A practical 'safe zone' technique for lag screw fixation of the fibula.

abstract：:A total parenteral nutrition (TPN) service was established in Oxford in 1978 and the results of the first 3 years were published in 1983. Since then the service has provided intravenous nutritional support to an increasing number of patients, representing a considerable and increasing financial burden on the constrain...

journal_title：Annals of the Royal College of Surgeons of England

authors： Clarke PJ,Ball MJ,Tunbridge A,Kettlewell MG

更新日期：1988-09-01 00:00:00

abstract：:The brachial plexus is related intimately to the clavicle such that injury can occur primarily and most commonly at the time of trauma through traction or it can occur secondarily, mainly owing to hypertrophic non-union with exuberant callus formation, causing compression of the plexus. The movement-dependent rearrang...

journal_title：Annals of the Royal College of Surgeons of England

authors： Thavarajah D,Scadden J

更新日期：2013-04-01 00:00:00

abstract：:Malignant oesophago-respiratory fistula is an incurable and distressing condition. Surgery is difficult, unsatisfactory or impossible, and standard oesophageal tubes often fail to occlude the fistula. A new tube is described which relieves dysphagia and occludes the fistula without risk of pressure necrosis. After ins...

journal_title：Annals of the Royal College of Surgeons of England

authors： Irving JD,Simson JN

更新日期：1988-01-01 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:The usefulness of thoracic damage control (DC) for trauma requiring a thoracotomy is not established. The aim of this study was to clarify the usefulness of thoracic packing as DC surgery. METHODS:This was a retrospective case series study of 12 patients with thoracic trauma suffering uncontrollable intra...

journal_title：Annals of the Royal College of Surgeons of England

authors： Moriwaki Y,Toyoda H,Harunari N,Iwashita M,Kosuge T,Arata S,Suzuki N

更新日期：2013-01-01 00:00:00

abstract：:Oesophageal stent migration is a recognised complication; however, few present distal to the stomach causing obstruction. To date, this has never been reported as occurring later than 2 years after insertion. An 84-year-old woman presented with small bowel obstruction secondary to a fractured migrated metallic oesopha...

journal_title：Annals of the Royal College of Surgeons of England

authors： Harries R,Campbell J,Ghosh S

更新日期：2010-09-01 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：:The three main risk factors for cardiovascular disease, smoking, hypertension, and hyperlipidaemia, are examined in the light of changing world trends and the mechanisms by which they aggravate this large group of conditions. Prostaglandin activity within the vessel wall and the blood platelets may be disturbed by the...

journal_title：Annals of the Royal College of Surgeons of England

authors： Eastcott HH

更新日期：1982-01-01 00:00:00

abstract：:The emergency operating patterns in a district general hospital were significantly altered by the introduction of an afternoon emergency theatre list co-ordinated by a consultant anaesthetist. Before the introduction of the list, 88% of emergency operations were carried out after 17.00, with 40% of cases waiting until...

journal_title：Annals of the Royal College of Surgeons of England

authors： Lovett BE,Katchburian MV

更新日期：1999-01-01 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:Tranexamic acid has been used for many years to minimise blood loss during surgery and, more recently, to reduce morbidity after major trauma. While small studies have confirmed reduction in blood loss during tonsillectomy with its use, the rate of primary haemorrhage following tonsillectomy has not been r...

journal_title：Annals of the Royal College of Surgeons of England

authors： Robb PJ,Thorning G

更新日期：2014-03-01 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：:All surgical procedures are characterised by a sequence of steps and instrument changes. Although surgical efficiency and training in operative technique closely relate to this process, few studies have attempted to analyse it quantitatively. Because efficiency is particularly important in day surgery and lower third ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Shepherd JP,Brickley M

更新日期：1992-11-01 00:00:00

abstract：:While some degree of specialization is essential in surgery there remains a place for the general surgeon. The tendency to regard surgical intensive care as a specialty should be resisted. Similarly the surgery of trauma should remain in the field of the general surgeon in full co-operation with the orthopaedic surgeo...

