Acute adrenal insufficiency presenting as high output ileostomy.

abstract：:Of 50 patients who had scrape cytology of the excision cavity after conservative surgery for breast carcinoma, 10 (20%) had malignant cells remaining in the cavity recognised by cytology. Of these patients, 18 had histological evidence of tumour at the resection margin, giving an accuracy of the cytology of 84%, a sen...

journal_title：Annals of the Royal College of Surgeons of England

authors： Lucarotti ME,White H,Deas J,Silver IA,Leaper DJ

更新日期：1990-11-01 00:00:00

abstract：INTRODUCTION:Pelvic acetabular injuries are associated with significant blood loss. This is compounded by multiple surgical interventions including definitive fracture fixation, which put patients at further risk of postoperative transfusion. We use intraoperative cell salvage routinely as a blood conservation strategy...

journal_title：Annals of the Royal College of Surgeons of England

authors： Odak S,Raza A,Shah N,Clayson A

更新日期：2013-07-01 00:00:00

abstract：:Endoscopic transthoracic sympathectomy (ETS) has recently become established as a successful treatment for severe palmar and axillary hyperhidrosis. In this unit the indications for ETS have been broadened to include patients with Raynaud's syndrome and critical upper limb ischaemia and this paper is primarily concern...

journal_title：Annals of the Royal College of Surgeons of England

authors： Nicholson ML,Dennis MJ,Hopkinson BR

更新日期：1994-09-01 00:00:00

abstract：:In a 6-month prospective study of management of surgical emergencies in a district general hospital, we have tried firstly to determine the degree to which non-life-threatening emergencies could be managed within 'social hours' (0800-1800), and secondly to identify examples of and reasons for potentially hazardous del...

journal_title：Annals of the Royal College of Surgeons of England

authors： Flook DJ,Crumplin MK

更新日期：1990-01-01 00:00:00

abstract：INTRODUCTION:Wound ooze is common following total knee arthroplasty (TKA) and persistent wound infection is a risk factor for infection, and increased length and cost of hospitalisation. PATIENTS AND METHODS:We undertook a prospective study to assess the effect of tourniquet time, peri-articular local anaesthesia and ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Butt U,Ahmad R,Aspros D,Bannister GC

更新日期：2011-01-01 00:00:00

abstract：:The increased use of day facilities for children undergoing surgery and the provision of a paediatric home nursing team has resulted in a change in overall care of surgical children in hospital in Southampton. The ratio of day patients to inpatients has fallen from 1 : 2 in 1970 to 1 : 1 in 1976 and the early discharg...

journal_title：Annals of the Royal College of Surgeons of England

authors： Atwell JD

更新日期：1978-09-01 00:00:00

abstract：:Eleven patients underwent primary mandibular reconstruction following resection of a head and neck squamous cell carcinoma. Reconstruction consisted of a free rib graft and a pectoralis major myocutaneous flap. One rib graft failed and one graft, although successful, required removal during a wider resection for tumou...

journal_title：Annals of the Royal College of Surgeons of England

authors： Banerjee AR,Westmore GA

更新日期：1995-07-01 00:00:00

abstract：INTRODUCTION:The diagnostic performance of ultrasound-fine needle aspiration to identify thyroid nodules harbouring malignancy remains variable. The aim of this study was to determine thyroid nodule size and cytological classification as predictors of malignancy risk. MATERIALS AND METHODS:We conducted a retrospective...

journal_title：Annals of the Royal College of Surgeons of England

authors： Jinih M,Faisal F,Abdalla K,Majeed M,Achakzai AA,Heffron C,McCarthy J,Redmond HP

更新日期：2020-01-01 00:00:00

abstract：:Orthopaedic outpatient waiting lists are long and the majority of referrals are for conditions that do not respond to surgical intervention. Many of these patients are best managed by physiotherapy, orthotics or steroid injections, which can be administered by an appropriately trained physiotherapist. The effectivenes...

journal_title：Annals of the Royal College of Surgeons of England

authors： Weale AE,Bannister GC

更新日期：1995-03-01 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：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：:A 56-year-old woman presented with abdominal pain after using a Jacuzzi hours earlier. Abdominal radiographs revealed intra-peritoneal free gas and, as she presented symptomatically, a laparotomy was performed. This revealed fluid and gas but no visceral perforation or intra-abdominal pathology to account for this. Pe...

journal_title：Annals of the Royal College of Surgeons of England

authors： Inston N,Lake S

更新日期：2000-09-01 00:00:00

abstract：INTRODUCTION:An increasing quantity of data is required to guide precision medicine and advance future healthcare practices, but current analytical methods often become overwhelmed. Artificial intelligence (AI) provides a promising solution. Plastic surgery is an innovative surgical specialty expected to implement AI i...

journal_title：Annals of the Royal College of Surgeons of England

authors： Murphy DC,Saleh DB

更新日期：2020-10-01 00:00:00

abstract：:It is often accepted by hospital staff that patients would prefer to be at home for the Christmas and Easter holiday periods. This is one of the reasons that elective surgery is reduced at these times. However there is very little evidence to prove whether this is true. To investigate this question 310 patients attend...

