Consent: luck or law?

abstract：:We describe the largest reported case of pilomatrixoma in the literature. While pilomatrixomas typically present as small soft-tissue nodules of the head, neck and upper extremities, they can also present as much larger masses in atypical locations. When they present in their usual size, pilomatrixomas have typical im...

journal_title：Annals of the Royal College of Surgeons of England

authors： Beattie G,Tai C,Pinar Karakas S,Cham E,Idowu O,Kim S

更新日期：2018-02-01 00:00:00

abstract：INTRODUCTION:Suspected testicular torsion (TT) is a surgical emergency, usually requiring urgent scrotal exploration. Provision of urology on-call cover varies widely between hospitals and often falls under the remit of the general surgical team. The purpose of this study was to investigate whether the management of su...

journal_title：Annals of the Royal College of Surgeons of England

authors： Tydeman C,Davenport K,Glancy D

更新日期：2010-11-01 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：:Trauma care has evolved rapidly over the past decade. The benefits of operative fracture management in major trauma patients are well recognised. Concerns over early total care arose when applied broadly. The burden of additional surgical trauma could constitute a second hit, fuelling the inflammatory response and pre...

journal_title：Annals of the Royal College of Surgeons of England

authors： Bates P,Parker P,McFadyen I,Pallister I

更新日期：2016-05-01 00:00:00

abstract：:Although the operating microscope was introduced more than 50 years ago, its use was at first confined to otolaryngology and, later, to ophthalmology. More recently its use in the development of microvascular techniques has led to spectacular advances in the field of replantation and reconstructive surgery. The organi...

journal_title：Annals of the Royal College of Surgeons of England

authors： O'Brien BM

更新日期：1976-03-01 00:00:00

abstract：INTRODUCTION:As a result of a single spinal injury seen at Frimley Park Hospital, we reviewed the injuries recorded at the Army School of Physical Training since December 1996. PATIENTS AND METHODS:This was a retrospective review of all acute accidents and injuries recorded in the Accident Book since its inception. R...

journal_title：Annals of the Royal College of Surgeons of England

authors： Griffiths DE,Hargrove R,Clasper J

更新日期：2006-09-01 00:00:00

abstract：:This case report details an unusual, but preventable, error in surgical site marking. ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Williams G,Roche A,Hennessy M,Gannon J

更新日期：2009-03-01 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：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 case a 48-year-old man who was diagnosed with an upper limb deep vein thrombosis post clavicle fracture. He was successfully investigated with a computed tomography (CT) venogram, thrombophilia was excluded, and he was subsequently treated with a 3-month course of anticoagulation. We illustrate this case ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Jones RE,McCann PA,Clark DA,Sarangi P

更新日期：2010-07-01 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：:We present a case of a chronic recurrent rectovaginal fistula that initially arose from complications of haemorrhoid surgery and had failed multiple prior surgical repairs. The fistula was successfully managed using viable cryopreserved placental tissue. ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Taylor JP,Gearhart S

更新日期：2017-11-01 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：:Bleeding from the edge of an ileostomy site is a common problem. In those who have undergone a proctocolectomy with ileostomy formation in conjunction with a risk of chronic liver disease (even with normal liver function tests), this may be due to peristomal varices. If this is the case, significant, difficult-to-cont...

journal_title：Annals of the Royal College of Surgeons of England

authors： Farquharson AL,Bannister JJ,Yates SP

更新日期：2006-09-01 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：:Chemotherapy may cause oral ulceration but a thorough investigation of symptoms and signs is important to determine the underlying diagnosis accurately. We describe a case of a patient with a poorly differentiated urothelial carcinoma of the bladder developing a tongue metastasis. This is a challenging diagnosis to ma...

journal_title：Annals of the Royal College of Surgeons of England

authors： Kaleva AI,Hone RW,Szakacs SM,Streeter E,Nixon IJ

更新日期：2015-03-01 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：INTRODUCTION:The incidence of wound infection following total hip and knee arthroplasty has fallen with the introduction of laminar vertical laminar airflow, occlusive clothing and prophylactic antibiotics. However, infection still occurs after prosthetic joint replacement and can have devastating consequences. Intra-o...

