A rare and serious consequence of a rat bite.

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：:A 74-year-old woman underwent a low anterior resection and defunctioning loop ileostomy for a T1 N1 M0 rectal adenocarcinoma. Three months following surgery she attended complaining of pain inferior to the loop ileostomy. A clinical examination demonstrated an extensive area of spreading cellulitis on the lower abdomi...

journal_title：Annals of the Royal College of Surgeons of England

authors： Davey PT,Burnside N,MacKenzie N,Conkey D,Carson J,Skelly RT

更新日期：2011-09-01 00:00:00

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：:Developments in anaesthesia for intracranial surgery over the past 35 years are illustrated by a comparison of personal practice in 1943-45 and in 1977-79, with some reference to techniques developed during the intervening years. ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Hunter AR

更新日期：1981-09-01 00:00:00

abstract：:The recording of medical data has developed from crude non-specific classifications to complex systems tailor-made for individual practices. The development of the Read Clinical Classification has produced a complex classification which is user friendly and covers the whole of medicine. The classification allows uniqu...

journal_title：Annals of the Royal College of Surgeons of England

authors： James NK

更新日期：1994-05-01 00:00:00

abstract：:In 24 patients where the lower border of a cervical goitre was poorly defined, the value of simple lung function tests in the prediction of the presence of a retrosternal goitre was assessed. At operation there were nine patients with retrosternal extension (Group I) and 15 without (Group II). The preoperative PEF rat...

journal_title：Annals of the Royal College of Surgeons of England

authors： Stephenson BM,Shandall AA,Griffith GH

更新日期：1991-07-01 00:00:00

abstract：:Spontaneous rupture of colon or rectum is a rare event. Protrusion of several loops of small bowel through the anal orifice is a bizarre condition which has only rarely been reported in the literature. We report the first case where Thiersch repair was used to manage spontaneous perforation of rectal prolapse and prov...

journal_title：Annals of the Royal College of Surgeons of England

authors： Shoab SS,Saravanan B,Neminathan S,Garsaa T

更新日期：2007-01-01 00:00:00

abstract：:A term neonate was born with a grossly swollen and discoloured left hand and forearm. He was transferred from the local hospital to the plastic surgical unit, where a diagnosis of compartment syndrome was made and he underwent emergency forearm fasciotomies at six hours of age. Following serial debridements of necroti...

journal_title：Annals of the Royal College of Surgeons of England

authors： Martin B,Treharne L

更新日期：2016-09-01 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：: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：:The internet provides the public with unregulated access to a wide range of medications. We present the case of a 43-year-old man who purchased oral tadalafil gel on the internet and injected it into his left radial artery. He presented 48 hours after injection with signs of ischaemia distal to the injection site requ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Vaughan EM,Yeung D,West CC,Tadros A,Curnier A

更新日期：2014-03-01 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：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：:To assess the efficacy of emergency thoracotomy performed for thoracic trauma in the accident and emergency department, a retrospective analysis of patients who underwent this procedure and were brought to hospital by the Helicopter Emergency Medical Service was carried out. Between 1991 and 1994, 16 patients had emer...

journal_title：Annals of the Royal College of Surgeons of England

authors： Jahangiri M,Hyde J,Griffin S,Magee P,Youhana A,Lewis T,Wood A

更新日期：1996-05-01 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：:A total of 624 consecutive eligible patients undergoing abdominal operations received a single preoperative dose of amoxycillin/clavulanic acid (1.2 g Augmentin) for the prophylaxis of surgical wound infection. They were randomised to have the antibiotic injected intravenously at induction of anaesthesia (n = 328) or ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Pollock AV,Evans M,Smith GM

更新日期：1989-03-01 00:00:00

abstract：INTRODUCTION:The use of postoperative drains following total knee replacement (TKR) has recently been modified by the use of re-transfusion drains. The aim of our study was to investigate the optimal time for removal of re-transfusion drains following TKR. PATIENTS AND METHODS:The medical records of 66 patients who ha...

journal_title：Annals of the Royal College of Surgeons of England

authors： Leeman MF,Costa ML,Costello E,Edwards D

更新日期：2006-03-01 00:00:00

abstract：INTRODUCTION:Screening for prostate cancer with serum prostate specific antigen (PSA) remains a controversial topic. The UK NHS Executive has issued extensive guidance stressing the importance of adequate counselling prior to performing this test. This study aims to assess men's knowledge of the PSA test at the time of...

