Congenital absence of the anterior arch of the atlas: a normal variant.

abstract：:Thoracobilia and pleurobiliary fistulae secondary to obstructed choledocholithiasis are rare complications of gallstone disease. We present the case of a 64-year-old man with gallstone pancreatitis who developed a pleurobiliary fistula secondary to an obstructing ductal calculus, and was successfully managed non-opera...

journal_title：Annals of the Royal College of Surgeons of England

authors： Frampton AE,Williams A,Wilkerson PM,Paterson IM

更新日期：2010-07-01 00:00:00

abstract：INTRODUCTION:The Intercollegiate Membership of the Royal College of Surgeons (MRCS) is a mandatory examination to enter higher surgical specialty training in the UK. It is designed to help to ensure that successful candidates are competent to practice as higher surgical trainees. The annual review of competence progres...

journal_title：Annals of the Royal College of Surgeons of England

authors： Scrimgeour D,Brennan PA,Griffiths G,Lee AJ,Smith F,Cleland J

更新日期：2018-10-05 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：OBJECTIVES:To reduce junior doctors' hours by introducing an on-call system involving cross-cover at SHO level between two separate ENT units. DESIGN:Prospective collection of data on the cross-cover system introduced in September 1992 with analysis after 12 months. SETTING:ENT departments within Salford and Central ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Hartley C,Rothera MP

更新日期：1994-09-01 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：:Cystic nephroma is a rare lesion, but there has been an increased number of cases reported in the recent literature. Most cases have been discovered incidentally either on routine examination or during radiological investigations. There are two peaks of incidence, one in childhood and one in middle age and the conditi...

journal_title：Annals of the Royal College of Surgeons of England

authors： Upadhyay AK,Neely JA

更新日期：1989-11-01 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：BACKGROUND:Ureteric lithiasis is a common urological problem in Kuwait. Because of the different interventional approaches, we carried out an audit on the morbidity associated with the surgical management of the disorder. PATIENTS AND METHODS:The surgical records were reviewed of all patients with the diagnosis of ure...

journal_title：Annals of the Royal College of Surgeons of England

authors： Kehinde EO,Al-Awadi KA,Al-Hunayan A,Okasha GH,Al-Tawheed A,Ali Y

更新日期：2003-09-01 00:00:00

abstract：:This study compares the assessment of lymph nodes by the surgeon, at the time of operation, with the pathologist's assessment on the resected specimen in 85 cases of total gastrectomy with extended lymphadenectomy for gastric carcinoma. There was correlation in 67% of cases, in 28% the disease was overstaged, and in o...

journal_title：Annals of the Royal College of Surgeons of England

authors： Park KG,Chung SC,McGuire L,Li AK,Crofts TJ

更新日期：1989-09-01 00:00:00

abstract：OBJECTIVE:To examine the current scale of provision of patient information materials by consultant surgeons in UK NHS and private sector hospitals. DESIGN:Secondary analysis of the responses of 12,555 surgical patients to surveys evaluating surgical services provided by specific consultants. SETTING:7 NHS Trusts and ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Meredith P,Emberton M

更新日期：2000-05-01 00:00:00

abstract：INTRODUCTION:Randomised controlled trials have shown that laparoscopic colorectal surgery is equal in terms of safety to open surgery. Benefits have been seen for length of stay, blood loss, immune suppression and analgesia requirements. The aim of this study was to assess the safety and feasibility of introducing lapa...

journal_title：Annals of the Royal College of Surgeons of England

authors： Smith JK,Acheson AG,Simpson JA,Stewart J,Beckingham IJ,Gornall CB,Williams JP,Robinson MH,Maxwell-Armstrong CA

更新日期：2008-10-01 00:00:00

abstract：INTRODUCTION:Advanced (pT2/T3) incidental gallbladder cancer is often deemed unresectable after restaging. This study assesses the impact of the primary operation, tumour characteristics and timing of management on re-resection. METHODS:The records of 60 consecutive referrals for incidental gallbladder cancer in a sin...

journal_title：Annals of the Royal College of Surgeons of England

authors： Tsirlis T,Ausania F,White SA,French JJ,Jaques BC,Charnley RM,Manas DM

更新日期：2015-03-01 00:00:00

abstract：:My first aim is to present the state of burn care during the few years before the Battle of Britain in August-October 1940. This gives the climate of thought in which McIndoe and his collegues faced the challenge of burns. We are inclined to forget the helplessness of surgeons faced with extensive burns at that time. ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Jackson DM

