Delayed jejunal perforation following blunt abdominal trauma.

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：:Pancreatic injuries are uncommon, difficult to diagnose and there is no uniform standard for treatment. The purpose of this study was to audit the management of pancreatic injuries in our practice. Equally important is to attempt to find out a simple management plan particularly in the era of increasing conservative t...

journal_title：Annals of the Royal College of Surgeons of England

authors： el-Boghdadly S,al-Yousef Z,al Bedah K

更新日期：2000-07-01 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：:In an attempt to reduce the high recurrence rate after repair of parastomal hernia, a technique was devised in which non-absorbable mesh was used to provide a permanent closure of the gap between the emerging bowel and abdominal wall. Seven patients were treated during the period 1990-1992. Five-year follow-up has giv...

journal_title：Annals of the Royal College of Surgeons of England

authors： Morris-Stiff G,Hughes LE

更新日期：1998-05-01 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：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:The main barriers to short stay thyroidectomy are haemorrhage, bilateral recurrent laryngeal nerve palsy causing respiratory compromise and hypocalcaemia. This study assessed the safety and effectiveness of thyroidectomy as a 23-hour stay procedure. METHODS:All patients undergoing total or completion thyr...

journal_title：Annals of the Royal College of Surgeons of England

authors： Perera AH,Patel SD,Law NW

更新日期：2014-05-01 00:00:00

abstract：:The effects on pelvic visceral function of radical operations for carcinoma of the lower part of the rectum and of operations for inflammatory bowel disease have been determined by studying bladder, sexual and rectal function. Denervation of the bladder was diagnosed in 15% of patients who had undergone sphincter-savi...

journal_title：Annals of the Royal College of Surgeons of England

authors： Neal DE

更新日期：1984-01-01 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：:The internet provides the public with unregulated access to a wide range of medications. We present the case of a 43-year-old man who purchased oral tadalafil gel on the internet and injected it into his left radial artery. He presented 48 hours after injection with signs of ischaemia distal to the injection site requ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Vaughan EM,Yeung D,West CC,Tadros A,Curnier A

更新日期：2014-03-01 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：: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：: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：:We report a fatality due to massive gastrointestinal haemorrhage in a patient receiving prophylactic dabigatran etexilate following a total hip replacement. A 79-year-old woman was commenced on dabigatran for venous thromboembolic prophylaxis following a total hip replacement. She presented again four days after surge...

journal_title：Annals of the Royal College of Surgeons of England

authors： Carter A,Sarda P,George M,Corbett S

更新日期：2014-01-01 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：: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: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：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:Necrotising fasciitis is a life-threatening illness that is often difficult to diagnose. Immediate debridement and intravenous antibiotic therapy are required to limit the spread of infection. This five-year audit aimed to review the number and outcomes of all cases of necrotising fasciitis admitted to a ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Swain RA,Hatcher JC,Azadian BS,Soni N,De Souza B

更新日期：2013-01-01 00:00:00

abstract：:Introduction The weekend effect is a perceived difference in outcome between medical care provided at the weekend when compared to that of a weekday. Clearly multifactorial, this effect remains incompletely understood and variable in different clinical contexts. In this study we analyse factors relevant to the weekend...

journal_title：Annals of the Royal College of Surgeons of England

authors： Briggs W,Guevel B,McCaskie AW,McDonnell SM

更新日期：2018-01-01 00:00:00

abstract：INTRODUCTION:HIV positivity alone as a predictor of surgical outcome has not been extensively studied in regions of high prevalence. The aim was to determine the prevalence of HIV infection in surgical patients, and compare differences in their clinical course based on their serological status and CD4 counts. PATIENTS...

journal_title：Annals of the Royal College of Surgeons of England

authors： Cacala SR,Mafana E,Thomson SR,Smith A

更新日期：2006-01-01 00:00:00

abstract：:We present a rare and previously undocumented potential complication of computed tomography (CT) colonography. CT colonography is a commonly performed investigation with a relatively low risk of complications. While splenic injury is a well-documented complication after colonoscopy, it has never been reported followin...

journal_title：Annals of the Royal College of Surgeons of England

authors： Sehgal R,Whitehead-Clarke T,Tudyka V,Evans S

更新日期：2019-01-01 00:00:00

abstract：:A series of 45 patients undergoing a second operation for recurrent colorectal cancer is reported. The majority developed recurrence within 2 years of their initial surgery. Despite regular follow-up, in only 27% of patients submitted to further surgery was the recurrence detected at routine review, and only three of ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Pollard SG,Macfarlane R,Everett WG

更新日期：1989-09-01 00:00:00

abstract：:Intra-operative injury to the ureter is a well known but fortunately uncommon complication of any major pelvic surgical procedure. If recognised on table, it can be repaired by either a substitution ureteroplasty or end-to-end anatomical repair depending upon the extent of tissue loss. Either of these anastomoses coul...

journal_title：Annals of the Royal College of Surgeons of England

authors： Chitale SV,Webb RJ

更新日期：2001-07-01 00:00:00

abstract：:Jehovah's Witnesses do not permit the use of allogeneic blood products. An increasing number of patients are refusing blood transfusion for non-religious reasons. In addition, blood stores are decreasing, and costs are increasing. Transfusion avoidance strategies are, therefore, desirable. Bloodless surgery refers to ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Gohel MS,Bulbulia RA,Slim FJ,Poskitt KR,Whyman MR

更新日期：2005-01-01 00:00:00

abstract：:The effect of perioperative blood transfusion on cancer progression remains controversial because retrospective clinical studies have produced conflicting results. We have collected data prospectively on 379 patients undergoing curative surgery for colorectal adenocarcinoma and assessed the effect of variables, includ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Sene A,Jeacock J,Robinson C,Walsh S,Kingston RD

更新日期：1993-07-01 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：: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：:Ureteric obstruction is a rare consequence of inguinoscrotal hernias. We report the case of a 71-year-old man who presented with a left hemiscrotal swelling and ipsilateral hydronephrosis. Following investigations, he was found to have a sliding inguinal hernia involving the left ureter. His left inguinal hernia was r...

journal_title：Annals of the Royal College of Surgeons of England

authors： Ahmed S,Stanford R

更新日期：2016-02-01 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