A tricky tracheotomy: airway management dilemma following unusual stab injury to the mouth.

abstract：INTRODUCTION:Surgeons and physicians encounter blood transfusions on a daily basis but a robust evidence-based strategy on indications and timing of transfusion in asymptomatic anaemic patients is yet to be determined. For judicious use of blood products, the risks inherent to packed red blood cells, the patient's co-m...

journal_title：Annals of the Royal College of Surgeons of England

authors： Chan AW,de Gara CJ

更新日期：2015-11-01 00:00:00

abstract：:Congenital diaphragmatic hernia (CDH) usually presents in infancy with respiratory failure requiring urgent surgical correction. Mortality in this group of patients remains poor and persistent pulmonary hypertension is a significant contributor. It is therefore rare for patients to reach adulthood undiagnosed. CDH is ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Manson HJ,Goh YM,Goldsmith P,Scott P,Turner P

更新日期：2017-02-01 00:00:00

abstract：:This paper considers the potential role of videoconferencing technology for postgraduate dental and medical education. Drawing on work from the University of Bristol Dental School, it presents an analysis of the potential cost savings achievable by using videoconferencing compared to traditional face-to-face teaching ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Cook JH,Stevens CD

更新日期：2000-05-01 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：:The results of a 12-month prospective study of 113 patients show that intravenous urography has no place in the management of men with acute urinary retention without haematuria. ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Gajraj HA,Taube M

更新日期：1989-03-01 00:00:00

abstract：:Paragangliomas are rare lung tumours; endobronchial localisation is even more rare. This report describes the case of a 59-year-old patient with a symptomatic endobronchial paraganglioma successfully resected by means of pulmonary lobectomy. Recognition of this uncommon tumour can lead to a correct diagnosis and thera...

journal_title：Annals of the Royal College of Surgeons of England

authors： Muriana P,Bandiera A,Ciriaco P,Arrigoni G,Negri G,Zannini P

更新日期：2017-01-01 00:00:00

abstract：BACKGROUND:Serious complications of laparoscopic fundoplication (LF) have been reported by surgeons new to LF. We investigated whether the reported benefits of LF could be realised by an established consultant, new to LF, without compromising safety, control of reflux or dysphagia rates obtained after open surgery. PA...

journal_title：Annals of the Royal College of Surgeons of England

authors： Tan LC,Samanta S,Hosking SW

更新日期：2002-03-01 00:00:00

abstract：INTRODUCTION:As a result of a single spinal injury seen at Frimley Park Hospital, we reviewed the injuries recorded at the Army School of Physical Training since December 1996. PATIENTS AND METHODS:This was a retrospective review of all acute accidents and injuries recorded in the Accident Book since its inception. R...

journal_title：Annals of the Royal College of Surgeons of England

authors： Griffiths DE,Hargrove R,Clasper J

更新日期：2006-09-01 00:00:00

abstract：:INTRODUCTION Often, left-sided colorectal surgery requires splenic flexure mobilisation (SFM) to allow a tension-free anastomosis to be carried out. This step is difficult and not without risk. We investigated a system of anatomical siting of the splenic flexure using computed tomography (CT). METHODS The Shrewsbury S...

journal_title：Annals of the Royal College of Surgeons of England

authors： Meecham L,Brookes A,Macano C,Stone T,Cheetham M

更新日期：2017-03-01 00:00:00

abstract：:Gross enlargement of the male breast with skin redundancy and ptosis cannot be effectively managed by subcutaneous mastectomy alone. A technique is described in which the excess breast tissue and skin are excised along a design which allows the nipple-areolar complex, mounted on a vertical deepithelialised pedicle, to...

journal_title：Annals of the Royal College of Surgeons of England

authors： Ward CM,Khalid K

更新日期：1989-07-01 00:00:00

abstract：:After thyroidectomy there is an appreciable incidence of hypothyroidism as judged by FT4I estimates. Pharmacological doses of iodine (10-300 mg/day) usually suppress, whereas physiological doses of iodine (< 5 mg/day) have been reported to both decrease and increase thyroid function. The value of iodine supplementatio...

journal_title：Annals of the Royal College of Surgeons of England

authors： Taylor JD,Radcliffe SN,Basu PK,Atkins P

更新日期：1993-05-01 00:00:00

abstract：AIMS:Ultrasound is a non-invasive, non-ionising radiation modality which is highly successful at soft tissue imaging. Groin pain from an occult hernia can be a difficult clinical diagnosis made easier by good imaging. The aim of this study was to demonstrate the accuracy of ultrasound in diagnosing and typing the groin...

journal_title：Annals of the Royal College of Surgeons of England

authors： Bradley M,Morgan D,Pentlow B,Roe A

更新日期：2003-05-01 00:00:00

abstract：INTRODUCTION:The objective was to assess the impact on the management of colorectal patients treated in a district general hospital within the first year after the introduction of transanal endoscopic microsurgery (TEM). PATIENTS AND METHODS:Data were collected for consecutive unselected patients who underwent TEM. Co...

journal_title：Annals of the Royal College of Surgeons of England

authors： Mihai R,Borley N

更新日期：2005-11-01 00:00:00

abstract：INTRODUCTION:The aims of this study were to audit the outcome of elective open abdominal aortic aneurysm (AAA) repair in a district general hospital, as well as investigate the true costs for this procedure in relation to the national tariff. PATIENTS AND METHODS:A database is maintained on AAA surgery in the trust. D...

