An evaluation of operative training lists for senior house officers in a district general hospital.

abstract：:Lymphadenopathy is a common presentation in surgical assessment units and has numerous differential diagnoses. In one-stop breast clinics, its discovery often raises concerns of malignancy. This case report focuses on the case of a 33-year-old pregnant woman presenting to the breast clinic with a right axillary lump, ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Jalilzadeh Afshari S,Saad Abdalla Al-Zawi A,Idaewor P,Chicken DW

更新日期：2020-09-01 00:00:00

abstract：INTRODUCTION:The aim of this study was to determine whether tailoring the extent of resection would allow radical gastric cancer surgery to be performed safely in a UK population. PATIENTS AND METHODS:A total of 180 consecutive patients (median age 70 years; male:female ratio 2:1) undergoing resection for gastric aden...

journal_title：Annals of the Royal College of Surgeons of England

authors： Lamb P,Sivashanmugam T,White M,Irving M,Wayman J,Raimes S

更新日期：2008-04-01 00:00:00

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：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

abstract：:Chemotherapy may cause oral ulceration but a thorough investigation of symptoms and signs is important to determine the underlying diagnosis accurately. We describe a case of a patient with a poorly differentiated urothelial carcinoma of the bladder developing a tongue metastasis. This is a challenging diagnosis to ma...

journal_title：Annals of the Royal College of Surgeons of England

authors： Kaleva AI,Hone RW,Szakacs SM,Streeter E,Nixon IJ

更新日期：2015-03-01 00:00:00

abstract：:A change in the accepted routine of cross-leg repair is suggested in the interest of safety. In order to avoid infection in the donor site the skin graft is cut first. The flap is raised before the defect is prepared so that the problems of tension and 'tenting' are eliminated. This enables the flap to be sutured unde...

journal_title：Annals of the Royal College of Surgeons of England

authors： Hirshowitz B,Crawford BS

更新日期：1980-07-01 00:00:00

abstract：INTRODUCTION:This observational study investigated the incidence of distal radius fractures in children, to determine whether the rate is rising, the effect of seasonal variation on incidence and whether fracture type and rate of surgical intervention has changed, to help in determining costs for secondary care and to ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Mamoowala N,Johnson NA,Dias JJ

更新日期：2019-04-01 00:00:00

abstract：:Operative cholangiography is for most surgeons a routine part of every cholecystectomy. Computerised digital subtraction angiography was adapted for operative cholangiography using a portable machine. After cannulation of the cystic duct the background image was subtracted before injecting contrast. Only the contrast ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Motson RW,Shinkwin MA,May AR,Akhtar N

更新日期：1988-05-01 00:00:00

abstract：INTRODUCTION:The correction of anaemia prior to total hip arthroplasty reduces surgical risk, hospital stay and cost. This study considers the benefits of implementing a protocol of identifying and treating pre-operative anaemia whilst the patient is on the waiting list for surgery. PATIENTS AND METHODS:From a prospec...

journal_title：Annals of the Royal College of Surgeons of England

authors： Rogers BA,Cowie A,Alcock C,Rosson JW

更新日期：2008-09-01 00:00:00

abstract：:Failure to provide sufficient information to a patient when seeking consent can result in a claim in negligence. When determining what information to provide, you should be guided by what this particular patient needs to know in order to make an informed decision. Adult patients must be assumed to have capacity to giv...

journal_title：Annals of the Royal College of Surgeons of England

authors： Shah J,Fitz-Henry J

更新日期：2011-05-01 00:00:00

abstract：INTRODUCTION:Hip fractures are common injuries in elderly patients presenting to the trauma surgeon. Mortality following such injuries approaches 10% at one month, rising to 30% at one year. Of those who survive, most experience a decrease in mobility and independence. The authors believe that the general public are no...

journal_title：Annals of the Royal College of Surgeons of England

authors： McBride TJ,Panrucker S,Clothier JC

更新日期：2011-01-01 00:00:00

abstract：:Introduction Transurethral resection of the prostate (TURP) is considered the gold standard surgical treatment for lower urinary tract symptoms (LUTS) secondary to benign prostatic hyperplasia. The number of TURPs performed has declined significantly over the last three decades owing to pharmaceutical therapy. TURP da...

journal_title：Annals of the Royal College of Surgeons of England

authors： Young MJ,Elmussareh M,Morrison T,Wilson JR

更新日期：2018-04-01 00:00:00

abstract：:This study suggests that appendicectomy should be routinely performed at laparoscopy for suspected acute appendicitis and that this can be achieved with minimal morbidity. ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Grabham JA,Sutton C,Nicholson ML

更新日期：1999-07-01 00:00:00

abstract：:Changes in anal pressure have been monitored during the induction of anaesthesia. Falls in pressure accompany loss of consciousness following bolus doses of commonly used intravenous and inhalational anaesthetic agents. Subsequent rises in pressure towards pre-anaesthetic levels are usually associated with the time ta...

journal_title：Annals of the Royal College of Surgeons of England

authors： Harrison MJ,Tomlinson PA,Ubhi CS,Wright J,Hardcastle JD

更新日期：1988-03-01 00:00:00

abstract：:A computerised audit system was used to monitor clinical and administrative management of surgical patients in a District General Hospital. In one year (1985) there were 1,060 discharges from 27 beds (39.3 patients/bed/year). Operative treatment was required in 652 patients but 408 patients did not undergo surgery. Of...

