What impact will shortened training have on urological service delivery?

abstract：:A high incidence of complications related to bleeding was observed after open prosthetic inguinal hernia repair. The site of injection of low-dose heparin into the abdominal wall was thought to be a possible causal factor for these complications. The wound complication rate after repair of primary unilateral inguinal ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Wright DM,O'Dwyer PJ,Paterson CR

更新日期：1998-01-01 00:00:00

abstract：:Non-parasitic splenic cysts are rare entities. In pregnancy, they are rarer still, with as few as seven cases reported in the literature. There is little consensus regarding the optimal management of this condition in pregnancy. Although small, the theoretical risk of intrapartum splenic rupture is associated with a f...

journal_title：Annals of the Royal College of Surgeons of England

authors： Kapp J,Lewis T,Glasgow S,Khalil A,Anjum A

更新日期：2016-09-01 00:00:00

abstract：:The results of selective visceral angiography and colonoscopy were compared in the diagnosis of angiodysplasia of the large bowel. Fifty six patients were diagnosed as having angiodysplasia on angiography and 34 of these patients also underwent colonoscopy. Twenty three of the colonoscopies were positive giving a diag...

journal_title：Annals of the Royal College of Surgeons of England

authors： Salem RR,Wood CB,Rees HC,Kheshavarzian A,Hemingway AP,Allison DJ

更新日期：1985-07-01 00:00:00

abstract：:Congenital diaphragmatic hernia (CDH) usually presents in infancy with respiratory failure requiring urgent surgical correction. Mortality in this group of patients remains poor and persistent pulmonary hypertension is a significant contributor. It is therefore rare for patients to reach adulthood undiagnosed. CDH is ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Manson HJ,Goh YM,Goldsmith P,Scott P,Turner P

更新日期：2017-02-01 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：:We report the case of a patient presenting with a chronic groin sinus secondary to a tubal ligation clip migration (Filshie clip) 21 years after the laparoscopic sterilisation took place. Our case report adds to the small number of cases describing tubal clip migration with resultant local sepsis. Although this is a r...

journal_title：Annals of the Royal College of Surgeons of England

authors： Kolias AG,Nikolaou S,Bilal KO,Abu-Own A

更新日期：2010-01-01 00:00:00

abstract：:A comparative review of changing patterns between 1997 and 2002 of who performs appendicectomy and a snapshot of the surgical approaches in use. It also indicates the stage at which competency in appendicectomy may be achieved by contemporary trainees in surgery and anaesthesia. ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Lansdown MR,Gray AJ,Treasure T,Layer GT

更新日期：2006-10-01 00:00:00

abstract：:Primary hyperparathyroidism may be cured surgically by complete excision of abnormal parathyroid tissue. Reoperation for persistent hypercalcaemia due to residual abnormal parathyroid tissue may be associated with a high complication rate. It is possible to assay intact parathormone (iPTH) intraoperatively and as iPTH...

journal_title：Annals of the Royal College of Surgeons of England

authors： Tan P,Leveson SH,Wilkinson H

更新日期：1995-01-01 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：: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：:Apposition of skin edges in plastic surgical procedures can be achieved by sutures or stainless steel staples. This retrospective study reviews 45 skin falp operations and finds that 20.6% of sutured flaps are complicated by partial necrosis or slow healing. These complications occur in 62.5% of stapled flaps. It is p...

journal_title：Annals of the Royal College of Surgeons of England

authors： Coupland RM

更新日期：1986-01-01 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：:A new process has been used to develop Biogel Super-Sensitive gloves which are thinner but theoretically as strong as standard Biogel gloves. The two types of glove were compared for their effects on manual sensitivity and dexterity in a randomised controlled trial. The Super-Sensitive gloves impaired sensitivity sign...

journal_title：Annals of the Royal College of Surgeons of England

authors： Carter S,Choong S,Marino A,Sellu D

更新日期：1996-05-01 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：:Gastric tube conduit is the method of choice for restoring continuity of the digestive track after a partial or total esophagectomy. Redundant gastric conduit (i.e. an elongated, floppy conduit) is a rare cause of dysphagia in patients with long survival. Gastric tube volvulus is exceedingly rare with only three cases...

journal_title：Annals of the Royal College of Surgeons of England

authors： Schizas D,Michalinos A,Vergadis C,Oikonomou D,Baili E,Sougioultzis S,Moris D,Liakakos T

更新日期：2019-01-01 00:00:00

abstract：:A new definition of the iliotibial tract is made. Its anatomical and physical characteristics are summarised and its known functions discussed. The various postures adopted by standing Man are looked at and one resting posture is closely analysed. Hence a new role is proposed for the iliotibial tract. In the hip bone ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Evans P

