The value of Modified Early Warning Score (MEWS) in surgical in-patients: a prospective observational study.

abstract：:Introduction Procedure specific consent forms (PSCFs) have been shown to improve consenting practice for a standardised list of complications. The aim of this study was to assess the current usage and quality of PSCFs in the National Health Service (NHS) for cholecystectomy, specifically comparing the listed complicat...

journal_title：Annals of the Royal College of Surgeons of England

authors： Courtney MJ,Royle TJ

更新日期：2018-07-01 00:00:00

abstract：INTRODUCTION:Surgical skills courses are an important part of learning during surgical training. The assessments at these courses tend to be subjective and anecdotal. Objective assessment using multiple choice questions (MCQs) quantifies the learning experience for both the organisers and the participants. MATERIALS A...

journal_title：Annals of the Royal College of Surgeons of England

authors： John J,Kuiper JH,Kelly CP

更新日期：2008-03-01 00:00:00

abstract：:Intestinal fistulae have been outlined using the delayed phase of Tc-99m labelled HIDA. The technique involved is simple, safe and easily reproducible. This method has advantages over conventional radiography particularly for the leaking duodenal stump and involves minimal disturbance to the patient. ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Gillen P,Peel AL,Rosenberg IL,Reeder A,Gill P

更新日期：1985-09-01 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：:Lymphocele is a complication which will be familiar to the gynaecological surgeon, particularly the oncologist. It is also well recognised in association with urological pelvic surgery and renal transplantation. Occurrence of lymphocele has been described in relation to surgery in a wide variety of other areas includi...

journal_title：Annals of the Royal College of Surgeons of England

authors： Metcalf KS,Peel KR

更新日期：1993-11-01 00:00:00

abstract：:A series of 21 patients (18 female) whose intractable constipation was treated by colectomy between 1976 and 1985 is reported. There was no mortality attributable to surgery in this series. Total colectomy with ileorectal anastomosis was the preferred operation, but it produced a satisfactory result in only 12 patient...

journal_title：Annals of the Royal College of Surgeons of England

authors： Walsh PV,Peebles-Brown DA,Watkinson G

更新日期：1987-03-01 00:00:00

abstract：:Introduction Patients with large ptotic breasts undergoing immediate implant-based reconstruction often require skin-reducing mastectomy to optimise the aesthetic outcome. However, healing complications, especially at the resulting inverted T-junction, leading to wound dehiscence, infection, skin necrosis, implant exp...

journal_title：Annals of the Royal College of Surgeons of England

authors： Kankam H,Hourston G,Forouhi P,Di Candia M,Wishart GC,Malata CM

更新日期：2018-08-16 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：: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：:A total of 624 consecutive eligible patients undergoing abdominal operations received a single preoperative dose of amoxycillin/clavulanic acid (1.2 g Augmentin) for the prophylaxis of surgical wound infection. They were randomised to have the antibiotic injected intravenously at induction of anaesthesia (n = 328) or ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Pollock AV,Evans M,Smith GM

更新日期：1989-03-01 00:00:00

abstract：:Childhood achalasia is an uncommon condition characterised by the absence of oesophageal peristalsis together with increased resting pressure and failure of relaxation of the lower oesophageal sphincter. The currently accepted management is a modified Heller's cardiomyotomy with Nissen fundoplication; however, the lon...

journal_title：Annals of the Royal College of Surgeons of England

authors： Morris-Stiff G,Khan R,Foster ME,Lari J

更新日期：1997-11-01 00:00:00

abstract：INTRODUCTION:Screening for prostate cancer with serum prostate specific antigen (PSA) remains a controversial topic. The UK NHS Executive has issued extensive guidance stressing the importance of adequate counselling prior to performing this test. This study aims to assess men's knowledge of the PSA test at the time of...

journal_title：Annals of the Royal College of Surgeons of England

authors： Lamplugh M,Gilmore P,Quinlan T,Cornford P

更新日期：2006-05-01 00:00:00

abstract：BACKGROUND:Ureteric lithiasis is a common urological problem in Kuwait. Because of the different interventional approaches, we carried out an audit on the morbidity associated with the surgical management of the disorder. PATIENTS AND METHODS:The surgical records were reviewed of all patients with the diagnosis of ure...

journal_title：Annals of the Royal College of Surgeons of England

authors： Kehinde EO,Al-Awadi KA,Al-Hunayan A,Okasha GH,Al-Tawheed A,Ali Y

更新日期：2003-09-01 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：INTRODUCTION:We performed a retrospective radiological audit of the hip resurfacings carried out in our trust over a five-year period. Abnormal cup inclination angle (CIA) and stem shaft angle (SSA) are recognised risk factors for revision in hip resurfacing. Our aims were to identify the CIA and SSA for hip resurfacin...

