Computed tomography colonography: a new threat to the spleen?

abstract：INTRODUCTION:Modernisation of Medical Careers dictates a shortening of the training required to achieve consultant status. Precisely what type of work these consultants could be expected to accomplish, and be trained to do, is not clear. The objective of this study was to demonstrate a method of stratifying urological ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Payne SR,Shaw MB

更新日期：2005-09-01 00:00:00

abstract：AIMS:To compare the effect of buffered commercial 1% xylocaine (with 1:200,000 adrenaline) and the unbuffered commercial 1% xylocaine (with 1:200,000 adrenaline) preparation on pain during infiltration and procedure. PATIENTS AND METHODS:A randomised, double blind controlled trial involving 85 patients who underwent b...

journal_title：Annals of the Royal College of Surgeons of England

authors： Younis I,Bhutiani RP

更新日期：2004-05-01 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：:Inguinal hernia often presents as an emergency with obstruction and subsequent strangulation. We report a unique case where an inguinoscrotal sliding type hernia contained the entire hepatic flexure as its lead point, resulting in acute colonic obstruction and caecal wall perforation. ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Skelly BL,Neill AK

更新日期：2013-09-01 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：: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：:A new surgical approach to the sublingual salivary gland is described, the key feature of which is the use of a flap rather than the usual incision. The flap includes the submandibular duct and, because of the relationship of the duct and lingual nerve, allows early identification of the latter before dissection of th...

journal_title：Annals of the Royal College of Surgeons of England

authors： Yates C

更新日期：1994-03-01 00:00:00

abstract：:Introduction Trauma and orthopaedics is a popular surgical specialty in the UK. Recent changes to the National Health Service have suggested an imbalance with fewer jobs yet more trainees. Furthermore, subspecialisation is emerging within all surgical disciplines. The aim of this study was to examine whether there wer...

journal_title：Annals of the Royal College of Surgeons of England

authors： Wilson S,Jain N,Johnson DS

更新日期：2017-11-01 00:00:00

abstract：INTRODUCTION:Much literature reports on selective nerve root blocks (SNRBs) in cases of lumbosacral radiculopathy. Unfortunately, authors only inconsistently reveal the exact needle tip position relative to the causative pathology at the time of injection. Different injection sites may provide different symptomatic ben...

journal_title：Annals of the Royal College of Surgeons of England

authors： Eastley NC,Spiteri V,Newey ML

更新日期：2013-10-01 00:00:00

abstract：:Changes in anal pressure have been monitored during the induction of anaesthesia. Falls in pressure accompany loss of consciousness following bolus doses of commonly used intravenous and inhalational anaesthetic agents. Subsequent rises in pressure towards pre-anaesthetic levels are usually associated with the time ta...

journal_title：Annals of the Royal College of Surgeons of England

authors： Harrison MJ,Tomlinson PA,Ubhi CS,Wright J,Hardcastle JD

更新日期：1988-03-01 00:00:00

abstract：INTRODUCTION:Lymph node metastasis is a poor prognostic indicator and is well established in tongue squamous cell carcinoma. Based on the current staging system, accurate risk stratification is difficult. There is thus a need to evaluate an alternate method for predicting recurrence and survival. The objective of the s...

journal_title：Annals of the Royal College of Surgeons of England

authors： Iftikhar H,Rozi S,Zahid N,Awan MS,Nathani KR

更新日期：2020-11-01 00:00:00

abstract：:The authors present a case of pyomyositis of the piriformis muscle. This case, the first in the English speaking literature of piriformis involvement in a juvenile, serves to illustrate the need for a high index of suspicion when treating children with symptoms related to impalpable pathology deep in the pelvis and th...

journal_title：Annals of the Royal College of Surgeons of England

authors： Burton DJ,Enion D,Shaw DL

更新日期：2005-01-01 00:00:00

abstract：:Introduction Angiolipoma is a histological variant of lipoma and is the most common neoplasm in the trunk and extremities of young adults. It is extremely rare in elderly people, and its size is ≤4cm. Few data are available for large angiolipomas. Case History An 86-year-old patient was admitted to our surgical depart...

journal_title：Annals of the Royal College of Surgeons of England

authors： Papakonstantinou PE,Korkolopoulou P,Lassithiotakis D,Lolis ED

更新日期：2016-07-01 00:00:00

abstract：:Superior mesenteric artery (SMA) syndrome, also known as Wilkie syndrome, is a rare condition characterised by compression of the third part of the duodenum against the aorta by the SMA. This can cause symptomatic duodenal obstruction. It is rarely associated with an abdominal aortic aneurysm (AAA). We report the case...

journal_title：Annals of the Royal College of Surgeons of England

authors： Pal A,Cameron AE

更新日期：2009-10-01 00:00:00

abstract：:The results of the secretin-pancreozymin test, duodenal aspirate cytology and hypotonic duodenography (the Triple Test), performed during a single duodenal intubation in patients with pancreatic or ampullary carcinoma, chronic pancreatitis and non-pancreatic disease were analysed retrospectively. Thirty-five of 36 car...

