Clostridium difficile: how much do hospital staff know about it?

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

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：: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：:A series of 20 infants undergoing general anaesthesia for pyloromyotomy were studied in a randomised, blind and controlled trial to determine the postoperative behavioural and cardiorespiratory effects of wound infiltration of bupivacaine. Ten infants received bupivacaine (0.6 ml/kg, 0.25% = 1.5 mg/kg) injected intrad...

journal_title：Annals of the Royal College of Surgeons of England

authors： Sury MR,Mcluckie A,Booker PD

更新日期：1990-09-01 00:00:00

abstract：INTRODUCTION:Polypectomy at colonoscopy may be difficult or dangerous. In such instances colonic resection may be indicated. Novel combined laparoscopic-endoscopic procedures have the potential to allow safe extensive extramucosal resection, thus avoiding resection. Laparoscopic colon mobilisation provides a more favou...

journal_title：Annals of the Royal College of Surgeons of England

authors： Wood JJ,Lord AC,Wheeler JM,Borley NR

更新日期：2011-04-01 00:00:00

abstract：:Two patients undergoing inguinal herniorrhaphy developed transient quadriceps paresis after local inguinal nerve block. One sustained a compound fracture of the distal tibia and fibula. The importance of warning the patient and of increasing the awareness of nursing staff to the possibility of quadriceps weakness afte...

journal_title：Annals of the Royal College of Surgeons of England

authors： Széll K

更新日期：1994-03-01 00:00:00

abstract：:Developments in anaesthesia for intracranial surgery over the past 35 years are illustrated by a comparison of personal practice in 1943-45 and in 1977-79, with some reference to techniques developed during the intervening years. ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Hunter AR

更新日期：1981-09-01 00:00:00

abstract：:A term neonate was born with a grossly swollen and discoloured left hand and forearm. He was transferred from the local hospital to the plastic surgical unit, where a diagnosis of compartment syndrome was made and he underwent emergency forearm fasciotomies at six hours of age. Following serial debridements of necroti...

journal_title：Annals of the Royal College of Surgeons of England

authors： Martin B,Treharne L

更新日期：2016-09-01 00:00:00

abstract：:A total parenteral nutrition (TPN) service was established in Oxford in 1978 and the results of the first 3 years were published in 1983. Since then the service has provided intravenous nutritional support to an increasing number of patients, representing a considerable and increasing financial burden on the constrain...

journal_title：Annals of the Royal College of Surgeons of England

authors： Clarke PJ,Ball MJ,Tunbridge A,Kettlewell MG

更新日期：1988-09-01 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：: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：:Primary hyperparathyroidism may be cured surgically by complete excision of abnormal parathyroid tissue. Reoperation for persistent hypercalcaemia due to residual abnormal parathyroid tissue may be associated with a high complication rate. It is possible to assay intact parathormone (iPTH) intraoperatively and as iPTH...

journal_title：Annals of the Royal College of Surgeons of England

authors： Tan P,Leveson SH,Wilkinson H

更新日期：1995-01-01 00:00:00

abstract：:We present a case of symptomatic trochanteric non-union following total hip replacement treated initially with a Dall-Miles grip plate. After failure of this treatment, the patient had a two-stage revision. Trochanteric non-union is one of the well-described complications after total hip replacement. It is frequently ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Drampalos E,Bayam L,Oakley J,Hemmady M,Hodgkinson J

更新日期：2019-07-01 00:00:00

abstract：:In the differential diagnosis of a swollen elbow, the palpation of the supratrochlear glands is useful. They are not enlarged in a traumatic elbow joint. They are enlarged, discrete and shotty in rheumatoid arthritis. In tuberculosis, they are enlarged, matted and they may caseate and form a cold abscess on the medial...

journal_title：Annals of the Royal College of Surgeons of England

authors： Patel DA

更新日期：2001-11-01 00:00:00

abstract：:Rectus femoris origin injuries in adult athletes are uncommon. In the acute phase, conservative treatment seems to have a favourable outcome, with surgical repair reserved for unsuccessful cases only. However, a group of patients may develop chronic pain and disability after recovery from the acute phase due to heter...

journal_title：Annals of the Royal College of Surgeons of England

authors： El-Husseiny M,Sukeik M,Haddad FS

更新日期：2012-04-01 00:00:00

abstract：:Introduction While surgery is the cornerstone of bowel cancer treatment, it comes with significant risks. Among patients aged over 80 years, 30-day mortality is 13%-15%, and additionally 12% will not return home and go on to live in supportive care. The question for patients and clinicians is whether operative surgery...

