Nasogastric suction after elective abdominal surgery: a randomised study.

abstract：:Extensive cephalic spread of solution occurred in three out of seven cases studied during coeliac plexus blockade. Spread on to cardiac nerves and plexus may be a factor in hypotension following this procedure. Incremental dosage and careful screening is recommended. ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Hardy PA,Wells JC

更新日期：1989-01-01 00:00:00

abstract：:INTRODUCTION Reporting surgeons' outcomes has recently been introduced in the UK. This has the potential to result in surgeons becoming risk averse. The aim of this study was to investigate whether reporting outcomes for abdominal aortic aneurysm (AAA) surgery impacts on the number and risk profile (level of fitness) ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Saratzis A,Thatcher A,Bath MF,Sidloff DA,Bown MJ,Shakespeare J,Sayers RD,Imray C

更新日期：2017-02-01 00:00:00

abstract：INTRODUCTION:The Modified Early Warning Score (MEWS) is a simple, physiological score that may allow improvement in the quality and safety of management provided to surgical ward patients. The primary purpose is to prevent delay in intervention or transfer of critically ill patients. PATIENTS AND METHODS:A total of 33...

journal_title：Annals of the Royal College of Surgeons of England

authors： Gardner-Thorpe J,Love N,Wrightson J,Walsh S,Keeling N

更新日期：2006-10-01 00:00:00

abstract：:To assess the efficacy of emergency thoracotomy performed for thoracic trauma in the accident and emergency department, a retrospective analysis of patients who underwent this procedure and were brought to hospital by the Helicopter Emergency Medical Service was carried out. Between 1991 and 1994, 16 patients had emer...

journal_title：Annals of the Royal College of Surgeons of England

authors： Jahangiri M,Hyde J,Griffin S,Magee P,Youhana A,Lewis T,Wood A

更新日期：1996-05-01 00:00:00

abstract：:Infection is an important arbiter of success or failure of surgical practice and the incidence of infection is incorporated into all surgical audit systems. If audit is to be of value the outcome end points of clinical practice must be defined. We have attempted to derive clinical definitions suitable for bedside diag...

journal_title：Annals of the Royal College of Surgeons of England

authors： Peel AL,Taylor EW

更新日期：1991-11-01 00:00:00

abstract：:Pseudoaneurysm is a rare complication of surgery or trauma around the knee. A 30-year-old man presented 10 days following anterior cruciate ligament repair with a 2 cm pulsatile swelling on the medial side of the knee. Angiography demonstrated a pseudoaneurysm of the medial inferior genicular artery. Surgical explorat...

journal_title：Annals of the Royal College of Surgeons of England

authors： Evans JD,de Boer MT,Mayor P,Rees D,Guy AJ

更新日期：2000-05-01 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：:Twenty-one knees with isolated chronic deficiency of the anterior cruciate ligament have been treated by reconstruction using the ABC carbon and polyester bioprosthetic composite ligament; 16 were reviewed at an average of 34.6 months. The Lysholm score indicated a good or excellent result in nine knees (56%) with a s...

journal_title：Annals of the Royal College of Surgeons of England

authors： Campbell AC,Rae PS

更新日期：1995-09-01 00:00:00

abstract：:The history of the technique of promoting dissolution of retained gallstones in the biliary tree is briefly reviewed. Present methods are described in detail and our own experience recorded. We have treated six patients with retained calculi by means of heparinized saline and sodium cholate infusions of the common bil...

journal_title：Annals of the Royal College of Surgeons of England

authors： Wheeler MH

更新日期：1977-03-01 00:00:00

abstract：:Massive plexiform neurofibromatosis is an uncommon manifestation of Type 1 neurofibromatosis. These tumours result in functional disability and severe disfigurement. Due to the variable natural history od these lesions, the optimal management is not well defined and surgery is often delayed until significant disfigure...

journal_title：Annals of the Royal College of Surgeons of England

authors： Power KT,Giannas J,Babar Z,McGrouther DA

更新日期：2007-11-01 00:00:00

abstract：INTRODUCTION:Modernisation of Medical Careers dictates a shortening of the training required to achieve consultant status. Precisely what type of work these consultants could be expected to accomplish, and be trained to do, is not clear. The objective of this study was to demonstrate a method of stratifying urological ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Payne SR,Shaw MB

更新日期：2005-09-01 00:00:00

abstract：INTRODUCTION:The usual indications for oesophageal replacement in childhood are intractable corrosive strictures and long-gap oesophageal atresia. Generally, paediatric surgeons attempt to preserve the native oesophagus with repeat dilatations. However, when this is not successful, an appropriate conduit must be fashio...

journal_title：Annals of the Royal College of Surgeons of England

authors： Arul GS,Parikh D

更新日期：2008-01-01 00:00:00

abstract：BACKGROUND:For patients with gastric cancer intraoperative macroscopic serosal change is not always consistent with pathological T stage. We investigated whether macroscopic serosal change is associated with unfavourable prognosis of patients with gastric cancer. METHODS:We reviewed 856 patients with stage T3 gastric ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Zhao B,Mei D,Zhang J,Zou S,Lu H,Xu H,Huang B

更新日期：2019-04-01 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：:During the past 10 years of civil unrest in Northern Ireland a wide variety of facial injuries have been treated at the Royal Victoria Hospital, Belfast. The causes and nature of these injuries are described and the experience gained in their management is reviewed. ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Whitlock RI

更新日期：1981-01-01 00:00:00

abstract：:Parathyromatosis is a rare entity and usually appears as a consequence of the seeding on previous parathyroid surgery which was applied for the secondary hyperparathyroidism. A 63-year-old woman presented with a history of subtotal thyroidectomy 20 years ago and parathyroidectomy due to primary hyperparathyroidism (PH...

