Emergency and elective surgical treatment of portal hypertension. A review of 23 years' experience.

abstract：:In a 4-year review of 509 patients with chronic pancreatitis, the incidence of clinically manifest fixed common bile duct (CBD) stenosis was 9% (45 patients). In 76% this was alcohol related, and pancreatic calcification was present in 51%. All patients presented with unrelenting jaundice and five (11%) had cholangiti...

journal_title：Annals of the Royal College of Surgeons of England

authors： Huizinga WK,Thomson SR,Spitaels JM,Simjee AE

更新日期：1992-03-01 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:Surgical skills courses are an important part of learning during surgical training. The assessments at these courses tend to be subjective and anecdotal. Objective assessment using multiple choice questions (MCQs) quantifies the learning experience for both the organisers and the participants. MATERIALS A...

journal_title：Annals of the Royal College of Surgeons of England

authors： John J,Kuiper JH,Kelly CP

更新日期：2008-03-01 00:00:00

abstract：:INTRODUCTION The roles of non-medically trained practitioners within the NHS are expanding; they are now being employed by many specialties, including surgery, to relieve pressures on healthcare teams. AIMS To investigate the learning curve and competence of an orthopaedic surgical care practitioner (SCP) in performin...

journal_title：Annals of the Royal College of Surgeons of England

authors： Tingle SJ,Marriott A,Partington PF,Carluke I,Reed MR

更新日期：2016-11-01 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：:This is a case of a very unusual cause of an acute groin lump in a 71-year-old woman that was presumed initially to either be an incisional or inguinal hernia. However, with subsequent computed tomography it was shown to be thrombophlebitis of collateral vessels secondary to a previous deep vein thrombosis. This case...

journal_title：Annals of the Royal College of Surgeons of England

authors： Davey PT,Byrnes C

更新日期：2012-01-01 00:00:00

abstract：:John Hunter's many contributions to surgery include the development of the scientific approach and possibly the first use of evidence-based medicine. This oration, concentrates on two other areas ? first, some of his contributions to orthopaedics and secondly past, present and future surgical training and competence. ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Galasko CS

更新日期：2005-05-01 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：:Annular small bowel ulceration is rare. We report three patients who presented with signs of chronic gastrointestinal blood loss. In two patients the main presenting symptom was intermittent abdominal pain while the third patient subsequently developed abdominal pain during the course of investigation. Preoperative lo...

journal_title：Annals of the Royal College of Surgeons of England

authors： Ballantyne KC,Morris DL,Hawkey CJ,Hardcastle JD

更新日期：1986-05-01 00:00:00

abstract：:In the recent Falklands campaign four Army Field Surgical Teams were deployed in the two phases of the war. They functioned as Advanced Surgical Centres and operated on 233 casualties. There were 3 deaths. The patterns of wounding and the methods of casualty management are discussed and compared with other recent camp...

journal_title：Annals of the Royal College of Surgeons of England

authors： Jackson DS,Batty CG,Ryan JM,McGregor WS

更新日期：1983-09-01 00:00:00

abstract：INTRODUCTION:Introducing laparoscopic colorectal surgery is a challenge to the whole surgical team. It is usual for an assistant to hold the laparoscope and be responsible for the surgeon's view of the operative field and a lack of expertise in the assistant can add significant difficulties. The EndoAssist is a robotic...

journal_title：Annals of the Royal College of Surgeons of England

authors： Gilbert JM

更新日期：2009-07-01 00:00:00

abstract：INTRODUCTION:Breast cancer usually necessitates breast-conserving surgery or mastectomy, which adversely affect appearance and wellbeing. Immediate reconstruction restores the breast mound but its availability and efficacy are uncertain. MATERIALS AND METHODS:Two discrete datasets were used to evaluate mastectomies in...

journal_title：Annals of the Royal College of Surgeons of England

authors： Jeevan R

更新日期：2020-02-01 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：INTRODUCTION:We performed a retrospective radiological audit of the hip resurfacings carried out in our trust over a five-year period. Abnormal cup inclination angle (CIA) and stem shaft angle (SSA) are recognised risk factors for revision in hip resurfacing. Our aims were to identify the CIA and SSA for hip resurfacin...

journal_title：Annals of the Royal College of Surgeons of England

authors： Ramisetty N,Krishnan KM,Partington PF

更新日期：2011-05-01 00:00:00

abstract：:The value of nasogastric tube decompression after elective abdominal operations was assessed in a randomised trial in which 97 patients were and 100 were not allocated postoperative nasogastric decompression. Only two patients in the latter group subsequently required decompression. There was no statistically signific...

journal_title：Annals of the Royal College of Surgeons of England

authors： Nathan BN,Pain JA

更新日期：1991-09-01 00:00:00

abstract：AIM:To identify what proportion of patients who, having sustained an initial distal radial fragility fracture and a subsequent femoral neck fracture, had had their osteoporosis addressed in the interval between the two events. PATIENTS AND METHODS:The hospital electronic information system was used to identify all pat...

