Abdominal fat ratio - a novel parameter for predicting conversion in laparoscopic colorectal surgery.

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：: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 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：:The problems encountered in introducing a pulmonary artery (PA) pressure and cardiac output (CO) measurement facility in a district general hospital intensive care unit are enumerated. The indications for its use are briefly reviewed. ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Smith HS

更新日期：1983-09-01 00:00:00

abstract：BACKGROUND:In 1999, a statement of best practice in primary total hip replacement was approved by the Council of the British Orthopaedic Association (BOA) and by the British Hip Society (BHS) to provide a basis for regional and national auditable standards. We have compared practice in the North West Region of England ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Malik MH,Gambhir AK,Bale L,Pradhan N,Porter ML

更新日期：2004-03-01 00:00:00

abstract：:A patient with phyllodes tumour of the breast is discussed. During follow-up, she presented with intestinal obstruction caused by ileocaecal intussusception. The cause of the intussusception was metastatic phyllodes tumour, which is a unique presentation. ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Morcos BB,Baker B,Hashem SA

更新日期：2010-09-01 00:00:00

abstract：:Intact parathyroid hormone (PTHi) has a relatively short half-life and levels fall significantly within 15 min of the successful excision of all the abnormal parathyroid glands during surgery for hyperparathyroidism. Monitoring this fall has been suggested as useful in decreasing the failure rate of neck explorations ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Madira W,Robertson GS,London NJ,Iqbal SJ,Bell PR,Veitch PS

更新日期：1993-01-01 00:00:00

abstract：:Over the past decade fibre supplementation has achieved widespread acceptance in the management of symptomatic diverticular disease, although the efficacy of this treatment has been debated. We have conducted a retrospective review of 72 patients admitted to hospital with symptomatic diverticular disease over a ten ye...

journal_title：Annals of the Royal College of Surgeons of England

authors： Leahy AL,Ellis RM,Quill DS,Peel AL

更新日期：1985-05-01 00:00:00

abstract：:Failure to provide sufficient information to a patient when seeking consent can result in a claim in negligence. When determining what information to provide, you should be guided by what this particular patient needs to know in order to make an informed decision. Adult patients must be assumed to have capacity to giv...

journal_title：Annals of the Royal College of Surgeons of England

authors： Shah J,Fitz-Henry J

更新日期：2011-05-01 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：INTRODUCTION:The national abdominal aortic aneurysm (AAA) screening programme measures internal wall diameter; however, current UK intervention criteria use external wall diameter. Our aim was to determine the clinical significance of the difference between these two measurements. PATIENTS AND METHODS:Fifty patients o...

journal_title：Annals of the Royal College of Surgeons of England

authors： Thapar A,Cheal D,Hopkins T,Ward S,Shalhoub J,Yusuf SW

更新日期：2010-09-01 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：: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 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：:A prospective controlled randomised study has been performed of 100 consecutive patients undergoing varicose vein surgery. One group underwent saphenofemoral flush ligation and multiple lower leg avulsions with the leg exsanguinated with a Rhys-Davies cuff, and ischaemia maintained with a pneumatic tourniquet. The oth...

journal_title：Annals of the Royal College of Surgeons of England

authors： Thompson JF,Royle GT,Farrands PA,Najmaldin A,Clifford PC,Webster JH

更新日期：1990-03-01 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：:In a personal series of 162 tumours, 101 were pleomorphic adenomas 28 of which were removed by elective local extra capsular dissection and 73 by a conventional nerve dissection. There were no recurrences in either group after a mean follow-up 10.3 years, range 3-21 years for local dissection and 8.3 years, range 3-22...

journal_title：Annals of the Royal College of Surgeons of England

authors： Hancock BD

更新日期：1999-09-01 00:00:00

abstract：:A mathematical model for study of blood flow has been derived from the avian egg, utilizing the theories of crystallography and photosynthesis. The model is employed to explain the form of the eye and the function of the cells of the human retina, with special reference to colour vision and the pathology of migraine. ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Malcolm JE

更新日期：1973-05-01 00:00:00

abstract：:Apposition of skin edges in plastic surgical procedures can be achieved by sutures or stainless steel staples. This retrospective study reviews 45 skin falp operations and finds that 20.6% of sutured flaps are complicated by partial necrosis or slow healing. These complications occur in 62.5% of stapled flaps. It is p...

journal_title：Annals of the Royal College of Surgeons of England

authors： Coupland RM

更新日期：1986-01-01 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：INTRODUCTION:The Improving Outcomes Guidance (IOG) for patients with carcinoma of the penis states that treatment should be provided supraregionally to populations of 4 million or greater who treat over 25 cases of penis cancer each year. This study assesses the impact of this guidance on the management and outcomes of...

journal_title：Annals of the Royal College of Surgeons of England

authors： Bayles AC,Sethia KK

更新日期：2010-01-01 00:00:00

abstract：:There has been renewed emphasis on research following the Calman recommendations for higher training. It is often considered essential for progression in training to have participated in research projects and to have some publications to one's credit. Orthopaedic surgery is usually thought to lag behind other discipli...

journal_title：Annals of the Royal College of Surgeons of England

authors： Singh GK,Qadir W,Deshmukh RG

更新日期：2003-01-01 00:00:00

abstract：:In spite of the suitability of the day surgery environment for most patients undergoing elective plastic surgery, day plastic surgery has not been universally adopted in the United Kingdom. The experience of one plastic surgeon gained in treating 5970 patients as day cases out of a total of 12,461 patients over 10 yea...

journal_title：Annals of the Royal College of Surgeons of England

authors： Ward C

更新日期：1994-03-01 00:00:00

abstract：:The treatment of erectile dysfunction has been revolutionised with the introduction of orally active phosphodiesterase inhibitors which are successful in 70-80% of men. However, there remain a group of men in whom conservative treatment fails and surgical insertion of a penile prosthesis is required. This type of surg...

journal_title：Annals of the Royal College of Surgeons of England

authors： Jain S,Terry TR

更新日期：2006-07-01 00:00:00

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：: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：:Pharyngocutaneous fistulas following large oncological surgical resection of the upper aerodigestive tract are common and typically heal over a number of weeks. A pharyngostome is a surgically created non-healing opening into the pharynx, which is far less common and often difficult to manage. ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Stew B,Dafydd C,Berry S,Howard D

更新日期：2014-11-01 00:00:00

abstract：:We report a patient with ulcerative colitis who, in the period following surgery, developed recurrent episodes of acute adrenal insufficiency presenting clinically as a high output ileostomy. ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Rai S,Hemingway D

更新日期：2003-03-01 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：: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