Informed consent: the view from the trenches.

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：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:Laparoscopic donor nephrectomy (LDN) is now a well established method for kidney procurement from living donors. In our centre, LDN is currently offered only to donors suitable for left nephrectomy. The aim of this study was to investigate the incidence of testicular pain and swelling following LDN. METH...

journal_title：Annals of the Royal College of Surgeons of England

authors： Jalali M,Rahmani S,Joyce AD,Cartledge JJ,Lewis MH,Ahmad N

更新日期：2012-09-01 00:00:00

abstract：:A new definition of the iliotibial tract is made. Its anatomical and physical characteristics are summarised and its known functions discussed. The various postures adopted by standing Man are looked at and one resting posture is closely analysed. Hence a new role is proposed for the iliotibial tract. In the hip bone ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Evans P

更新日期：1979-07-01 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：INTRODUCTION:The main barriers to short stay thyroidectomy are haemorrhage, bilateral recurrent laryngeal nerve palsy causing respiratory compromise and hypocalcaemia. This study assessed the safety and effectiveness of thyroidectomy as a 23-hour stay procedure. METHODS:All patients undergoing total or completion thyr...

journal_title：Annals of the Royal College of Surgeons of England

authors： Perera AH,Patel SD,Law NW

更新日期：2014-05-01 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：INTRODUCTION:Accurate written communication is essential in orthopaedic surgery. Incomplete and poorly structured letters can lead to poor knowledge of a patient's diagnosis. MATERIALS AND METHODS:Structured and traditional letter formats were compared for speed of reading and preference by general practitioners (GPs)...

journal_title：Annals of the Royal College of Surgeons of England

authors： Hook SE,Banister GC,Topliss C,Webb J

更新日期：2006-05-01 00:00:00

abstract：:Traumatic wounding to the upper aerodigestive tract can cause acute airway compromise. In these circumstances establishment of a safe airway is vital. We present a case report illustrating the decision making pathway in such a difficult case. ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Mepani VN,Antscherl J

更新日期：2012-01-01 00:00:00

abstract：:Introduction Emergency general surgery services in England are undergoing rapid structural change with the aim of improving care. In our centre, the key issues identified were high numbers of admissions, inappropriate referrals, prolonged waiting times, delayed senior input and poor patient satisfaction. A new model w...

journal_title：Annals of the Royal College of Surgeons of England

authors： Navarro AP,Hardy E,Oakley B,Mohamed E,Welch NT,Parsons SL

更新日期：2017-09-01 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：:As general surgeons, we are regularly referred patients with epigastric pain. There are a huge number of common pathologies which cause this complaint, most of which are gastrointestinal in origin. Although the old adage goes 'common things are common', we must always keep our minds open to the possibility of the unco...

journal_title：Annals of the Royal College of Surgeons of England

authors： Sharkey A,Cooper G

更新日期：2010-10-01 00:00:00

abstract：:A series of 21 patients (18 female) whose intractable constipation was treated by colectomy between 1976 and 1985 is reported. There was no mortality attributable to surgery in this series. Total colectomy with ileorectal anastomosis was the preferred operation, but it produced a satisfactory result in only 12 patient...

journal_title：Annals of the Royal College of Surgeons of England

authors： Walsh PV,Peebles-Brown DA,Watkinson G

更新日期：1987-03-01 00:00:00

abstract：INTRODUCTION:Acute cholecystitis is among the most common general surgical presentations. There is a cohort of patients who develop systemic sepsis and complications of acute cholecystitis. These patients are often elderly and co-morbid. Conservative management with percutaneous cholecystostomy has been shown to be a s...

journal_title：Annals of the Royal College of Surgeons of England

authors： Flexer SM,Peter MB,Durham-Hall AC,Ausobsky JR

更新日期：2014-04-01 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：:In an attempt to reduce the high recurrence rate after repair of parastomal hernia, a technique was devised in which non-absorbable mesh was used to provide a permanent closure of the gap between the emerging bowel and abdominal wall. Seven patients were treated during the period 1990-1992. Five-year follow-up has giv...

journal_title：Annals of the Royal College of Surgeons of England

authors： Morris-Stiff G,Hughes LE

更新日期：1998-05-01 00:00:00

abstract：INTRODUCTION:Adequate medical note keeping is critical in delivering high quality healthcare. However, there are few robust tools available for the auditing of notes. The aim of this paper was to describe the design, validation and implementation of a novel scoring tool to objectively assess surgical notes. METHODS:An...

journal_title：Annals of the Royal College of Surgeons of England

authors： Tuffaha H,Amer T,Jayia P,Bicknell C,Rajaretnam N,Ziprin P

更新日期：2012-05-01 00:00:00

abstract：:Overseas Doctors have been coming for higher surgical training to the UK for many years. Little is known about the reasons they choose to come here, what their expectations are and if the training they receive fulfils these expectations and prepares them for a career back home. The aim of this study was to address the...

