Hand washing rituals in trauma theatre: clean or dirty?

abstract：:In an attempt to reduce the high recurrence rate after repair of parastomal hernia, a technique was devised in which non-absorbable mesh was used to provide a permanent closure of the gap between the emerging bowel and abdominal wall. Seven patients were treated during the period 1990-1992. Five-year follow-up has giv...

journal_title：Annals of the Royal College of Surgeons of England

authors： Morris-Stiff G,Hughes LE

更新日期：1998-05-01 00:00:00

abstract：:Introduction Discharge planning improves patient outcomes, reduces hospital stay and readmission rates, and should involve a multidisciplinary team (MDT) approach. The efficacy of MDT meetings in discharge planning was examined, as well as reasons for delayed discharge among vascular surgical inpatients. Methods Dedic...

journal_title：Annals of the Royal College of Surgeons of England

authors： Wariyapola C,Littlehales E,Abayasekara K,Fall D,Parker V,Hatton G

更新日期：2016-04-01 00:00:00

abstract：:Injuries to the nose can be severe from both a functional and cosmetic perspective. After suffering a dog bite to the central part of the face, an 18-year old woman underwent replantation of the avulsed tissue with the help of microsurgical arterial anastomosis. A venous anastomosis was impossible and venous congestio...

journal_title：Annals of the Royal College of Surgeons of England

authors： Øregaard JS,Lang CL,Venzo A

更新日期：2016-02-01 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：:We present a rare case of a big oesophageal liposarcoma causing dysphagia and weight loss in a 75-year-old patient. Endoscopically, a pedunculated lesion with subtotal obstruction of the oesophageal lumen had been detected and thoracoabdominal oesophageal resection with gastric sleeve reconstruction was performed. Sur...

journal_title：Annals of the Royal College of Surgeons of England

authors： Mehdorn AS,Schmidt F,Steinestel K,Wardelmann E,Greulich B,Palmes D,Senninger N

更新日期：2017-09-01 00:00:00

abstract：INTRODUCTION:Extensor mechanism ruptures might be easily overlooked and misdiagnosed, and delayed diagnosis of quadriceps tendon rupture is frequent. However, the literature recommends early surgical repair within 72 h. PATIENTS AND METHODS:This paper describes a new simple clinical diagnostic test that directly evalu...

journal_title：Annals of the Royal College of Surgeons of England

authors： Jolles BM,Garofalo R,Gillain L,Schizas C

更新日期：2007-04-01 00:00:00

abstract：:Introduction Enhanced recovery programmes have been established in some areas of elective surgery. This study applied enhanced recovery principles to elective oesophageal and gastric cancer surgery. Methods An enhanced recovery programme for patients undergoing open oesophagogastrectomy, total and subtotal gastrectomy...

journal_title：Annals of the Royal College of Surgeons of England

authors： Gatenby PA,Shaw C,Hine C,Scholtes S,Koutra M,Andrew H,Hacking M,Allum WH

更新日期：2015-10-01 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：:INTRODUCTION Laparoscopic surgery has become the standard for colorectal cancer resection in the UK but it can be technically challenging in patients who are obese. Patients whose body fat is mainly inside the abdominal cavity are more challenging than those whose fat is mainly outside the abdominal cavity. Abdominal ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Scott SI,Farid S,Mann C,Jones R,Kang P,Evans J

更新日期：2017-01-01 00:00:00

abstract：:A summary of its uses in mitral valve surgery and coronary artery revascularisation. ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Sepehripour AH,Garas G,Athanasiou T,Casula R

更新日期：2018-09-01 00:00:00

abstract：:Inguinal hernia often presents as an emergency with obstruction and subsequent strangulation. We report a unique case where an inguinoscrotal sliding type hernia contained the entire hepatic flexure as its lead point, resulting in acute colonic obstruction and caecal wall perforation. ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Skelly BL,Neill AK

更新日期：2013-09-01 00:00:00

abstract：INTRODUCTION:Rapid-access carotid endarterectomy (RACE) is an evidence-based treatment for symptomatic carotid stenosis. Our vascular centre aims to provide this service within 48 h of symptoms in appropriate patients. This study audits safety and efficacy of the first year of RACE. SUBJECTS AND METHODS:A clear trust ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Rix TE,Singh I,Insall R,Senaratne J

更新日期：2010-11-01 00:00:00

abstract：BACKGROUND:Serious complications of laparoscopic fundoplication (LF) have been reported by surgeons new to LF. We investigated whether the reported benefits of LF could be realised by an established consultant, new to LF, without compromising safety, control of reflux or dysphagia rates obtained after open surgery. PA...

journal_title：Annals of the Royal College of Surgeons of England

authors： Tan LC,Samanta S,Hosking SW

更新日期：2002-03-01 00:00:00

abstract：:Inflammatory fibroblastic tumours are very rare. They are mostly located in the respiratory system. We present three cases of patients with fibroblastic tumours. The diversity of inflammatory fibroblastic tumours in the respiratory system and the surgical considerations are discussed. Our recommendation is that treatm...

journal_title：Annals of the Royal College of Surgeons of England

authors： Lodhia JV,Christensen TD,Trotter SE,Bishay ES

更新日期：2016-01-01 00:00:00

abstract：:Introduction Venous thromboembolism (VTE) is a potentially fatal complication of hip arthroplasty and knee arthroplasty. The National Institute for Health and Care Excellence recommend rivaroxaban for VTE prevention. Amid concerns over bleeding complications, the modified thromboprophylaxis policy of Chelsea and Westm...

