abstract：:Long-construct fixations can be complicated by proximal junctional kyphosis. In elderly, high-risk patients with numerous comorbidities, lengthy surgical times and increased blood loss associated with revision osteotomies and extension of fusions are not often tolerated and pose serious life-threatening risks. We pres...

journal_title：Annals of the Royal College of Surgeons of England

authors： Divani K,Selvadurai S,Molloy S

更新日期：2018-07-01 00:00:00

abstract：:Introduction During ankle fracture fixation, iatrogenic trauma to retro fibula structures can result in morbidity and reoperation. We describe a safe zone for lag screw insertion. Materials and methods This study was completed in three sections. We identified the average entry and exit points for the lag screw using 4...

journal_title：Annals of the Royal College of Surgeons of England

authors： Kaye AR,Marlow W,Williams G,Molloy AP,Mason LW

更新日期：2018-05-01 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 Transurethral resection of the prostate (TURP) is considered the gold standard surgical treatment for lower urinary tract symptoms (LUTS) secondary to benign prostatic hyperplasia. The number of TURPs performed has declined significantly over the last three decades owing to pharmaceutical therapy. TURP da...

journal_title：Annals of the Royal College of Surgeons of England

authors： Young MJ,Elmussareh M,Morrison T,Wilson JR

更新日期：2018-04-01 00:00:00

abstract：:Objective Despite centralisation of the provision of vascular care, not all areas in England and Wales are able to offer emergency treatment for patients with acute conditions affecting the aorta proximal to the renal arteries. While cardiothoracic centres have made network arrangements to coordinate care for the repa...

journal_title：Annals of the Royal College of Surgeons of England

authors： Rudarakanchana N,Hamady M,Harris S,Afify E,Gibbs R,Bicknell CD,Jenkins MP

更新日期：2018-04-01 00:00:00

abstract：:Introduction The National Institute for Health and Care Excellence guidance Improving Supportive and Palliative Care for Adults with Cancer (2004) and the Cancer Reform Strategy (2007) support the premise that assessment and discussion of patients' needs for physical, social, psychological, and spiritual wellbeing sho...

journal_title：Annals of the Royal College of Surgeons of England

authors： Rogers SN,Thomson F,Lowe D

更新日期：2018-03-01 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：:We describe the largest reported case of pilomatrixoma in the literature. While pilomatrixomas typically present as small soft-tissue nodules of the head, neck and upper extremities, they can also present as much larger masses in atypical locations. When they present in their usual size, pilomatrixomas have typical im...

journal_title：Annals of the Royal College of Surgeons of England

authors： Beattie G,Tai C,Pinar Karakas S,Cham E,Idowu O,Kim S

更新日期：2018-02-01 00:00:00

abstract：:Introduction The aim of this study was to identify the proportion of children referred to a paediatric tertiary referral centre who required admission to the paediatric intensive care unit (PICU) following surgery for obstructive sleep apnoea (OSA) and to establish risk factors for these admissions. Methods Retrospect...

journal_title：Annals of the Royal College of Surgeons of England

authors： Sharma SD,Gupta S,Wyatt M,Albert D,Hartley B

更新日期：2018-01-01 00:00:00

abstract：:Introduction Short hospital stays and accelerated discharge within 72 hours following colorectal cancer resections have not been widely achieved. Series reporting on accelerated discharge involve heterogeneous patient populations and exclude important groups. Strict adherence to some discharge requirements may lead to...

journal_title：Annals of the Royal College of Surgeons of England

authors： Emmanuel A,Chohda E,Botfield C,Ellul J

更新日期：2018-01-01 00:00:00

abstract：:Objective This study assessed primary urethral reconstruction results in patients with a penile fracture. Materials and methods Between January 2005 and April 2016, patients who underwent primary urethral reconstruction due to penile fracture were called for a follow-up. Epidemiological and clinical presentation data ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Barros R,Silva M,Antonucci V,Schulze L,Koifman L,Favorito LA

更新日期：2018-01-01 00:00:00

abstract：:Introduction The weekend effect is a perceived difference in outcome between medical care provided at the weekend when compared to that of a weekday. Clearly multifactorial, this effect remains incompletely understood and variable in different clinical contexts. In this study we analyse factors relevant to the weekend...

