Patient satisfaction with the use of an enhanced recovery programme for primary arthroplasty.

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：:Conflicting reports exist for the efficacy of intermittent wound perfusion with bupivacaine in the relief of postoperative pain. A study was devised to assess postoperative pain relief objectively using a Patient Controlled Analgesic Device (PCAD) during continuous wound perfusion with bupivacaine or saline. Thirty co...

journal_title：Annals of the Royal College of Surgeons of England

authors： Chester JF,Ravindranath K,White BD,Shanahan D,Taylor RS,Lloyd-Williams K

更新日期：1989-11-01 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：:This is a retrospective review of 80 intra-articular calcaneal fractures treated with open reduction and internal fixation by a specialist team under supervision of a single surgeon in a tertiary centre between 2005 and 2014. The fractures were evaluated with plain radiography and computed tomography, and graded using...

journal_title：Annals of the Royal College of Surgeons of England

authors： Vasukutty N,Kumar V,Diab M,Moussa W

更新日期：2017-04-01 00:00:00

abstract：:The incidence of bacteriological contamination of drainage fluid (water constituting the underwater seal plus drainage effluent) was studied in 38 patients (50 chest drains), up to 6 days after thoracotomy. No bacteriological contamination was demonstrated in any of the samples taken during this period of time. We con...

journal_title：Annals of the Royal College of Surgeons of England

authors： Hornick P,John LC,Wallis J,Wilkins V,Rees GM,Edmondson SJ

更新日期：1992-01-01 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：: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:Complications of epidural catheterisation can cause significant morbidity. Epidural abscess following epidural catheterisation is rare and the reported incidence is variable. The purpose of this study was to review the incidence of epidural abscess in patients undergoing open abdominal aortic aneurysm (AAA...

journal_title：Annals of the Royal College of Surgeons of England

authors： Wallace D,Bright E,London NJ

更新日期：2010-01-01 00:00:00

abstract：:Forty-eight patients treated for haemorrhoids by Lord's procedure have been followed up for 5 years. Preoperative anal pressure and motility studies suggest that the best long-term results occur in patients with an active internal sphincter. Anal pressure was reduced by dilatation and remained static over the next 5 y...

journal_title：Annals of the Royal College of Surgeons of England

authors： Hancock BD

更新日期：1982-11-01 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：INTRODUCTION:Most women who have screening mammography and undergo subsequent open biopsy following an indeterminate core biopsy result are eventually found to have benign disease. However, a significant number have malignant disease and the rate of malignancy in such cases may be influenced by various factors. This s...

journal_title：Annals of the Royal College of Surgeons of England

authors： Hunt RJ,Steel JR,Porter GJ,Holgate CS,Watkins RM

更新日期：2012-03-01 00:00:00

abstract：:A patient presented with a recurrent incarcerated inguinoscrotal hernia requiring urgent surgery. The defect was through the gap in the mesh left originally for the cord structures. As a result, a modified funnel repair was performed. An innovative approach was adopted that was best suited to tackling and reducing the...

journal_title：Annals of the Royal College of Surgeons of England

authors： Merali N,Verma A,Davies T

更新日期：2014-11-01 00:00:00

abstract：:Four cases of unilateral digital ischaemia in the upper limb secondary to embolisation from atheromatous plaques in the proximal subclavian artery are presented. Digital subtraction angiography or arch aortography were used to demonstrate the site of atheroma. In one case diagnostic delay resulted from failure to visu...

journal_title：Annals of the Royal College of Surgeons of England

authors： Bryan AJ,Hicks E,Lewis MH

更新日期：1989-03-01 00:00:00

abstract：INTRODUCTION:Gastric neuromodulation (GNM) has been advocated for the treatment of drug refractory gastroparesis or persistent nausea and vomiting in the absence of a mechanical bowel obstruction. There is, however, little in the way of objective data to support its use, particularly with regards to its effects on gas...

journal_title：Annals of the Royal College of Surgeons of England

authors： Ullah S,Arsalani-Zadeh R,Sedman P,Avery G,Duthie GS,MacFie J

更新日期：2011-11-01 00:00:00

abstract：:Burns in the neonatal period are rare and most commonly due to iatrogenic causes. We report a case of a preterm neonate who sustained a full thickness electrical burn following the use of a temporary pacing pad. The case was complicated by significant co-morbidities and the need for cardiac surgery. We describe the s...

journal_title：Annals of the Royal College of Surgeons of England

authors： Chipp E,Duncan H,Papini R

更新日期：2012-11-01 00:00:00

abstract：INTRODUCTION:Pulmonary staging in colorectal cancer (CRC) has traditionally been carried out by means of plain chest radiograph (CXR), although computerised tomography (CT) imaging of the chest is increasingly being performed for this purpose. The aim of this study was to assess the value of pre-operative thoracic CT f...

