Neurofibroma of the bile duct: a rare cause of obstructive jaundice.

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：: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：INTRODUCTION:Adequate medical note keeping is critical in delivering high quality healthcare. However, there are few robust tools available for the auditing of notes. The aim of this paper was to describe the design, validation and implementation of a novel scoring tool to objectively assess surgical notes. METHODS:An...

journal_title：Annals of the Royal College of Surgeons of England

authors： Tuffaha H,Amer T,Jayia P,Bicknell C,Rajaretnam N,Ziprin P

更新日期：2012-05-01 00:00:00

abstract：INTRODUCTION:Technical skill has been formally assessed in the Fellow of the European Board of Vascular Surgery Examinations (FEBVS) since 2002. The aim of this study was to examine the relationship between expert assessment and trainee self-assessment. MATERIALS AND METHODS:Forty-two examination candidates performed ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Pandey VA,Wolfe JH,Black SA,Cairols M,Liapis CD,Bergqvist D,European Board of Vascular Surgery.

更新日期：2008-05-01 00:00:00

abstract：INTRODUCTION:Intertwining of bowel loops to form a knot is very rare cause of intestinal obstruction. Among intestinal knots, ileoileal knotting is the most rare, with only a handful of cases reported in literature. We present a rare case of ileoileal knotting and review of small bowel knots. The aim of this review was...

journal_title：Annals of the Royal College of Surgeons of England

authors： Beg MY,Bains L,Lal P,Maranna H,Kumar N P

更新日期：2020-10-01 00:00:00

abstract：:Introduction Large, complicated ventral hernias are an increasingly common problem. The transversus abdominis muscle release (TAMR) is a recently described modification of posterior components separation for repair of such hernias. We describe our initial experience with TAMR and sublay mesh to facilitate abdominal wa...

journal_title：Annals of the Royal College of Surgeons of England

authors： Appleton ND,Anderson KD,Hancock K,Scott MH,Walsh CJ

更新日期：2017-04-01 00:00:00

abstract：:We describe three cases that presented with symptoms suggestive of appendicitis but were found at operation to have an inflamed solitary caecal diverticulum. All were treated successfully with diverticulectomy or inversion of the diverticulum. We wish to highlight this diagnosis and its surgical management so that inf...

journal_title：Annals of the Royal College of Surgeons of England

authors： Connolly D,McGookin RR,Gidwani A,Brown MG

更新日期：2006-11-01 00:00:00

abstract：:The series comprises 6 patients (mean age, 21 years) who presented with an epidermoid cyst of the testis between 1991 and 1998. Pre-operative ultrasonography suggested the presence of a testicular cancer in 3 patients who underwent a radical orchidectomy. The ultrasound successfully predicted the true diagnosis in 3 p...

journal_title：Annals of the Royal College of Surgeons of England

authors： Gupta SK,Golash A,Thomas JA,Cochlin D,Griffiths D,Jenkins BJ

更新日期：2000-11-01 00:00:00

abstract：:Primary breast carcinoma is a common pathology in the UK. It can present with metastatic deposits but it is rare that lesions in the breast are the sole primary or secondary presentation for metastatic cancer from other sources. We present a case of a primary peritoneal cancer recurring after optimal treatment with a...

journal_title：Annals of the Royal College of Surgeons of England

authors： Coyne PE,Kenny L,Barnes E,Westley R,Ward E,Jain M,Iwuchukwu O

更新日期：2012-03-01 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：INTRODUCTION:The Ganz trochanteric flip approach aims to avoid the potential risk of avascular necrosis in hip conserving surgery and may reduce the risk of femoral neck fractures, neck thinning and femoral head implant migration in hip resurfacing. Our initial audit revealed the complications of non-union and trochant...

journal_title：Annals of the Royal College of Surgeons of England

authors： Guyver PM,Cattell A,Reddy RP,Edwards C,Williams D,Dixon SM,Norton MR,Fern ED

更新日期：2010-10-01 00:00:00

abstract：:Aggressive angiomyxoma (AAM) was first reported in 1983 as a distinct, slow growing, benign but locally infiltrative, soft tissue tumour. It usually arises in the pelvic and perineal organs, mostly in women. A 47-year-old woman was found to have a large encapsulated retroperitoneal aggressive angiomyxoma. The mass was...

journal_title：Annals of the Royal College of Surgeons of England

authors： Adwan H,Patel B,Kamel D,Glazer G

更新日期：2004-11-01 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

abstract：:This paper offers an exploration of the right to confidentiality, considering the moral importance of private information. It is shown that the legitimate value that individuals derive from confidentiality stems from the public interest. It is re-assuring, therefore, that public interest arguments must be made to just...

journal_title：Annals of the Royal College of Surgeons of England

authors： Coggon J,Wheeler R

更新日期：2010-03-01 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：INTRODUCTION:Accurate clinical diagnosis depends on the reliable recognition of signs and symptoms. This expertise comes from experience in seeing patients which has been traditionally gained over a long training period. Shortened specialist training (Modernising Medical Careers) has led to a greater reliance on struct...