journal_title：Annals of the Royal College of Surgeons of England

authors： Allgöwer M

更新日期：1975-09-01 00:00:00

abstract：:An attempt has been made to assess the patency and function of the choledochoduodenal junction after biliary sphincterotomy by estimating the first arrival time of injected bromsulphalein (BSP) in duodenal aspirate and the effect of morphine on this. Studies on 49 patients 1--12 years after this operation showed the a...

journal_title：Annals of the Royal College of Surgeons of England

authors： Peel AL,Delvin HB,Ritchie HD

更新日期：1975-06-01 00:00:00

abstract：:The outcome of loop ileostomy closure was evaluated in 40 patients who had previously undergone restorative proctocolectomy. A standard operative technique was used which incorporated a circumstomal incision, non-resectional reconstruction and primary skin closure. Thirty-six patients (90%) enjoyed an uncomplicated re...

journal_title：Annals of the Royal College of Surgeons of England

authors： Lewis P,Bartolo DC

更新日期：1990-07-01 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：:The medical records of 116 patients who had 168 ureteric double J (pigtail) catheters inserted over a 6-year period between 1981 and 1987 were reviewed. Eighty-five patients had pigtails inserted for benign conditions and 31 for malignant disease. The pigtail catheters were inserted cystoscopically in 88 patients, per...

journal_title：Annals of the Royal College of Surgeons of England

authors： Smedley FH,Rimmer J,Taube M,Edwards L

更新日期：1988-11-01 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

abstract：:Massive haemorrhage is an uncommon complication in pancreatitis. Most affected patients suffer from chronic disease with associated pseudocyst. We present five patients (four male) with a mean age of 41 years (range 34-48 years). All patients had alcohol-induced pancreatitis complicated either by haematemesis (3), int...

journal_title：Annals of the Royal College of Surgeons of England

authors： Ammori BJ,Madan M,Alexander DJ

更新日期：1998-09-01 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：: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：:A prospective study of all weekday emergency surgery performed in a district general hospital over an 18-month period was undertaken to assess the impact of a fully staffed, daytime operating theatre for emergency surgery on night-time operating and on consultant supervision of trainees. In the 12 months following the...

journal_title：Annals of the Royal College of Surgeons of England

authors： Barlow AP,Wilkinson DA,Wordsworth M,Eyre-Brook IA

更新日期：1993-11-01 00:00:00

abstract：INTRODUCTION:Surgical skills courses are an important part of learning during surgical training. The assessments at these courses tend to be subjective and anecdotal. Objective assessment using multiple choice questions (MCQs) quantifies the learning experience for both the organisers and the participants. MATERIALS A...

journal_title：Annals of the Royal College of Surgeons of England

authors： John J,Kuiper JH,Kelly CP

更新日期：2008-03-01 00:00:00

abstract：:Orthopaedic outpatient waiting lists are long and the majority of referrals are for conditions that do not respond to surgical intervention. Many of these patients are best managed by physiotherapy, orthotics or steroid injections, which can be administered by an appropriately trained physiotherapist. The effectivenes...

journal_title：Annals of the Royal College of Surgeons of England

authors： Weale AE,Bannister GC

更新日期：1995-03-01 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：INTRODUCTION:Involvement of regional lymph node is a critical sign in prognosis of gastric cancer. Radiological techniques are commonly used to evaluate the extension of gastric cancer. But their sensitivity and specificity are low especially in the early stage. Our aim was to assess the value of gastric lymphoscintigr...

journal_title：Annals of the Royal College of Surgeons of England

authors： Ozmen MM,Zulfikaroglu B,Kucuk NO,Ozalp N,Aras G,Koseoglu T,Koç M

更新日期：2006-11-01 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：:Two years individual experience of spine and joint tuberculosis in the North West Frontier of Pakistan is summarised. The problems of treating a population that presents late in the course of the disease, and of coping with an added influx of highly affected Afghans, feature prominently in surgical practice. ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Currie MA

更新日期：1984-03-01 00:00:00

abstract：:We present a case of a chronic recurrent rectovaginal fistula that initially arose from complications of haemorrhoid surgery and had failed multiple prior surgical repairs. The fistula was successfully managed using viable cryopreserved placental tissue. ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Taylor JP,Gearhart S

更新日期：2017-11-01 00:00:00