A technique to control bleeding from an inaccessible part of an aortic end-to-end anastomosis.

abstract：:We report a prospective trial of 100 consecutive patients undergoing primary total hip or knee arthroplasty in order to assess their blood transfusion requirements amid recent fears of the transmission of viruses, particularly hepatitis C, from donor to recipient. Of the patients, 84% were transfused one or more units...

journal_title：Annals of the Royal College of Surgeons of England

authors： Clarke AM,Dorman T,Bell MJ

更新日期：1992-09-01 00:00:00

abstract：:We present a case of massive pneumoperitoneum in association with pneumatosis intestinalis that was successfully managed without surgery despite a clinical picture of an acute abdomen and biochemical evidence of inflammation and systemic upset. Recognition of non-surgical pneumoperitoneum is important to avoid unneces...

journal_title：Annals of the Royal College of Surgeons of England

authors： Brill SE,Skipworth J,Stoker DL

更新日期：2008-03-01 00:00:00

abstract：:Jehovah's Witnesses do not permit the use of allogeneic blood products. An increasing number of patients are refusing blood transfusion for non-religious reasons. In addition, blood stores are decreasing, and costs are increasing. Transfusion avoidance strategies are, therefore, desirable. Bloodless surgery refers to ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Gohel MS,Bulbulia RA,Slim FJ,Poskitt KR,Whyman MR

更新日期：2005-01-01 00:00:00

abstract：:Introduction While surgery is the cornerstone of bowel cancer treatment, it comes with significant risks. Among patients aged over 80 years, 30-day mortality is 13%-15%, and additionally 12% will not return home and go on to live in supportive care. The question for patients and clinicians is whether operative surgery...

journal_title：Annals of the Royal College of Surgeons of England

authors： Bethune R,Sbaih M,Brosnan C,Arulampalam T

更新日期：2016-07-01 00:00:00

abstract：INTRODUCTION:The Intercollegiate Membership of the Royal College of Surgeons (MRCS) is a mandatory examination to enter higher surgical specialty training in the UK. It is designed to help to ensure that successful candidates are competent to practice as higher surgical trainees. The annual review of competence progres...

journal_title：Annals of the Royal College of Surgeons of England

authors： Scrimgeour D,Brennan PA,Griffiths G,Lee AJ,Smith F,Cleland J

更新日期：2018-10-05 00:00:00

abstract：:The nature of inhaled foreign bodies in the respiratory tract and problems in their removal are reviewed with reference to experience in a series of 41 cases, 36 of them in children under 4 years old. Bronchoscopic removal under general anaesthesia is preferred to inhalational therapy and postural drainage. ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Bose P,El Mikatti N

更新日期：1981-03-01 00:00:00

abstract：:Complex perianal fistulas may at times be very difficult to treat. New vascularised tissue can reach the perineum from leg muscles and the omentum. A less well-known source is the labial fat tissue (modified Martius graft) which has a robust posterolateral pedicle and which can be useful as an adjunctive technique for...

journal_title：Annals of the Royal College of Surgeons of England

authors： Pinedo G,Phillips R

更新日期：1998-11-01 00:00:00

abstract：:Epigastric hernia involving the falciform ligament is exceptionally rare. Most reported cases are incisional hernia secondary to prior abdominal surgery. We report a case of primary falciform ligament herniation into the epigastric region repaired by the laparoscopic preperitoneal approach. In this case, an accompanyi...

journal_title：Annals of the Royal College of Surgeons of England

authors： Liang TJ,Wang KC,Tsai CC,Chen IS

更新日期：2020-05-01 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：: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：: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：:Introduction Emergency general surgery services in England are undergoing rapid structural change with the aim of improving care. In our centre, the key issues identified were high numbers of admissions, inappropriate referrals, prolonged waiting times, delayed senior input and poor patient satisfaction. A new model w...

journal_title：Annals of the Royal College of Surgeons of England

authors： Navarro AP,Hardy E,Oakley B,Mohamed E,Welch NT,Parsons SL

更新日期：2017-09-01 00:00:00

abstract：INTRODUCTION:Acute pancreatitis is a common surgical emergency. Identifying variations in presentation, incidence and management may assist standardisation and optimisation of care. The objective of the study was to document the current incidence management and outcomes of acute pancreatitis against international guide...

journal_title：Annals of the Royal College of Surgeons of England

authors： PanWessex Study Group.,Wessex Surgical Trainee Research Collaborative.,Mirnezami A,Knight B,Moran B,Noble F,Branagan G,Primrose J,Pearson K,West M,Curtis N,Pucher P,Cuttress R,Pugh S,Underwood T

更新日期：2019-09-01 00:00:00

abstract：:Twenty-five orthopaedic surgeons underwent eight motor and sensory tests while using four different glove combinations and without gloves. As well as single and double latex, surgeons wore a simple Kevlar glove with latex inside and outside and then wore a Kevlar and Medak glove with latex inside and outside, as recom...