journal_title：Annals of the Royal College of Surgeons of England

authors： Briggs W,Guevel B,McCaskie AW,McDonnell SM

更新日期：2018-01-01 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：:We present a case of a chronic recurrent rectovaginal fistula that initially arose from complications of haemorrhoid surgery and had failed multiple prior surgical repairs. The fistula was successfully managed using viable cryopreserved placental tissue. ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Taylor JP,Gearhart S

更新日期：2017-11-01 00:00:00

abstract：:We present a rare case of a big oesophageal liposarcoma causing dysphagia and weight loss in a 75-year-old patient. Endoscopically, a pedunculated lesion with subtotal obstruction of the oesophageal lumen had been detected and thoracoabdominal oesophageal resection with gastric sleeve reconstruction was performed. Sur...

journal_title：Annals of the Royal College of Surgeons of England

authors： Mehdorn AS,Schmidt F,Steinestel K,Wardelmann E,Greulich B,Palmes D,Senninger N

更新日期：2017-09-01 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：: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 While clinical guidelines stress the importance of the judicious perioperative intravenous fluid administration, data show that adherence to these protocols is poor. The reasons have not been identified. We therefore audited the magnitude and indications of fluid and electrolyte administration in a teachi...

journal_title：Annals of the Royal College of Surgeons of England

authors： Simpson RG,Quayle J,Stylianides N,Carlson G,Soop M

更新日期：2017-07-01 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：:INTRODUCTION Central venous catheterisation (CVC) is a commonly performed procedure in a wide variety of hospital settings and is associated with appreciable morbidity. There is a paucity of literature focusing on mechanical complications specifically in the trauma setting. The aim of our study was to determine the sp...

journal_title：Annals of the Royal College of Surgeons of England

authors： Odendaal J,Kong VY,Sartorius B,Liu TY,Liu YY,Clarke DL

更新日期：2017-05-01 00:00:00

abstract：:BACKGROUND Arthroscopy is the established 'gold standard' diagnostic investigation for detection of shoulder disorders. We aimed to compare the diagnostic accuracy of arthroscopy with magnetic resonance arthrography (MRA) for detection of shoulder disorders. METHODS Patients who underwent arthroscopy by a single surge...

journal_title：Annals of the Royal College of Surgeons of England

authors： Saqib R,Harris J,Funk L

更新日期：2017-04-01 00:00:00

abstract：:Introduction Large, complicated ventral hernias are an increasingly common problem. The transversus abdominis muscle release (TAMR) is a recently described modification of posterior components separation for repair of such hernias. We describe our initial experience with TAMR and sublay mesh to facilitate abdominal wa...

journal_title：Annals of the Royal College of Surgeons of England

authors： Appleton ND,Anderson KD,Hancock K,Scott MH,Walsh CJ

更新日期：2017-04-01 00:00:00

abstract：:This is a retrospective review of 80 intra-articular calcaneal fractures treated with open reduction and internal fixation by a specialist team under supervision of a single surgeon in a tertiary centre between 2005 and 2014. The fractures were evaluated with plain radiography and computed tomography, and graded using...

journal_title：Annals of the Royal College of Surgeons of England

authors： Vasukutty N,Kumar V,Diab M,Moussa W

更新日期：2017-04-01 00:00:00

abstract：:Introduction Pseudoaneurysm formation following ankle arthroscopy is a rare but potentially catastrophic complication. The placement of anterior ankle portals carries inherent risk to the superficial and deep peroneal nerves, as well as to the dorsalis pedis artery. Anatomical variations in the dorsalis pedis and the ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Parikh S,Dawe E,Lee C,Whitehead-Clarke T,Smith C,Bendall S

更新日期：2017-04-01 00:00:00

abstract：:Necrotising fasciitis is a rare, serious infection of the deep fascia leading to subcutaneous tissue necrosis. It is extremely important for this condition to be identified and treated promptly as it bears significant mortality. We describe a case of necrotising fasciitis after laparoscopic rectal cancer surgery. To o...

journal_title：Annals of the Royal College of Surgeons of England

authors： Yiasemidou M,Majumder S,Basheer M

更新日期：2017-04-01 00:00:00

abstract：:INTRODUCTION Often, left-sided colorectal surgery requires splenic flexure mobilisation (SFM) to allow a tension-free anastomosis to be carried out. This step is difficult and not without risk. We investigated a system of anatomical siting of the splenic flexure using computed tomography (CT). METHODS The Shrewsbury S...

