The total parenteral nutrition service: an update.

abstract：:We present a case of distal venous embolisation of a peripheral intravenous cannula tip that had lost its structural integrity through repeated failed attempts of insertion of the same cannula, contrary to protocols for intravenous access. Radiological imaging confirmed the presence of a foreign body in the middle fin...

journal_title：Annals of the Royal College of Surgeons of England

authors： Khadim MF,Leonard D,Moorehead RA,Hill C

更新日期：2013-10-01 00:00:00

abstract：INTRODUCTION:Screening for prostate cancer with serum prostate specific antigen (PSA) remains a controversial topic. The UK NHS Executive has issued extensive guidance stressing the importance of adequate counselling prior to performing this test. This study aims to assess men's knowledge of the PSA test at the time of...

journal_title：Annals of the Royal College of Surgeons of England

authors： Lamplugh M,Gilmore P,Quinlan T,Cornford P

更新日期：2006-05-01 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：:Thirty-seven patients who had had either a colonoscopy or a selective mesenteric angiogram while being investigated for severe or persistent gastrointestinal bleeding of obscure origin were reviewed. Failure to make a prompt diagnosis was partly responsible for the 16% hospital mortality in the series. Colonoscopy was...

journal_title：Annals of the Royal College of Surgeons of England

authors： Brearley S,Hawker PC,Dorricott NJ,Lee JR,Ambrose NS,Silverman SH,Dykes PW,Keighley MR

更新日期：1986-09-01 00:00:00

abstract：:Objective This study assessed primary urethral reconstruction results in patients with a penile fracture. Materials and methods Between January 2005 and April 2016, patients who underwent primary urethral reconstruction due to penile fracture were called for a follow-up. Epidemiological and clinical presentation data ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Barros R,Silva M,Antonucci V,Schulze L,Koifman L,Favorito LA

更新日期：2018-01-01 00:00:00

abstract：INTRODUCTION:Surgical procedures incorporating a cosmetic element such as septorhinoplasty and otoplasty are currently under threat in the National Health Service (NHS) as they are deemed to be procedures of 'limited clinical benefit' by many primary care providers. Patient reported outcome measures (PROMs), which asse...

journal_title：Annals of the Royal College of Surgeons of England

authors： Biggs TC,Fraser LR,Ward MJ,Sunkaraneni VS,Harries PG,Salib RJ

更新日期：2015-01-01 00:00:00

abstract：:In the Royal Navy, after surgery, the time that servicemen spend away from work and the level of duty to which they return are decisions made by the surgeon, not the general practitioner. In a prospective study, we have thus been able to assess the acceptability of return to full duty at decreasing intervals after hig...

journal_title：Annals of the Royal College of Surgeons of England

authors： Tulloch DN,Dewar EP

更新日期：1989-11-01 00:00:00

abstract：:The nature of inhaled foreign bodies in the respiratory tract and problems in their removal are reviewed with reference to experience in a series of 41 cases, 36 of them in children under 4 years old. Bronchoscopic removal under general anaesthesia is preferred to inhalational therapy and postural drainage. ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Bose P,El Mikatti N

更新日期：1981-03-01 00:00:00

abstract：:The introduction of modern business management practices in the National Health Service has exposed different levels of management training and expertise between clinicians and hospital managers. This is undesirable and frequently unproductive. This article puts the case for the inclusion of business management traini...

journal_title：Annals of the Royal College of Surgeons of England

authors： Hornick P,Hornick C,Taylor K,Ratnatunga C

更新日期：1997-09-01 00:00:00

abstract：INTRODUCTION:The aim of this study is to ascertain the accuracy of diagnostic ultrasound in the assessment of the occult abdominal and groin herniae. The authors have previously demonstrated its efficacy in diagnosing the type of clinical groin herniae but occult herniae provide a further diagnostic problem. PATIENTS ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Bradley M,Morgan J,Pentlow B,Roe A

更新日期：2006-03-01 00:00:00

abstract：:The most important development in determining successful organ transplantation has been the improved understanding of the immune response and the interactions between antigens, antibody, immune complexes, complement component, lymphocytes and macrophages. The initiation and termination of an immune response, whether c...

journal_title：Annals of the Royal College of Surgeons of England

authors： Marks C

更新日期：1983-05-01 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：:Forty-eight patients treated for haemorrhoids by Lord's procedure have been followed up for 5 years. Preoperative anal pressure and motility studies suggest that the best long-term results occur in patients with an active internal sphincter. Anal pressure was reduced by dilatation and remained static over the next 5 y...

journal_title：Annals of the Royal College of Surgeons of England

authors： Hancock BD

更新日期：1982-11-01 00:00:00

abstract：INTRODUCTION:Isolated monocular ischaemic events are thought to be low risk for stroke recurrence. In the presence of carotid stenosis however, the risks should not be treated similarly and surgical intervention should be considered at an early stage. The aim of this study was to determine the vascular risk profile and...

journal_title：Annals of the Royal College of Surgeons of England

authors： Cheng SF,Zarkali A,Richards T,Simister R,Chandratheva A

更新日期：2019-11-01 00:00:00

abstract：:We report the late relapse of a patient following 43 years of surveillance of a germ cell tumour, thought to be a pure seminoma, having undergone yolk sac differentiation. The longest previous recorded time to relapse was 32 years (malignant teratoma with adenocarcinoma de-differentiation).(1) This case report demonst...