更新日期：1979-07-01 00:00:00

abstract：INTRODUCTION:Postoperative urinary retention requiring urethral catheterisation increases the risk of joint sepsis following arthroplasty. Spinal anaesthesia with opiate administration is used widely in lower limb arthroplasty. We sought to establish whether the choice of opiate agent had any effect on the incidence of...

journal_title：Annals of the Royal College of Surgeons of England

authors： Fernandez MA,Karthikeyan S,Wyse M,Foguet P

更新日期：2014-09-01 00:00:00

abstract：INTRODUCTION:Accurate written communication is essential in orthopaedic surgery. Incomplete and poorly structured letters can lead to poor knowledge of a patient's diagnosis. MATERIALS AND METHODS:Structured and traditional letter formats were compared for speed of reading and preference by general practitioners (GPs)...

journal_title：Annals of the Royal College of Surgeons of England

authors： Hook SE,Banister GC,Topliss C,Webb J

更新日期：2006-05-01 00:00:00

abstract：:During the period 1978 to 1986, 13 children aged 2-15 years underwent surgical resection of malignant thoracic tumours. Five children with neuroblastomas presented with chest pain and infections, pleural effusions, dysphagia, lymphadenopathy and paraplegia. Chemo- and radiotherapy were given preoperatively to previous...

journal_title：Annals of the Royal College of Surgeons of England

authors： Lodge JP,Hamilton JR,Walker DR,Bailey CC

更新日期：1988-03-01 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：: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：:Over the past 15 years, 32 cases of tuberculosis have been seen and diagnosed in the surgical and gynaecological departments of the Northern General Hospital, Sheffield. The average age of patients was 42.8 years. Of the sites affected, 17 had head, neck or axillary swellings, 6 affected the female genital tract, 3 ha...

journal_title：Annals of the Royal College of Surgeons of England

authors： Hodgson TJ,Duncan JL,Rogers K

更新日期：1988-05-01 00:00:00

abstract：:A method of treatment for cleft lip in children in the first 48 h of life is described and the rationale discussed. My experience over 18 years of the treatment of 300 newborn babies with this deformity is reported. ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Desai SN

更新日期：1990-03-01 00:00:00

abstract：:A new surgical approach to the sublingual salivary gland is described, the key feature of which is the use of a flap rather than the usual incision. The flap includes the submandibular duct and, because of the relationship of the duct and lingual nerve, allows early identification of the latter before dissection of th...

journal_title：Annals of the Royal College of Surgeons of England

authors： Yates C

更新日期：1994-03-01 00:00:00

abstract：INTRODUCTION:The demand for elective hand surgery in England is predicted to double by 2030 compared with 2011. With such increase in demand, the UK must seek strategies to reduce costs of treatment while still maintaining standards of care. Carpal tunnel decompression performed in a treatment room rather than in theat...

journal_title：Annals of the Royal College of Surgeons of England

authors： Palial V,Kheiran A,Siddiqui S

更新日期：2019-05-01 00:00:00

abstract：INTRODUCTION:Carpal tunnel decompression is the most commonly performed surgical procedure within a hand unit. Although very effective, the complications following the procedure can be significant. In an attempt to identify the causes of such complications, we assessed whether seniority of the surgeon impacts on outcom...

journal_title：Annals of the Royal College of Surgeons of England

authors： Akhtar S,Sinha S,Bradley MJ,Burke FD,Wilgis SE,Dubin NH

更新日期：2007-11-01 00:00:00

abstract：:Neutropaenic patients are at particular risk of developing a pseudomonal fasciitis known as ecthyma gangraenosum. Despite the similarities with necrotising fasciitis, Fournier's gangrene has a very different aetiology and management. ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Arul GS,Spicer RD

更新日期：2001-01-01 00:00:00

abstract：:Traumatic wounding to the upper aerodigestive tract can cause acute airway compromise. In these circumstances establishment of a safe airway is vital. We present a case report illustrating the decision making pathway in such a difficult case. ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Mepani VN,Antscherl J

更新日期：2012-01-01 00:00:00

abstract：:This paper offers an exploration of the right to confidentiality, considering the moral importance of private information. It is shown that the legitimate value that individuals derive from confidentiality stems from the public interest. It is re-assuring, therefore, that public interest arguments must be made to just...

journal_title：Annals of the Royal College of Surgeons of England

authors： Coggon J,Wheeler R

更新日期：2010-03-01 00:00:00

abstract：INTRODUCTION:Tranexamic acid has been used for many years to minimise blood loss during surgery and, more recently, to reduce morbidity after major trauma. While small studies have confirmed reduction in blood loss during tonsillectomy with its use, the rate of primary haemorrhage following tonsillectomy has not been r...

journal_title：Annals of the Royal College of Surgeons of England

authors： Robb PJ,Thorning G

更新日期：2014-03-01 00:00:00