abstract：INTRODUCTION:The aim of this study was to develop a standardised management plan for boys with abnormal appearance of meatus at circumcision for balanitis xerotica obliterans (BXO). METHODS:Between 1995 and 2008, 107 boys underwent circumcision for BXO (confirmed on histology). Of these, 23 had abnormal appearance of ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Holbrook C,Tsang T

更新日期：2011-09-01 00:00:00

abstract：:Groin vessels are most commonly used to obtain vascular access for angiography because of their size and accessibility. Haemostasis at the puncture site can be achieved with manual compression alone or by using a vascular closure device. We highlight the case of a 68-year-old woman who developed acute claudication in ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Hussain T,Al-Hamali S

更新日期：2011-09-01 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：INTRODUCTION:Venous thromboembolism (VTE) prophylaxis has become a major issue for surgeons both in the UK and worldwide. Several different sources of guidance on VTE prophylaxis are available but these differ in design and detail. METHODS:Two similar audits were performed, one year apart, on the VTE prophylaxis presc...

journal_title：Annals of the Royal College of Surgeons of England

authors： Veeramootoo D,Harrower L,Saunders R,Robinson D,Campbell WB

更新日期：2011-07-01 00:00:00

abstract：INTRODUCTION:Perioperative visual loss occurring during non-ocular surgery is a devastating event. Ischaemic optic neuropathy (ION) is a complication described following many procedures. We report the first case of ION occurring during laparoscopic proctocolectomy and discuss the aetiological factors. CASE HISTORY:A 5...

journal_title：Annals of the Royal College of Surgeons of England

authors： Mizrahi H,Hugkulstone CE,Vyakarnam P,Parker MC

更新日期：2011-07-01 00:00:00

abstract：:We report the late relapse of a patient following 43 years of surveillance of a germ cell tumour, thought to be a pure seminoma, having undergone yolk sac differentiation. The longest previous recorded time to relapse was 32 years (malignant teratoma with adenocarcinoma de-differentiation).(1) This case report demonst...

journal_title：Annals of the Royal College of Surgeons of England

authors： Mukhtar S,Beatty J,Agrawal S,Christmas TJ,Jameson C,Huddart RA

更新日期：2011-07-01 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：:Failure to provide sufficient information to a patient when seeking consent can result in a claim in negligence. When determining what information to provide, you should be guided by what this particular patient needs to know in order to make an informed decision. Adult patients must be assumed to have capacity to giv...

journal_title：Annals of the Royal College of Surgeons of England

authors： Shah J,Fitz-Henry J

更新日期：2011-05-01 00:00:00

abstract：INTRODUCTION:Polypectomy at colonoscopy may be difficult or dangerous. In such instances colonic resection may be indicated. Novel combined laparoscopic-endoscopic procedures have the potential to allow safe extensive extramucosal resection, thus avoiding resection. Laparoscopic colon mobilisation provides a more favou...

journal_title：Annals of the Royal College of Surgeons of England

authors： Wood JJ,Lord AC,Wheeler JM,Borley NR

更新日期：2011-04-01 00:00:00

abstract：INTRODUCTION:There has been a shift away from gross anatomy teaching and hands-on cadaveric dissection. This has been replaced by a variety of teaching modalities including problem-based learning, models and prosections, and computer-assisted learning. We aim to pilot a technique of endoscopic visualisation of upper li...

journal_title：Annals of the Royal College of Surgeons of England

authors： Matteucci P,Lagopoulos M,Southern S

更新日期：2011-04-01 00:00:00

abstract：INTRODUCTION:Radial scars are benign breast lesions; their appearance on mammography may, however, mimic carcinoma. Needle core biopsy is performed for pre-operative diagnosis and, currently in Wales, all lesions with benign biopsy results are surgically excised. We have reviewed all cases of needle core biopsy-diagno...

journal_title：Annals of the Royal College of Surgeons of England

authors： Osborn G,Wilton F,Stevens G,Vaughan-Williams E,Gower-Thomas K

更新日期：2011-03-01 00:00:00

abstract：INTRODUCTION:Hip fractures are common injuries in elderly patients presenting to the trauma surgeon. Mortality following such injuries approaches 10% at one month, rising to 30% at one year. Of those who survive, most experience a decrease in mobility and independence. The authors believe that the general public are no...

