Comparative audit: a new method of delivering audit.

abstract：:Neurofibromas of the common bile duct are extremely rare. The lack of specific clinical or radiological features makes preoperative diagnosis in the absence of histology difficult. We report the case of a female patient who presented with obstructive jaundice and evidence of a common bile duct stricture on imaging. Sh...

journal_title：Annals of the Royal College of Surgeons of England

authors： De Rosa A,Gomez D,Zaitoun AM,Cameron IC

更新日期：2013-03-01 00:00:00

abstract：:A questionnaire survey of general surgeons was undertaken to estimate the incidence of abdominal adhesions as a clinical problem and to establish current attitudes to the treatment of adhesional bowel obstruction and the prevention of adhesion formation. Replies were received from 362 of 416 surgeons (response rate 87...

journal_title：Annals of the Royal College of Surgeons of England

authors： Scott-Coombes DM,Vipond MN,Thompson JN

更新日期：1993-03-01 00:00:00

abstract：:Wound infiltration with bupivacaine provided complete postoperative pain relief in 14 of 19 women undergoing excision biopsy of a benign breast lump under general anaesthesia. Fifteen patients formed a control group in whom the wound was infiltrated with saline. They had inadequate relief of pain despite receiving sig...

journal_title：Annals of the Royal College of Surgeons of England

authors： Owen H,Galloway DJ,Mitchell KG

更新日期：1985-03-01 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：:The addition of pressure and flow rate recordings to conventional cystourethrography is relatively inexpensive in terms of cost and of radiologist's time, each investigation requiring approximately half an hour.The value of this investigation in males lies in assessing the severity and site of outlet obstruction, part...

journal_title：Annals of the Royal College of Surgeons of England

authors： Arnold EP,Brown AD,Webster JR

更新日期：1974-08-01 00:00:00

abstract：:We present the case of a 27-year-old man who underwent percutaneous atrial septal defect (ASD) repair using the Amplatzer(®) (St Jude Medical, St Paul, MN, US) septal occluder (ASO). Six weeks later, he presented with heart failure and was found to have an aorto-right atrial fistulation. He required urgent surgical de...

journal_title：Annals of the Royal College of Surgeons of England

authors： Bashir M,Abudhaise H,Mustafa H,Fok M,Bashir A,Hammoud I,Mascaro J

更新日期：2014-07-01 00:00:00

abstract：:The recording of medical data has developed from crude non-specific classifications to complex systems tailor-made for individual practices. The development of the Read Clinical Classification has produced a complex classification which is user friendly and covers the whole of medicine. The classification allows uniqu...

journal_title：Annals of the Royal College of Surgeons of England

authors： James NK

更新日期：1994-05-01 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：:The plasma fibrinogen concentration is directly related to blood viscosity, which in turn is inversely related to blood flow. The way in which the plasma fibrinogen level affects the clinical status of patients with peripheral vascular disease is discussed with reference to both retrospective and prospective studies o...

journal_title：Annals of the Royal College of Surgeons of England

authors： Postlethwaite JC

更新日期：1976-11-01 00:00:00

abstract：:We describe three cases that presented with symptoms suggestive of appendicitis but were found at operation to have an inflamed solitary caecal diverticulum. All were treated successfully with diverticulectomy or inversion of the diverticulum. We wish to highlight this diagnosis and its surgical management so that inf...

journal_title：Annals of the Royal College of Surgeons of England

authors： Connolly D,McGookin RR,Gidwani A,Brown MG

更新日期：2006-11-01 00:00:00

abstract：BACKGROUND:The diagnosis and management of sphincter of Oddi dysfunction are controversial issues. Both surgical and endoscopic series report modest success in the treatment of this condition. There is evidence from endoscopic series that the Milwaukee classification could predict the clinical outcome after sphincterot...

journal_title：Annals of the Royal College of Surgeons of England

authors： Tzovaras G,Rowlands BJ

更新日期：2002-01-01 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：:Data was collected on the techniques currently employed in adult inguinal hernia repair by means of a postal questionnaire to consultants in four Regional Health Authorities in England. Questionnaires were returned by 240 consultants (85%). This identified a considerable range in methods of repair, with a Moloney nylo...

journal_title：Annals of the Royal College of Surgeons of England

authors： Morgan M,Reynolds A,Swan AV,Beech R,Devlin HB

更新日期：1991-11-01 00:00:00

abstract：:The early experience with total prosthetic replacement of the hip from the making up of the first models in 1940 and the actual insertion of a small series in 1951 is described. The introduction of modified designs and the teething troubles experienced with them is dealt with, including the use of acrylic cement as a ...

journal_title：Annals of the Royal College of Surgeons of England

authors： McKee GK

更新日期：1974-02-01 00:00:00

abstract：INTRODUCTION:Adequate peri-operative analgesia following total knee arthroplasty (TKA) promotes earlier rehabilitation but remains problematic because of the drug side-effects. Peri-articular multimodal drug infiltration (PMDI) has been developed as an alternative strategy to avoid such complications. Autologous retran...

