Peri-operative care series.

abstract：INTRODUCTION:Rapid-access carotid endarterectomy (RACE) is an evidence-based treatment for symptomatic carotid stenosis. Our vascular centre aims to provide this service within 48 h of symptoms in appropriate patients. This study audits safety and efficacy of the first year of RACE. SUBJECTS AND METHODS:A clear trust ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Rix TE,Singh I,Insall R,Senaratne J

更新日期：2010-11-01 00:00:00

abstract：:Adult ingestion of caustic substances is an unusual but serious surgical problem, with injuries likely to be more extensive than those in the corresponding paediatric population. After initial stabilisation and airway management, clinicians are presented with a complex multisystemic problem, frequently requiring a mul...

journal_title：Annals of the Royal College of Surgeons of England

authors： Rollin M,Jaulim A,Vaz F,Sandhu G,Wood S,Birchall M,Dawas K

更新日期：2015-05-01 00:00:00

abstract：:Forty-eight patients treated for haemorrhoids by Lord's procedure have been followed up for 5 years. Preoperative anal pressure and motility studies suggest that the best long-term results occur in patients with an active internal sphincter. Anal pressure was reduced by dilatation and remained static over the next 5 y...

journal_title：Annals of the Royal College of Surgeons of England

authors： Hancock BD

更新日期：1982-11-01 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：:The value and accuracy of a scoring system applied to clinical examination, aspiration cytology and mammography has been assessed in the diagnosis of 224 consecutive 'new' patients attending a breast clinic with a breast lump. In 72 of 99 patients with breast cancer (80%) the scores were high enough to allow definitiv...

journal_title：Annals of the Royal College of Surgeons of England

authors： Smallwood J,Khong Y,Boyd A,Guyer P,Herbert A,Cooke T,Taylor I

更新日期：1984-07-01 00:00:00

abstract：:Severe hand injuries constitute the largest number of acute referrals to this plastic surgery unit, the admission of these patients often displacing routine admissions due to bed shortages, thus increasing waiting list time. This study showed that a high percentage of these injuries were alcohol-related and were there...

journal_title：Annals of the Royal College of Surgeons of England

authors： Marston RA

更新日期：1992-09-01 00:00:00

abstract：:Polarization between proponents of intact canal wall tympanoplasty and radical (modified) mastoidectomy in the treatment of cholesteatoma and other irreversible temporal bone lesions can be avoided in many cases by the use of one or more special techniques. These include (a) Gelfilm (no-graft) induction of tympanic me...

journal_title：Annals of the Royal College of Surgeons of England

authors： Goodhill V

更新日期：1977-01-01 00:00:00

abstract：BACKGROUND:Haemorrhagic radiation proctitis frequently presents as a problem in management. We analysed the technique of formalin dab in its management. PATIENTS AND METHODS:Twenty patients presenting with haemorrhagic radiation proctitis and treated with formalin dab were prospectively analysed. RESULTS:Twelve patie...

journal_title：Annals of the Royal College of Surgeons of England

authors： Ismail MA,Qureshi MA

更新日期：2002-07-01 00:00:00

abstract：:Tailgut cysts are rare benign retrorectal cysts arising from persistent remnants of an embryonic hindgut. Malignant transformation inside this lesion is very uncommon and occurrence of neuroendocrine tumours in this context is extremely rare. We report the case of a 56-year-old woman who underwent surgical excision of...

journal_title：Annals of the Royal College of Surgeons of England

authors： Mora-Guzmán I,Alonso-Casado A,Rodríguez Sánchez A,Bermejo Marcos E

更新日期：2017-02-01 00:00:00

abstract：INTRODUCTION:The internal anal sphincter (IAS) is an important structure that is responsible for the majority of resting tone of the sphincter complex. It has a central role in continence and damage to the muscle has serious implications. Injury is most frequently from obstetric trauma though iatrogenic injury from pro...

journal_title：Annals of the Royal College of Surgeons of England

authors： Jones OM

更新日期：2007-09-01 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：:One hundred and four patients with second, third degree or thrombosed prolapsed piles, treated by cryotherapy, were studied pre- and postoperatively. A computer analysis was made of all relevant data such as pile mass, freezing time and results of treatment. The method, which is easy to perform and cost effective, is ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Southam JA

更新日期：1983-07-01 00:00:00

abstract：:Luc's abscess is a rare but important complication of acute otitis media (AOM), whereby infection spreads from the middle ear, resulting in a subperiosteal collection beneath the temporal muscle. Unlike other extracranial abscesses relating to AOM, Luc's abscess is not believed to involve the mastoid bone. We present ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Scrafton DK,Qureishi A,Nogueira C,Mortimore S

更新日期：2014-07-01 00:00:00

abstract：:Seatbelt associated blunt trauma to the rectum is a rare but well recognised injury. The exact mechanism of hollow visceral injury in blunt trauma is unclear. Stress and shear waves generated by abdominal compression may in part account for injury to gas containing structures. A 'seatbelt sign' (linear ecchymosis acro...