journal_title：Annals of the Royal College of Surgeons of England

authors： Whiteley MS,Williams DJ,Hocken D

更新日期：1997-03-01 00:00:00

abstract：:The incidence of bacteriological contamination of drainage fluid (water constituting the underwater seal plus drainage effluent) was studied in 38 patients (50 chest drains), up to 6 days after thoracotomy. No bacteriological contamination was demonstrated in any of the samples taken during this period of time. We con...

journal_title：Annals of the Royal College of Surgeons of England

authors： Hornick P,John LC,Wallis J,Wilkins V,Rees GM,Edmondson SJ

更新日期：1992-01-01 00:00:00

abstract：:Conflicting reports exist for the efficacy of intermittent wound perfusion with bupivacaine in the relief of postoperative pain. A study was devised to assess postoperative pain relief objectively using a Patient Controlled Analgesic Device (PCAD) during continuous wound perfusion with bupivacaine or saline. Thirty co...

journal_title：Annals of the Royal College of Surgeons of England

authors： Chester JF,Ravindranath K,White BD,Shanahan D,Taylor RS,Lloyd-Williams K

更新日期：1989-11-01 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：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：:Three hundred and forty consecutive patients received successful spinal anaesthesia with 0.5% plain bupivacaine. A small randomised study of 40 of these cases showed little difference between 3.5 and 3 ml; however, analysis of its use in 200 patients receiving 3.5 ml (mean block T10.5 +/- 1 segment) and 100 receiving ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Ryan DW,Pridie AK,Copeland PF

更新日期：1983-01-01 00:00:00

abstract：:Extraskeletal Ewing sarcoma (EES) is a rare soft tissue neoplasm of primitive mesenchymal cells. There is a scarcity of data on EES involving the head and neck, with studies being over years or even decades. We are the first to report a case of EES involving the carotid artery and its subsequent surgical excision and ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Kallala R,Nikkhah D,Nix P,Woodhead C

更新日期：2012-05-01 00:00:00

abstract：INTRODUCTION:There has been regular dialogue regarding the importance of developing clinical networks to compensate for the steady decline in general paediatric surgery performed by adult surgeons. Despite this dialogue, there are no contemporary published data to quantify the issue. This report documents patterns in d...

journal_title：Annals of the Royal College of Surgeons of England

authors： Tiboni SG,Stewart RJ

更新日期：2020-04-01 00:00:00

abstract：:Retroperitoneal paragangliomas are rare tumours arising from neural crest cells located near or in the autonomic nervous system; right from the skull bass to the pelvic floor. Often called the great masqueraders, their diagnosis and treatment is often difficult and fraught with danger, considering the close proximity ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Parmar K,Chandna A,Kumar S

更新日期：2019-02-01 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：: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：: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：INTRODUCTION:Surgical intervention has become a common component in the management of patients infected with the human immunodeficiency virus (HIV) or suffering from the clinical consequences of acquired immunodeficiency syndrome (AIDS). We investigated the evolution of this involvement at a tertiary referral centre fo...

journal_title：Annals of the Royal College of Surgeons of England

authors： Dua RS,Wajed SA,Winslet MC

更新日期：2007-05-01 00:00:00

abstract：:Seatbelt associated blunt trauma to the rectum is a rare but well recognised injury. The exact mechanism of hollow visceral injury in blunt trauma is unclear. Stress and shear waves generated by abdominal compression may in part account for injury to gas containing structures. A 'seatbelt sign' (linear ecchymosis acro...

journal_title：Annals of the Royal College of Surgeons of England

authors： El Kafsi J,Kraus R,Guy R

更新日期：2016-02-01 00:00:00

abstract：BACKGROUND:The diagnosis and management of sphincter of Oddi dysfunction are controversial issues. Both surgical and endoscopic series report modest success in the treatment of this condition. There is evidence from endoscopic series that the Milwaukee classification could predict the clinical outcome after sphincterot...

journal_title：Annals of the Royal College of Surgeons of England

authors： Tzovaras G,Rowlands BJ

更新日期：2002-01-01 00:00:00

abstract：:Introduction A bronchobiliary fistula (BBF) following liver directed therapy (resection/ablation) is a rare complication in which an abnormal communication between the biliary tract and bronchial tree is formed. This case report describes the successful management of a persistent BBF following multiple liver wedge res...

journal_title：Annals of the Royal College of Surgeons of England

authors： Pinsker N,Papoulas M,Sodergren M,Harrison P,Heaton N,Menon K

更新日期：2018-04-01 00:00:00

abstract：INTRODUCTION:Isolated monocular ischaemic events are thought to be low risk for stroke recurrence. In the presence of carotid stenosis however, the risks should not be treated similarly and surgical intervention should be considered at an early stage. The aim of this study was to determine the vascular risk profile and...

journal_title：Annals of the Royal College of Surgeons of England

authors： Cheng SF,Zarkali A,Richards T,Simister R,Chandratheva A

更新日期：2019-11-01 00:00:00