The incidental finding of a retained 'throat pack'.

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：:Introduction Discharge planning improves patient outcomes, reduces hospital stay and readmission rates, and should involve a multidisciplinary team (MDT) approach. The efficacy of MDT meetings in discharge planning was examined, as well as reasons for delayed discharge among vascular surgical inpatients. Methods Dedic...

journal_title：Annals of the Royal College of Surgeons of England

authors： Wariyapola C,Littlehales E,Abayasekara K,Fall D,Parker V,Hatton G

更新日期：2016-04-01 00:00:00

abstract：INTRODUCTION:This is a consequential study of a previous audit, evaluating the role of skull X-rays in the emergency department in patients with head injuries, to see if the changes recommended, (implementation of The Royal College of Surgeons of England guidelines) have been adopted successfully and had the desired re...

journal_title：Annals of the Royal College of Surgeons of England

authors： Mossop D,Soysa S

更新日期：2005-05-01 00:00:00

abstract：:Gastric spiral organisms were first described in man in 1939 and identified as Helicobacter pylori causing peptic ulcers in the early 1980s. Surgical specimens of gastric resections from 1939 showed H. pylori to be present. Full-thickness sections of gastric mucosa from gastric specimens from the eighteenth-century Hu...

journal_title：Annals of the Royal College of Surgeons of England

authors： Walker MM,Baron JH

更新日期：1997-09-01 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：: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：OBJECTIVE:To assess the surgical workload on a renal unit, with particular reference to non-transplant-related surgery and to assess the workload in relation to surgical staffing levels. DESIGN:Prospective audit of all surgical procedures carried out on patients in acute or chronic renal failure, and on transplanted p...

journal_title：Annals of the Royal College of Surgeons of England

authors： Raftery AT

更新日期：1993-05-01 00:00:00

abstract：:Tubular ectasia of the rete testis is a pathologically benign process with complex and varied aetiology. It must be differentiated from neoplastic disease of the testis clinically with patient age, mode of presentation, tumour marker status and the characteristic ultrasound and Doppler study findings. Awareness and di...

journal_title：Annals of the Royal College of Surgeons of England

authors： Nair R,Abbaraju J,Rajbabu K,Anjum F,Sriprasad S

更新日期：2008-10-01 00:00:00

abstract：INTRODUCTION:In future, outcomes following shoulder surgery may be subject to public survey. Many outcome measures exist but we do not know whether there is a consensus between shoulder surgeons in the UK. The aim of this study was to survey the preferred outcome measures used by National Health Service (NHS) shoulder ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Varghese M,Lamb J,Rambani R,Venkateswaran B

更新日期：2014-11-01 00:00:00

abstract：INTRODUCTION:A study was completed to determine if operating has an effect on a surgeon's muscular fatigue. SUBJECTS AND METHODS:Six head and neck surgery consultants, two ENT registrars, 20 normal controls from two tertiary referral centres in the West Midlands participated in the study. Electromyography (EMG) measur...

journal_title：Annals of the Royal College of Surgeons of England

authors： Slack PS,Coulson CJ,Ma X,Webster K,Proops DW

更新日期：2008-11-01 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：:Introduction The aim of this study was to identify the proportion of children referred to a paediatric tertiary referral centre who required admission to the paediatric intensive care unit (PICU) following surgery for obstructive sleep apnoea (OSA) and to establish risk factors for these admissions. Methods Retrospect...

journal_title：Annals of the Royal College of Surgeons of England

authors： Sharma SD,Gupta S,Wyatt M,Albert D,Hartley B

更新日期：2018-01-01 00:00:00

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：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：:A series of 45 patients undergoing a second operation for recurrent colorectal cancer is reported. The majority developed recurrence within 2 years of their initial surgery. Despite regular follow-up, in only 27% of patients submitted to further surgery was the recurrence detected at routine review, and only three of ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Pollard SG,Macfarlane R,Everett WG

更新日期：1989-09-01 00:00:00

abstract：:A patient with phyllodes tumour of the breast is discussed. During follow-up, she presented with intestinal obstruction caused by ileocaecal intussusception. The cause of the intussusception was metastatic phyllodes tumour, which is a unique presentation. ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Morcos BB,Baker B,Hashem SA

更新日期：2010-09-01 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：: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：: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：:The recording of medical data has developed from crude non-specific classifications to complex systems tailor-made for individual practices. The development of the Read Clinical Classification has produced a complex classification which is user friendly and covers the whole of medicine. The classification allows uniqu...

