The efficiency of management of emergency surgery in a district general hospital--a prospective study.

abstract：:Endoscopic papillotomy without cholecystectomy has been performed in 20 elderly patients with complications of bile duct stones. Good biliary drainage was achieved in 17, and there were no complications. One cholecystectomy was subsequently required. Later deaths have been due to unrelated causes. It is concluded that...

journal_title：Annals of the Royal College of Surgeons of England

authors： Leow CK,Thompson MH

更新日期：1986-11-01 00:00:00

abstract：INTRODUCTION:There has been regular dialogue regarding the importance of developing clinical networks to compensate for the steady decline in general paediatric surgery performed by adult surgeons. Despite this dialogue, there are no contemporary published data to quantify the issue. This report documents patterns in d...

journal_title：Annals of the Royal College of Surgeons of England

authors： Tiboni SG,Stewart RJ

更新日期：2020-04-01 00:00:00

abstract：:Five patients with parathyroid carcinoma are reported. In the first case the clinical and histological features of malignancy at initial surgery were not recognised and recurrence of the tumour occurred within two years. Referring to previously published series this sequence appeared to be typical and underlined the l...

journal_title：Annals of the Royal College of Surgeons of England

authors： Lillemoe KD,Dudley NE

更新日期：1985-07-01 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

abstract：:The aims of this study were to identify prospectively 'concealed' postoperative problems, to assess the burden of paediatric day care surgery on primary care services and to define a normal recovery period for common children's procedures. At their first postoperative clinic visit, patients and parents were asked dire...

journal_title：Annals of the Royal College of Surgeons of England

authors： de la Hunt MN

更新日期：1999-05-01 00:00:00

abstract：:Groin vessels are most commonly used to obtain vascular access for angiography because of their size and accessibility. Haemostasis at the puncture site can be achieved with manual compression alone or by using a vascular closure device. We highlight the case of a 68-year-old woman who developed acute claudication in ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Hussain T,Al-Hamali S

更新日期：2011-09-01 00:00:00

abstract：INTRODUCTION:Lymph node metastasis is a poor prognostic indicator and is well established in tongue squamous cell carcinoma. Based on the current staging system, accurate risk stratification is difficult. There is thus a need to evaluate an alternate method for predicting recurrence and survival. The objective of the s...

journal_title：Annals of the Royal College of Surgeons of England

authors： Iftikhar H,Rozi S,Zahid N,Awan MS,Nathani KR

更新日期：2020-11-01 00:00:00

abstract：INTRODUCTION:Cochlear implants are surgically inserted electrical devices that enable severely or profoundly deaf individuals to interpret sounds from their environment and communicate more effectively. As a result of their electrical nature, they are susceptible to electromagnetic interference and can be damaged by e...

journal_title：Annals of the Royal College of Surgeons of England

authors： Frampton SJ,Ismail-Koch H,Mitchell TE

更新日期：2012-11-01 00:00:00

abstract：INTRODUCTION:Upper gastrointestinal (GI) bleeding in patients who undergo hip and knee arthroplasty tends to be associated with non-steroidal anti-inflammatory drug use, steroid intake, pre-existing peptic ulcers and smoking. The use of aspirin for thromboprophylaxis is an added risk for the occurrence of GI bleed. The...

journal_title：Annals of the Royal College of Surgeons of England

authors： Madhusudhan TR,Rangan A,Gregg PJ

更新日期：2008-05-01 00:00:00

abstract：:A change in the accepted routine of cross-leg repair is suggested in the interest of safety. In order to avoid infection in the donor site the skin graft is cut first. The flap is raised before the defect is prepared so that the problems of tension and 'tenting' are eliminated. This enables the flap to be sutured unde...

journal_title：Annals of the Royal College of Surgeons of England

authors： Hirshowitz B,Crawford BS

更新日期：1980-07-01 00:00:00

abstract：INTRODUCTION:More aesthetically acceptable treatment options have been sought to minimise the morbidity associated with open surgery for gynaecomastia. This study investigated the use of a vacuum-assisted biopsy device (VABD) and liposuction to provide minimally invasive approach. PATIENTS AND METHODS:Patients diagnos...

journal_title：Annals of the Royal College of Surgeons of England

authors： Qutob O,Elahi B,Garimella V,Ihsan N,Drew PJ

更新日期：2010-04-01 00:00:00

abstract：INTRODUCTION:Surgical procedures incorporating a cosmetic element such as septorhinoplasty and otoplasty are currently under threat in the National Health Service (NHS) as they are deemed to be procedures of 'limited clinical benefit' by many primary care providers. Patient reported outcome measures (PROMs), which asse...

journal_title：Annals of the Royal College of Surgeons of England

authors： Biggs TC,Fraser LR,Ward MJ,Sunkaraneni VS,Harries PG,Salib RJ

更新日期：2015-01-01 00:00:00

abstract：:The risk of venous thromboembolism increases during pregnancy and postpartum. The incidence in the first six weeks following delivery is approximately 0.15%. Deep vein thrombosis may present with acute appendicitis-like symptoms such as right iliac fossa pain, nausea and vomiting. A 22-year-old woman was admitted with...

