abstract：:We report a fatality due to massive gastrointestinal haemorrhage in a patient receiving prophylactic dabigatran etexilate following a total hip replacement. A 79-year-old woman was commenced on dabigatran for venous thromboembolic prophylaxis following a total hip replacement. She presented again four days after surge...

journal_title：Annals of the Royal College of Surgeons of England

authors： Carter A,Sarda P,George M,Corbett S

更新日期：2014-01-01 00:00:00

abstract：INTRODUCTION:The aim of this study was to determine the efficacy and complications of postoperative endoscopic retrograde cholangiopancreatography (ERCP) in confirming and treating choledocholithiasis found at intraoperative cholangiography during laparoscopic cholecystectomy. METHODS:Patients who had undergone ERCP f...

journal_title：Annals of the Royal College of Surgeons of England

authors： Lynn AP,Chong G,Thomson A

更新日期：2014-01-01 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

abstract：:A 74-year old man underwent a radical cholecystectomy for presumed gallbladder cancer. The histology of the resected specimen in fact revealed the lesion to be metastatic renal cell carcinoma from his resected right nephrectomy performed 14 years previously. ...

journal_title：Annals of the Royal College of Surgeons of England

authors： McWhirter D,den Dulk M,Terlizzo M,Malik HZ,Fenwick SW,Poston GJ

更新日期：2013-11-01 00:00:00

abstract：INTRODUCTION:Much literature reports on selective nerve root blocks (SNRBs) in cases of lumbosacral radiculopathy. Unfortunately, authors only inconsistently reveal the exact needle tip position relative to the causative pathology at the time of injection. Different injection sites may provide different symptomatic ben...

journal_title：Annals of the Royal College of Surgeons of England

authors： Eastley NC,Spiteri V,Newey ML

更新日期：2013-10-01 00:00:00

abstract：INTRODUCTION:Appendicectomy is the most common surgical procedure performed in general surgery. This study aimed to compare the outcomes of open appendicectomy (OA), laparoscopic appendicectomy (LA) and single port laparoscopic appendicectomy (SPLA). METHODS:Fifty consecutive patients with suspected acute appendicitis...

journal_title：Annals of the Royal College of Surgeons of England

authors： Jiang X,Meng HB,Zhou DL,Ding WX,Lu LS

更新日期：2013-10-01 00:00:00

abstract：:We present a case of distal venous embolisation of a peripheral intravenous cannula tip that had lost its structural integrity through repeated failed attempts of insertion of the same cannula, contrary to protocols for intravenous access. Radiological imaging confirmed the presence of a foreign body in the middle fin...

journal_title：Annals of the Royal College of Surgeons of England

authors： Khadim MF,Leonard D,Moorehead RA,Hill C

更新日期：2013-10-01 00:00:00

abstract：INTRODUCTION:Patient reported outcome measures (PROMs) are being used increasingly to assess the quality of healthcare delivery in the UK. It is important when using PROMs to know the score of the background population against which any clinical intervention may be benchmarked. The purpose of this study was to measure ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Guyver PM,Cattell AE,Hall MJ,Brinsden MD

更新日期：2013-09-01 00:00:00

abstract：:Inguinal hernia often presents as an emergency with obstruction and subsequent strangulation. We report a unique case where an inguinoscrotal sliding type hernia contained the entire hepatic flexure as its lead point, resulting in acute colonic obstruction and caecal wall perforation. ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Skelly BL,Neill AK

更新日期：2013-09-01 00:00:00

abstract：INTRODUCTION:Pelvic acetabular injuries are associated with significant blood loss. This is compounded by multiple surgical interventions including definitive fracture fixation, which put patients at further risk of postoperative transfusion. We use intraoperative cell salvage routinely as a blood conservation strategy...

journal_title：Annals of the Royal College of Surgeons of England

authors： Odak S,Raza A,Shah N,Clayson A

更新日期：2013-07-01 00:00:00

abstract：INTRODUCTION:We report our ten-year experience of thyroglossal cyst excision at Queen's Medical Centre, Nottingham, comparing outcomes, practice and technique. METHODS:Retrospective case note analysis was conducted alongside surgical histopathology review for all thyroglossal cyst excisions performed between 2000 and ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Ubayasiri KM,Brocklehurst J,Judd O,Beasley N

更新日期：2013-05-01 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：:The brachial plexus is related intimately to the clavicle such that injury can occur primarily and most commonly at the time of trauma through traction or it can occur secondarily, mainly owing to hypertrophic non-union with exuberant callus formation, causing compression of the plexus. The movement-dependent rearrang...

journal_title：Annals of the Royal College of Surgeons of England

authors： Thavarajah D,Scadden J

更新日期：2013-04-01 00:00:00

abstract：INTRODUCTION:In 2006 the National Confidential Enquiry into Patient Outcome and Death undertook a large prospective study of trauma care, which revealed several findings pertaining to the management of head injuries in a sample of 493 patients. METHODS:Case note data were collected for all trauma patients admitted to ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Smith NC,Findlay GP,Weyman D,Freeth H