journal_title：Annals of the Royal College of Surgeons of England

authors： Smith MG,Dunkow P,Lang DM

更新日期：2004-09-01 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 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：:A prospective controlled randomised study has been performed of 100 consecutive patients undergoing varicose vein surgery. One group underwent saphenofemoral flush ligation and multiple lower leg avulsions with the leg exsanguinated with a Rhys-Davies cuff, and ischaemia maintained with a pneumatic tourniquet. The oth...

journal_title：Annals of the Royal College of Surgeons of England

authors： Thompson JF,Royle GT,Farrands PA,Najmaldin A,Clifford PC,Webster JH

更新日期：1990-03-01 00:00:00

abstract：INTRODUCTION:The National Joint Registry (NJR) for England and Wales was launched in April 2003. The UK Department of Health (DoH) awarded the contract to run the NJR to Atomic Energy Authority (AEA) Technology in September 2002. The aim was to etablish the views of a large group of orthopaedic consultants on the new N...

journal_title：Annals of the Royal College of Surgeons of England

authors： Philipson MR,Westwood MJ,Geoghegan JM,Henry AP,Jefferiss CD

更新日期：2005-03-01 00:00:00

abstract：:The significance of congenital abnormalities in predisposing to portal hypertension and variceal haemorrhage needs to be remembered when these effects manifest in childhood, as portal venography will permit elucidation of the complicated congenital developmental abnormalities underlying the pathological condition and ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Marks C

更新日期：1974-12-01 00:00:00

abstract：:Massive plexiform neurofibromatosis is an uncommon manifestation of Type 1 neurofibromatosis. These tumours result in functional disability and severe disfigurement. Due to the variable natural history od these lesions, the optimal management is not well defined and surgery is often delayed until significant disfigure...

journal_title：Annals of the Royal College of Surgeons of England

authors： Power KT,Giannas J,Babar Z,McGrouther DA

更新日期：2007-11-01 00:00:00

abstract：:This paper considers the potential role of videoconferencing technology for postgraduate dental and medical education. Drawing on work from the University of Bristol Dental School, it presents an analysis of the potential cost savings achievable by using videoconferencing compared to traditional face-to-face teaching ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Cook JH,Stevens CD

更新日期：2000-05-01 00:00:00

abstract：:Research performed in the late 1960s, using 24Na, suggested that the perfusion of skin and subcutaneous tissues is critically dependent on the relationship between capillary (Pc) and tissue pressures (Pt). Perfusion changes differed significantly between controls and patients with venous disease and the differences co...

journal_title：Annals of the Royal College of Surgeons of England

authors： Chant A

更新日期：1999-03-01 00:00:00

abstract：:To assess and compare the safety and efficiency of a surgical unit at a District General Hospital and a Community Hospital for elective cold surgery. A retrospective survey was made using regional computer Hospital Activity Analysis data and monthly audit meeting records of all inpatients having selected elective gene...

journal_title：Annals of the Royal College of Surgeons of England

authors： Sanger R,Clyne CA

更新日期：1991-07-01 00:00:00

abstract：INTRODUCTION:The objective was to assess the impact on the management of colorectal patients treated in a district general hospital within the first year after the introduction of transanal endoscopic microsurgery (TEM). PATIENTS AND METHODS:Data were collected for consecutive unselected patients who underwent TEM. Co...

journal_title：Annals of the Royal College of Surgeons of England

authors： Mihai R,Borley N

更新日期：2005-11-01 00:00:00

abstract：:Severe hand injuries constitute the largest number of acute referrals to this plastic surgery unit, the admission of these patients often displacing routine admissions due to bed shortages, thus increasing waiting list time. This study showed that a high percentage of these injuries were alcohol-related and were there...

journal_title：Annals of the Royal College of Surgeons of England

authors： Marston RA

更新日期：1992-09-01 00:00:00

abstract：INTRODUCTION:Complications of epidural catheterisation can cause significant morbidity. Epidural abscess following epidural catheterisation is rare and the reported incidence is variable. The purpose of this study was to review the incidence of epidural abscess in patients undergoing open abdominal aortic aneurysm (AAA...

journal_title：Annals of the Royal College of Surgeons of England

authors： Wallace D,Bright E,London NJ

更新日期：2010-01-01 00:00:00

abstract：INTRODUCTION:Locked plates are commonly used to obtain fixation in periarticular and comminuted fractures. Their use has also gained popularity in repairing fractures in osteoporotic bone. These plates provide stable fixation and promote biological healing. Over the last 3 years, we have used over 150 locked plates wit...

journal_title：Annals of the Royal College of Surgeons of England

authors： Raja S,Imbuldeniya AM,Garg S,Groom G

更新日期：2012-10-01 00:00:00

abstract：:The 'beehive' sign on the bladder as seen in cystograms is valuable in diagnosing the presence of colovesical fistula and is invariably associated with the vesical end of the fistulous tract. ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Kaisary AV,Grant RW

更新日期：1981-05-01 00:00:00