journal_title：Annals of the Royal College of Surgeons of England

authors： Gill I,Gallagher K,Busch CA

更新日期：2010-05-01 00:00:00

abstract：INTRODUCTION:In 2006 the National Confidential Enquiry into Patient Outcome and Death undertook a large prospective study of trauma care, which revealed several findings pertaining to the management of head injuries in a sample of 493 patients. METHODS:Case note data were collected for all trauma patients admitted to ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Smith NC,Findlay GP,Weyman D,Freeth H

更新日期：2013-03-01 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 total of 14 patients had operations for massive colonic haemorrhage. Of the seven who had a right hemicolectomy, four had the bleeding site localised, and three had only 'equivocal' indications of a right-sided source. One of these rebled 11 months later, but all survived and are well. Of the remaining patients, two...

journal_title：Annals of the Royal College of Surgeons of England

authors： Milewski PJ,Schofield PF

更新日期：1989-07-01 00:00:00

abstract：INTRODUCTION:Introducing laparoscopic colorectal surgery is a challenge to the whole surgical team. It is usual for an assistant to hold the laparoscope and be responsible for the surgeon's view of the operative field and a lack of expertise in the assistant can add significant difficulties. The EndoAssist is a robotic...

journal_title：Annals of the Royal College of Surgeons of England

authors： Gilbert JM

更新日期：2009-07-01 00:00:00

abstract：:Malignant peripheral nerve sheath tumours (MPNSTs) are a rare but aggressive form of soft tissue sarcoma with few reported cases in the anatomic location seen with the case presented here. This case involves a 23-year-old man presenting with a soft tissue mass under the mandible found to be a MPNST, which was investig...

journal_title：Annals of the Royal College of Surgeons of England

authors： Olivier JB

更新日期：2017-05-01 00:00:00

abstract：:The risk of venous thromboembolism increases during pregnancy and postpartum. The incidence in the first six weeks following delivery is approximately 0.15%. Deep vein thrombosis may present with acute appendicitis-like symptoms such as right iliac fossa pain, nausea and vomiting. A 22-year-old woman was admitted with...

journal_title：Annals of the Royal College of Surgeons of England

authors： Karaisli S,Selcuk E

更新日期：2020-11-01 00:00:00

abstract：AIMS:Ultrasound is a non-invasive, non-ionising radiation modality which is highly successful at soft tissue imaging. Groin pain from an occult hernia can be a difficult clinical diagnosis made easier by good imaging. The aim of this study was to demonstrate the accuracy of ultrasound in diagnosing and typing the groin...

journal_title：Annals of the Royal College of Surgeons of England

authors： Bradley M,Morgan D,Pentlow B,Roe A

更新日期：2003-05-01 00:00:00

abstract：BACKGROUND:Giant-cell tumour of the distal radius is a rare neoplasm that affects the peri-articular metaphysial region of the bone. Curettage alone or with bone grafting has been reported to be associated with high incidence of local recurrence in these tumours. In the present series, we report the results of curettag...

journal_title：Annals of the Royal College of Surgeons of England

authors： Khan MT,Gray JM,Carter SR,Grimer RJ,Tillman RM

更新日期：2004-01-01 00:00:00

abstract：INTRODUCTION:Randomised controlled trials have shown that laparoscopic colorectal surgery is equal in terms of safety to open surgery. Benefits have been seen for length of stay, blood loss, immune suppression and analgesia requirements. The aim of this study was to assess the safety and feasibility of introducing lapa...

journal_title：Annals of the Royal College of Surgeons of England

authors： Smith JK,Acheson AG,Simpson JA,Stewart J,Beckingham IJ,Gornall CB,Williams JP,Robinson MH,Maxwell-Armstrong CA

更新日期：2008-10-01 00:00:00

abstract：:Despite the widespread use of the EEA stapling device, little is known about the eventual fate of the stapled anastomosis. In a study of 38 stapled colonic anastomoses the staples were found to have passed out rectally in 11 patients (29%) within 6 months of surgery. Staple loss occurred only when the small or medium ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Kissin MW,Cox AG,Wilkins RA,Kark AE

更新日期：1985-01-01 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：:The nature of inhaled foreign bodies in the respiratory tract and problems in their removal are reviewed with reference to experience in a series of 41 cases, 36 of them in children under 4 years old. Bronchoscopic removal under general anaesthesia is preferred to inhalational therapy and postural drainage. ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Bose P,El Mikatti N

更新日期：1981-03-01 00:00:00

abstract：:Some 1000 postcard questionnaires were sent to Fellows of the British Orthopaedic Association (BOA) to establish current follow-up practice of primary total hip replacement (THR) patients. For cemented THRs, 50% of surgeons saw their patients for under 1 year, 78% under 5 years with indefinite follow-up being performe...

journal_title：Annals of the Royal College of Surgeons of England

authors： Bankes MJ,Coull R,Ferris BD

更新日期：1999-09-01 00:00:00

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：OBJECTIVES:Transurethral resection of the prostate (TURP) is considered by many to be the 'gold standard' treatment for benign prostatic enlargement. However, with the relatively recent introduction of pharmacological and other surgical treatment modalities, the performance of TURP appears to be in decline. METHODS:A ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Wilson JR,Urwin GH,Stower MJ

更新日期：2004-11-01 00:00:00