journal_title：Annals of the Royal College of Surgeons of England

authors： Lamplugh M,Gilmore P,Quinlan T,Cornford P

更新日期：2006-05-01 00:00:00

abstract：:An audit of surgery for acoustic neuroma was carried out to determine the frequency and nature of postoperative symptoms and their impact upon the patient's quality of life and vocation. Fifty-six patients were interviewed between 6 months and 5 years (mean 26 months) after surgical excision of an acoustic neuroma. Th...

journal_title：Annals of the Royal College of Surgeons of England

authors： Kane NM,Kazanas S,Maw AR,Coakham HB,Torrens MJ,Morgan MH,Stranjalis G,Butler SR

更新日期：1995-05-01 00:00:00

abstract：:Tailgut cysts are rare benign retrorectal cysts arising from persistent remnants of an embryonic hindgut. Malignant transformation inside this lesion is very uncommon and occurrence of neuroendocrine tumours in this context is extremely rare. We report the case of a 56-year-old woman who underwent surgical excision of...

journal_title：Annals of the Royal College of Surgeons of England

authors： Mora-Guzmán I,Alonso-Casado A,Rodríguez Sánchez A,Bermejo Marcos E

更新日期：2017-02-01 00:00:00

abstract：:We report a patient with ulcerative colitis who, in the period following surgery, developed recurrent episodes of acute adrenal insufficiency presenting clinically as a high output ileostomy. ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Rai S,Hemingway D

更新日期：2003-03-01 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：:Thirty-seven patients who had had either a colonoscopy or a selective mesenteric angiogram while being investigated for severe or persistent gastrointestinal bleeding of obscure origin were reviewed. Failure to make a prompt diagnosis was partly responsible for the 16% hospital mortality in the series. Colonoscopy was...

journal_title：Annals of the Royal College of Surgeons of England

authors： Brearley S,Hawker PC,Dorricott NJ,Lee JR,Ambrose NS,Silverman SH,Dykes PW,Keighley MR

更新日期：1986-09-01 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:As a result of a single spinal injury seen at Frimley Park Hospital, we reviewed the injuries recorded at the Army School of Physical Training since December 1996. PATIENTS AND METHODS:This was a retrospective review of all acute accidents and injuries recorded in the Accident Book since its inception. R...

journal_title：Annals of the Royal College of Surgeons of England

authors： Griffiths DE,Hargrove R,Clasper J

更新日期：2006-09-01 00:00:00

abstract：:A questionnaire survey of general surgeons was undertaken to estimate the incidence of abdominal adhesions as a clinical problem and to establish current attitudes to the treatment of adhesional bowel obstruction and the prevention of adhesion formation. Replies were received from 362 of 416 surgeons (response rate 87...

journal_title：Annals of the Royal College of Surgeons of England

authors： Scott-Coombes DM,Vipond MN,Thompson JN

更新日期：1993-03-01 00:00:00

abstract：INTRODUCTION:Cochlear implants are surgically inserted electrical devices that enable severely or profoundly deaf individuals to interpret sounds from their environment and communicate more effectively. As a result of their electrical nature, they are susceptible to electromagnetic interference and can be damaged by e...

journal_title：Annals of the Royal College of Surgeons of England

authors： Frampton SJ,Ismail-Koch H,Mitchell TE

更新日期：2012-11-01 00:00:00

abstract：INTRODUCTION:Technical skill has been formally assessed in the Fellow of the European Board of Vascular Surgery Examinations (FEBVS) since 2002. The aim of this study was to examine the relationship between expert assessment and trainee self-assessment. MATERIALS AND METHODS:Forty-two examination candidates performed ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Pandey VA,Wolfe JH,Black SA,Cairols M,Liapis CD,Bergqvist D,European Board of Vascular Surgery.

更新日期：2008-05-01 00:00:00

abstract：:We report a 91% accuracy with fine needle aspiration cytology in 46 patients found to have a mass in the pancreas at laparotomy. Results were compared with conventional biopsy at operation which was accurate in only 56% of an earlier group of 48 patients with a localised mass compared with 97% in 33 patients with diss...

journal_title：Annals of the Royal College of Surgeons of England

authors： Keighley MR,Moore J,Thompson H

更新日期：1984-11-01 00:00:00

abstract：:Over the past decade fibre supplementation has achieved widespread acceptance in the management of symptomatic diverticular disease, although the efficacy of this treatment has been debated. We have conducted a retrospective review of 72 patients admitted to hospital with symptomatic diverticular disease over a ten ye...

journal_title：Annals of the Royal College of Surgeons of England

authors： Leahy AL,Ellis RM,Quill DS,Peel AL

更新日期：1985-05-01 00:00:00