journal_title：Annals of the Royal College of Surgeons of England

authors： Thompson HH,Brown CL,Murray RS,Wingate DL,Ritchie HD

更新日期：1983-05-01 00:00:00

abstract：INTRODUCTION:The UK Department of Health, in its attempt to help NHS trusts reduce long elective waiting lists, set up the overseas commissioning scheme in 2002. This allowed hospitals to send their patients abroad for their surgery. In theory, this was a win-win situation, where pressures upon surgeons were reduced, a...

journal_title：Annals of the Royal College of Surgeons of England

authors： Hanna SA,Saksena J,Legge S,Ware HE

更新日期：2009-03-01 00:00:00

abstract：:We report the first case of infective endocarditis caused by Paenibacillus provencensis. A mitral valve vegetation was incidentally discovered by intraoperative transoesophageal echocardiography in a 70-year-old woman undergoing aortic valve replacement. The precise identification of the causative agent was by means o...

journal_title：Annals of the Royal College of Surgeons of England

authors： Pinho-Gomes AC,Nasir A,Mosca R,Mirza S,Kadir I

更新日期：2017-02-01 00:00:00

abstract：:A method of treatment for cleft lip in children in the first 48 h of life is described and the rationale discussed. My experience over 18 years of the treatment of 300 newborn babies with this deformity is reported. ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Desai SN

更新日期：1990-03-01 00:00:00

abstract：INTRODUCTION:Pelvic acetabular injuries are associated with significant blood loss. This is compounded by multiple surgical interventions including definitive fracture fixation, which put patients at further risk of postoperative transfusion. We use intraoperative cell salvage routinely as a blood conservation strategy...

journal_title：Annals of the Royal College of Surgeons of England

authors： Odak S,Raza A,Shah N,Clayson A

更新日期：2013-07-01 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：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：:Tailgut cysts are rare benign retrorectal cysts arising from persistent remnants of an embryonic hindgut. Malignant transformation inside this lesion is very uncommon and occurrence of neuroendocrine tumours in this context is extremely rare. We report the case of a 56-year-old woman who underwent surgical excision of...

journal_title：Annals of the Royal College of Surgeons of England

authors： Mora-Guzmán I,Alonso-Casado A,Rodríguez Sánchez A,Bermejo Marcos E

更新日期：2017-02-01 00:00:00

abstract：:Non-parasitic splenic cysts are rare entities. In pregnancy, they are rarer still, with as few as seven cases reported in the literature. There is little consensus regarding the optimal management of this condition in pregnancy. Although small, the theoretical risk of intrapartum splenic rupture is associated with a f...

journal_title：Annals of the Royal College of Surgeons of England

authors： Kapp J,Lewis T,Glasgow S,Khalil A,Anjum A

更新日期：2016-09-01 00:00:00

abstract：AIM:Only half of those patients undergoing major lower limb amputations for peripheral vascular disease (PVD) are likely to mobilise on a prosthesis. This study aimed to determine whether a surgeon's experience influenced the quality of the residual limb and thus the likelihood of the stump being suitable for a prosthe...

journal_title：Annals of the Royal College of Surgeons of England

authors： Cosgrove CM,Thornberry DJ,Wilkins DC,Ashley S

更新日期：2002-09-01 00:00:00

abstract：:Colorectal cancer is the second most common cancer in the Western world, and yet the survival after potentially curative excisional surgery has improved little over the last half century. Newer tumour prognostic markers are not superior to conventional Dukes' staging and there are currently no markers which predict re...

journal_title：Annals of the Royal College of Surgeons of England

authors： Rayter Z,Leicester RJ,Mansi JL

更新日期：1995-03-01 00:00:00

abstract：:This report is based on a Hygienist Panel Meeting held at St Anne's Manor, Wokingham on 24-25 June 2009. The panel agreed that greater use should be made of antiseptics to reduce reliance on antibiotics with their associated risk of antibiotic resistance. When choosing an antiseptic for clinical use, the Biocompatibil...

journal_title：Annals of the Royal College of Surgeons of England

authors： Leaper D,McBain AJ,Kramer A,Assadian O,Sanchez JL,Lumio J,Kiernan M

更新日期：2010-09-01 00:00:00

abstract：OBJECTIVE:To ascertain whether a written information sheet is acceptable to patients and improves recall of the consent interview. DESIGN:Prospective randomised controlled study using questionnaires, comparing a group of patients given information in a written sheet with appropriate explanation to a group given verbal...

journal_title：Annals of the Royal College of Surgeons of England

authors： Langdon IJ,Hardin R,Learmonth ID

更新日期：2002-11-01 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: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：:As part of a waiting list initiative, magnetic resonance imaging (MRI) scans were arranged for 69 patients waiting for knee arthroscopy. All patients had a clinical diagnosis of a meniscal tear. With 11 non-attenders, 58 scans were performed. Of the patients scanned, 35 had demonstrable meniscal tears, and five patien...

journal_title：Annals of the Royal College of Surgeons of England

authors： Williams RL,Williams LA,Watura R,Fairclough JA

更新日期：1996-09-01 00:00:00