abstract：:Trauma care has evolved rapidly over the past decade. The benefits of operative fracture management in major trauma patients are well recognised. Concerns over early total care arose when applied broadly. The burden of additional surgical trauma could constitute a second hit, fuelling the inflammatory response and pre...

journal_title：Annals of the Royal College of Surgeons of England

authors： Bates P,Parker P,McFadyen I,Pallister I

更新日期：2016-05-01 00:00:00

abstract：INTRODUCTION:Lipomas of the gastrointestinal tract are rare, slow-growing lesions that comprise 0.4% of all gastrointestinal neoplasms. They can cause dysphagia, dyspnoea or sudden choking. CASE HISTORY:Due to rarity of this condition and its uncommon presentation, a literature review was carried out (PubMed). This se...

journal_title：Annals of the Royal College of Surgeons of England

authors： Sestini S,Gisabella M,Pastorino U,Billé A

更新日期：2016-05-01 00:00:00

abstract：:Introduction Discharge planning improves patient outcomes, reduces hospital stay and readmission rates, and should involve a multidisciplinary team (MDT) approach. The efficacy of MDT meetings in discharge planning was examined, as well as reasons for delayed discharge among vascular surgical inpatients. Methods Dedic...

journal_title：Annals of the Royal College of Surgeons of England

authors： Wariyapola C,Littlehales E,Abayasekara K,Fall D,Parker V,Hatton G

更新日期：2016-04-01 00:00:00

abstract：:Cutaneous manifestations of visceral carcinomas are scarce, occurring in around 0.7-12% of internal malignancies. Lung cancer is one of the most common sources of skin metastasis, particularly in male patients. We present a case of cutaneous metastasis in a man with concurrent lung lesions and a previously treated col...

journal_title：Annals of the Royal College of Surgeons of England

authors： Thurston D,Hossain T,Waraich N,Shukla A

更新日期：2016-03-01 00:00:00

abstract：:Ureteric obstruction is a rare consequence of inguinoscrotal hernias. We report the case of a 71-year-old man who presented with a left hemiscrotal swelling and ipsilateral hydronephrosis. Following investigations, he was found to have a sliding inguinal hernia involving the left ureter. His left inguinal hernia was r...

journal_title：Annals of the Royal College of Surgeons of England

authors： Ahmed S,Stanford R

更新日期：2016-02-01 00:00:00

abstract：:Seatbelt associated blunt trauma to the rectum is a rare but well recognised injury. The exact mechanism of hollow visceral injury in blunt trauma is unclear. Stress and shear waves generated by abdominal compression may in part account for injury to gas containing structures. A 'seatbelt sign' (linear ecchymosis acro...

journal_title：Annals of the Royal College of Surgeons of England

authors： El Kafsi J,Kraus R,Guy R

更新日期：2016-02-01 00:00:00

abstract：:Injuries to the nose can be severe from both a functional and cosmetic perspective. After suffering a dog bite to the central part of the face, an 18-year old woman underwent replantation of the avulsed tissue with the help of microsurgical arterial anastomosis. A venous anastomosis was impossible and venous congestio...

journal_title：Annals of the Royal College of Surgeons of England

authors： Øregaard JS,Lang CL,Venzo A

更新日期：2016-02-01 00:00:00

abstract：:Inflammatory fibroblastic tumours are very rare. They are mostly located in the respiratory system. We present three cases of patients with fibroblastic tumours. The diversity of inflammatory fibroblastic tumours in the respiratory system and the surgical considerations are discussed. Our recommendation is that treatm...

journal_title：Annals of the Royal College of Surgeons of England

authors： Lodhia JV,Christensen TD,Trotter SE,Bishay ES

更新日期：2016-01-01 00:00:00

abstract：:Introduction Transnasal oesophagoscopy is a relatively new method of examining the upper aerodigestive tract via the nasal passage as an outpatient procedure without the need for sedation. It has been shown to be a well tolerated, safe and accurate technique, that can therefore be used in the investigation of patients...

journal_title：Annals of the Royal College of Surgeons of England

authors： Sanyaolu LN,Jemah A,Stew B,Ingrams DR

更新日期：2016-01-01 00:00:00

abstract：INTRODUCTION:Surgeons and physicians encounter blood transfusions on a daily basis but a robust evidence-based strategy on indications and timing of transfusion in asymptomatic anaemic patients is yet to be determined. For judicious use of blood products, the risks inherent to packed red blood cells, the patient's co-m...

journal_title：Annals of the Royal College of Surgeons of England

authors： Chan AW,de Gara CJ

更新日期：2015-11-01 00:00:00

abstract：:Introduction Enhanced recovery programmes have been established in some areas of elective surgery. This study applied enhanced recovery principles to elective oesophageal and gastric cancer surgery. Methods An enhanced recovery programme for patients undergoing open oesophagogastrectomy, total and subtotal gastrectomy...

