Pancreatic debridement in a district general hospital--viable or vulnerable?

abstract：:Parathyromatosis is a rare entity and usually appears as a consequence of the seeding on previous parathyroid surgery which was applied for the secondary hyperparathyroidism. A 63-year-old woman presented with a history of subtotal thyroidectomy 20 years ago and parathyroidectomy due to primary hyperparathyroidism (PH...

journal_title：Annals of the Royal College of Surgeons of England

authors： Haciyanli M,Karaisli S,Gucek Haciyanli S,Atasever A,Arikan Etit D,Gur EO,Acar T

更新日期：2019-11-01 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：:First reported two decades ago, isolated incisional recurrence of hepatocellular carcinoma is an extremely rare clinical entity. We present two cases of recurrence: one recurring over 10 years after initial resection, and the second presenting with a port site recurrence 3.5 years following laparoscopic radiofrequency...

journal_title：Annals of the Royal College of Surgeons of England

authors： Barrett M,Nathan H,Vankayala H,Bieliauskas SL,Viglianti BL,Frankel TL

更新日期：2017-07-01 00:00:00

abstract：INTRODUCTION:Pulmonary staging in colorectal cancer (CRC) has traditionally been carried out by means of plain chest radiograph (CXR), although computerised tomography (CT) imaging of the chest is increasingly being performed for this purpose. The aim of this study was to assess the value of pre-operative thoracic CT f...

journal_title：Annals of the Royal College of Surgeons of England

authors： McIntosh J,Sylvester PA,Virjee J,Callaway M,Thomas MG

更新日期：2005-09-01 00:00:00

abstract：:Some 1000 postcard questionnaires were sent to Fellows of the British Orthopaedic Association (BOA) to establish current follow-up practice of primary total hip replacement (THR) patients. For cemented THRs, 50% of surgeons saw their patients for under 1 year, 78% under 5 years with indefinite follow-up being performe...

journal_title：Annals of the Royal College of Surgeons of England

authors： Bankes MJ,Coull R,Ferris BD

更新日期：1999-09-01 00:00:00

abstract：:Falls are the most common accident occurring to patients in hospital, especially those undergoing rehabilitation. The types, causes, and consequences of such falls are discussed in relation to the patients' age and underlying condition with reference to 386 accidents occurring over a 5-month period in a hospital with ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Watkins JS,Robson P

更新日期：1981-11-01 00:00:00

abstract：:Congenital absence of the anterior arch of the atlas is incredibly rare with only two cases reported previously in the literature. We present a third case of a medically fit patient who suffered neck trauma with an abnormal odontoid peg x-ray, which subsequently demonstrated a congenital non-fusion of the anterior ve...

journal_title：Annals of the Royal College of Surgeons of England

authors： Thavarajah D,McKenna P

更新日期：2012-10-01 00:00:00

abstract：:Adult ingestion of caustic substances is an unusual but serious surgical problem, with injuries likely to be more extensive than those in the corresponding paediatric population. After initial stabilisation and airway management, clinicians are presented with a complex multisystemic problem, frequently requiring a mul...

journal_title：Annals of the Royal College of Surgeons of England

authors： Rollin M,Jaulim A,Vaz F,Sandhu G,Wood S,Birchall M,Dawas K

更新日期：2015-05-01 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:International humanitarian law requires emergency medical support for both military personnel and civilians, including children. Here we present a detailed review of paediatric admissions with the pattern of injury and the resources they consume. METHODS:All paediatric admissions to the hospital at Camp B...

journal_title：Annals of the Royal College of Surgeons of England

authors： Arul GS,Reynolds J,DiRusso S,Scott A,Bree S,Templeton P,Midwinter MJ

更新日期：2012-01-01 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：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：:Perirectal sepsis is a potentially severe complication which may follow minor anorectal intervention and be slow to be diagnosed and treated. We report the presentation and outcome of three patients with perirectal sepsis of differing aetiologies. Awareness of the possible diagnosis, urgent investigation with cross-se...

journal_title：Annals of the Royal College of Surgeons of England

authors： Aldouri AQ,Alexander DJ

更新日期：2008-07-01 00:00:00

abstract：:Using ward rounds in the department of surgery at a major teaching hospital, and with the help of the preregistration house officers (PRHO), we assessed whether the lesson taught to us by Semmelweis had been forgotten. We asked the PHROs to count the number of patients examined by their consultant or registrar on a wa...

journal_title：Annals of the Royal College of Surgeons of England

authors： Daniels IR,Rees BI

更新日期：1999-03-01 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：INTRODUCTION:Necrotising fasciitis is a life-threatening illness that is often difficult to diagnose. Immediate debridement and intravenous antibiotic therapy are required to limit the spread of infection. This five-year audit aimed to review the number and outcomes of all cases of necrotising fasciitis admitted to a ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Swain RA,Hatcher JC,Azadian BS,Soni N,De Souza B