journal_title：Annals of the Royal College of Surgeons of England

authors： Mukhtar S,Beatty J,Agrawal S,Christmas TJ,Jameson C,Huddart RA

更新日期：2011-07-01 00:00:00

abstract：:One hundred and four patients with second, third degree or thrombosed prolapsed piles, treated by cryotherapy, were studied pre- and postoperatively. A computer analysis was made of all relevant data such as pile mass, freezing time and results of treatment. The method, which is easy to perform and cost effective, is ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Southam JA

更新日期：1983-07-01 00:00:00

abstract：:A series of 12 femoral herniae in children is presented. Nine were misdiagnosed, eight as inguinal hernia. Nine were reducible. The sex incidence, M:F was 7:5 and nine presented between the ages of 8 and 10 years. One presented as intestinal obstruction due to a Richter's hernia and two had had a previous ipsilateral ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Zaman K,Taylor JD,Fossard DP

更新日期：1985-07-01 00:00:00

abstract：INTRODUCTION:HIV positivity alone as a predictor of surgical outcome has not been extensively studied in regions of high prevalence. The aim was to determine the prevalence of HIV infection in surgical patients, and compare differences in their clinical course based on their serological status and CD4 counts. PATIENTS...

journal_title：Annals of the Royal College of Surgeons of England

authors： Cacala SR,Mafana E,Thomson SR,Smith A

更新日期：2006-01-01 00:00:00

abstract：INTRODUCTION:The aim of this study was to evaluate the intra- and inter-observer variation of the Schatzker and AO/OTA classifications in assessing tibial plateau fractures, using plain radiographs. PATIENTS AND METHODS:Fifty tibial plateau fractures were classified independently by six observers as per the Schatzker ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Charalambous CP,Tryfonidis M,Alvi F,Moran M,Fang C,Samarji R,Hirst P

更新日期：2007-05-01 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：:Thoracobilia and pleurobiliary fistulae secondary to obstructed choledocholithiasis are rare complications of gallstone disease. We present the case of a 64-year-old man with gallstone pancreatitis who developed a pleurobiliary fistula secondary to an obstructing ductal calculus, and was successfully managed non-opera...

journal_title：Annals of the Royal College of Surgeons of England

authors： Frampton AE,Williams A,Wilkerson PM,Paterson IM

更新日期：2010-07-01 00:00:00

abstract：:Scintigraphy was performed on 180 patients with suspected biliary tract disease using technetium-99m-labelled derivatives of iminodiacetic acid. Most of the patients were also evaluated by conventional techniques and the results were correlated with the findings at operation and with histological examination of tissue...

journal_title：Annals of the Royal College of Surgeons of England

authors： Ram MD

更新日期：1981-09-01 00:00:00

abstract：:Although the operating microscope was introduced more than 50 years ago, its use was at first confined to otolaryngology and, later, to ophthalmology. More recently its use in the development of microvascular techniques has led to spectacular advances in the field of replantation and reconstructive surgery. The organi...

journal_title：Annals of the Royal College of Surgeons of England

authors： O'Brien BM

更新日期：1976-03-01 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：:Spontaneous cervical lymphocoeles are extremely rare. Their surgical management can pose many challenges with the lack of clear surgical planes potentiating risks. We present the case of a patient with an extensive right-sided cervical lymphocoele. Surgical excision would have involved extensive surgery with risk to ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Qureishi A,Silva P,Lamyman A,Cox G

更新日期：2012-03-01 00:00:00

abstract：:A new jig is described which enables the technique for abdominal aortic aneurysm to be taught and practiced as it is performed by arterial surgeons at the present time. The aneurysm jig enables a plastic simulated aortic aneurysm to be opened as at operation to allow the inlaying of a Dacron tube sutured into place wi...

journal_title：Annals of the Royal College of Surgeons of England

authors： Greenhalgh RM,Eastcott HH,Mansfield AO,Taylor DE

更新日期：1987-09-01 00:00:00

abstract：INTRODUCTION:Despite an increasing emphasis on data-driven quality improvement, few validated quality indicators for emergency surgical services have been published. The aims of this study therefore were: 1) to investigate whether the acute cholecystectomy rate is a valid process indicator; and 2) to use this rate to e...

journal_title：Annals of the Royal College of Surgeons of England

authors： Palser TR,Navarro AP,Swift S,Beckingham IJ

更新日期：2019-07-01 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：INTRODUCTION:We report our ten-year experience of thyroglossal cyst excision at Queen's Medical Centre, Nottingham, comparing outcomes, practice and technique. METHODS:Retrospective case note analysis was conducted alongside surgical histopathology review for all thyroglossal cyst excisions performed between 2000 and ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Ubayasiri KM,Brocklehurst J,Judd O,Beasley N

更新日期：2013-05-01 00:00:00

abstract：:Extensive cephalic spread of solution occurred in three out of seven cases studied during coeliac plexus blockade. Spread on to cardiac nerves and plexus may be a factor in hypotension following this procedure. Incremental dosage and careful screening is recommended. ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Hardy PA,Wells JC

更新日期：1989-01-01 00:00:00