journal_title：Annals of the Royal College of Surgeons of England

authors： Gatenby PA,Shaw C,Hine C,Scholtes S,Koutra M,Andrew H,Hacking M,Allum WH

更新日期：2015-10-01 00:00:00

abstract：:Median arcuate ligament syndrome (MALS) is a rare disorder due to coeliac trunk compression by the median arcuate ligament, resulting in coeliac artery stenosis characterised by chronic, recurrent abdominal pain. Patients with MALS are often middle-aged females presenting with a triad of postprandial epigastric pain, ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Rubinkiewicz M,Ramakrishnan PK,Henry BM,Roy J,Budzynski A

更新日期：2015-09-01 00:00:00

abstract：:Internal herniation of the small bowel through a defect in the falciform ligament and subsequent small bowel obstruction is exceedingly rare with the majority of previous cases being attributed to congenital abnormalities. As laparoscopic techniques approach the forefront of modern surgery, an iatrogenic source for a ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Dusu K,Dindyal S,Gadhvi V

更新日期：2015-09-01 00:00:00

abstract：:An observational study was conducted of 105 patients presenting with an open fracture of the tibia or ankle to determine the impact of a dedicated orthoplastic operating list on our management of these injuries over the time period January 2012 to July 2014. There were 51 patients before and 54 after the introduction ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Fernandez MA,Wallis K,Venus M,Skillman J,Young J,Costa ML

更新日期：2015-09-01 00:00:00

abstract：:Spondylodiscitis is often iatrogenic in nature. We report the case of a 69-year-old man presenting with spondylodiscitis and associated epidural abscess following transrectal ultrasonography guided prostate biopsy despite ciprofloxacin cover. To our knowledge, this is the first case of spondylodiscitis secondary to fl...

journal_title：Annals of the Royal College of Surgeons of England

authors： Dobson G,Cowie CJ,Holliman D

更新日期：2015-07-01 00:00:00

abstract：INTRODUCTION:The optimal method for creation of a pericardial window (PW) is still controversial and it remains a surgical challenge, mainly in obese patients. The aim of this study was to evaluate the efficacy and safety of a novel approach that has not been described previously, for creation of a PW in patients with ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Altman E,Rutsky O,Shturman A,Yampolsky Y,Atar S

更新日期：2015-07-01 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：INTRODUCTION:Inferior epigastric artery (IEA) pseudoaneurysms are recognised complications of abdominal wall procedures, and a variety of approaches including surgical excision and ligation, percutaneous procedures and conservative management have been employed in treating this rare complication. METHODS:We describe a...

journal_title：Annals of the Royal College of Surgeons of England

authors： Edwards KJ,Avula SK,Babu BD,England RA

更新日期：2015-05-01 00:00:00

abstract：BACKGROUND:Oral cavity cancers are on the increase in the UK. Understanding site-specific epidemiological trends is important for cancer control measures. This study demonstrates the changing epidemiological trends in lip, intra-oral cavity and tongue base cancers in south-east England from 1987 to 2006. AIM: METHODS...

journal_title：Annals of the Royal College of Surgeons of England

authors： Olaleye O,Ekrikpo U,Lyne O,Wiseberg J

更新日期：2015-04-01 00:00:00

abstract：:In cases where surgeons face litigation over operative misadventure, the result of a trial is uncertain. In order to identify factors in cases of surgical litigation that have influenced the final decision of the courts, we have previously reviewed reported cases where the outcome turned on actions taken by surgeons. ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Wheeler R,Blackburn S,Biggs H

更新日期：2015-04-01 00:00:00

abstract：INTRODUCTION:Advanced (pT2/T3) incidental gallbladder cancer is often deemed unresectable after restaging. This study assesses the impact of the primary operation, tumour characteristics and timing of management on re-resection. METHODS:The records of 60 consecutive referrals for incidental gallbladder cancer in a sin...

journal_title：Annals of the Royal College of Surgeons of England

authors： Tsirlis T,Ausania F,White SA,French JJ,Jaques BC,Charnley RM,Manas DM

更新日期：2015-03-01 00:00:00

abstract：:Chemotherapy may cause oral ulceration but a thorough investigation of symptoms and signs is important to determine the underlying diagnosis accurately. We describe a case of a patient with a poorly differentiated urothelial carcinoma of the bladder developing a tongue metastasis. This is a challenging diagnosis to ma...

journal_title：Annals of the Royal College of Surgeons of England

authors： Kaleva AI,Hone RW,Szakacs SM,Streeter E,Nixon IJ

更新日期：2015-03-01 00:00:00

abstract：INTRODUCTION:Surgical procedures incorporating a cosmetic element such as septorhinoplasty and otoplasty are currently under threat in the National Health Service (NHS) as they are deemed to be procedures of 'limited clinical benefit' by many primary care providers. Patient reported outcome measures (PROMs), which asse...

