Demystifying damage control in musculoskeletal trauma.

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：: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：: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：BACKGROUND:Haemorrhagic radiation proctitis frequently presents as a problem in management. We analysed the technique of formalin dab in its management. PATIENTS AND METHODS:Twenty patients presenting with haemorrhagic radiation proctitis and treated with formalin dab were prospectively analysed. RESULTS:Twelve patie...

journal_title：Annals of the Royal College of Surgeons of England

authors： Ismail MA,Qureshi MA

更新日期：2002-07-01 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：:Intra-operative injury to the ureter is a well known but fortunately uncommon complication of any major pelvic surgical procedure. If recognised on table, it can be repaired by either a substitution ureteroplasty or end-to-end anatomical repair depending upon the extent of tissue loss. Either of these anastomoses coul...

journal_title：Annals of the Royal College of Surgeons of England

authors： Chitale SV,Webb RJ

更新日期：2001-07-01 00:00:00

abstract：:A young woman who presented with loin pain and pyuria after a prolonged period of investigations and treatment, finally having a nephrectomy for non-functioning kidney, was revealed to have schistosomial infestation with an adult worm in the ureter. Unusually, she only developed bladder manifestations later. ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Ajit MK,Groenewald EA,Speakman M

更新日期：2005-11-01 00:00:00

abstract：:Twenty-one knees with isolated chronic deficiency of the anterior cruciate ligament have been treated by reconstruction using the ABC carbon and polyester bioprosthetic composite ligament; 16 were reviewed at an average of 34.6 months. The Lysholm score indicated a good or excellent result in nine knees (56%) with a s...

journal_title：Annals of the Royal College of Surgeons of England

authors： Campbell AC,Rae PS

更新日期：1995-09-01 00:00:00

abstract：INTRODUCTION:The effect of primary total knee replacement on the employment status of 56 patients under 60 years of age was examined at a mean follow-up of 64 months. PATIENTS AND METHODS:A total of 56 primary total knee replacements performed on patients under the age of 60 years by two surgeons between 1996 and 2003...

journal_title：Annals of the Royal College of Surgeons of England

authors： Lyall H,Ireland J,El-Zebdeh MY

更新日期：2009-07-01 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：:A 62-year old man who presented unwell with no specific symptoms or signs was found to have portal venous circulation gas complicating a small diverticular abscess. He was successfully managed with a course of antibiotics and had full resolution of symptoms, therefore avoiding the need for surgical intervention. While...

journal_title：Annals of the Royal College of Surgeons of England

authors： Kong CY,Goh HL,Anderson JE

更新日期：2020-09-01 00:00:00

abstract：:Syndrome of inappropriate secretion of antidiuretic hormone (SIADH) is recognised to occur after cardiac and traditional open abdominal surgery. However, SIADH after laparoscopic surgery is not well documented in the literature. We report a case of SIADH after laparoscopic (totally extraperitoneal) inguinal hernia re...

journal_title：Annals of the Royal College of Surgeons of England

authors： Ahmed M,Pattar J

更新日期：2012-05-01 00:00:00

abstract：:Research performed in the late 1960s, using 24Na, suggested that the perfusion of skin and subcutaneous tissues is critically dependent on the relationship between capillary (Pc) and tissue pressures (Pt). Perfusion changes differed significantly between controls and patients with venous disease and the differences co...

journal_title：Annals of the Royal College of Surgeons of England

authors： Chant A

更新日期：1999-03-01 00:00:00

abstract：:This study suggests that appendicectomy should be routinely performed at laparoscopy for suspected acute appendicitis and that this can be achieved with minimal morbidity. ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Grabham JA,Sutton C,Nicholson ML

更新日期：1999-07-01 00:00:00

abstract：INTRODUCTION:Patients undergoing colorectal surgical resections have a high incidence of surgical site infection (SSI). Many patient-specific risk factors have been recognised in association with SSI in such patients, but environmental contamination is increasingly recognised as a contributor to hospital-acquired infec...

journal_title：Annals of the Royal College of Surgeons of England

authors： Brady RR,Kalima P,Damani NN,Wilson RG,Dunlop MG

更新日期：2007-10-01 00:00:00

abstract：:An observational study was conducted of 105 patients presenting with an open fracture of the tibia or ankle to determine the impact of a dedicated orthoplastic operating list on our management of these injuries over the time period January 2012 to July 2014. There were 51 patients before and 54 after the introduction ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Fernandez MA,Wallis K,Venus M,Skillman J,Young J,Costa ML