journal_title：Annals of the Royal College of Surgeons of England

authors： Ramisetty N,Krishnan KM,Partington PF

更新日期：2011-05-01 00:00:00

abstract：:We studied prospectively 247 consecutive patients given morphine by continuous intravenous infusion for 24 h to provide pain relief following elective abdominal surgery. Using a dose of 1 mg/kg supplemented by additional intramuscular morphine 5 mg as necessary, only 26% required more than two additional intramuscular...

journal_title：Annals of the Royal College of Surgeons of England

authors： Ray DC,Drummond GB

更新日期：1988-09-01 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：:The initial screening by senior surgical staff of surgical patients referred for emergency hospital admission should result in improved patient management. The present study was undertaken to determine the effects of this policy. The primary outcome measure was hospital admission rates. The number of operations, diagn...

journal_title：Annals of the Royal College of Surgeons of England

authors： Gaskell DJ,Lewis PA,Crosby DL,Roberts CJ,Fenn N,Roberts SM

更新日期：1995-09-01 00:00:00

abstract：INTRODUCTION:Since its first publication in 1997, minimally invasive video-assisted thyroidectomy (MIVAT) has developed into the predominant minimally invasive surgery of the thyroid. A major advantage over conventional thyroid surgery is the superior cosmetic result. However, there are still few data comparing the lon...

journal_title：Annals of the Royal College of Surgeons of England

authors： Sahm M,Otto R,Pross M,Mantke R

更新日期：2019-03-01 00:00:00

abstract：INTRODUCTION:Portal and mesenteric venous thrombosis is a rare but potentially serious complication after laparoscopic sleeve gastrectomy. There are no consistent studies that prove the safety and effectiveness of oral anticoagulant thromboprophylaxis with rivaroxaban after laparoscopic sleeve gastrectomy. The objectiv...

journal_title：Annals of the Royal College of Surgeons of England

authors： Rodríguez JI,Kobus V,Téllez I,Pérez G

更新日期：2020-11-01 00:00:00

abstract：:Thyroidectomy is associated with certain known complications, including recurrent laryngeal or superior laryngeal nerve injury and hypocalcaemia due to hypoparathyroidism. Other much rarer complications include oesophageal injury with oesophageal fistula formation. In this report, we describe the clinical course of a ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Rabie ME

更新日期：2014-10-01 00:00:00

abstract：:Arterial disease changes the shape of Doppler ultrasound waveforms recorded noninvasively from arteries in the lower limbs. These changes can be described numerically by computer analysis of waveforms, and techniques currently in use are pulsatility index, Laplace transform and principal component analysis. These wave...

journal_title：Annals of the Royal College of Surgeons of England

authors： Campbell WB

更新日期：1986-03-01 00:00:00

abstract：:An observational study was conducted of 105 patients presenting with an open fracture of the tibia or ankle to determine the impact of a dedicated orthoplastic operating list on our management of these injuries over the time period January 2012 to July 2014. There were 51 patients before and 54 after the introduction ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Fernandez MA,Wallis K,Venus M,Skillman J,Young J,Costa ML

更新日期：2015-09-01 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：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：:The initial teaching and learning experience of four surgeons performing a laparoscopic Nissen fundoplication is reported. A total of 33 patients underwent the laparoscopic approach for Nissen fundoplication. Two patients also underwent concomitant cholecystectomy. A loose 360 degrees fundoplication secured by three o...

journal_title：Annals of the Royal College of Surgeons of England

authors： Watson DI,Reed MW,Johnson AG,Stoddard CJ

更新日期：1994-07-01 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：: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：:This report describes the mortality in 100 liver resections performed in 96 patients for seven benign and 93 malignant liver tumours. Repeat hepatectomy was performed in four patients who developed recurrences after the first liver resection. Two patients died within 30 days. The first was a 67-year-old man who died o...

journal_title：Annals of the Royal College of Surgeons of England

authors： Habib NA

更新日期：1995-03-01 00:00:00

abstract：:Total colectomy, mucosal proctectomy and ileal pouch formation has been carried out in 18 patients over a 4 year period. The rectum was divided 5 cm above the anorectal junction and a J-shaped ileal pouch was formed with a 15 cm limb. Two patients had an initial colectomy for toxic dilatation of the colon and mucosal ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Taylor TV

更新日期：1987-01-01 00:00:00