journal_title：Annals of the Royal College of Surgeons of England

authors： Mackain-Bremner AA,Owens K,Wylde V,Bannister GC,Blom AW

更新日期：2008-07-01 00:00:00

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：BACKGROUND:In 1999, a statement of best practice in primary total hip replacement was approved by the Council of the British Orthopaedic Association (BOA) and by the British Hip Society (BHS) to provide a basis for regional and national auditable standards. We have compared practice in the North West Region of England ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Malik MH,Gambhir AK,Bale L,Pradhan N,Porter ML

更新日期：2004-03-01 00:00:00

abstract：:INTRODUCTIONAbstracts presented at national and international scientific meetings are an important educational resource. However, the work is not peer reviewed and little is known about the quality or validity of the presented results and the fate of such abstracts.MATERIALS AND METHODSThis is a retrospective cohort s...

journal_title：Annals of the Royal College of Surgeons of England

authors： Balasubramanian SP,Kumar ID,Wyld L,Reed MW

更新日期：2006-01-01 00:00:00

abstract：INTRODUCTION:In future, outcomes following shoulder surgery may be subject to public survey. Many outcome measures exist but we do not know whether there is a consensus between shoulder surgeons in the UK. The aim of this study was to survey the preferred outcome measures used by National Health Service (NHS) shoulder ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Varghese M,Lamb J,Rambani R,Venkateswaran B

更新日期：2014-11-01 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：:We report a prospective trial of 100 consecutive patients undergoing primary total hip or knee arthroplasty in order to assess their blood transfusion requirements amid recent fears of the transmission of viruses, particularly hepatitis C, from donor to recipient. Of the patients, 84% were transfused one or more units...

journal_title：Annals of the Royal College of Surgeons of England

authors： Clarke AM,Dorman T,Bell MJ

更新日期：1992-09-01 00:00:00

abstract：:Four cases of unilateral digital ischaemia in the upper limb secondary to embolisation from atheromatous plaques in the proximal subclavian artery are presented. Digital subtraction angiography or arch aortography were used to demonstrate the site of atheroma. In one case diagnostic delay resulted from failure to visu...

journal_title：Annals of the Royal College of Surgeons of England

authors： Bryan AJ,Hicks E,Lewis MH

更新日期：1989-03-01 00:00:00

abstract：INTRODUCTION:Accurate clinical diagnosis depends on the reliable recognition of signs and symptoms. This expertise comes from experience in seeing patients which has been traditionally gained over a long training period. Shortened specialist training (Modernising Medical Careers) has led to a greater reliance on struct...

journal_title：Annals of the Royal College of Surgeons of England

authors： Pearl RA,Townley W,Stott D,Grobbelaar AO

更新日期：2009-09-01 00:00:00

abstract：:General anaesthesia is infrequently requested for bronchography in small children. The clinical indications, recommendations for the anaesthetic technique, and problems associated with the investigation are discussed. ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Ryan DW

更新日期：1980-05-01 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

abstract：OBJECTIVE:To examine the current scale of provision of patient information materials by consultant surgeons in UK NHS and private sector hospitals. DESIGN:Secondary analysis of the responses of 12,555 surgical patients to surveys evaluating surgical services provided by specific consultants. SETTING:7 NHS Trusts and ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Meredith P,Emberton M

更新日期：2000-05-01 00:00:00

abstract：INTRODUCTION:There has been a shift away from gross anatomy teaching and hands-on cadaveric dissection. This has been replaced by a variety of teaching modalities including problem-based learning, models and prosections, and computer-assisted learning. We aim to pilot a technique of endoscopic visualisation of upper li...

journal_title：Annals of the Royal College of Surgeons of England

authors： Matteucci P,Lagopoulos M,Southern S

更新日期：2011-04-01 00:00:00