferior vena cava presents many difficulties. Our experience suggests that vena caval injury is more common than has previously been reported. In spite of the severity of the injuries a period for resuscitation is usually available and operation ...

journal_title：Annals of the Royal College of Surgeons of England

authors： McMaster P,Tolley M

更新日期：1977-11-01 00:00:00

abstract：:A term neonate was born with a grossly swollen and discoloured left hand and forearm. He was transferred from the local hospital to the plastic surgical unit, where a diagnosis of compartment syndrome was made and he underwent emergency forearm fasciotomies at six hours of age. Following serial debridements of necroti...

journal_title：Annals of the Royal College of Surgeons of England

authors： Martin B,Treharne L

更新日期：2016-09-01 00:00:00

abstract：:Mastectomy remains the most commonly performed surgical procedure for breast cancer, and complications such as infection or wound breakdown (which may relate to the experience of the operator) could expensively prolong hospital stay and retard the administration of additional therapy. We examined the complications, ho...

journal_title：Annals of the Royal College of Surgeons of England

authors： Funnell IC,Crowe PJ,Dent DM

更新日期：1992-05-01 00:00:00

abstract：INTRODUCTION:Non-attendance in the out-patient department has financial costs for the NHS and clinical implications to the non-attender and those awaiting an appointment. The aim of this audit was to quantify the percentage of non-attenders at colorectal clinics in a UK teaching hospital, assess which factors affected ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Corfield L,Schizas A,Noorani A,Williams A

更新日期：2008-07-01 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：INTRODUCTION:Acute pancreatitis is a common surgical emergency. Identifying variations in presentation, incidence and management may assist standardisation and optimisation of care. The objective of the study was to document the current incidence management and outcomes of acute pancreatitis against international guide...

journal_title：Annals of the Royal College of Surgeons of England

authors： PanWessex Study Group.,Wessex Surgical Trainee Research Collaborative.,Mirnezami A,Knight B,Moran B,Noble F,Branagan G,Primrose J,Pearson K,West M,Curtis N,Pucher P,Cuttress R,Pugh S,Underwood T

更新日期：2019-09-01 00:00:00