Does surgical experience influence mastectomy complications?

abstract：:As part of a waiting list initiative, magnetic resonance imaging (MRI) scans were arranged for 69 patients waiting for knee arthroscopy. All patients had a clinical diagnosis of a meniscal tear. With 11 non-attenders, 58 scans were performed. Of the patients scanned, 35 had demonstrable meniscal tears, and five patien...

journal_title：Annals of the Royal College of Surgeons of England

authors： Williams RL,Williams LA,Watura R,Fairclough JA

更新日期：1996-09-01 00:00:00

abstract：:Jejunal perforation is a known complication of abdominal trauma. We report two cases of jejunal perforation presenting nearly 2 months following blunt injury to the abdomen and discuss possible mechanisms for delayed small bowel perforation. ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Subramanian V,Raju RS,Vyas FL,Joseph P,Sitaram V

更新日期：2010-03-01 00:00:00

abstract：:Erdheim-Chester disease is a rare infiltrative histiocytic disorder with around 800 cases being reported worldwide. Patients most commonly present with skeletal pain, but the condition has been shown to affect multiple other organs. We describe a rare presentation in which the disease infiltrated the sinuses and affec...

journal_title：Annals of the Royal College of Surgeons of England

authors： Lee JDE,Gill C,Muzaffar J,Ahmed S,Amel-Kashipaz R

更新日期：2020-02-01 00:00:00

abstract：OBJECTIVES:To reduce junior doctors' hours by introducing an on-call system involving cross-cover at SHO level between two separate ENT units. DESIGN:Prospective collection of data on the cross-cover system introduced in September 1992 with analysis after 12 months. SETTING:ENT departments within Salford and Central ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Hartley C,Rothera MP

更新日期：1994-09-01 00:00:00

abstract：:A case of trephine colostomy is presented in which air insufflation incorrectly identified the distal limb. Disaster was averted by correct identification at laparotomy. The probable cause of the error and methods of avoidance are discussed. ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Loder PB,Thomson JP

更新日期：1995-11-01 00:00:00

abstract：INTRODUCTION:Antegrade insertion of ureteric stent has become an established mode of management of upper tract obstruction secondary to ureteric pathology. It is conventionally performed as a two-stage procedure for various reasons but, more recently, a one-stage approach has been adopted. PATIENTS AND METHODS:We disc...

journal_title：Annals of the Royal College of Surgeons of England

authors： Chitale S,Raja V,Hussain N,Saada J,Girling S,Irving S,Cockburn JF

更新日期：2010-04-01 00:00:00

abstract：INTRODUCTION:The aim of this study was to investigate the degree of contamination of a surgeon's hand following use of chlorhexidine gluconate or alcohol gel as disinfectants. MATERIALS AND METHODS:In this prospective, randomised trial, orthopaedic surgeons were allocated to one of two different hand-washing protocols...

journal_title：Annals of the Royal College of Surgeons of England

authors： Hajipour L,Longstaff L,Cleeve V,Brewster N,Bint D,Henman P

更新日期：2006-01-01 00:00:00

abstract：:A randomised, double-blind study was conducted to assess the influence of intra-articular and subcutaneous prilocaine with adrenaline on postoperative pain in day case arthroscopy of the knee. The time to first dose of oral analgesia postoperatively was significantly prolonged in those patients receiving prilocaine bu...

journal_title：Annals of the Royal College of Surgeons of England

authors： White AP,Laurent S,Wilkinson DJ

更新日期：1990-11-01 00:00:00

abstract：:Chylothorax is a well-recognised complication of oesophagectomy, occurring in around 3% of cases. If managed conservatively, the mortality rate can be over 50%. We describe our experience of managing a patient with a chylothorax following oesophagectomy, and the use of a blood patch (a novel technique) to overcome per...

journal_title：Annals of the Royal College of Surgeons of England

authors： Windhaber RA,Holbrook AG,Krysztopik RJ

更新日期：2010-05-01 00:00:00

abstract：INTRODUCTION:Patient reported outcome measures (PROMs) are being used increasingly to assess the quality of healthcare delivery in the UK. It is important when using PROMs to know the score of the background population against which any clinical intervention may be benchmarked. The purpose of this study was to measure ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Guyver PM,Cattell AE,Hall MJ,Brinsden MD

更新日期：2013-09-01 00:00:00

abstract：:All surgical procedures are characterised by a sequence of steps and instrument changes. Although surgical efficiency and training in operative technique closely relate to this process, few studies have attempted to analyse it quantitatively. Because efficiency is particularly important in day surgery and lower third ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Shepherd JP,Brickley M

更新日期：1992-11-01 00:00:00

abstract：:A prospective study of 825 consecutive patients with colorectal cancer presenting to three general surgeons in a district general hospital over a 10-year period are reported. In all, 735 patients had an operation and are grouped according to whether their operation was within 24 h of admission (n = 63), more than 24 h...