journal_title：Annals of the Royal College of Surgeons of England

authors： McBride TJ,Panrucker S,Clothier JC

更新日期：2011-01-01 00:00:00

abstract：INTRODUCTION:Wound ooze is common following total knee arthroplasty (TKA) and persistent wound infection is a risk factor for infection, and increased length and cost of hospitalisation. PATIENTS AND METHODS:We undertook a prospective study to assess the effect of tourniquet time, peri-articular local anaesthesia and ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Butt U,Ahmad R,Aspros D,Bannister GC

更新日期：2011-01-01 00:00:00

abstract：INTRODUCTION:Rapid-access carotid endarterectomy (RACE) is an evidence-based treatment for symptomatic carotid stenosis. Our vascular centre aims to provide this service within 48 h of symptoms in appropriate patients. This study audits safety and efficacy of the first year of RACE. SUBJECTS AND METHODS:A clear trust ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Rix TE,Singh I,Insall R,Senaratne J

更新日期：2010-11-01 00:00:00

abstract：INTRODUCTION:Suspected testicular torsion (TT) is a surgical emergency, usually requiring urgent scrotal exploration. Provision of urology on-call cover varies widely between hospitals and often falls under the remit of the general surgical team. The purpose of this study was to investigate whether the management of su...

journal_title：Annals of the Royal College of Surgeons of England

authors： Tydeman C,Davenport K,Glancy D

更新日期：2010-11-01 00:00:00

abstract：INTRODUCTION:Osteoarthritis of the trapeziometacarpal joint (TMJ) is a common condition causing significant disability. Conservative treatments include intra-articular steroid injections. PATIENTS AND METHODS:This clinical, observational study prospectively reviewed the longevity of benefit of steroid injections into ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Swindells MG,Logan AJ,Armstrong DJ,Chan P,Burke FD,Lindau TR

更新日期：2010-11-01 00:00:00

abstract：INTRODUCTION:Chronic low back pain is a common condition affecting a significant proportion of the population and has large economic implications on the society. Acupuncture has grown in popularity as an alternative therapy for chronic low back pain. Recent National Institute for Health and Clinical Excellence (NICE) g...

journal_title：Annals of the Royal College of Surgeons of England

authors： Trigkilidas D

更新日期：2010-10-01 00:00:00

abstract：INTRODUCTION:The Ganz trochanteric flip approach aims to avoid the potential risk of avascular necrosis in hip conserving surgery and may reduce the risk of femoral neck fractures, neck thinning and femoral head implant migration in hip resurfacing. Our initial audit revealed the complications of non-union and trochant...

journal_title：Annals of the Royal College of Surgeons of England

authors： Guyver PM,Cattell A,Reddy RP,Edwards C,Williams D,Dixon SM,Norton MR,Fern ED

更新日期：2010-10-01 00:00:00

abstract：INTRODUCTION:The purpose of this study was to explore the effectiveness of two chitosan formulations, Omni-Stat® granules and Celox Gauze®, in a model of major hepatic injury in the presence of clotting dysfunction. MATERIALS AND METHODS:Major hepatic injuries in moderately heparinised swine were treated with either O...

journal_title：Annals of the Royal College of Surgeons of England

authors： Millner R,Lockhart AS,Marr R

更新日期：2010-10-01 00:00:00

abstract：:As general surgeons, we are regularly referred patients with epigastric pain. There are a huge number of common pathologies which cause this complaint, most of which are gastrointestinal in origin. Although the old adage goes 'common things are common', we must always keep our minds open to the possibility of the unco...

journal_title：Annals of the Royal College of Surgeons of England

authors： Sharkey A,Cooper G

更新日期：2010-10-01 00:00:00

abstract：:This report is based on a Hygienist Panel Meeting held at St Anne's Manor, Wokingham on 24-25 June 2009. The panel agreed that greater use should be made of antiseptics to reduce reliance on antibiotics with their associated risk of antibiotic resistance. When choosing an antiseptic for clinical use, the Biocompatibil...