更新日期：2013-03-01 00:00:00

abstract：:Neurofibromas of the common bile duct are extremely rare. The lack of specific clinical or radiological features makes preoperative diagnosis in the absence of histology difficult. We report the case of a female patient who presented with obstructive jaundice and evidence of a common bile duct stricture on imaging. Sh...

journal_title：Annals of the Royal College of Surgeons of England

authors： De Rosa A,Gomez D,Zaitoun AM,Cameron IC

更新日期：2013-03-01 00:00:00

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：INTRODUCTION:The usefulness of thoracic damage control (DC) for trauma requiring a thoracotomy is not established. The aim of this study was to clarify the usefulness of thoracic packing as DC surgery. METHODS:This was a retrospective case series study of 12 patients with thoracic trauma suffering uncontrollable intra...

journal_title：Annals of the Royal College of Surgeons of England

authors： Moriwaki Y,Toyoda H,Harunari N,Iwashita M,Kosuge T,Arata S,Suzuki N

更新日期：2013-01-01 00:00:00

abstract：:We detail the unusual occurrence of successive episodes of diabetic myonecrosis in both lower and upper limbs in a young woman with diabetic end organ dysfunction. We highlight the importance of recognising this as a differential diagnosis for acute limb pain in diabetic patients and advocate conservative measures fo...

journal_title：Annals of the Royal College of Surgeons of England

authors： Welck MJ,Vetpillai P,Balaji V,Jennings R,Goodier WD

更新日期：2013-01-01 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：:Burns in the neonatal period are rare and most commonly due to iatrogenic causes. We report a case of a preterm neonate who sustained a full thickness electrical burn following the use of a temporary pacing pad. The case was complicated by significant co-morbidities and the need for cardiac surgery. We describe the s...

journal_title：Annals of the Royal College of Surgeons of England

authors： Chipp E,Duncan H,Papini R

更新日期：2012-11-01 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：:Congenital absence of the anterior arch of the atlas is incredibly rare with only two cases reported previously in the literature. We present a third case of a medically fit patient who suffered neck trauma with an abnormal odontoid peg x-ray, which subsequently demonstrated a congenital non-fusion of the anterior ve...

journal_title：Annals of the Royal College of Surgeons of England

authors： Thavarajah D,McKenna P

更新日期：2012-10-01 00:00:00

abstract：INTRODUCTION:Laparoscopic donor nephrectomy (LDN) is now a well established method for kidney procurement from living donors. In our centre, LDN is currently offered only to donors suitable for left nephrectomy. The aim of this study was to investigate the incidence of testicular pain and swelling following LDN. METH...

journal_title：Annals of the Royal College of Surgeons of England

authors： Jalali M,Rahmani S,Joyce AD,Cartledge JJ,Lewis MH,Ahmad N

更新日期：2012-09-01 00:00:00

abstract：:Enterobius vermicularis is responsible for a variety of diseases but rarely affects the liver. Accurate characterisation of suspected liver metastases is essential to avoid unnecessary surgery. In the presented case, following a diagnosis of rectal cancer, a solitary liver nodule was diagnosed as a liver metastasis du...

journal_title：Annals of the Royal College of Surgeons of England

authors： Roberts KJ,Hubscher S,Mangat K,Sutcliffe R,Marudanayagam R

更新日期：2012-09-01 00:00:00

abstract：INTRODUCTION:Urologists perform retrograde contrast studies of the ureters and pelvicalyceal systems in the operating theatre, both for diagnostic purposes and to guide instrumentation. We describe the development of a set of guidelines that aim to standardise the diagnostic quality of these studies and to reduce radi...

journal_title：Annals of the Royal College of Surgeons of England

authors： Harris MA,Marsh T,Llewellyn A,West A,Naisby G,Gowda BD

更新日期：2012-07-01 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：:Syndrome of inappropriate secretion of antidiuretic hormone (SIADH) is recognised to occur after cardiac and traditional open abdominal surgery. However, SIADH after laparoscopic surgery is not well documented in the literature. We report a case of SIADH after laparoscopic (totally extraperitoneal) inguinal hernia re...

journal_title：Annals of the Royal College of Surgeons of England

authors： Ahmed M,Pattar J

更新日期：2012-05-01 00:00:00

abstract：:Extraskeletal Ewing sarcoma (EES) is a rare soft tissue neoplasm of primitive mesenchymal cells. There is a scarcity of data on EES involving the head and neck, with studies being over years or even decades. We are the first to report a case of EES involving the carotid artery and its subsequent surgical excision and ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Kallala R,Nikkhah D,Nix P,Woodhead C