journal_title：Annals of the Royal College of Surgeons of England

authors： Glass RE,Thomas PA

更新日期：1987-05-01 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 authors present a case of pyomyositis of the piriformis muscle. This case, the first in the English speaking literature of piriformis involvement in a juvenile, serves to illustrate the need for a high index of suspicion when treating children with symptoms related to impalpable pathology deep in the pelvis and th...

journal_title：Annals of the Royal College of Surgeons of England

authors： Burton DJ,Enion D,Shaw DL

更新日期：2005-01-01 00:00:00

abstract：INTRODUCTION:Chronic low back pain is a common condition affecting a significant proportion of the population and has large economic implications on the society. Acupuncture has grown in popularity as an alternative therapy for chronic low back pain. Recent National Institute for Health and Clinical Excellence (NICE) g...

journal_title：Annals of the Royal College of Surgeons of England

authors： Trigkilidas D

更新日期：2010-10-01 00:00:00

abstract：:We detail the unusual occurrence of successive episodes of diabetic myonecrosis in both lower and upper limbs in a young woman with diabetic end organ dysfunction. We highlight the importance of recognising this as a differential diagnosis for acute limb pain in diabetic patients and advocate conservative measures fo...

journal_title：Annals of the Royal College of Surgeons of England

authors： Welck MJ,Vetpillai P,Balaji V,Jennings R,Goodier WD

更新日期：2013-01-01 00:00:00

abstract：INTRODUCTION:Adequate medical note keeping is critical in delivering high quality healthcare. However, there are few robust tools available for the auditing of notes. The aim of this paper was to describe the design, validation and implementation of a novel scoring tool to objectively assess surgical notes. METHODS:An...

journal_title：Annals of the Royal College of Surgeons of England

authors： Tuffaha H,Amer T,Jayia P,Bicknell C,Rajaretnam N,Ziprin P

更新日期：2012-05-01 00:00:00

abstract：:Bleeding from the edge of an ileostomy site is a common problem. In those who have undergone a proctocolectomy with ileostomy formation in conjunction with a risk of chronic liver disease (even with normal liver function tests), this may be due to peristomal varices. If this is the case, significant, difficult-to-cont...

journal_title：Annals of the Royal College of Surgeons of England

authors： Farquharson AL,Bannister JJ,Yates SP

更新日期：2006-09-01 00:00:00

abstract：INTRODUCTION:Intestinal intubation with a Jones' tube has been suggested to reduce the incidence of recurrent adhesive obstruction. This paper describes our experience of this technique. PATIENTS AND METHODS:A retrospective case-note review was performed on 68 patients admitted to a teaching hospital who were identifi...

journal_title：Annals of the Royal College of Surgeons of England

authors： Fazel MZ,Jamieson RW,Watson CJ

更新日期：2009-01-01 00:00:00

abstract：:The emergency operating patterns in a district general hospital were significantly altered by the introduction of an afternoon emergency theatre list co-ordinated by a consultant anaesthetist. Before the introduction of the list, 88% of emergency operations were carried out after 17.00, with 40% of cases waiting until...

journal_title：Annals of the Royal College of Surgeons of England

authors： Lovett BE,Katchburian MV

更新日期：1999-01-01 00:00:00

abstract：:Accessory nerve injury produces considerable disability. The nerve is most frequently damaged as a complication of radical neck dissection, cervical lymph node biopsy and other surgical procedures. The problem is frequently compounded by a failure to recognise the error immediately after surgery when surgical repair h...

journal_title：Annals of the Royal College of Surgeons of England

authors： London J,London NJ,Kay SP

更新日期：1996-03-01 00:00:00

abstract：:Cutaneous manifestations of visceral carcinomas are scarce, occurring in around 0.7-12% of internal malignancies. Lung cancer is one of the most common sources of skin metastasis, particularly in male patients. We present a case of cutaneous metastasis in a man with concurrent lung lesions and a previously treated col...

journal_title：Annals of the Royal College of Surgeons of England

authors： Thurston D,Hossain T,Waraich N,Shukla A

更新日期：2016-03-01 00:00:00

abstract：:The series comprises 6 patients (mean age, 21 years) who presented with an epidermoid cyst of the testis between 1991 and 1998. Pre-operative ultrasonography suggested the presence of a testicular cancer in 3 patients who underwent a radical orchidectomy. The ultrasound successfully predicted the true diagnosis in 3 p...

journal_title：Annals of the Royal College of Surgeons of England

authors： Gupta SK,Golash A,Thomas JA,Cochlin D,Griffiths D,Jenkins BJ

更新日期：2000-11-01 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：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：INTRODUCTION:Osteoarthritis of the trapeziometacarpal joint (TMJ) is a common condition causing significant disability. Conservative treatments include intra-articular steroid injections. PATIENTS AND METHODS:This clinical, observational study prospectively reviewed the longevity of benefit of steroid injections into ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Swindells MG,Logan AJ,Armstrong DJ,Chan P,Burke FD,Lindau TR

更新日期：2010-11-01 00:00:00

abstract：INTRODUCTION:Insulinoma is a rare, but curable, endocrine tumour. The ability to localise the tumour accurately before or during surgery is an important factor in the management of these elusive lesions, which has been extensively debated. We have reviewed our experience of these lesions to establish the role of locali...

journal_title：Annals of the Royal College of Surgeons of England

authors： Ravi K,Britton BJ

更新日期：2007-04-01 00:00:00