Reporting individual surgeon outcomes does not lead to risk aversion in abdominal aortic aneurysm surgery.

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：:We report the case of a patient presenting with a chronic groin sinus secondary to a tubal ligation clip migration (Filshie clip) 21 years after the laparoscopic sterilisation took place. Our case report adds to the small number of cases describing tubal clip migration with resultant local sepsis. Although this is a r...

journal_title：Annals of the Royal College of Surgeons of England

authors： Kolias AG,Nikolaou S,Bilal KO,Abu-Own A

更新日期：2010-01-01 00:00:00

abstract：:In the past few years, minimally invasive oesophagectomy has become an increasingly popular approach for oesophagectomy showing advantages in terms of fewer postoperative complications, shorter hospital stay and faster recovery. We present the case of a 60-year-old man with a lesion of the distal third of the oesophag...

journal_title：Annals of the Royal College of Surgeons of England

authors： Annicchiarico A,Dalmonte G,Morini A,Marchesi F

更新日期：2021-01-01 00:00:00

abstract：:Mean anaesthetic, surgical and turnover times were used to predict finishing times for elective general surgical operating lists. A predicted early finish was correct in 70 per cent, a predicted on-time finish in 19 per cent, and a predicted late finish in 56 per cent. Overall, predictions of an early or late finish h...

journal_title：Annals of the Royal College of Surgeons of England

authors： Widdison AL

更新日期：1995-11-01 00:00:00

abstract：INTRODUCTION:The aim of this study was to determine the efficacy and complications of postoperative endoscopic retrograde cholangiopancreatography (ERCP) in confirming and treating choledocholithiasis found at intraoperative cholangiography during laparoscopic cholecystectomy. METHODS:Patients who had undergone ERCP f...

journal_title：Annals of the Royal College of Surgeons of England

authors： Lynn AP,Chong G,Thomson A

更新日期：2014-01-01 00:00:00

abstract：:Breast cancer patients frequently develop bone metastases. A newly discovered peptide, Parathyroid Hormone Related Protein (PTHrP), causes humoral hypercalcaemia of malignancy. We have studied whether production of this protein by breast cancers leads to the development of bone metastases or hypercalcaemia. PTHrP was ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Bundred NJ,Walls J,Ratcliffe WA

更新日期：1996-07-01 00:00:00

abstract：:This paper considers the potential role of videoconferencing technology for postgraduate dental and medical education. Drawing on work from the University of Bristol Dental School, it presents an analysis of the potential cost savings achievable by using videoconferencing compared to traditional face-to-face teaching ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Cook JH,Stevens CD

更新日期：2000-05-01 00:00:00

abstract：:After thyroidectomy there is an appreciable incidence of hypothyroidism as judged by FT4I estimates. Pharmacological doses of iodine (10-300 mg/day) usually suppress, whereas physiological doses of iodine (< 5 mg/day) have been reported to both decrease and increase thyroid function. The value of iodine supplementatio...

journal_title：Annals of the Royal College of Surgeons of England

authors： Taylor JD,Radcliffe SN,Basu PK,Atkins P

更新日期：1993-05-01 00:00:00

abstract：:Falls are the most common accident occurring to patients in hospital, especially those undergoing rehabilitation. The types, causes, and consequences of such falls are discussed in relation to the patients' age and underlying condition with reference to 386 accidents occurring over a 5-month period in a hospital with ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Watkins JS,Robson P

更新日期：1981-11-01 00:00:00

abstract：INTRODUCTION:We performed a retrospective radiological audit of the hip resurfacings carried out in our trust over a five-year period. Abnormal cup inclination angle (CIA) and stem shaft angle (SSA) are recognised risk factors for revision in hip resurfacing. Our aims were to identify the CIA and SSA for hip resurfacin...

journal_title：Annals of the Royal College of Surgeons of England

authors： Ramisetty N,Krishnan KM,Partington PF

更新日期：2011-05-01 00:00:00

abstract：:Introduction There is a known correlation between anaerobic threshold (AT) during cardiopulmonary exercise testing and development of cardiopulmonary complications in high-risk patients undergoing oesophagogastric cancer surgery. This study aimed to assess the value of routine retesting following neoadjuvant chemother...

journal_title：Annals of the Royal College of Surgeons of England

authors： Drummond RJ,Vass D,Wadhawan H,Craig CF,MacKay CK,Fullarton GM,Forshaw MJ

更新日期：2018-09-01 00:00:00

abstract：:INTRODUCTION While clinical guidelines stress the importance of the judicious perioperative intravenous fluid administration, data show that adherence to these protocols is poor. The reasons have not been identified. We therefore audited the magnitude and indications of fluid and electrolyte administration in a teachi...

journal_title：Annals of the Royal College of Surgeons of England

authors： Simpson RG,Quayle J,Stylianides N,Carlson G,Soop M

更新日期：2017-07-01 00:00:00

abstract：:This is a report of a 2-year experience with the management of penetrating injury of the cervical trachea. There were 29 cases. The respiratory status of the patient on admission dominated the initial management: 12 patients required emergency intubation and were immediately taken to operation, while 17 patients were ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Levy RD,Degiannis E,Hatzitheophilou C,Maberti P,Kantarovsky A,John KD,Saadia R

更新日期：1997-05-01 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：:Over 700 cerebral vascular operations have been undertaken on the Surgical Unit of St Bartholomew's Hospital, London, for stroke prophylaxis, the majority being carotid endarterectomies. One of the unique features of the latter procedure is the marked instability of postoperative blood pressure. The relation of this c...