更新日期：2012-05-01 00:00:00

abstract：INTRODUCTION:Nicorandil is a commonly prescribed antianginal medication that has been found to be associated with painful anal ulceration. The incidence of this complication is unknown. We have used the best data available to us to make an estimate of this figure in a health district with a remarkably stable populatio...

journal_title：Annals of the Royal College of Surgeons of England

authors： Colvin HS,Barakat T,Moussa O,Babu H,Slaughter T,Palmer JG,Hinson FL

更新日期：2012-04-01 00:00:00

abstract：:Rectus femoris origin injuries in adult athletes are uncommon. In the acute phase, conservative treatment seems to have a favourable outcome, with surgical repair reserved for unsuccessful cases only. However, a group of patients may develop chronic pain and disability after recovery from the acute phase due to heter...

journal_title：Annals of the Royal College of Surgeons of England

authors： El-Husseiny M,Sukeik M,Haddad FS

更新日期：2012-04-01 00:00:00

abstract：INTRODUCTION:It is well documented that music plays a role in reducing anxiety levels. Its role in reducing intra-operative anxiety levels in surgical patients while awake is less well known. We report the effects of music on intra-operative patient anxiety in both the elective and trauma plastic surgical setting. ME...

journal_title：Annals of the Royal College of Surgeons of England

authors： Sadideen H,Parikh A,Dobbs T,Pay A,Critchley PS

更新日期：2012-04-01 00:00:00

abstract：INTRODUCTION:Most women who have screening mammography and undergo subsequent open biopsy following an indeterminate core biopsy result are eventually found to have benign disease. However, a significant number have malignant disease and the rate of malignancy in such cases may be influenced by various factors. This s...

journal_title：Annals of the Royal College of Surgeons of England

authors： Hunt RJ,Steel JR,Porter GJ,Holgate CS,Watkins RM

更新日期：2012-03-01 00:00:00

abstract：:We report the case of a 58-year-old woman presenting with dysphagia secondary to an intraductal papillary mucinous neoplasm arising from a heterotopic pancreas in the oesophageal wall. This was successfully treated with a laparoscopic/thoracoscopic ivor Lewis oesophagectomy. Dysphagia is the most common symptom of oe...

journal_title：Annals of the Royal College of Surgeons of England

authors： Crighton E,Botha A

更新日期：2012-03-01 00:00:00

abstract：:Spontaneous cervical lymphocoeles are extremely rare. Their surgical management can pose many challenges with the lack of clear surgical planes potentiating risks. We present the case of a patient with an extensive right-sided cervical lymphocoele. Surgical excision would have involved extensive surgery with risk to ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Qureishi A,Silva P,Lamyman A,Cox G

更新日期：2012-03-01 00:00:00

abstract：:Primary breast carcinoma is a common pathology in the UK. It can present with metastatic deposits but it is rare that lesions in the breast are the sole primary or secondary presentation for metastatic cancer from other sources. We present a case of a primary peritoneal cancer recurring after optimal treatment with a...

journal_title：Annals of the Royal College of Surgeons of England

authors： Coyne PE,Kenny L,Barnes E,Westley R,Ward E,Jain M,Iwuchukwu O

更新日期：2012-03-01 00:00:00

abstract：INTRODUCTION:International humanitarian law requires emergency medical support for both military personnel and civilians, including children. Here we present a detailed review of paediatric admissions with the pattern of injury and the resources they consume. METHODS:All paediatric admissions to the hospital at Camp B...

journal_title：Annals of the Royal College of Surgeons of England

authors： Arul GS,Reynolds J,DiRusso S,Scott A,Bree S,Templeton P,Midwinter MJ

更新日期：2012-01-01 00:00:00

abstract：:Traumatic wounding to the upper aerodigestive tract can cause acute airway compromise. In these circumstances establishment of a safe airway is vital. We present a case report illustrating the decision making pathway in such a difficult case. ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Mepani VN,Antscherl J

更新日期：2012-01-01 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：INTRODUCTION:Gastric neuromodulation (GNM) has been advocated for the treatment of drug refractory gastroparesis or persistent nausea and vomiting in the absence of a mechanical bowel obstruction. There is, however, little in the way of objective data to support its use, particularly with regards to its effects on gas...

journal_title：Annals of the Royal College of Surgeons of England

authors： Ullah S,Arsalani-Zadeh R,Sedman P,Avery G,Duthie GS,MacFie J

更新日期：2011-11-01 00:00:00

abstract：:Although much is known about the late intestinal side effects of radiation, comparatively little has been published about its acute complications. We present a case of a small bowel obstruction due to acute radiation enteritis. As radiotherapy continues to expand its role in the management of oncological disease, cli...

journal_title：Annals of the Royal College of Surgeons of England

authors： Curtis NJ,Bryant T,Raj S,Bateman AR,Mirnezami AH

更新日期：2011-10-01 00:00:00