journal_title：Annals of the Royal College of Surgeons of England

authors： Dawson R,Shukla HS,Mansel RE,Lewis MH

更新日期：1997-11-01 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:Osteoarthritis of the trapeziometacarpal joint (TMJ) is a common condition causing significant disability. Conservative treatments include intra-articular steroid injections. PATIENTS AND METHODS:This clinical, observational study prospectively reviewed the longevity of benefit of steroid injections into ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Swindells MG,Logan AJ,Armstrong DJ,Chan P,Burke FD,Lindau TR

更新日期：2010-11-01 00:00:00

abstract：:In a prospective study of 100 patients presenting with acute right hypochondrial pain and diagnosed clinically by a qualified surgeon as having acute cholecystitis, we have shown that the diagnostic error can be considerable. Twenty-five of these patients were found to have a different diagnosis on subsequent investig...

journal_title：Annals of the Royal College of Surgeons of England

authors： Schofield PF,Hulton NR,Baildam AD

更新日期：1986-01-01 00:00:00

abstract：INTRODUCTION:The Intercollegiate Membership of the Royal College of Surgeons (MRCS) is a mandatory examination to enter higher surgical specialty training in the UK. It is designed to help to ensure that successful candidates are competent to practice as higher surgical trainees. The annual review of competence progres...

journal_title：Annals of the Royal College of Surgeons of England

authors： Scrimgeour D,Brennan PA,Griffiths G,Lee AJ,Smith F,Cleland J

更新日期：2018-10-05 00:00:00

abstract：AIM:The analgesia provided for children is often less than for adults with the same underlying pathology. This paper attempts to quantify the postoperative analgesic requirements of patients undergoing appendicectomy. METHODS:Patients between 6 and 30 years of age who underwent an unscheduled appendicectomy were prosp...

journal_title：Annals of the Royal College of Surgeons of England

authors： Lambert AW,Mayor A

更新日期：2000-03-01 00:00:00

abstract：:Introduction Pseudoaneurysm formation following ankle arthroscopy is a rare but potentially catastrophic complication. The placement of anterior ankle portals carries inherent risk to the superficial and deep peroneal nerves, as well as to the dorsalis pedis artery. Anatomical variations in the dorsalis pedis and the ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Parikh S,Dawe E,Lee C,Whitehead-Clarke T,Smith C,Bendall S

更新日期：2017-04-01 00:00:00

abstract：INTRODUCTION:The aim of this study was to develop a standardised management plan for boys with abnormal appearance of meatus at circumcision for balanitis xerotica obliterans (BXO). METHODS:Between 1995 and 2008, 107 boys underwent circumcision for BXO (confirmed on histology). Of these, 23 had abnormal appearance of ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Holbrook C,Tsang T

更新日期：2011-09-01 00:00:00

abstract：INTRODUCTION:International humanitarian law requires emergency medical support for both military personnel and civilians, including children. Here we present a detailed review of paediatric admissions with the pattern of injury and the resources they consume. METHODS:All paediatric admissions to the hospital at Camp B...

journal_title：Annals of the Royal College of Surgeons of England

authors： Arul GS,Reynolds J,DiRusso S,Scott A,Bree S,Templeton P,Midwinter MJ

更新日期：2012-01-01 00:00:00

abstract：:Benign breast disease accounts for the majority of referrals to a specialist breast clinic. Delayed investigation prolongs patient anxiety and increases outpatient waiting lists. Few centres offer the triple test of clinical examination, fine needle aspiration cytology (FNAC) and breast imaging by mammography and/or u...

journal_title：Annals of the Royal College of Surgeons of England

authors： Roche NA,Ray SA,Layer GT

更新日期：1997-07-01 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：:Oesophageal cancer is an increasingly common disease in the UK. Sadly, the overall results of treatment remain poor with overall 5 year survival of approximately 10%. More than 50% of patients receive purely palliative care from the outset. Of those having potentially curative treatment, 40% will not survive the first...

journal_title：Annals of the Royal College of Surgeons of England

authors： Bancewicz J

更新日期：1999-11-01 00:00:00

abstract：:Adult ingestion of caustic substances is an unusual but serious surgical problem, with injuries likely to be more extensive than those in the corresponding paediatric population. After initial stabilisation and airway management, clinicians are presented with a complex multisystemic problem, frequently requiring a mul...

journal_title：Annals of the Royal College of Surgeons of England

authors： Rollin M,Jaulim A,Vaz F,Sandhu G,Wood S,Birchall M,Dawas K

更新日期：2015-05-01 00:00:00