journal_title：Annals of the Royal College of Surgeons of England

authors： Biggs TC,Fraser LR,Ward MJ,Sunkaraneni VS,Harries PG,Salib RJ

更新日期：2015-01-01 00:00:00

abstract：INTRODUCTION:Incisional hernia is a common complication of laparoscopic colorectal surgery. Extraction site may influence the rate of incisional hernias. Major risk factors for the development of incisional hernias include age, diabetes, obesity and smoking status. In this study, we investigated the effect of specimen ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Navaratnam AV,Ariyaratnam R,Smart NJ,Parker M,Motson RW,Arulampalam TH

更新日期：2015-01-01 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 patient presented with a recurrent incarcerated inguinoscrotal hernia requiring urgent surgery. The defect was through the gap in the mesh left originally for the cord structures. As a result, a modified funnel repair was performed. An innovative approach was adopted that was best suited to tackling and reducing the...

journal_title：Annals of the Royal College of Surgeons of England

authors： Merali N,Verma A,Davies T

更新日期：2014-11-01 00:00:00

abstract：:Pharyngocutaneous fistulas following large oncological surgical resection of the upper aerodigestive tract are common and typically heal over a number of weeks. A pharyngostome is a surgically created non-healing opening into the pharynx, which is far less common and often difficult to manage. ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Stew B,Dafydd C,Berry S,Howard D

更新日期：2014-11-01 00:00:00

abstract：INTRODUCTION:The increased use of diagnostic laparoscopy for management of right iliac fossa pain may have lowered the threshold for removing normal appendices, particularly as there is a perception that this practice carries little additional morbidity. The aim of this retrospective audit was to determine the negative...

journal_title：Annals of the Royal College of Surgeons of England

authors： Lee M,Paavana T,Mazari F,Wilson TR

更新日期：2014-10-01 00:00:00

abstract：:Thyroidectomy is associated with certain known complications, including recurrent laryngeal or superior laryngeal nerve injury and hypocalcaemia due to hypoparathyroidism. Other much rarer complications include oesophageal injury with oesophageal fistula formation. In this report, we describe the clinical course of a ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Rabie ME

更新日期：2014-10-01 00:00:00

abstract：INTRODUCTION:Postoperative urinary retention requiring urethral catheterisation increases the risk of joint sepsis following arthroplasty. Spinal anaesthesia with opiate administration is used widely in lower limb arthroplasty. We sought to establish whether the choice of opiate agent had any effect on the incidence of...

journal_title：Annals of the Royal College of Surgeons of England

authors： Fernandez MA,Karthikeyan S,Wyse M,Foguet P

更新日期：2014-09-01 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 describe a rare case of a leiomyosarcoma in the inguinal canal in a patient presenting clinically with an inguinal hernia. The clinical details, histological findings and surgical management are reviewed. ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Patel R,Chana P,Armstrong J,Lawrence R

更新日期：2014-09-01 00:00:00

abstract：INTRODUCTION:Recent studies have shown that women who recall childhood abuse are at increased risk of emotional problems following a breast cancer diagnosis. How services should respond is unclear given the risk of compounding the emotional trauma of cancer with questioning about abuse. Our aim was to present the resea...

journal_title：Annals of the Royal College of Surgeons of England

authors： Clark L,Holcombe C,Fisher J,Salmon P

更新日期：2014-07-01 00:00:00

abstract：:Luc's abscess is a rare but important complication of acute otitis media (AOM), whereby infection spreads from the middle ear, resulting in a subperiosteal collection beneath the temporal muscle. Unlike other extracranial abscesses relating to AOM, Luc's abscess is not believed to involve the mastoid bone. We present ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Scrafton DK,Qureishi A,Nogueira C,Mortimore S

更新日期：2014-07-01 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:The main barriers to short stay thyroidectomy are haemorrhage, bilateral recurrent laryngeal nerve palsy causing respiratory compromise and hypocalcaemia. This study assessed the safety and effectiveness of thyroidectomy as a 23-hour stay procedure. METHODS:All patients undergoing total or completion thyr...

journal_title：Annals of the Royal College of Surgeons of England

authors： Perera AH,Patel SD,Law NW

更新日期：2014-05-01 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：INTRODUCTION:The retrojugular approach for carotid endarterectomy (CEA) has been reported to have the advantages of shorter operative time and ease of dissection, especially in high carotid lesions. Controversial opinion exists with regard to its safety and benefits over the conventional antejugular approach. METHODS:...

journal_title：Annals of the Royal College of Surgeons of England

authors： Antoniou GA,Murray D,Antoniou SA,Kuhan G,Serracino-Inglott F

更新日期：2014-04-01 00:00:00

abstract：INTRODUCTION:Tranexamic acid has been used for many years to minimise blood loss during surgery and, more recently, to reduce morbidity after major trauma. While small studies have confirmed reduction in blood loss during tonsillectomy with its use, the rate of primary haemorrhage following tonsillectomy has not been r...

journal_title：Annals of the Royal College of Surgeons of England

authors： Robb PJ,Thorning G

更新日期：2014-03-01 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