The importance of laparotomy in the diagnosis and management of intestinal bleeding of obscure origin.

abstract：:The initial teaching and learning experience of four surgeons performing a laparoscopic Nissen fundoplication is reported. A total of 33 patients underwent the laparoscopic approach for Nissen fundoplication. Two patients also underwent concomitant cholecystectomy. A loose 360 degrees fundoplication secured by three o...

journal_title：Annals of the Royal College of Surgeons of England

authors： Watson DI,Reed MW,Johnson AG,Stoddard CJ

更新日期：1994-07-01 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 aim of this study was to identify whether clinicians are obtaining a valid consent for surgery, and ascertain the parents' perception of parental responsibility when giving consent for their children. PATIENTS AND METHODS:Adults consenting for 100 children were questioned about the possession of paren...

journal_title：Annals of the Royal College of Surgeons of England

authors： Elmalik K,Wheeler RA

更新日期：2007-09-01 00:00:00

abstract：:Lymphocele is a complication which will be familiar to the gynaecological surgeon, particularly the oncologist. It is also well recognised in association with urological pelvic surgery and renal transplantation. Occurrence of lymphocele has been described in relation to surgery in a wide variety of other areas includi...

journal_title：Annals of the Royal College of Surgeons of England

authors： Metcalf KS,Peel KR

更新日期：1993-11-01 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:It is well documented that music plays a role in reducing anxiety levels. Its role in reducing intra-operative anxiety levels in surgical patients while awake is less well known. We report the effects of music on intra-operative patient anxiety in both the elective and trauma plastic surgical setting. ME...

journal_title：Annals of the Royal College of Surgeons of England

authors： Sadideen H,Parikh A,Dobbs T,Pay A,Critchley PS

更新日期：2012-04-01 00:00:00

abstract：INTRODUCTION:There has been a shift away from gross anatomy teaching and hands-on cadaveric dissection. This has been replaced by a variety of teaching modalities including problem-based learning, models and prosections, and computer-assisted learning. We aim to pilot a technique of endoscopic visualisation of upper li...

journal_title：Annals of the Royal College of Surgeons of England

authors： Matteucci P,Lagopoulos M,Southern S

更新日期：2011-04-01 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：INTRODUCTION:Minimally-invasive, video-assisted thyroidectomy (MIVAT) was developed to reduce scarring/trauma associated with cervical incisions used in open thyroidectomy. Results from various centres have been published internationally but none from the UK. This study reports the first results from the UK and compare...

journal_title：Annals of the Royal College of Surgeons of England

authors： Samy AK,Ridgway D,Orabi A,Suppiah A

更新日期：2010-07-01 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：INTRODUCTION:The national abdominal aortic aneurysm (AAA) screening programme measures internal wall diameter; however, current UK intervention criteria use external wall diameter. Our aim was to determine the clinical significance of the difference between these two measurements. PATIENTS AND METHODS:Fifty patients o...

journal_title：Annals of the Royal College of Surgeons of England

authors： Thapar A,Cheal D,Hopkins T,Ward S,Shalhoub J,Yusuf SW

更新日期：2010-09-01 00:00:00

abstract：:Operative cholangiography is for most surgeons a routine part of every cholecystectomy. Computerised digital subtraction angiography was adapted for operative cholangiography using a portable machine. After cannulation of the cystic duct the background image was subtracted before injecting contrast. Only the contrast ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Motson RW,Shinkwin MA,May AR,Akhtar N

更新日期：1988-05-01 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：:Surgical practice must be driven by wise professional judgements, involving complex deliberation, in the interests of ensuring the safe care of patients. Large amounts of energy are now being concentrated in training doctors in skills (competencies) in the belief that this will reduce risk to patients. Little thought ...

journal_title：Annals of the Royal College of Surgeons of England

authors： de Cossart L

更新日期：2005-07-01 00:00:00

abstract：:Developments in anaesthesia for intracranial surgery over the past 35 years are illustrated by a comparison of personal practice in 1943-45 and in 1977-79, with some reference to techniques developed during the intervening years. ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Hunter AR