journal_title：Annals of the Royal College of Surgeons of England

authors： Meecham L,Brookes A,Macano C,Stone T,Cheetham M

更新日期：2017-03-01 00:00:00

abstract：:Congenital diaphragmatic hernia (CDH) usually presents in infancy with respiratory failure requiring urgent surgical correction. Mortality in this group of patients remains poor and persistent pulmonary hypertension is a significant contributor. It is therefore rare for patients to reach adulthood undiagnosed. CDH is ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Manson HJ,Goh YM,Goldsmith P,Scott P,Turner P

更新日期：2017-02-01 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：:INTRODUCTION In our regional spinal injuries unit, complex pressure ulcer reconstruction is facilitated by a monthly multidisciplinary team clinic. This study reviews a series of the more complex of these patients who underwent surgery as a joint case between plastics and other surgical specialties, aiming to provide ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Thomson CH,Choudry M,White C,Mecci M,Siddiqui H

更新日期：2017-02-01 00:00:00

abstract：:We report the first case of infective endocarditis caused by Paenibacillus provencensis. A mitral valve vegetation was incidentally discovered by intraoperative transoesophageal echocardiography in a 70-year-old woman undergoing aortic valve replacement. The precise identification of the causative agent was by means o...

journal_title：Annals of the Royal College of Surgeons of England

authors： Pinho-Gomes AC,Nasir A,Mosca R,Mirza S,Kadir I

更新日期：2017-02-01 00:00:00

abstract：:INTRODUCTION Reporting surgeons' outcomes has recently been introduced in the UK. This has the potential to result in surgeons becoming risk averse. The aim of this study was to investigate whether reporting outcomes for abdominal aortic aneurysm (AAA) surgery impacts on the number and risk profile (level of fitness) ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Saratzis A,Thatcher A,Bath MF,Sidloff DA,Bown MJ,Shakespeare J,Sayers RD,Imray C

更新日期：2017-02-01 00:00:00

abstract：:Appendiceal intussusception is an rare diagnosis that may be found on imaging or at the time of surgery, as seen in this case of a 33-year-old female presenting with gastrointestinal symptoms. Images are presented with differential diagnosis as well as treatment options. ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Birriel TJ,Smith E,Eyvazzadeh D

更新日期：2017-01-01 00:00:00

abstract：:Paragangliomas are rare lung tumours; endobronchial localisation is even more rare. This report describes the case of a 59-year-old patient with a symptomatic endobronchial paraganglioma successfully resected by means of pulmonary lobectomy. Recognition of this uncommon tumour can lead to a correct diagnosis and thera...

journal_title：Annals of the Royal College of Surgeons of England

authors： Muriana P,Bandiera A,Ciriaco P,Arrigoni G,Negri G,Zannini P

更新日期：2017-01-01 00:00:00

abstract：:INTRODUCTION Laparoscopic surgery has become the standard for colorectal cancer resection in the UK but it can be technically challenging in patients who are obese. Patients whose body fat is mainly inside the abdominal cavity are more challenging than those whose fat is mainly outside the abdominal cavity. Abdominal ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Scott SI,Farid S,Mann C,Jones R,Kang P,Evans J

更新日期：2017-01-01 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：: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：: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 Venous thromboembolism (VTE) is a potentially fatal complication of hip arthroplasty and knee arthroplasty. The National Institute for Health and Care Excellence recommend rivaroxaban for VTE prevention. Amid concerns over bleeding complications, the modified thromboprophylaxis policy of Chelsea and Westm...

journal_title：Annals of the Royal College of Surgeons of England

authors： Loganathan V,Hua A,Patel S,Gibbons C,Vizcaychipi MP

更新日期：2016-09-01 00:00:00

abstract：:Introduction Angiolipoma is a histological variant of lipoma and is the most common neoplasm in the trunk and extremities of young adults. It is extremely rare in elderly people, and its size is ≤4cm. Few data are available for large angiolipomas. Case History An 86-year-old patient was admitted to our surgical depart...

journal_title：Annals of the Royal College of Surgeons of England

authors： Papakonstantinou PE,Korkolopoulou P,Lassithiotakis D,Lolis ED

更新日期：2016-07-01 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