journal_title：Annals of the Royal College of Surgeons of England

authors： James NK

更新日期：1994-05-01 00:00:00

abstract：:Little is known about the outcome after pancreatic debridement in the district general hospital (DGH) setting and the debate about centralisation of pancreatic surgical services continues. We retrospectively reviewed our experience over 2 years, looking particularly at mortality, morbidity and cost. Of 12 cases treate...

journal_title：Annals of the Royal College of Surgeons of England

authors： Catto JW,Alexander DJ

更新日期：2002-09-01 00:00:00

abstract：:Three hundred and forty consecutive patients received successful spinal anaesthesia with 0.5% plain bupivacaine. A small randomised study of 40 of these cases showed little difference between 3.5 and 3 ml; however, analysis of its use in 200 patients receiving 3.5 ml (mean block T10.5 +/- 1 segment) and 100 receiving ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Ryan DW,Pridie AK,Copeland PF

更新日期：1983-01-01 00:00:00

abstract：INTRODUCTION:The usual indications for oesophageal replacement in childhood are intractable corrosive strictures and long-gap oesophageal atresia. Generally, paediatric surgeons attempt to preserve the native oesophagus with repeat dilatations. However, when this is not successful, an appropriate conduit must be fashio...

journal_title：Annals of the Royal College of Surgeons of England

authors： Arul GS,Parikh D

更新日期：2008-01-01 00:00:00

abstract：INTRODUCTION:Perioperative visual loss occurring during non-ocular surgery is a devastating event. Ischaemic optic neuropathy (ION) is a complication described following many procedures. We report the first case of ION occurring during laparoscopic proctocolectomy and discuss the aetiological factors. CASE HISTORY:A 5...

journal_title：Annals of the Royal College of Surgeons of England

authors： Mizrahi H,Hugkulstone CE,Vyakarnam P,Parker MC

更新日期：2011-07-01 00:00:00

abstract：:An audit of surgery for acoustic neuroma was carried out to determine the frequency and nature of postoperative symptoms and their impact upon the patient's quality of life and vocation. Fifty-six patients were interviewed between 6 months and 5 years (mean 26 months) after surgical excision of an acoustic neuroma. Th...

journal_title：Annals of the Royal College of Surgeons of England

authors： Kane NM,Kazanas S,Maw AR,Coakham HB,Torrens MJ,Morgan MH,Stranjalis G,Butler SR

更新日期：1995-05-01 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：:A 74-year-old woman underwent a low anterior resection and defunctioning loop ileostomy for a T1 N1 M0 rectal adenocarcinoma. Three months following surgery she attended complaining of pain inferior to the loop ileostomy. A clinical examination demonstrated an extensive area of spreading cellulitis on the lower abdomi...

journal_title：Annals of the Royal College of Surgeons of England

authors： Davey PT,Burnside N,MacKenzie N,Conkey D,Carson J,Skelly RT

更新日期：2011-09-01 00:00:00

abstract：INTRODUCTION:Radial scars are benign breast lesions; their appearance on mammography may, however, mimic carcinoma. Needle core biopsy is performed for pre-operative diagnosis and, currently in Wales, all lesions with benign biopsy results are surgically excised. We have reviewed all cases of needle core biopsy-diagno...

journal_title：Annals of the Royal College of Surgeons of England

authors： Osborn G,Wilton F,Stevens G,Vaughan-Williams E,Gower-Thomas K

更新日期：2011-03-01 00:00:00

abstract：:The increased use of day facilities for children undergoing surgery and the provision of a paediatric home nursing team has resulted in a change in overall care of surgical children in hospital in Southampton. The ratio of day patients to inpatients has fallen from 1 : 2 in 1970 to 1 : 1 in 1976 and the early discharg...

journal_title：Annals of the Royal College of Surgeons of England

authors： Atwell JD

更新日期：1978-09-01 00:00:00

abstract：:Congenital absence of the anterior arch of the atlas is incredibly rare with only two cases reported previously in the literature. We present a third case of a medically fit patient who suffered neck trauma with an abnormal odontoid peg x-ray, which subsequently demonstrated a congenital non-fusion of the anterior ve...

journal_title：Annals of the Royal College of Surgeons of England

authors： Thavarajah D,McKenna P

更新日期：2012-10-01 00:00:00