journal_title：Annals of the Royal College of Surgeons of England

authors： Bethune R,Sbaih M,Brosnan C,Arulampalam T

更新日期：2016-07-01 00:00:00

abstract：:This study investigates incidence and outcome of iatrogenic vascular complications needing surgery in a single vascular unit serving interventional vascular radiology and interventional cardiology. Evolution of diagnostic and interventional cardiovascular radiology, along with the introduction of non-surgical therapie...

journal_title：Annals of the Royal College of Surgeons of England

authors： Lewis DR,Bullbulia RA,Murphy P,Jones AJ,Smith FC,Baird RN,Lamont PM

更新日期：1999-01-01 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：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:Perioperative visual loss occurring during non-ocular surgery is a devastating event. Ischaemic optic neuropathy (ION) is a complication described following many procedures. We report the first case of ION occurring during laparoscopic proctocolectomy and discuss the aetiological factors. CASE HISTORY:A 5...

journal_title：Annals of the Royal College of Surgeons of England

authors： Mizrahi H,Hugkulstone CE,Vyakarnam P,Parker MC

更新日期：2011-07-01 00:00:00

abstract：:An attempt has been made to assess the patency and function of the choledochoduodenal junction after biliary sphincterotomy by estimating the first arrival time of injected bromsulphalein (BSP) in duodenal aspirate and the effect of morphine on this. Studies on 49 patients 1--12 years after this operation showed the a...

journal_title：Annals of the Royal College of Surgeons of England

authors： Peel AL,Delvin HB,Ritchie HD

更新日期：1975-06-01 00:00:00

abstract：:The distribution of histological types, presenting symptoms, and treatment in a series of 29 cases of carcinoma of the thyroid gland are described. The treatment policy adopted in such cases is outlined. ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Hargreaves AW

更新日期：1981-09-01 00:00:00

abstract：:Introduction Angiolipoma is a histological variant of lipoma and is the most common neoplasm in the trunk and extremities of young adults. It is extremely rare in elderly people, and its size is ≤4cm. Few data are available for large angiolipomas. Case History An 86-year-old patient was admitted to our surgical depart...

journal_title：Annals of the Royal College of Surgeons of England

authors： Papakonstantinou PE,Korkolopoulou P,Lassithiotakis D,Lolis ED

更新日期：2016-07-01 00:00:00

abstract：:The causes of pain in the amputation stump or in the so-called phantom limb are far from clear and a wide variety of methods of treatment have been used with varying degrees of success. Surgical techniques do not always give lasting relief and it is suggested that conservative methods such as vibration therapy and var...

journal_title：Annals of the Royal College of Surgeons of England

authors： Berger SM

更新日期：1980-03-01 00:00:00

abstract：:The outcome of loop ileostomy closure was evaluated in 40 patients who had previously undergone restorative proctocolectomy. A standard operative technique was used which incorporated a circumstomal incision, non-resectional reconstruction and primary skin closure. Thirty-six patients (90%) enjoyed an uncomplicated re...

journal_title：Annals of the Royal College of Surgeons of England

authors： Lewis P,Bartolo DC

更新日期：1990-07-01 00:00:00

abstract：AIM:To describe 19th century amputations carried out at the Royal Berkshire Hospital, Reading. METHODS:A retrospective analysis of hospital archives. RESULTS:Details of 276 amputations were analysed. The majority (86%) were in men and boys. The median age was 33 years. The ratio of leg:arm amputation was 2:1. Trauma ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Galland RB

更新日期：2003-11-01 00:00:00

abstract：:John Hunter's many contributions to surgery include the development of the scientific approach and possibly the first use of evidence-based medicine. This oration, concentrates on two other areas ? first, some of his contributions to orthopaedics and secondly past, present and future surgical training and competence. ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Galasko CS

更新日期：2005-05-01 00:00:00

abstract：INTRODUCTION:Acute cholecystitis is among the most common general surgical presentations. There is a cohort of patients who develop systemic sepsis and complications of acute cholecystitis. These patients are often elderly and co-morbid. Conservative management with percutaneous cholecystostomy has been shown to be a s...

journal_title：Annals of the Royal College of Surgeons of England

authors： Flexer SM,Peter MB,Durham-Hall AC,Ausobsky JR

更新日期：2014-04-01 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：:A high incidence of complications related to bleeding was observed after open prosthetic inguinal hernia repair. The site of injection of low-dose heparin into the abdominal wall was thought to be a possible causal factor for these complications. The wound complication rate after repair of primary unilateral inguinal ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Wright DM,O'Dwyer PJ,Paterson CR

更新日期：1998-01-01 00:00:00