更新日期：1981-09-01 00:00:00

abstract：:The effects on pelvic visceral function of radical operations for carcinoma of the lower part of the rectum and of operations for inflammatory bowel disease have been determined by studying bladder, sexual and rectal function. Denervation of the bladder was diagnosed in 15% of patients who had undergone sphincter-savi...

journal_title：Annals of the Royal College of Surgeons of England

authors： Neal DE

更新日期：1984-01-01 00:00:00

abstract：INTRODUCTION:Squamous cell carcinoma of the oral cavity ranks as the 12th most common cancer in the world and the 8th most frequent in males. It accounts for up to one-third of all tobacco-related cancers in India. Cancer of the gingivobuccal complex is especially common in Indians due to their tobacco habits. This rev...

journal_title：Annals of the Royal College of Surgeons of England

authors： Misra S,Chaturvedi A,Misra NC

更新日期：2008-10-01 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：: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：:A prospective survey was carried out in West Dorset to determine the incidence of postoperative wound infection. A total of 1242 patients were included in the survey (1086 inpatients and 156 day cases). The overall infection rate was 6.7%. Although the incidence of infection was consistent with that reported by other ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Law DJ,Mishriki SF,Jeffery PJ

更新日期：1990-05-01 00:00:00

abstract：:We present the first reported case of a partial thickness burn to the skin from discarded bone cement during a routine total hip replacement (THR). The patient required plastic surgical attention for 5 months before the skin was healed. We summarise the reported incidents of cement burns to various other structures an...

journal_title：Annals of the Royal College of Surgeons of England

authors： Burston B,Yates P,Bannister G

更新日期：2007-03-01 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：:INTRODUCTION The roles of non-medically trained practitioners within the NHS are expanding; they are now being employed by many specialties, including surgery, to relieve pressures on healthcare teams. AIMS To investigate the learning curve and competence of an orthopaedic surgical care practitioner (SCP) in performin...

journal_title：Annals of the Royal College of Surgeons of England

authors： Tingle SJ,Marriott A,Partington PF,Carluke I,Reed MR

更新日期：2016-11-01 00:00:00

abstract：:The purpose of this article is to examine current orthopaedic training in the UK and objectively compare this with other English-speaking countries. ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Syed S,Mirza AH,Ali A

更新日期：2009-04-01 00:00:00

abstract：:A retrospective review of surgical treatment for portal hypertension during a 23-year period in a regional unit is reported and the immediate and subsequent management of patients with bleeding oesophageal varices is discussed. Fifty-four patients with recurrent varix haemorrhage uncontrolled by conservative methods h...

journal_title：Annals of the Royal College of Surgeons of England

authors： Kirby R,Burke FD,Jones JD

更新日期：1975-09-01 00:00:00

abstract：:A randomised, double-blind study was conducted to assess the influence of intra-articular and subcutaneous prilocaine with adrenaline on postoperative pain in day case arthroscopy of the knee. The time to first dose of oral analgesia postoperatively was significantly prolonged in those patients receiving prilocaine bu...

journal_title：Annals of the Royal College of Surgeons of England

authors： White AP,Laurent S,Wilkinson DJ

更新日期：1990-11-01 00:00:00

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：:Of 1,033 patients with colorectal carcinoma, 238 (23%) presented with obstruction. The majority of tumours (74%) were potentially curable (Dukes B/C) at presentation. Tumours situated at the splenic flexure, transverse or descending colon were most likely to obstruct. Perioperative mortality was high following either ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Waldron RP,Donovan IA

更新日期：1986-07-01 00:00:00

abstract：:We detail the unusual occurrence of successive episodes of diabetic myonecrosis in both lower and upper limbs in a young woman with diabetic end organ dysfunction. We highlight the importance of recognising this as a differential diagnosis for acute limb pain in diabetic patients and advocate conservative measures fo...

journal_title：Annals of the Royal College of Surgeons of England

authors： Welck MJ,Vetpillai P,Balaji V,Jennings R,Goodier WD

更新日期：2013-01-01 00:00:00

abstract：:John Hunter's observations on dental caries are described and various early speculative theories of its nature and causation are mentioned. With the demonstration in the late 19th century of the chemicoparasitic nature of the late 19th century of the chemicoparasitic nature of the disease attention focused on dietary ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Cohen B

更新日期：1982-11-01 00:00:00