abstract：INTRODUCTION:Although examination under anaesthesia and panendoscopy (EUAP) has traditionally been used in the assessment of patients presenting with oral cavity and oropharyngeal squamous cell carcinoma (SCC), the era of modern medicine with its advanced imaging techniques has meant that the indications for this techn...

journal_title：Annals of the Royal College of Surgeons of England

authors： Kerawala CJ,Bisase B,Lee J

更新日期：2009-10-01 00:00:00

abstract：INTRODUCTION:Accurate clinical diagnosis depends on the reliable recognition of signs and symptoms. This expertise comes from experience in seeing patients which has been traditionally gained over a long training period. Shortened specialist training (Modernising Medical Careers) has led to a greater reliance on struct...

journal_title：Annals of the Royal College of Surgeons of England

authors： Pearl RA,Townley W,Stott D,Grobbelaar AO

更新日期：2009-09-01 00:00:00

abstract：INTRODUCTION:The aim of this study was to determine the awareness of Clostridium difficile infection amongst healthcare professionals. SUBJECTS AND METHODS:A total of 132 healthcare professionals (18 consultants, 40 trainee doctors, and 74 nursing staff) in our hospital were randomly surveyed using a questionnaire con...

journal_title：Annals of the Royal College of Surgeons of England

authors： Aroori S,Blencowe N,Pye G,West R

更新日期：2009-09-01 00:00:00

abstract：INTRODUCTION:The effect of primary total knee replacement on the employment status of 56 patients under 60 years of age was examined at a mean follow-up of 64 months. PATIENTS AND METHODS:A total of 56 primary total knee replacements performed on patients under the age of 60 years by two surgeons between 1996 and 2003...

journal_title：Annals of the Royal College of Surgeons of England

authors： Lyall H,Ireland J,El-Zebdeh MY

更新日期：2009-07-01 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:The aim of this study was to evaluate the level of sharps injury reporting amongst surgeons. SUBJECTS AND METHODS:A total of 164 surgeons completed a questionnaire on the reporting of sharps injuries, on the reasons for not reporting and their practise of universal precautions. RESULTS:Out of 164 surgeon...

journal_title：Annals of the Royal College of Surgeons of England

authors： Kerr HL,Stewart N,Pace A,Elsayed S

更新日期：2009-07-01 00:00:00

abstract：:Brachytherapy involves the therapeutic implantation of a radio-active seed source into, or close to, prostate cancer. We report the rare case of a 76-year-old man who presented with a prostate abscess after months of intractable pelvic pain following prostate cancer treatment with iodine-125 brachytherapy. Despite mul...

journal_title：Annals of the Royal College of Surgeons of England

authors： Gilmore PE,Baird AD,Javle PM

更新日期：2009-05-01 00:00:00

abstract：INTRODUCTION:Safe and effective haemostasis in surgery is clearly essential, and in the neck where risks of airway compromise are also present any new technology that purports to offer advantages must be rigorously evaluated. We describe our experience with the use of the Harmonic Scalpel [Ethicon UK] in thyroidectomy....

journal_title：Annals of the Royal College of Surgeons of England

authors： Foreman E,Aspinall S,Bliss RD,Lennard TW

更新日期：2009-04-01 00:00:00

abstract：:The purpose of this article is to examine current orthopaedic training in the UK and objectively compare this with other English-speaking countries. ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Syed S,Mirza AH,Ali A

更新日期：2009-04-01 00:00:00

abstract：:This case report details an unusual, but preventable, error in surgical site marking. ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Williams G,Roche A,Hennessy M,Gannon J

更新日期：2009-03-01 00:00:00

abstract：INTRODUCTION:The UK Department of Health, in its attempt to help NHS trusts reduce long elective waiting lists, set up the overseas commissioning scheme in 2002. This allowed hospitals to send their patients abroad for their surgery. In theory, this was a win-win situation, where pressures upon surgeons were reduced, a...

journal_title：Annals of the Royal College of Surgeons of England

authors： Hanna SA,Saksena J,Legge S,Ware HE

更新日期：2009-03-01 00:00:00

abstract：INTRODUCTION:Intestinal intubation with a Jones' tube has been suggested to reduce the incidence of recurrent adhesive obstruction. This paper describes our experience of this technique. PATIENTS AND METHODS:A retrospective case-note review was performed on 68 patients admitted to a teaching hospital who were identifi...

journal_title：Annals of the Royal College of Surgeons of England

authors： Fazel MZ,Jamieson RW,Watson CJ

更新日期：2009-01-01 00:00:00

abstract：INTRODUCTION:Multi-Professional Triage Teams (MPTTs) were created to reduce the caseload of hospital orthopaedic clinics and this prospective study evaluated referrals made to a district general hospital orthopaedic department from a lower limb MPTT clinic. PATIENTS AND METHODS:Over 9 months, 277 referrals to a lower ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Rogers BA,Kabir C,Bradley N

更新日期：2008-11-01 00:00:00

abstract：INTRODUCTION:A study was completed to determine if operating has an effect on a surgeon's muscular fatigue. SUBJECTS AND METHODS:Six head and neck surgery consultants, two ENT registrars, 20 normal controls from two tertiary referral centres in the West Midlands participated in the study. Electromyography (EMG) measur...