journal_title：Annals of the Royal College of Surgeons of England

authors： Leaper D,McBain AJ,Kramer A,Assadian O,Sanchez JL,Lumio J,Kiernan M

更新日期：2010-09-01 00:00:00

abstract：:A patient with phyllodes tumour of the breast is discussed. During follow-up, she presented with intestinal obstruction caused by ileocaecal intussusception. The cause of the intussusception was metastatic phyllodes tumour, which is a unique presentation. ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Morcos BB,Baker B,Hashem SA

更新日期：2010-09-01 00:00:00

abstract：INTRODUCTION:The national abdominal aortic aneurysm (AAA) screening programme measures internal wall diameter; however, current UK intervention criteria use external wall diameter. Our aim was to determine the clinical significance of the difference between these two measurements. PATIENTS AND METHODS:Fifty patients o...

journal_title：Annals of the Royal College of Surgeons of England

authors： Thapar A,Cheal D,Hopkins T,Ward S,Shalhoub J,Yusuf SW

更新日期：2010-09-01 00:00:00

abstract：:Oesophageal stent migration is a recognised complication; however, few present distal to the stomach causing obstruction. To date, this has never been reported as occurring later than 2 years after insertion. An 84-year-old woman presented with small bowel obstruction secondary to a fractured migrated metallic oesopha...

journal_title：Annals of the Royal College of Surgeons of England

authors： Harries R,Campbell J,Ghosh S

更新日期：2010-09-01 00:00:00

abstract：:We present a case a 48-year-old man who was diagnosed with an upper limb deep vein thrombosis post clavicle fracture. He was successfully investigated with a computed tomography (CT) venogram, thrombophilia was excluded, and he was subsequently treated with a 3-month course of anticoagulation. We illustrate this case ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Jones RE,McCann PA,Clark DA,Sarangi P

更新日期：2010-07-01 00:00:00

abstract：:Thoracobilia and pleurobiliary fistulae secondary to obstructed choledocholithiasis are rare complications of gallstone disease. We present the case of a 64-year-old man with gallstone pancreatitis who developed a pleurobiliary fistula secondary to an obstructing ductal calculus, and was successfully managed non-opera...

journal_title：Annals of the Royal College of Surgeons of England

authors： Frampton AE,Williams A,Wilkerson PM,Paterson IM

更新日期：2010-07-01 00:00:00

abstract：INTRODUCTION:Faecal incontinence is a prevalent and important condition, with a range of treatment options. Neuromodulation via sacral nerve stimulators is efficacious, but expensive and associated with complications due to device implantation. Peripheral neuromodulation via posterior tibial nerve stimulation (PTNS) ha...

journal_title：Annals of the Royal College of Surgeons of England

authors： Findlay JM,Yeung JM,Robinson R,Greaves H,Maxwell-Armstrong C

更新日期：2010-07-01 00:00:00

abstract：INTRODUCTION:Minimally-invasive, video-assisted thyroidectomy (MIVAT) was developed to reduce scarring/trauma associated with cervical incisions used in open thyroidectomy. Results from various centres have been published internationally but none from the UK. This study reports the first results from the UK and compare...

journal_title：Annals of the Royal College of Surgeons of England

authors： Samy AK,Ridgway D,Orabi A,Suppiah A

更新日期：2010-07-01 00:00:00

abstract：INTRODUCTION:Adequate peri-operative analgesia following total knee arthroplasty (TKA) promotes earlier rehabilitation but remains problematic because of the drug side-effects. Peri-articular multimodal drug infiltration (PMDI) has been developed as an alternative strategy to avoid such complications. Autologous retran...

journal_title：Annals of the Royal College of Surgeons of England

authors： Gill I,Gallagher K,Busch CA

更新日期：2010-05-01 00:00:00

abstract：:Chylothorax is a well-recognised complication of oesophagectomy, occurring in around 3% of cases. If managed conservatively, the mortality rate can be over 50%. We describe our experience of managing a patient with a chylothorax following oesophagectomy, and the use of a blood patch (a novel technique) to overcome per...