journal_title：Annals of the Royal College of Surgeons of England

authors： Haciyanli M,Karaisli S,Gucek Haciyanli S,Atasever A,Arikan Etit D,Gur EO,Acar T

更新日期：2019-11-01 00:00:00

abstract：INTRODUCTION:The aim of this study was to evaluate the intra- and inter-observer variation of the Schatzker and AO/OTA classifications in assessing tibial plateau fractures, using plain radiographs. PATIENTS AND METHODS:Fifty tibial plateau fractures were classified independently by six observers as per the Schatzker ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Charalambous CP,Tryfonidis M,Alvi F,Moran M,Fang C,Samarji R,Hirst P

更新日期：2007-05-01 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：:A retrospective review of surgical treatment for portal hypertension during a 23-year period in a regional unit is reported and the immediate and subsequent management of patients with bleeding oesophageal varices is discussed. Fifty-four patients with recurrent varix haemorrhage uncontrolled by conservative methods h...

journal_title：Annals of the Royal College of Surgeons of England

authors： Kirby R,Burke FD,Jones JD

更新日期：1975-09-01 00:00:00

abstract：INTRODUCTION:The aim of this study was to investigate the degree of contamination of a surgeon's hand following use of chlorhexidine gluconate or alcohol gel as disinfectants. MATERIALS AND METHODS:In this prospective, randomised trial, orthopaedic surgeons were allocated to one of two different hand-washing protocols...

journal_title：Annals of the Royal College of Surgeons of England

authors： Hajipour L,Longstaff L,Cleeve V,Brewster N,Bint D,Henman P

更新日期：2006-01-01 00:00:00

abstract：:Although much is known about the late intestinal side effects of radiation, comparatively little has been published about its acute complications. We present a case of a small bowel obstruction due to acute radiation enteritis. As radiotherapy continues to expand its role in the management of oncological disease, cli...

journal_title：Annals of the Royal College of Surgeons of England

authors： Curtis NJ,Bryant T,Raj S,Bateman AR,Mirnezami AH

更新日期：2011-10-01 00:00:00

abstract：:Introduction Emergency general surgery services in England are undergoing rapid structural change with the aim of improving care. In our centre, the key issues identified were high numbers of admissions, inappropriate referrals, prolonged waiting times, delayed senior input and poor patient satisfaction. A new model w...

journal_title：Annals of the Royal College of Surgeons of England

authors： Navarro AP,Hardy E,Oakley B,Mohamed E,Welch NT,Parsons SL

更新日期：2017-09-01 00:00:00

abstract：:Five patients with parathyroid carcinoma are reported. In the first case the clinical and histological features of malignancy at initial surgery were not recognised and recurrence of the tumour occurred within two years. Referring to previously published series this sequence appeared to be typical and underlined the l...

journal_title：Annals of the Royal College of Surgeons of England

authors： Lillemoe KD,Dudley NE

更新日期：1985-07-01 00:00:00

abstract：:Giant central lumbar disc protrusions can pose a significant operative challenge. Clinically, these patients are at risk of permanent disability, due not only to preoperative neural compromise caused by the protrusion itself but also to the potential iatrogenic risks associated with the standard extradural microdiscec...

journal_title：Annals of the Royal College of Surgeons of England

authors： Tulloch I,Papadopoulos MC

更新日期：2018-03-01 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：:We present a case of massive pneumoperitoneum in association with pneumatosis intestinalis that was successfully managed without surgery despite a clinical picture of an acute abdomen and biochemical evidence of inflammation and systemic upset. Recognition of non-surgical pneumoperitoneum is important to avoid unneces...

journal_title：Annals of the Royal College of Surgeons of England

authors： Brill SE,Skipworth J,Stoker DL

更新日期：2008-03-01 00:00:00

abstract：INTRODUCTION:The retrojugular approach for carotid endarterectomy (CEA) has been reported to have the advantages of shorter operative time and ease of dissection, especially in high carotid lesions. Controversial opinion exists with regard to its safety and benefits over the conventional antejugular approach. METHODS:...

journal_title：Annals of the Royal College of Surgeons of England

authors： Antoniou GA,Murray D,Antoniou SA,Kuhan G,Serracino-Inglott F

更新日期：2014-04-01 00:00:00

abstract：:Over the past decade fibre supplementation has achieved widespread acceptance in the management of symptomatic diverticular disease, although the efficacy of this treatment has been debated. We have conducted a retrospective review of 72 patients admitted to hospital with symptomatic diverticular disease over a ten ye...

journal_title：Annals of the Royal College of Surgeons of England

authors： Leahy AL,Ellis RM,Quill DS,Peel AL

更新日期：1985-05-01 00:00:00

abstract：OBJECTIVE:To ascertain whether a written information sheet is acceptable to patients and improves recall of the consent interview. DESIGN:Prospective randomised controlled study using questionnaires, comparing a group of patients given information in a written sheet with appropriate explanation to a group given verbal...

journal_title：Annals of the Royal College of Surgeons of England

authors： Langdon IJ,Hardin R,Learmonth ID

更新日期：2002-11-01 00:00:00

abstract：INTRODUCTION:Breast cancer usually necessitates breast-conserving surgery or mastectomy, which adversely affect appearance and wellbeing. Immediate reconstruction restores the breast mound but its availability and efficacy are uncertain. MATERIALS AND METHODS:Two discrete datasets were used to evaluate mastectomies in...

journal_title：Annals of the Royal College of Surgeons of England

authors： Jeevan R

更新日期：2020-02-01 00:00:00