journal_title：Annals of the Royal College of Surgeons of England

authors： Lumley JS

更新日期：1980-09-01 00:00:00

abstract：INTRODUCTION:The aim of this study was to determine the awareness of Clostridium difficile infection amongst healthcare professionals. SUBJECTS AND METHODS:A total of 132 healthcare professionals (18 consultants, 40 trainee doctors, and 74 nursing staff) in our hospital were randomly surveyed using a questionnaire con...

journal_title：Annals of the Royal College of Surgeons of England

authors： Aroori S,Blencowe N,Pye G,West R

更新日期：2009-09-01 00:00:00

abstract：INTRODUCTION:Nosocomial MRSA infection has become an important healthcare issue. We present 6 cases of MRSA enteritis, acquired following bowel surgery and ileostomy formation. PATIENTS AND METHODS:The data set was obtained from the experience of one consultant surgeon over 6 years in one medical centre. The clinical ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Haq AI,Cook LJ

更新日期：2007-04-01 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：OBJECTIVES:Transurethral resection of the prostate (TURP) is considered by many to be the 'gold standard' treatment for benign prostatic enlargement. However, with the relatively recent introduction of pharmacological and other surgical treatment modalities, the performance of TURP appears to be in decline. METHODS:A ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Wilson JR,Urwin GH,Stower MJ

更新日期：2004-11-01 00:00:00

abstract：:Despite the widespread use of the EEA stapling device, little is known about the eventual fate of the stapled anastomosis. In a study of 38 stapled colonic anastomoses the staples were found to have passed out rectally in 11 patients (29%) within 6 months of surgery. Staple loss occurred only when the small or medium ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Kissin MW,Cox AG,Wilkins RA,Kark AE

更新日期：1985-01-01 00:00:00

abstract：OBJECTIVES:To provide guidance about the risks which should be disclosed to patients and documented during the consent process. METHODS:The Delphi Consensus Technique was used to decide what constitutes mandatory risk disclosure for three index procedures. Documentation of risk on consent forms was audited and compare...

journal_title：Annals of the Royal College of Surgeons of England

authors： Edwards TJ,Finlay I,Wilkins DC,Lambert AW

更新日期：2004-11-01 00:00:00

abstract：INTRODUCTION:Appendicectomy is the most common surgical procedure performed in general surgery. This study aimed to compare the outcomes of open appendicectomy (OA), laparoscopic appendicectomy (LA) and single port laparoscopic appendicectomy (SPLA). METHODS:Fifty consecutive patients with suspected acute appendicitis...

journal_title：Annals of the Royal College of Surgeons of England

authors： Jiang X,Meng HB,Zhou DL,Ding WX,Lu LS

更新日期：2013-10-01 00:00:00

abstract：:A non-woven alginate dressing has been used on experimental, full and partial thickness wound models for periods up to 14 days, to assess its effects on wound healing. Histological evaluation has shown that it is an effective haemostat, generally well tolerated by body tissues. Good epidermal healing was seen on all w...

journal_title：Annals of the Royal College of Surgeons of England

authors： Barnett SE,Varley SJ

更新日期：1987-07-01 00:00:00

abstract：:Enterobius vermicularis is responsible for a variety of diseases but rarely affects the liver. Accurate characterisation of suspected liver metastases is essential to avoid unnecessary surgery. In the presented case, following a diagnosis of rectal cancer, a solitary liver nodule was diagnosed as a liver metastasis du...

journal_title：Annals of the Royal College of Surgeons of England

authors： Roberts KJ,Hubscher S,Mangat K,Sutcliffe R,Marudanayagam R

更新日期：2012-09-01 00:00:00

abstract：INTRODUCTION:Ureteric stenting is a common urological procedure. Forgotten stents have a well-documented morbidity and mortality. Therefore, we asked the question, is a stent register an important factor in reducing the number of lost or overdue stents? PATIENTS AND METHODS:We conducted a retrospective review of 203 p...

journal_title：Annals of the Royal College of Surgeons of England

authors： Tang VC,Gillooly J,Lee EW,Charig CR

更新日期：2008-03-01 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：:In a 4-year review of 509 patients with chronic pancreatitis, the incidence of clinically manifest fixed common bile duct (CBD) stenosis was 9% (45 patients). In 76% this was alcohol related, and pancreatic calcification was present in 51%. All patients presented with unrelenting jaundice and five (11%) had cholangiti...

journal_title：Annals of the Royal College of Surgeons of England

authors： Huizinga WK,Thomson SR,Spitaels JM,Simjee AE

更新日期：1992-03-01 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：:Necrotising fasciitis is a rare, serious infection of the deep fascia leading to subcutaneous tissue necrosis. It is extremely important for this condition to be identified and treated promptly as it bears significant mortality. We describe a case of necrotising fasciitis after laparoscopic rectal cancer surgery. To o...

journal_title：Annals of the Royal College of Surgeons of England

authors： Yiasemidou M,Majumder S,Basheer M

更新日期：2017-04-01 00:00:00

abstract：:A new method of audit delivery is described, based on the first large scale comparative audit meeting held at The Royal College of Surgeons of England. The concept of comparative audit is introduced and the methods of undertaking such an exercise are described. This comparative audit processed the clinical activity of...

journal_title：Annals of the Royal College of Surgeons of England

authors： Emberton M,Rivett R,Ellis BW

更新日期：1991-11-01 00:00:00