journal_title：Annals of the Royal College of Surgeons of England

authors： El Kafsi J,Wake J,Lintott P,Northeast A,McLaren A

更新日期：2009-11-01 00:00:00

abstract：:Introduction Pseudoaneurysm formation following ankle arthroscopy is a rare but potentially catastrophic complication. The placement of anterior ankle portals carries inherent risk to the superficial and deep peroneal nerves, as well as to the dorsalis pedis artery. Anatomical variations in the dorsalis pedis and the ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Parikh S,Dawe E,Lee C,Whitehead-Clarke T,Smith C,Bendall S

更新日期：2017-04-01 00:00:00

abstract：:The use of preoperative intraincisional (POII) single dose antibiotic prophylaxis has the advantage of providing extremely high concentrations of antibiotic along all layers of the wound, whilst achieving adequate systemic concentrations throughout the operation. In a single blind controlled trial, 250 patients underg...

journal_title：Annals of the Royal College of Surgeons of England

authors： Taylor TV,Dawson DL,de Silva M,Shaw SJ,Durrans D,Makin D

更新日期：1985-07-01 00:00:00

abstract：INTRODUCTION:Osteoarthritis of the trapeziometacarpal joint (TMJ) is a common condition causing significant disability. Conservative treatments include intra-articular steroid injections. PATIENTS AND METHODS:This clinical, observational study prospectively reviewed the longevity of benefit of steroid injections into ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Swindells MG,Logan AJ,Armstrong DJ,Chan P,Burke FD,Lindau TR

更新日期：2010-11-01 00:00:00

abstract：:Spondylodiscitis is often iatrogenic in nature. We report the case of a 69-year-old man presenting with spondylodiscitis and associated epidural abscess following transrectal ultrasonography guided prostate biopsy despite ciprofloxacin cover. To our knowledge, this is the first case of spondylodiscitis secondary to fl...

journal_title：Annals of the Royal College of Surgeons of England

authors： Dobson G,Cowie CJ,Holliman D

更新日期：2015-07-01 00:00:00

abstract：:Delay in operating on trauma patients leads to increased morbidity, mortality, length of hospital stay and overall cost. The urgency of operative intervention depends on the injury sustained. There are no published guidelines on what constitutes a reasonable delay between admission and operation. As part of the clinic...

journal_title：Annals of the Royal College of Surgeons of England

authors： Lankester BJ,Paterson MP,Capon G,Belcher J

更新日期：2000-09-01 00:00:00

abstract：:Six patients are reported who presented with perforated duodenal ulcers. These were repaired laparoscopically by suturing the falciform ligament over the perforated ulcer. There were no complications and patients were discharged between 3 and 5 days after surgery. This technique is simpler to perform than a laparoscop...

journal_title：Annals of the Royal College of Surgeons of England

authors： Munro WS,Bajwa F,Menzies D

更新日期：1996-07-01 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：:A 74-year old man underwent a radical cholecystectomy for presumed gallbladder cancer. The histology of the resected specimen in fact revealed the lesion to be metastatic renal cell carcinoma from his resected right nephrectomy performed 14 years previously. ...

journal_title：Annals of the Royal College of Surgeons of England

authors： McWhirter D,den Dulk M,Terlizzo M,Malik HZ,Fenwick SW,Poston GJ

更新日期：2013-11-01 00:00:00

abstract：:We report a patient with ulcerative colitis who, in the period following surgery, developed recurrent episodes of acute adrenal insufficiency presenting clinically as a high output ileostomy. ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Rai S,Hemingway D

更新日期：2003-03-01 00:00:00

abstract：INTRODUCTION:Safe and effective haemostasis in surgery is clearly essential, and in the neck where risks of airway compromise are also present any new technology that purports to offer advantages must be rigorously evaluated. We describe our experience with the use of the Harmonic Scalpel [Ethicon UK] in thyroidectomy....

journal_title：Annals of the Royal College of Surgeons of England

authors： Foreman E,Aspinall S,Bliss RD,Lennard TW

更新日期：2009-04-01 00:00:00

abstract：INTRODUCTION:Lipomas of the gastrointestinal tract are rare, slow-growing lesions that comprise 0.4% of all gastrointestinal neoplasms. They can cause dysphagia, dyspnoea or sudden choking. CASE HISTORY:Due to rarity of this condition and its uncommon presentation, a literature review was carried out (PubMed). This se...

journal_title：Annals of the Royal College of Surgeons of England

authors： Sestini S,Gisabella M,Pastorino U,Billé A

更新日期：2016-05-01 00:00:00

abstract：:We present the case of a 27-year-old man who underwent percutaneous atrial septal defect (ASD) repair using the Amplatzer(®) (St Jude Medical, St Paul, MN, US) septal occluder (ASO). Six weeks later, he presented with heart failure and was found to have an aorto-right atrial fistulation. He required urgent surgical de...

journal_title：Annals of the Royal College of Surgeons of England

authors： Bashir M,Abudhaise H,Mustafa H,Fok M,Bashir A,Hammoud I,Mascaro J

更新日期：2014-07-01 00:00:00

abstract：:A 74-year-old woman underwent a low anterior resection and defunctioning loop ileostomy for a T1 N1 M0 rectal adenocarcinoma. Three months following surgery she attended complaining of pain inferior to the loop ileostomy. A clinical examination demonstrated an extensive area of spreading cellulitis on the lower abdomi...

journal_title：Annals of the Royal College of Surgeons of England

authors： Davey PT,Burnside N,MacKenzie N,Conkey D,Carson J,Skelly RT

更新日期：2011-09-01 00:00:00

abstract：:The management of patients with severe hepatic trauma and damage to the inferior vena cava presents many difficulties. Our experience suggests that vena caval injury is more common than has previously been reported. In spite of the severity of the injuries a period for resuscitation is usually available and operation ...

journal_title：Annals of the Royal College of Surgeons of England

authors： McMaster P,Tolley M

更新日期：1977-11-01 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：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