An acute groin lump: surgical exploration is not always the best option.

abstract：:Bochdalek hernias rarely contain an intrathoracic kidney, and there are few reports of their operative repair. A woman presented with progressive dyspnoea limiting her quality of life. Imaging showed a Bochdalek hernia containing omentum, large bowel and the left kidney. The woman was unexpectedly admitted to the inte...

journal_title：Annals of the Royal College of Surgeons of England

authors： Halle-Smith JM,Pande R,Griffiths EA

更新日期：2021-01-01 00:00:00

abstract：:Over the past 15 years, 32 cases of tuberculosis have been seen and diagnosed in the surgical and gynaecological departments of the Northern General Hospital, Sheffield. The average age of patients was 42.8 years. Of the sites affected, 17 had head, neck or axillary swellings, 6 affected the female genital tract, 3 ha...

journal_title：Annals of the Royal College of Surgeons of England

authors： Hodgson TJ,Duncan JL,Rogers K

更新日期：1988-05-01 00:00:00

abstract：:Introduction Short hospital stays and accelerated discharge within 72 hours following colorectal cancer resections have not been widely achieved. Series reporting on accelerated discharge involve heterogeneous patient populations and exclude important groups. Strict adherence to some discharge requirements may lead to...

journal_title：Annals of the Royal College of Surgeons of England

authors： Emmanuel A,Chohda E,Botfield C,Ellul J

更新日期：2018-01-01 00:00:00

abstract：:We report the first case of infective endocarditis caused by Paenibacillus provencensis. A mitral valve vegetation was incidentally discovered by intraoperative transoesophageal echocardiography in a 70-year-old woman undergoing aortic valve replacement. The precise identification of the causative agent was by means o...

journal_title：Annals of the Royal College of Surgeons of England

authors： Pinho-Gomes AC,Nasir A,Mosca R,Mirza S,Kadir I

更新日期：2017-02-01 00:00:00

abstract：:Necrotising fasciitis is a rare, serious infection of the deep fascia leading to subcutaneous tissue necrosis. It is extremely important for this condition to be identified and treated promptly as it bears significant mortality. We describe a case of necrotising fasciitis after laparoscopic rectal cancer surgery. To o...

journal_title：Annals of the Royal College of Surgeons of England

authors： Yiasemidou M,Majumder S,Basheer M

更新日期：2017-04-01 00:00:00

abstract：:Extraskeletal Ewing sarcoma (EES) is a rare soft tissue neoplasm of primitive mesenchymal cells. There is a scarcity of data on EES involving the head and neck, with studies being over years or even decades. We are the first to report a case of EES involving the carotid artery and its subsequent surgical excision and ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Kallala R,Nikkhah D,Nix P,Woodhead C

更新日期：2012-05-01 00:00:00

abstract：INTRODUCTION:Septal surgery has been identified as suitable for day-surgery, but is not widely performed as such. Guidelines for day-surgery state that the unexpected admission rate should be 2-3%. Previous audits have not achieved this figure and septoplasty is not universally considered suitable for day-surgery. We h...

journal_title：Annals of the Royal College of Surgeons of England

authors： Georgalas C,Obholzer R,Martinez-Devesa P,Sandhu G

更新日期：2006-03-01 00:00:00

abstract：OBJECTIVE:To assess the surgical workload on a renal unit, with particular reference to non-transplant-related surgery and to assess the workload in relation to surgical staffing levels. DESIGN:Prospective audit of all surgical procedures carried out on patients in acute or chronic renal failure, and on transplanted p...

journal_title：Annals of the Royal College of Surgeons of England

authors： Raftery AT

更新日期：1993-05-01 00:00:00

abstract：:Patients with extensive chronic Crohn's disease of the small bowel, who may have had repeated excisional surgery, sometimes develop intestinal obstruction due to the development of a stricture. Surgery is usually thought to be contraindicated since further resections would leave the patient with insufficient small int...

journal_title：Annals of the Royal College of Surgeons of England

authors： Lee EC,Papaioannou N

更新日期：1982-07-01 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 addition of pressure and flow rate recordings to conventional cystourethrography is relatively inexpensive in terms of cost and of radiologist's time, each investigation requiring approximately half an hour.The value of this investigation in males lies in assessing the severity and site of outlet obstruction, part...

journal_title：Annals of the Royal College of Surgeons of England

authors： Arnold EP,Brown AD,Webster JR

更新日期：1974-08-01 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：:It is often accepted by hospital staff that patients would prefer to be at home for the Christmas and Easter holiday periods. This is one of the reasons that elective surgery is reduced at these times. However there is very little evidence to prove whether this is true. To investigate this question 310 patients attend...

journal_title：Annals of the Royal College of Surgeons of England

authors： Whiteley MS,Williams DJ,Hocken D

更新日期：1997-03-01 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：: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：INTRODUCTION:The increased use of diagnostic laparoscopy for management of right iliac fossa pain may have lowered the threshold for removing normal appendices, particularly as there is a perception that this practice carries little additional morbidity. The aim of this retrospective audit was to determine the negative...

journal_title：Annals of the Royal College of Surgeons of England

authors： Lee M,Paavana T,Mazari F,Wilson TR

更新日期：2014-10-01 00:00:00

abstract：:Extraskeletal chondrosarcomas are rare and there is only one reported case of primary pancreatic chondrosarcoma. We report the case of a 34-year-old woman with a 6-month history of abdominal pain and distention. Radiological studies indicated a mass in the pancreas, and exploratory laparotomy revealed a tumour of the ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Bu X,Dai X