更新日期：2013-01-01 00:00:00

abstract：:We report the case of a 58-year-old woman presenting with dysphagia secondary to an intraductal papillary mucinous neoplasm arising from a heterotopic pancreas in the oesophageal wall. This was successfully treated with a laparoscopic/thoracoscopic ivor Lewis oesophagectomy. Dysphagia is the most common symptom of oe...

journal_title：Annals of the Royal College of Surgeons of England

authors： Crighton E,Botha A

更新日期：2012-03-01 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：OBJECTIVES:To provide guidance about the risks which should be disclosed to patients and documented during the consent process. METHODS:The Delphi Consensus Technique was used to decide what constitutes mandatory risk disclosure for three index procedures. Documentation of risk on consent forms was audited and compare...

journal_title：Annals of the Royal College of Surgeons of England

authors： Edwards TJ,Finlay I,Wilkins DC,Lambert AW

更新日期：2004-11-01 00:00:00

abstract：INTRODUCTION:The internal anal sphincter (IAS) is an important structure that is responsible for the majority of resting tone of the sphincter complex. It has a central role in continence and damage to the muscle has serious implications. Injury is most frequently from obstetric trauma though iatrogenic injury from pro...

journal_title：Annals of the Royal College of Surgeons of England

authors： Jones OM

更新日期：2007-09-01 00:00:00

abstract：:Scintigraphy was performed on 180 patients with suspected biliary tract disease using technetium-99m-labelled derivatives of iminodiacetic acid. Most of the patients were also evaluated by conventional techniques and the results were correlated with the findings at operation and with histological examination of tissue...

journal_title：Annals of the Royal College of Surgeons of England

authors： Ram MD

更新日期：1981-09-01 00:00:00

abstract：INTRODUCTION:The equivalence of breast-conserving surgery followed by postoperative radiotherapy against mastectomy is now firmly established in patients with early breast cancer. The results of surgery in large-breasted women can be poor, with radiation-induced fibrosis, chronic pain and poor cosmesis contributing to ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Currie A,Chong K,Davies GL

更新日期：2013-04-01 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：:The treatment of erectile dysfunction has been revolutionised with the introduction of orally active phosphodiesterase inhibitors which are successful in 70-80% of men. However, there remain a group of men in whom conservative treatment fails and surgical insertion of a penile prosthesis is required. This type of surg...

journal_title：Annals of the Royal College of Surgeons of England

authors： Jain S,Terry TR

更新日期：2006-07-01 00:00:00

abstract：:A mathematical model for study of blood flow has been derived from the avian egg, utilizing the theories of crystallography and photosynthesis. The model is employed to explain the form of the eye and the function of the cells of the human retina, with special reference to colour vision and the pathology of migraine. ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Malcolm JE

更新日期：1973-05-01 00:00:00

abstract：:The most important development in determining successful organ transplantation has been the improved understanding of the immune response and the interactions between antigens, antibody, immune complexes, complement component, lymphocytes and macrophages. The initiation and termination of an immune response, whether c...

journal_title：Annals of the Royal College of Surgeons of England

authors： Marks C

更新日期：1983-05-01 00:00:00

abstract：INTRODUCTION:Acute cholecystitis is among the most common general surgical presentations. There is a cohort of patients who develop systemic sepsis and complications of acute cholecystitis. These patients are often elderly and co-morbid. Conservative management with percutaneous cholecystostomy has been shown to be a s...

journal_title：Annals of the Royal College of Surgeons of England

authors： Flexer SM,Peter MB,Durham-Hall AC,Ausobsky JR

更新日期：2014-04-01 00:00:00

abstract：:Cystic nephroma is a rare lesion, but there has been an increased number of cases reported in the recent literature. Most cases have been discovered incidentally either on routine examination or during radiological investigations. There are two peaks of incidence, one in childhood and one in middle age and the conditi...

journal_title：Annals of the Royal College of Surgeons of England

authors： Upadhyay AK,Neely JA

更新日期：1989-11-01 00:00:00

abstract：AIM:The analgesia provided for children is often less than for adults with the same underlying pathology. This paper attempts to quantify the postoperative analgesic requirements of patients undergoing appendicectomy. METHODS:Patients between 6 and 30 years of age who underwent an unscheduled appendicectomy were prosp...

journal_title：Annals of the Royal College of Surgeons of England

authors： Lambert AW,Mayor A

更新日期：2000-03-01 00:00:00

abstract：INTRODUCTION:Nicorandil is a commonly prescribed antianginal medication that has been found to be associated with painful anal ulceration. The incidence of this complication is unknown. We have used the best data available to us to make an estimate of this figure in a health district with a remarkably stable populatio...

journal_title：Annals of the Royal College of Surgeons of England

authors： Colvin HS,Barakat T,Moussa O,Babu H,Slaughter T,Palmer JG,Hinson FL

更新日期：2012-04-01 00:00:00