更新日期：2015-09-01 00:00:00

abstract：:The effect of perioperative blood transfusion on cancer progression remains controversial because retrospective clinical studies have produced conflicting results. We have collected data prospectively on 379 patients undergoing curative surgery for colorectal adenocarcinoma and assessed the effect of variables, includ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Sene A,Jeacock J,Robinson C,Walsh S,Kingston RD

更新日期：1993-07-01 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: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：:We present a case of symptomatic trochanteric non-union following total hip replacement treated initially with a Dall-Miles grip plate. After failure of this treatment, the patient had a two-stage revision. Trochanteric non-union is one of the well-described complications after total hip replacement. It is frequently ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Drampalos E,Bayam L,Oakley J,Hemmady M,Hodgkinson J

更新日期：2019-07-01 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：:A case is reported of a patient who sustained a significant haemothorax while playing with a Nintendo Wii console. ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Peek AC,Ibrahim T,Abunasra H,Waller D,Natarajan R

更新日期：2008-09-01 00:00:00

abstract：INTRODUCTION:The incidence of wound infection following total hip and knee arthroplasty has fallen with the introduction of laminar vertical laminar airflow, occlusive clothing and prophylactic antibiotics. However, infection still occurs after prosthetic joint replacement and can have devastating consequences. Intra-o...

journal_title：Annals of the Royal College of Surgeons of England

authors： Mackain-Bremner AA,Owens K,Wylde V,Bannister GC,Blom AW

更新日期：2008-07-01 00:00:00

abstract：:We have reviewed the results of treatment of 159 consecutive limbs presenting with a clinical diagnosis of venous ulcer in 140 patients (70 male, aged 28-90 years, median 66 years). Of the patients, 61% were referred because of severe pain and 53% of the ulcers had been present > 2 years. Patients were evaluated clini...

journal_title：Annals of the Royal College of Surgeons of England

authors： Dunn JM,Cosford EJ,Kernick VF,Campbell WB

更新日期：1995-11-01 00:00:00

abstract：:Hand-held Doppler (HHD) examination and duplex ultrasound scanning of patients with varicose veins are more accurate than clinical assessment alone. To assess how the introduction of HHD and the availability of duplex ultrasound scanning affects patient management, a retrospective review was carried out comparing the ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Pleass HC,Holdsworth JD

更新日期：1996-11-01 00:00:00

abstract：:Neurofibromas of the common bile duct are extremely rare. The lack of specific clinical or radiological features makes preoperative diagnosis in the absence of histology difficult. We report the case of a female patient who presented with obstructive jaundice and evidence of a common bile duct stricture on imaging. Sh...

journal_title：Annals of the Royal College of Surgeons of England

authors： De Rosa A,Gomez D,Zaitoun AM,Cameron IC

更新日期：2013-03-01 00:00:00

abstract：:A computerised audit system was used to monitor clinical and administrative management of surgical patients in a District General Hospital. In one year (1985) there were 1,060 discharges from 27 beds (39.3 patients/bed/year). Operative treatment was required in 652 patients but 408 patients did not undergo surgery. Of...

journal_title：Annals of the Royal College of Surgeons of England

authors： Glass RE,Thomas PA

更新日期：1987-05-01 00:00:00

abstract：:In this study, 56 women who presented to the breast clinic with nipple discharge have been reviewed. Patients were selected for surgery by a triple assessment of clinical examination, discharge cytology and breast imaging. Surgical intervention was required in 17 women. Significant pathology was found in 11 cases incl...

journal_title：Annals of the Royal College of Surgeons of England

authors： Carty NJ,Mudan SS,Ravichandran D,Royle GT,Taylor I

更新日期：1994-11-01 00:00:00

abstract：:The ability to use animal organs, such as from the pig, for the purposes of transplantation in humans, would clearly overcome the major shortage of human organs that greatly restricts transplantation programmes worldwide. Recent experimental advances have raised the possibility of renewed attempts at organ xenotranspl...

journal_title：Annals of the Royal College of Surgeons of England

authors： Taniguchi S,Cooper DK

更新日期：1997-01-01 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