journal_title：Annals of the Royal College of Surgeons of England

authors： El Kafsi J,Kraus R,Guy R

更新日期：2016-02-01 00:00:00

abstract：:Congenital cysts of the biliary tree, although uncommon, are being reported in increasing numbers. The widely accepted classification would seem to warrant modification in the light of recent observations. The clinical spectrum of the condition is reviewed, together with the surgical approach to treatment and its indi...

journal_title：Annals of the Royal College of Surgeons of England

authors： Olbourne NA

更新日期：1975-01-01 00:00:00

abstract：:Three complications of the use of narrow bore nasogastric feeding tubes are described. Clinical tests to determine correct placement are noted to be unreliable and the importance of radiological confirmation is stressed. A number of suggestions are made for safe use of these tubes. ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Biggart M,McQuillan PJ,Choudhry AK,Nickalls RW

更新日期：1987-05-01 00:00:00

abstract：INTRODUCTION:Tranexamic acid has been used for many years to minimise blood loss during surgery and, more recently, to reduce morbidity after major trauma. While small studies have confirmed reduction in blood loss during tonsillectomy with its use, the rate of primary haemorrhage following tonsillectomy has not been r...

journal_title：Annals of the Royal College of Surgeons of England

authors： Robb PJ,Thorning G

更新日期：2014-03-01 00:00:00

abstract：INTRODUCTION:Admission for overnight or longer hospital stay from a day-case unit is an unwelcome event. This audit was designed to identify the incidence of unplanned admissions and also to detect the potential factors for such overstays. PATIENTS AND METHODS:Details of plastic surgical day-case patients were obtaine...

journal_title：Annals of the Royal College of Surgeons of England

authors： Mandal A,Imran D,McKinnell T,Rao GS

更新日期：2005-11-01 00:00:00

abstract：INTRODUCTION:Non-attendance in the out-patient department has financial costs for the NHS and clinical implications to the non-attender and those awaiting an appointment. The aim of this audit was to quantify the percentage of non-attenders at colorectal clinics in a UK teaching hospital, assess which factors affected ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Corfield L,Schizas A,Noorani A,Williams A

更新日期：2008-07-01 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：:Operative cholangiography is for most surgeons a routine part of every cholecystectomy. Computerised digital subtraction angiography was adapted for operative cholangiography using a portable machine. After cannulation of the cystic duct the background image was subtracted before injecting contrast. Only the contrast ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Motson RW,Shinkwin MA,May AR,Akhtar N

更新日期：1988-05-01 00:00:00

abstract：:Sixty patients scheduled for vaginal surgery under lumbar epidural block were randomly allocated into two groups, one of which received ethamsylate intravenously prior to induction of anaesthesia. Ethamsylate did not reduce the blood loss at operation in these patients. The possible factors underlying this observation...

journal_title：Annals of the Royal College of Surgeons of England

authors： Smith GB,Eltringham RJ,Nightingale JJ

更新日期：1983-03-01 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:Extensor mechanism ruptures might be easily overlooked and misdiagnosed, and delayed diagnosis of quadriceps tendon rupture is frequent. However, the literature recommends early surgical repair within 72 h. PATIENTS AND METHODS:This paper describes a new simple clinical diagnostic test that directly evalu...

journal_title：Annals of the Royal College of Surgeons of England

authors： Jolles BM,Garofalo R,Gillain L,Schizas C

更新日期：2007-04-01 00:00:00

abstract：INTRODUCTION:Antegrade insertion of ureteric stent has become an established mode of management of upper tract obstruction secondary to ureteric pathology. It is conventionally performed as a two-stage procedure for various reasons but, more recently, a one-stage approach has been adopted. PATIENTS AND METHODS:We disc...

journal_title：Annals of the Royal College of Surgeons of England

authors： Chitale S,Raja V,Hussain N,Saada J,Girling S,Irving S,Cockburn JF

更新日期：2010-04-01 00:00:00

abstract：:Little is known about the outcome after pancreatic debridement in the district general hospital (DGH) setting and the debate about centralisation of pancreatic surgical services continues. We retrospectively reviewed our experience over 2 years, looking particularly at mortality, morbidity and cost. Of 12 cases treate...

journal_title：Annals of the Royal College of Surgeons of England

authors： Catto JW,Alexander DJ

更新日期：2002-09-01 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：: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：:The successful treatment of major burns depends upon accurate and early fluid replacement in the first 36 h. A burns calculator has been designed, based upon the Muir and Barclay formula, which should facilitate the estimation of fluid requirements in burned patients and therefore improve their immediate management in...

journal_title：Annals of the Royal College of Surgeons of England

authors： Jenkinson LR

更新日期：1982-09-01 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