journal_title：Annals of the Royal College of Surgeons of England

authors： Windhaber RA,Holbrook AG,Krysztopik RJ

更新日期：2010-05-01 00:00:00

abstract：INTRODUCTION:More aesthetically acceptable treatment options have been sought to minimise the morbidity associated with open surgery for gynaecomastia. This study investigated the use of a vacuum-assisted biopsy device (VABD) and liposuction to provide minimally invasive approach. PATIENTS AND METHODS:Patients diagnos...

journal_title：Annals of the Royal College of Surgeons of England

authors： Qutob O,Elahi B,Garimella V,Ihsan N,Drew PJ

更新日期：2010-04-01 00:00:00

abstract：:Extraskeletal chondrosarcomas are rare and there is only one reported case of primary pancreatic chondrosarcoma. We report the case of a 34-year-old woman with a 6-month history of abdominal pain and distention. Radiological studies indicated a mass in the pancreas, and exploratory laparotomy revealed a tumour of the ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Bu X,Dai X

更新日期：2010-04-01 00:00:00

abstract：INTRODUCTION:Antegrade insertion of ureteric stent has become an established mode of management of upper tract obstruction secondary to ureteric pathology. It is conventionally performed as a two-stage procedure for various reasons but, more recently, a one-stage approach has been adopted. PATIENTS AND METHODS:We disc...

journal_title：Annals of the Royal College of Surgeons of England

authors： Chitale S,Raja V,Hussain N,Saada J,Girling S,Irving S,Cockburn JF

更新日期：2010-04-01 00:00:00

abstract：:This paper offers an exploration of the right to confidentiality, considering the moral importance of private information. It is shown that the legitimate value that individuals derive from confidentiality stems from the public interest. It is re-assuring, therefore, that public interest arguments must be made to just...

journal_title：Annals of the Royal College of Surgeons of England

authors： Coggon J,Wheeler R

更新日期：2010-03-01 00:00:00

abstract：:Jejunal perforation is a known complication of abdominal trauma. We report two cases of jejunal perforation presenting nearly 2 months following blunt injury to the abdomen and discuss possible mechanisms for delayed small bowel perforation. ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Subramanian V,Raju RS,Vyas FL,Joseph P,Sitaram V

更新日期：2010-03-01 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:The Improving Outcomes Guidance (IOG) for patients with carcinoma of the penis states that treatment should be provided supraregionally to populations of 4 million or greater who treat over 25 cases of penis cancer each year. This study assesses the impact of this guidance on the management and outcomes of...

journal_title：Annals of the Royal College of Surgeons of England

authors： Bayles AC,Sethia KK

更新日期：2010-01-01 00:00:00

abstract：:We report the case of a patient presenting with a chronic groin sinus secondary to a tubal ligation clip migration (Filshie clip) 21 years after the laparoscopic sterilisation took place. Our case report adds to the small number of cases describing tubal clip migration with resultant local sepsis. Although this is a r...

journal_title：Annals of the Royal College of Surgeons of England

authors： Kolias AG,Nikolaou S,Bilal KO,Abu-Own A

更新日期：2010-01-01 00:00:00

abstract：INTRODUCTION:The aims of this study were to audit the outcome of elective open abdominal aortic aneurysm (AAA) repair in a district general hospital, as well as investigate the true costs for this procedure in relation to the national tariff. PATIENTS AND METHODS:A database is maintained on AAA surgery in the trust. D...

journal_title：Annals of the Royal College of Surgeons of England

authors： El Kafsi J,Wake J,Lintott P,Northeast A,McLaren A

更新日期：2009-11-01 00:00:00

abstract：:Superior mesenteric artery (SMA) syndrome, also known as Wilkie syndrome, is a rare condition characterised by compression of the third part of the duodenum against the aorta by the SMA. This can cause symptomatic duodenal obstruction. It is rarely associated with an abdominal aortic aneurysm (AAA). We report the case...

journal_title：Annals of the Royal College of Surgeons of England

authors： Pal A,Cameron AE

更新日期：2009-10-01 00:00:00