journal_title：Annals of the Royal College of Surgeons of England

authors： Pearl RA,Townley W,Stott D,Grobbelaar AO

更新日期：2009-09-01 00:00:00

abstract：:In a 6-month prospective study of management of surgical emergencies in a district general hospital, we have tried firstly to determine the degree to which non-life-threatening emergencies could be managed within 'social hours' (0800-1800), and secondly to identify examples of and reasons for potentially hazardous del...

journal_title：Annals of the Royal College of Surgeons of England

authors： Flook DJ,Crumplin MK

更新日期：1990-01-01 00:00:00

abstract：:The management and follow up of 200 consecutive patients with renal and ureteric calculi are presented. The primary treatment of 185 (92.5%) was by extracorporeal shockwave lithotripsy (ESWL), of whom three (1.6)%) with large calculi underwent percutaneous nephrolithotripsy (PCNL) prior to ESWL as a planned combined p...

journal_title：Annals of the Royal College of Surgeons of England

authors： Webb DR,McNicholas TA,Whitfield HN,Wickham JE

更新日期：1985-11-01 00:00:00

abstract：:The increased use of day facilities for children undergoing surgery and the provision of a paediatric home nursing team has resulted in a change in overall care of surgical children in hospital in Southampton. The ratio of day patients to inpatients has fallen from 1 : 2 in 1970 to 1 : 1 in 1976 and the early discharg...

journal_title：Annals of the Royal College of Surgeons of England

authors： Atwell JD

更新日期：1978-09-01 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：INTRODUCTION:The UK Department of Health, in its attempt to help NHS trusts reduce long elective waiting lists, set up the overseas commissioning scheme in 2002. This allowed hospitals to send their patients abroad for their surgery. In theory, this was a win-win situation, where pressures upon surgeons were reduced, a...

journal_title：Annals of the Royal College of Surgeons of England

authors： Hanna SA,Saksena J,Legge S,Ware HE

更新日期：2009-03-01 00:00:00

abstract：:Gastric tube conduit is the method of choice for restoring continuity of the digestive track after a partial or total esophagectomy. Redundant gastric conduit (i.e. an elongated, floppy conduit) is a rare cause of dysphagia in patients with long survival. Gastric tube volvulus is exceedingly rare with only three cases...

journal_title：Annals of the Royal College of Surgeons of England

authors： Schizas D,Michalinos A,Vergadis C,Oikonomou D,Baili E,Sougioultzis S,Moris D,Liakakos T

更新日期：2019-01-01 00:00:00

abstract：:We report the case of a 58-year-old woman presenting with dysphagia secondary to an intraductal papillary mucinous neoplasm arising from a heterotopic pancreas in the oesophageal wall. This was successfully treated with a laparoscopic/thoracoscopic ivor Lewis oesophagectomy. Dysphagia is the most common symptom of oe...

journal_title：Annals of the Royal College of Surgeons of England

authors： Crighton E,Botha A

更新日期：2012-03-01 00:00:00

abstract：:Introduction While surgery is the cornerstone of bowel cancer treatment, it comes with significant risks. Among patients aged over 80 years, 30-day mortality is 13%-15%, and additionally 12% will not return home and go on to live in supportive care. The question for patients and clinicians is whether operative surgery...

journal_title：Annals of the Royal College of Surgeons of England

authors： Bethune R,Sbaih M,Brosnan C,Arulampalam T

更新日期：2016-07-01 00:00:00

abstract：:Scintigraphy was performed on 180 patients with suspected biliary tract disease using technetium-99m-labelled derivatives of iminodiacetic acid. Most of the patients were also evaluated by conventional techniques and the results were correlated with the findings at operation and with histological examination of tissue...

journal_title：Annals of the Royal College of Surgeons of England

authors： Ram MD

更新日期：1981-09-01 00:00:00

abstract：:A 1-year prospective study of all surgical activity was undertaken by the Orthopaedic Unit using two weighting systems for operative complexity: the Intermediate Equivalent (IE) and the Operative Complexity Score (OCS). The objectives were to define the difference between caseload and workload, and to formulate a reas...

journal_title：Annals of the Royal College of Surgeons of England

authors： Pozo JL,Jones CB

更新日期：1993-09-01 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：:Information was collected about 302 women referred for breast symptoms and seen in surgical outpatient or outreach clinics during one month at two hospitals in Sheffield. Three-quarters of the women (n = 244) were referred to specialist breast clinics, 22% (n = 70) were referred to general surgical clinics and 3% (n =...

journal_title：Annals of the Royal College of Surgeons of England

authors： Laver RC,Reed MW,Harrison BJ,Newton PD

更新日期：1999-07-01 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：INTRODUCTION:Insulinoma is a rare, but curable, endocrine tumour. The ability to localise the tumour accurately before or during surgery is an important factor in the management of these elusive lesions, which has been extensively debated. We have reviewed our experience of these lesions to establish the role of locali...

journal_title：Annals of the Royal College of Surgeons of England

authors： Ravi K,Britton BJ

更新日期：2007-04-01 00:00:00