journal_title：Annals of the Royal College of Surgeons of England

authors： Loganathan V,Hua A,Patel S,Gibbons C,Vizcaychipi MP

更新日期：2016-09-01 00:00:00

abstract：BACKGROUND:About 60,000 patients are treated for hip fractures each year in the UK and the incidence is increasing. The majority of these patients are elderly and sick, and delay to operation may be fatal. The National Confidential Enquiry into Peri-Operative Deaths (NCEPOD) guidelines aim to improve quality of care fo...

journal_title：Annals of the Royal College of Surgeons of England

authors： Guryel E,Redfern DJ,Ricketts DM

更新日期：2004-05-01 00:00:00

abstract：:Appendiceal intussusception is an rare diagnosis that may be found on imaging or at the time of surgery, as seen in this case of a 33-year-old female presenting with gastrointestinal symptoms. Images are presented with differential diagnosis as well as treatment options. ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Birriel TJ,Smith E,Eyvazzadeh D

更新日期：2017-01-01 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：:The problems encountered in introducing a pulmonary artery (PA) pressure and cardiac output (CO) measurement facility in a district general hospital intensive care unit are enumerated. The indications for its use are briefly reviewed. ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Smith HS

更新日期：1983-09-01 00:00:00

abstract：INTRODUCTION:Technical skill has been formally assessed in the Fellow of the European Board of Vascular Surgery Examinations (FEBVS) since 2002. The aim of this study was to examine the relationship between expert assessment and trainee self-assessment. MATERIALS AND METHODS:Forty-two examination candidates performed ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Pandey VA,Wolfe JH,Black SA,Cairols M,Liapis CD,Bergqvist D,European Board of Vascular Surgery.

更新日期：2008-05-01 00:00:00

abstract：:Aortic angiography is widely considered the 'gold standard' for the diagnosis of traumatic thoracic aortic injury. Unfortunately, thoracic aortic angiography has many disadvantages: the technique is invasive but, more importantly, it is not routinely available in all hospitals, necessitating transfer of critically ill...

journal_title：Annals of the Royal College of Surgeons of England

authors： Beese RC,Allan R,Treasure T

更新日期：2001-01-01 00:00:00

abstract：INTRODUCTION:We report our ten-year experience of thyroglossal cyst excision at Queen's Medical Centre, Nottingham, comparing outcomes, practice and technique. METHODS:Retrospective case note analysis was conducted alongside surgical histopathology review for all thyroglossal cyst excisions performed between 2000 and ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Ubayasiri KM,Brocklehurst J,Judd O,Beasley N

更新日期：2013-05-01 00:00:00

abstract：:A simple, inexpensive method for one-way collection and measurement of secretions is described. This method has been used successfully in surgical practice in Bath for more than 20 years (1). ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Chester JF,Britton DC

更新日期：1986-09-01 00:00:00

abstract：:Bochdalek hernias rarely contain an intrathoracic kidney, and there are few reports of their operative repair. A woman presented with progressive dyspnoea limiting her quality of life. Imaging showed a Bochdalek hernia containing omentum, large bowel and the left kidney. The woman was unexpectedly admitted to the inte...

journal_title：Annals of the Royal College of Surgeons of England

authors： Halle-Smith JM,Pande R,Griffiths EA

更新日期：2021-01-01 00:00:00

abstract：:A case is reported of a patient who sustained a significant haemothorax while playing with a Nintendo Wii console. ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Peek AC,Ibrahim T,Abunasra H,Waller D,Natarajan R

更新日期：2008-09-01 00:00:00

abstract：:Malignant oesophago-respiratory fistula is an incurable and distressing condition. Surgery is difficult, unsatisfactory or impossible, and standard oesophageal tubes often fail to occlude the fistula. A new tube is described which relieves dysphagia and occludes the fistula without risk of pressure necrosis. After ins...

journal_title：Annals of the Royal College of Surgeons of England

authors： Irving JD,Simson JN

更新日期：1988-01-01 00:00:00

abstract：:A series of 12 femoral herniae in children is presented. Nine were misdiagnosed, eight as inguinal hernia. Nine were reducible. The sex incidence, M:F was 7:5 and nine presented between the ages of 8 and 10 years. One presented as intestinal obstruction due to a Richter's hernia and two had had a previous ipsilateral ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Zaman K,Taylor JD,Fossard DP

更新日期：1985-07-01 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:The aim of this study was to determine the awareness of Clostridium difficile infection amongst healthcare professionals. SUBJECTS AND METHODS:A total of 132 healthcare professionals (18 consultants, 40 trainee doctors, and 74 nursing staff) in our hospital were randomly surveyed using a questionnaire con...

journal_title：Annals of the Royal College of Surgeons of England

authors： Aroori S,Blencowe N,Pye G,West R

更新日期：2009-09-01 00:00:00

abstract：:The pattern of preoperative investigation was audited in 256 patients entering hospital for elective surgery over a 12-week period. During the initial 6 weeks (phase one), no guidance was given to the house surgeons and the investigations were assessed as being 'indicated' or 'not indicated' according to preset criter...

journal_title：Annals of the Royal College of Surgeons of England

authors： Billings PJ,Davies JP,Richards R,Aubrey DA

更新日期：1993-05-01 00:00:00