更新日期：2010-04-01 00:00:00

abstract：:The 'vascular' aetiology of headache is questioned. An alternative hypothesis based on sensitisation of sensory nerve endings by neurogenic plasma extravasation is discussed. The development of drugs which selectively inhibit the release of vasoactive neuropeptides from perivascular sensory nerves may benefit patients...

journal_title：Annals of the Royal College of Surgeons of England

authors： Macfarlane R

更新日期：1993-07-01 00:00:00

abstract：:Three hundred and forty consecutive patients received successful spinal anaesthesia with 0.5% plain bupivacaine. A small randomised study of 40 of these cases showed little difference between 3.5 and 3 ml; however, analysis of its use in 200 patients receiving 3.5 ml (mean block T10.5 +/- 1 segment) and 100 receiving ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Ryan DW,Pridie AK,Copeland PF

更新日期：1983-01-01 00:00:00

abstract：INTRODUCTION:Venous thromboembolism (VTE) prophylaxis has become a major issue for surgeons both in the UK and worldwide. Several different sources of guidance on VTE prophylaxis are available but these differ in design and detail. METHODS:Two similar audits were performed, one year apart, on the VTE prophylaxis presc...

journal_title：Annals of the Royal College of Surgeons of England

authors： Veeramootoo D,Harrower L,Saunders R,Robinson D,Campbell WB

更新日期：2011-07-01 00:00:00

abstract：:In this study, 56 women who presented to the breast clinic with nipple discharge have been reviewed. Patients were selected for surgery by a triple assessment of clinical examination, discharge cytology and breast imaging. Surgical intervention was required in 17 women. Significant pathology was found in 11 cases incl...

journal_title：Annals of the Royal College of Surgeons of England

authors： Carty NJ,Mudan SS,Ravichandran D,Royle GT,Taylor I

更新日期：1994-11-01 00:00:00

abstract：INTRODUCTION:Patient reported outcome measures (PROMs) are being used increasingly to assess the quality of healthcare delivery in the UK. It is important when using PROMs to know the score of the background population against which any clinical intervention may be benchmarked. The purpose of this study was to measure ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Guyver PM,Cattell AE,Hall MJ,Brinsden MD

更新日期：2013-09-01 00:00:00

abstract：INTRODUCTION:Intestinal intubation with a Jones' tube has been suggested to reduce the incidence of recurrent adhesive obstruction. This paper describes our experience of this technique. PATIENTS AND METHODS:A retrospective case-note review was performed on 68 patients admitted to a teaching hospital who were identifi...

journal_title：Annals of the Royal College of Surgeons of England

authors： Fazel MZ,Jamieson RW,Watson CJ

更新日期：2009-01-01 00:00:00

abstract：:We report a 91% accuracy with fine needle aspiration cytology in 46 patients found to have a mass in the pancreas at laparotomy. Results were compared with conventional biopsy at operation which was accurate in only 56% of an earlier group of 48 patients with a localised mass compared with 97% in 33 patients with diss...

journal_title：Annals of the Royal College of Surgeons of England

authors： Keighley MR,Moore J,Thompson H

更新日期：1984-11-01 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：INTRODUCTION:The aim of this study is to ascertain the accuracy of diagnostic ultrasound in the assessment of the occult abdominal and groin herniae. The authors have previously demonstrated its efficacy in diagnosing the type of clinical groin herniae but occult herniae provide a further diagnostic problem. PATIENTS ...

journal_title：Annals of the Royal College of Surgeons of England

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

更新日期：2006-03-01 00:00:00

abstract：:Introduction Procedure specific consent forms (PSCFs) have been shown to improve consenting practice for a standardised list of complications. The aim of this study was to assess the current usage and quality of PSCFs in the National Health Service (NHS) for cholecystectomy, specifically comparing the listed complicat...

journal_title：Annals of the Royal College of Surgeons of England

authors： Courtney MJ,Royle TJ

更新日期：2018-07-01 00:00:00

abstract：:A series of 21 patients (18 female) whose intractable constipation was treated by colectomy between 1976 and 1985 is reported. There was no mortality attributable to surgery in this series. Total colectomy with ileorectal anastomosis was the preferred operation, but it produced a satisfactory result in only 12 patient...

journal_title：Annals of the Royal College of Surgeons of England

authors： Walsh PV,Peebles-Brown DA,Watkinson G

更新日期：1987-03-01 00:00:00

abstract：:Colorectal cancer is the second most common cancer in the Western world, and yet the survival after potentially curative excisional surgery has improved little over the last half century. Newer tumour prognostic markers are not superior to conventional Dukes' staging and there are currently no markers which predict re...

journal_title：Annals of the Royal College of Surgeons of England

authors： Rayter Z,Leicester RJ,Mansi JL

更新日期：1995-03-01 00:00:00

abstract：INTRODUCTION:Locked plates are commonly used to obtain fixation in periarticular and comminuted fractures. Their use has also gained popularity in repairing fractures in osteoporotic bone. These plates provide stable fixation and promote biological healing. Over the last 3 years, we have used over 150 locked plates wit...

journal_title：Annals of the Royal College of Surgeons of England

authors： Raja S,Imbuldeniya AM,Garg S,Groom G

更新日期：2012-10-01 00:00:00