journal_title：Annals of the Royal College of Surgeons of England

authors： Phillips AM,Birch NC,Ribbans WJ

更新日期：1997-03-01 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：INTRODUCTION:The aim of this study is to ascertain the accuracy of diagnostic ultrasound in the assessment of the occult abdominal and groin herniae. The authors have previously demonstrated its efficacy in diagnosing the type of clinical groin herniae but occult herniae provide a further diagnostic problem. PATIENTS ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Bradley M,Morgan J,Pentlow B,Roe A

更新日期：2006-03-01 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:In future, outcomes following shoulder surgery may be subject to public survey. Many outcome measures exist but we do not know whether there is a consensus between shoulder surgeons in the UK. The aim of this study was to survey the preferred outcome measures used by National Health Service (NHS) shoulder ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Varghese M,Lamb J,Rambani R,Venkateswaran B

更新日期：2014-11-01 00:00:00

abstract：:A total of 14 patients had operations for massive colonic haemorrhage. Of the seven who had a right hemicolectomy, four had the bleeding site localised, and three had only 'equivocal' indications of a right-sided source. One of these rebled 11 months later, but all survived and are well. Of the remaining patients, two...

journal_title：Annals of the Royal College of Surgeons of England

authors： Milewski PJ,Schofield PF

更新日期：1989-07-01 00:00:00

abstract：:The management and follow up of 200 consecutive patients with renal and ureteric calculi are presented. The primary treatment of 185 (92.5%) was by extracorporeal shockwave lithotripsy (ESWL), of whom three (1.6)%) with large calculi underwent percutaneous nephrolithotripsy (PCNL) prior to ESWL as a planned combined p...

journal_title：Annals of the Royal College of Surgeons of England

authors： Webb DR,McNicholas TA,Whitfield HN,Wickham JE

更新日期：1985-11-01 00:00:00

abstract：:Introduction Trauma and orthopaedics is a popular surgical specialty in the UK. Recent changes to the National Health Service have suggested an imbalance with fewer jobs yet more trainees. Furthermore, subspecialisation is emerging within all surgical disciplines. The aim of this study was to examine whether there wer...

journal_title：Annals of the Royal College of Surgeons of England

authors： Wilson S,Jain N,Johnson DS

更新日期：2017-11-01 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：:The collection of data for audit and clinical activity analysis is time consuming. This report outlines a technique by which data held on hospital data systems, such as the PAS and theatre management systems, can be made available to clinical investigators. The saving in time and effort can be enormous. ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Dunn K,Bazire N,Housley L,Shakespeare P

更新日期：1994-11-01 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：:During the past 10 years of civil unrest in Northern Ireland a wide variety of facial injuries have been treated at the Royal Victoria Hospital, Belfast. The causes and nature of these injuries are described and the experience gained in their management is reviewed. ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Whitlock RI

更新日期：1981-01-01 00:00:00

abstract：:Contact with rat saliva or faeces can lead to infection with Streptobacillus moniliformis and the condition known as 'rat bite fever'. We report a case of septic arthritis of the hip due to this organism following a bite on the finger of a 14-year-old boy from a rat for sale in a pet shop. The case was successfully tr...

journal_title：Annals of the Royal College of Surgeons of England

authors： Downing ND,Dewnany GD,Radford PJ

更新日期：2001-07-01 00:00:00

abstract：:Giant central lumbar disc protrusions can pose a significant operative challenge. Clinically, these patients are at risk of permanent disability, due not only to preoperative neural compromise caused by the protrusion itself but also to the potential iatrogenic risks associated with the standard extradural microdiscec...

journal_title：Annals of the Royal College of Surgeons of England

authors： Tulloch I,Papadopoulos MC

更新日期：2018-03-01 00:00:00

abstract：INTRODUCTION:Preliminary studies show that device assisted intravesical therapies appear more effective than passive diffusion intravesical therapy for the treatment of non-muscle invasive bladder cancer (NMIBC) in specific settings, and phase III studies are now being conducted. Consequently, we have undertaken a non-...

journal_title：Annals of the Royal College of Surgeons of England

authors： Slater SE,Patel P,Viney R,Foster M,Porfiri E,James ND,Montgomery B,Bryan RT

更新日期：2014-09-01 00:00:00

abstract：:We present the case of a 27-year-old man who underwent percutaneous atrial septal defect (ASD) repair using the Amplatzer(®) (St Jude Medical, St Paul, MN, US) septal occluder (ASO). Six weeks later, he presented with heart failure and was found to have an aorto-right atrial fistulation. He required urgent surgical de...

journal_title：Annals of the Royal College of Surgeons of England

authors： Bashir M,Abudhaise H,Mustafa H,Fok M,Bashir A,Hammoud I,Mascaro J

更新日期：2014-07-01 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