journal_title：Annals of the Royal College of Surgeons of England

authors： Karaisli S,Selcuk E

更新日期：2020-11-01 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：: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：: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：INTRODUCTION:Much literature reports on selective nerve root blocks (SNRBs) in cases of lumbosacral radiculopathy. Unfortunately, authors only inconsistently reveal the exact needle tip position relative to the causative pathology at the time of injection. Different injection sites may provide different symptomatic ben...

journal_title：Annals of the Royal College of Surgeons of England

authors： Eastley NC,Spiteri V,Newey ML

更新日期：2013-10-01 00:00:00

abstract：:Non-parasitic splenic cysts are rare entities. In pregnancy, they are rarer still, with as few as seven cases reported in the literature. There is little consensus regarding the optimal management of this condition in pregnancy. Although small, the theoretical risk of intrapartum splenic rupture is associated with a f...

journal_title：Annals of the Royal College of Surgeons of England

authors： Kapp J,Lewis T,Glasgow S,Khalil A,Anjum A

更新日期：2016-09-01 00:00:00

abstract：INTRODUCTION:Involvement of regional lymph node is a critical sign in prognosis of gastric cancer. Radiological techniques are commonly used to evaluate the extension of gastric cancer. But their sensitivity and specificity are low especially in the early stage. Our aim was to assess the value of gastric lymphoscintigr...

journal_title：Annals of the Royal College of Surgeons of England

authors： Ozmen MM,Zulfikaroglu B,Kucuk NO,Ozalp N,Aras G,Koseoglu T,Koç M

更新日期：2006-11-01 00:00:00

abstract：:General anaesthesia is infrequently requested for bronchography in small children. The clinical indications, recommendations for the anaesthetic technique, and problems associated with the investigation are discussed. ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Ryan DW

更新日期：1980-05-01 00:00:00

abstract：:Wound infiltration with bupivacaine provided complete postoperative pain relief in 14 of 19 women undergoing excision biopsy of a benign breast lump under general anaesthesia. Fifteen patients formed a control group in whom the wound was infiltrated with saline. They had inadequate relief of pain despite receiving sig...

journal_title：Annals of the Royal College of Surgeons of England

authors： Owen H,Galloway DJ,Mitchell KG

更新日期：1985-03-01 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：INTRODUCTION:Acute pancreatitis is a common surgical emergency. Identifying variations in presentation, incidence and management may assist standardisation and optimisation of care. The objective of the study was to document the current incidence management and outcomes of acute pancreatitis against international guide...

journal_title：Annals of the Royal College of Surgeons of England

authors： PanWessex Study Group.,Wessex Surgical Trainee Research Collaborative.,Mirnezami A,Knight B,Moran B,Noble F,Branagan G,Primrose J,Pearson K,West M,Curtis N,Pucher P,Cuttress R,Pugh S,Underwood T

更新日期：2019-09-01 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：:Perirectal sepsis is a potentially severe complication which may follow minor anorectal intervention and be slow to be diagnosed and treated. We report the presentation and outcome of three patients with perirectal sepsis of differing aetiologies. Awareness of the possible diagnosis, urgent investigation with cross-se...

journal_title：Annals of the Royal College of Surgeons of England

authors： Aldouri AQ,Alexander DJ

更新日期：2008-07-01 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

abstract：:We report a prospective trial of 100 consecutive patients undergoing primary total hip or knee arthroplasty in order to assess their blood transfusion requirements amid recent fears of the transmission of viruses, particularly hepatitis C, from donor to recipient. Of the patients, 84% were transfused one or more units...

journal_title：Annals of the Royal College of Surgeons of England

authors： Clarke AM,Dorman T,Bell MJ

更新日期：1992-09-01 00:00:00

abstract：:Necrotising enterocolitis (NEC) is a rare cause of the acute abdomen in adults and carries one of the highest mortality rates in gastroenterology. However, its rarity confines research to small case reports. Both its pathogenesis and aetiology remain enigmatic in adult patients, proving timely diagnosis and management...

journal_title：Annals of the Royal College of Surgeons of England

authors： Schapira B,Nazarian S,Thanapal M,Parmar C,Mukhtar H

更新日期：2020-10-01 00:00:00

abstract：:Mean anaesthetic, surgical and turnover times were used to predict finishing times for elective general surgical operating lists. A predicted early finish was correct in 70 per cent, a predicted on-time finish in 19 per cent, and a predicted late finish in 56 per cent. Overall, predictions of an early or late finish h...

journal_title：Annals of the Royal College of Surgeons of England

authors： Widdison AL

更新日期：1995-11-01 00:00:00

abstract：INTRODUCTION:Screening for prostate cancer with serum prostate specific antigen (PSA) remains a controversial topic. The UK NHS Executive has issued extensive guidance stressing the importance of adequate counselling prior to performing this test. This study aims to assess men's knowledge of the PSA test at the time of...

journal_title：Annals of the Royal College of Surgeons of England

authors： Lamplugh M,Gilmore P,Quinlan T,Cornford P

更新日期：2006-05-01 00:00:00