journal_title：Annals of the Royal College of Surgeons of England

authors： McIntosh J,Sylvester PA,Virjee J,Callaway M,Thomas MG

更新日期：2005-09-01 00:00:00

abstract：INTRODUCTION:Squamous cell carcinoma of the oral cavity ranks as the 12th most common cancer in the world and the 8th most frequent in males. It accounts for up to one-third of all tobacco-related cancers in India. Cancer of the gingivobuccal complex is especially common in Indians due to their tobacco habits. This rev...

journal_title：Annals of the Royal College of Surgeons of England

authors： Misra S,Chaturvedi A,Misra NC

更新日期：2008-10-01 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：:Giant central lumbar disc protrusions can pose a significant operative challenge. Clinically, these patients are at risk of permanent disability, due not only to preoperative neural compromise caused by the protrusion itself but also to the potential iatrogenic risks associated with the standard extradural microdiscec...

journal_title：Annals of the Royal College of Surgeons of England

authors： Tulloch I,Papadopoulos MC

更新日期：2018-03-01 00:00:00

abstract：:First reported two decades ago, isolated incisional recurrence of hepatocellular carcinoma is an extremely rare clinical entity. We present two cases of recurrence: one recurring over 10 years after initial resection, and the second presenting with a port site recurrence 3.5 years following laparoscopic radiofrequency...

journal_title：Annals of the Royal College of Surgeons of England

authors： Barrett M,Nathan H,Vankayala H,Bieliauskas SL,Viglianti BL,Frankel TL

更新日期：2017-07-01 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：:A randomized controlled trial has been conducted into the effects of discharging patients from hospital either at 48 h or 6-7 days after operation for inguinal hernia or varicose veins. There was no statistically significant difference in the frequency of major postoperative complications between the two lengths of st...

journal_title：Annals of the Royal College of Surgeons of England

authors： Adler ME

更新日期：1977-05-01 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：:We present a case of massive pneumoperitoneum in association with pneumatosis intestinalis that was successfully managed without surgery despite a clinical picture of an acute abdomen and biochemical evidence of inflammation and systemic upset. Recognition of non-surgical pneumoperitoneum is important to avoid unneces...

journal_title：Annals of the Royal College of Surgeons of England

authors： Brill SE,Skipworth J,Stoker DL

更新日期：2008-03-01 00:00:00

abstract：:Introduction Venous thromboembolism (VTE) is a potentially fatal complication of hip arthroplasty and knee arthroplasty. The National Institute for Health and Care Excellence recommend rivaroxaban for VTE prevention. Amid concerns over bleeding complications, the modified thromboprophylaxis policy of Chelsea and Westm...

journal_title：Annals of the Royal College of Surgeons of England

authors： Loganathan V,Hua A,Patel S,Gibbons C,Vizcaychipi MP

更新日期：2016-09-01 00:00:00

abstract：:Mastectomy remains the most commonly performed surgical procedure for breast cancer, and complications such as infection or wound breakdown (which may relate to the experience of the operator) could expensively prolong hospital stay and retard the administration of additional therapy. We examined the complications, ho...

journal_title：Annals of the Royal College of Surgeons of England

authors： Funnell IC,Crowe PJ,Dent DM

更新日期：1992-05-01 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：:Inguinal hernia often presents as an emergency with obstruction and subsequent strangulation. We report a unique case where an inguinoscrotal sliding type hernia contained the entire hepatic flexure as its lead point, resulting in acute colonic obstruction and caecal wall perforation. ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Skelly BL,Neill AK

更新日期：2013-09-01 00:00:00

abstract：:Introduction A bronchobiliary fistula (BBF) following liver directed therapy (resection/ablation) is a rare complication in which an abnormal communication between the biliary tract and bronchial tree is formed. This case report describes the successful management of a persistent BBF following multiple liver wedge res...

journal_title：Annals of the Royal College of Surgeons of England

authors： Pinsker N,Papoulas M,Sodergren M,Harrison P,Heaton N,Menon K

更新日期：2018-04-01 00:00:00

abstract：INTRODUCTION:Incisional hernia is a common complication of laparoscopic colorectal surgery. Extraction site may influence the rate of incisional hernias. Major risk factors for the development of incisional hernias include age, diabetes, obesity and smoking status. In this study, we investigated the effect of specimen ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Navaratnam AV,Ariyaratnam R,Smart NJ,Parker M,Motson RW,Arulampalam TH

更新日期：2015-01-01 00:00:00