更新日期：1979-09-01 00:00:00

abstract：:The outcome of loop ileostomy closure was evaluated in 40 patients who had previously undergone restorative proctocolectomy. A standard operative technique was used which incorporated a circumstomal incision, non-resectional reconstruction and primary skin closure. Thirty-six patients (90%) enjoyed an uncomplicated re...

journal_title：Annals of the Royal College of Surgeons of England

authors： Lewis P,Bartolo DC

更新日期：1990-07-01 00:00:00

abstract：:Pain arising from the abdominal wall has been implicated as a cause of non-specific abdominal pain (NSAP), and the presence of abdominal wall tenderness (AWT) has been proposed as an accurate diagnostic test for NSAP. One hundred and fifty eight patients admitted to hospital with abdominal pain were tested for the pre...

journal_title：Annals of the Royal College of Surgeons of England

authors： Gray DW,Dixon JM,Seabrook G,Collin J

更新日期：1988-07-01 00:00:00

abstract：:It is timely to review the place of surgery in the treatment of thyroid disease when for some years endocrinologists, pharmacologists, and radiotherapists have made most of the running. This account falls naturally into three parts, simple, malignant, and toxic goitre. ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Taylor S

更新日期：1979-03-01 00:00:00

abstract：:The introduction of modern business management practices in the National Health Service has exposed different levels of management training and expertise between clinicians and hospital managers. This is undesirable and frequently unproductive. This article puts the case for the inclusion of business management traini...

journal_title：Annals of the Royal College of Surgeons of England

authors： Hornick P,Hornick C,Taylor K,Ratnatunga C

更新日期：1997-09-01 00:00:00

abstract：:This is a case of a very unusual cause of an acute groin lump in a 71-year-old woman that was presumed initially to either be an incisional or inguinal hernia. However, with subsequent computed tomography it was shown to be thrombophlebitis of collateral vessels secondary to a previous deep vein thrombosis. This case...

journal_title：Annals of the Royal College of Surgeons of England

authors： Davey PT,Byrnes C

更新日期：2012-01-01 00:00:00

abstract：:An audit of surgery for acoustic neuroma was carried out to determine the frequency and nature of postoperative symptoms and their impact upon the patient's quality of life and vocation. Fifty-six patients were interviewed between 6 months and 5 years (mean 26 months) after surgical excision of an acoustic neuroma. Th...

journal_title：Annals of the Royal College of Surgeons of England

authors： Kane NM,Kazanas S,Maw AR,Coakham HB,Torrens MJ,Morgan MH,Stranjalis G,Butler SR

更新日期：1995-05-01 00:00:00

abstract：:The recording of medical data has developed from crude non-specific classifications to complex systems tailor-made for individual practices. The development of the Read Clinical Classification has produced a complex classification which is user friendly and covers the whole of medicine. The classification allows uniqu...

journal_title：Annals of the Royal College of Surgeons of England

authors： James NK

更新日期：1994-05-01 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：:The salient steps of a 20-year programme of research into the nature of burn disease are described. By burn disease we mean the late mortality and morbidity following burns. We have isolated a burn toxin which is derived from a thermal polymerization of cell membrane lipoproteins within the dermis and have studied its...

journal_title：Annals of the Royal College of Surgeons of England

authors： Allgöwer M,Städtler K,Schoenenberger GA

更新日期：1974-11-01 00:00:00

abstract：:The 'beehive' sign on the bladder as seen in cystograms is valuable in diagnosing the presence of colovesical fistula and is invariably associated with the vesical end of the fistulous tract. ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Kaisary AV,Grant RW

更新日期：1981-05-01 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：: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：:In cases where surgeons face litigation over operative misadventure, the result of a trial is uncertain. In order to identify factors in cases of surgical litigation that have influenced the final decision of the courts, we have previously reviewed reported cases where the outcome turned on actions taken by surgeons. ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Wheeler R,Blackburn S,Biggs H

更新日期：2015-04-01 00:00:00

abstract：:All tumours have certain broad characteristics in common, though they vary widely in their origin, distribution, shape, and mode of spread. The part played by anatomical factors in determining these variations is discussed and the need for the surgeon to bear these factors in mind in diagnosis and treatment is emphasi...

journal_title：Annals of the Royal College of Surgeons of England

authors： Levene AL

更新日期：1978-01-01 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：: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：:BACKGROUND Arthroscopy is the established 'gold standard' diagnostic investigation for detection of shoulder disorders. We aimed to compare the diagnostic accuracy of arthroscopy with magnetic resonance arthrography (MRA) for detection of shoulder disorders. METHODS Patients who underwent arthroscopy by a single surge...

journal_title：Annals of the Royal College of Surgeons of England

authors： Saqib R,Harris J,Funk L

更新日期：2017-04-01 00:00:00