journal_title：Annals of the Royal College of Surgeons of England

authors： Kingston RD,Walsh SH,Jeacock J

更新日期：1993-09-01 00:00:00

abstract：:Internal herniation of the small bowel through a defect in the falciform ligament and subsequent small bowel obstruction is exceedingly rare with the majority of previous cases being attributed to congenital abnormalities. As laparoscopic techniques approach the forefront of modern surgery, an iatrogenic source for a ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Dusu K,Dindyal S,Gadhvi V

更新日期：2015-09-01 00:00:00

abstract：:INTRODUCTION The roles of non-medically trained practitioners within the NHS are expanding; they are now being employed by many specialties, including surgery, to relieve pressures on healthcare teams. AIMS To investigate the learning curve and competence of an orthopaedic surgical care practitioner (SCP) in performin...

journal_title：Annals of the Royal College of Surgeons of England

authors： Tingle SJ,Marriott A,Partington PF,Carluke I,Reed MR

更新日期：2016-11-01 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：:Mean anaesthetic, surgical and turnover times were used to predict finishing times for elective general surgical operating lists. A predicted early finish was correct in 70 per cent, a predicted on-time finish in 19 per cent, and a predicted late finish in 56 per cent. Overall, predictions of an early or late finish h...

journal_title：Annals of the Royal College of Surgeons of England

authors： Widdison AL

更新日期：1995-11-01 00:00:00

abstract：OBJECTIVE:The objective of this study was to describe the impact of a 'fast-track' unit, combined with a computerised system for information collection and analysis, on the clinical practice and finance of a cardiothoracic department over the first 12 month period of its application. METHODS:Within 12 months, starting...

journal_title：Annals of the Royal College of Surgeons of England

authors： Hadjinikolaou L,Cohen A,Glenville B,Stanbridge RD

更新日期：2000-01-01 00:00:00

abstract：INTRODUCTION:Enhanced recovery programmes (ErPs) are increasingly being used for arthroplasty. One of the core aims of an ErP is to improve the quality of patient experience. However, there is currently no published evaluation of patient satisfaction in relation to this new programme of care within orthopaedic surgery....

journal_title：Annals of the Royal College of Surgeons of England

authors： Machin JT,Phillips S,Parker M,Carrannante J,Hearth MW

更新日期：2013-11-01 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

abstract：INTRODUCTION:The aim of this study was to evaluate the level of sharps injury reporting amongst surgeons. SUBJECTS AND METHODS:A total of 164 surgeons completed a questionnaire on the reporting of sharps injuries, on the reasons for not reporting and their practise of universal precautions. RESULTS:Out of 164 surgeon...

journal_title：Annals of the Royal College of Surgeons of England

authors： Kerr HL,Stewart N,Pace A,Elsayed S

更新日期：2009-07-01 00:00:00

abstract：INTRODUCTION:This is a consequential study of a previous audit, evaluating the role of skull X-rays in the emergency department in patients with head injuries, to see if the changes recommended, (implementation of The Royal College of Surgeons of England guidelines) have been adopted successfully and had the desired re...

journal_title：Annals of the Royal College of Surgeons of England

authors： Mossop D,Soysa S

更新日期：2005-05-01 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：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：:Two years individual experience of spine and joint tuberculosis in the North West Frontier of Pakistan is summarised. The problems of treating a population that presents late in the course of the disease, and of coping with an added influx of highly affected Afghans, feature prominently in surgical practice. ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Currie MA

更新日期：1984-03-01 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：:A new jig is described which enables the technique for abdominal aortic aneurysm to be taught and practiced as it is performed by arterial surgeons at the present time. The aneurysm jig enables a plastic simulated aortic aneurysm to be opened as at operation to allow the inlaying of a Dacron tube sutured into place wi...

journal_title：Annals of the Royal College of Surgeons of England

authors： Greenhalgh RM,Eastcott HH,Mansfield AO,Taylor DE

更新日期：1987-09-01 00:00:00

abstract：:The 'vascular' aetiology of headache is questioned. An alternative hypothesis based on sensitisation of sensory nerve endings by neurogenic plasma extravasation is discussed. The development of drugs which selectively inhibit the release of vasoactive neuropeptides from perivascular sensory nerves may benefit patients...

journal_title：Annals of the Royal College of Surgeons of England

authors： Macfarlane R

更新日期：1993-07-01 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

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：:Massive haemorrhage is an uncommon complication in pancreatitis. Most affected patients suffer from chronic disease with associated pseudocyst. We present five patients (four male) with a mean age of 41 years (range 34-48 years). All patients had alcohol-induced pancreatitis complicated either by haematemesis (3), int...

journal_title：Annals of the Royal College of Surgeons of England

authors： Ammori BJ,Madan M,Alexander DJ

更新日期：1998-09-01 00:00:00