journal_title：Annals of the Royal College of Surgeons of England

authors： Slack PS,Coulson CJ,Ma X,Webster K,Proops DW

更新日期：2008-11-01 00:00:00

abstract：INTRODUCTION:Randomised controlled trials have shown that laparoscopic colorectal surgery is equal in terms of safety to open surgery. Benefits have been seen for length of stay, blood loss, immune suppression and analgesia requirements. The aim of this study was to assess the safety and feasibility of introducing lapa...

journal_title：Annals of the Royal College of Surgeons of England

authors： Smith JK,Acheson AG,Simpson JA,Stewart J,Beckingham IJ,Gornall CB,Williams JP,Robinson MH,Maxwell-Armstrong CA

更新日期：2008-10-01 00:00:00

abstract：:Tubular ectasia of the rete testis is a pathologically benign process with complex and varied aetiology. It must be differentiated from neoplastic disease of the testis clinically with patient age, mode of presentation, tumour marker status and the characteristic ultrasound and Doppler study findings. Awareness and di...

journal_title：Annals of the Royal College of Surgeons of England

authors： Nair R,Abbaraju J,Rajbabu K,Anjum F,Sriprasad S

更新日期：2008-10-01 00:00:00

abstract：INTRODUCTION:Squamous cell carcinoma of the oral cavity ranks as the 12th most common cancer in the world and the 8th most frequent in males. It accounts for up to one-third of all tobacco-related cancers in India. Cancer of the gingivobuccal complex is especially common in Indians due to their tobacco habits. This rev...

journal_title：Annals of the Royal College of Surgeons of England

authors： Misra S,Chaturvedi A,Misra NC

更新日期：2008-10-01 00:00:00

abstract：INTRODUCTION:The correction of anaemia prior to total hip arthroplasty reduces surgical risk, hospital stay and cost. This study considers the benefits of implementing a protocol of identifying and treating pre-operative anaemia whilst the patient is on the waiting list for surgery. PATIENTS AND METHODS:From a prospec...

journal_title：Annals of the Royal College of Surgeons of England

authors： Rogers BA,Cowie A,Alcock C,Rosson JW

更新日期：2008-09-01 00:00:00

abstract：:A case is reported of a patient who sustained a significant haemothorax while playing with a Nintendo Wii console. ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Peek AC,Ibrahim T,Abunasra H,Waller D,Natarajan R

更新日期：2008-09-01 00:00:00

abstract：INTRODUCTION:The incidence of wound infection following total hip and knee arthroplasty has fallen with the introduction of laminar vertical laminar airflow, occlusive clothing and prophylactic antibiotics. However, infection still occurs after prosthetic joint replacement and can have devastating consequences. Intra-o...

journal_title：Annals of the Royal College of Surgeons of England

authors： Mackain-Bremner AA,Owens K,Wylde V,Bannister GC,Blom AW

更新日期：2008-07-01 00:00:00

abstract：INTRODUCTION:Non-attendance in the out-patient department has financial costs for the NHS and clinical implications to the non-attender and those awaiting an appointment. The aim of this audit was to quantify the percentage of non-attenders at colorectal clinics in a UK teaching hospital, assess which factors affected ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Corfield L,Schizas A,Noorani A,Williams A

更新日期：2008-07-01 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:Upper gastrointestinal (GI) bleeding in patients who undergo hip and knee arthroplasty tends to be associated with non-steroidal anti-inflammatory drug use, steroid intake, pre-existing peptic ulcers and smoking. The use of aspirin for thromboprophylaxis is an added risk for the occurrence of GI bleed. The...

journal_title：Annals of the Royal College of Surgeons of England

authors： Madhusudhan TR,Rangan A,Gregg PJ

更新日期：2008-05-01 00:00:00

abstract：INTRODUCTION:Technical skill has been formally assessed in the Fellow of the European Board of Vascular Surgery Examinations (FEBVS) since 2002. The aim of this study was to examine the relationship between expert assessment and trainee self-assessment. MATERIALS AND METHODS:Forty-two examination candidates performed ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Pandey VA,Wolfe JH,Black SA,Cairols M,Liapis CD,Bergqvist D,European Board of Vascular Surgery.

更新日期：2008-05-01 00:00:00

abstract：INTRODUCTION:The aim of this study was to determine whether tailoring the extent of resection would allow radical gastric cancer surgery to be performed safely in a UK population. PATIENTS AND METHODS:A total of 180 consecutive patients (median age 70 years; male:female ratio 2:1) undergoing resection for gastric aden...

journal_title：Annals of the Royal College of Surgeons of England

authors： Lamb P,Sivashanmugam T,White M,Irving M,Wayman J,Raimes S

更新日期：2008-04-01 00:00:00

abstract：INTRODUCTION:The management of acute left-sided colonic obstruction still remains a challenging problem despite significant progress. METHODS:A literature search was undertaken using PubMed and the Cochrane Library regarding the options in emergency management of left-sided colonic obstruction focusing on outcomes suc...

journal_title：Annals of the Royal College of Surgeons of England

authors： Trompetas V

更新日期：2008-04-01 00:00:00

abstract：INTRODUCTION:Ureteric stenting is a common urological procedure. Forgotten stents have a well-documented morbidity and mortality. Therefore, we asked the question, is a stent register an important factor in reducing the number of lost or overdue stents? PATIENTS AND METHODS:We conducted a retrospective review of 203 p...

journal_title：Annals of the Royal College of Surgeons of England

authors： Tang VC,Gillooly J,Lee EW,Charig CR

更新日期：2008-03-01 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：:We present a case of massive pneumoperitoneum in association with pneumatosis intestinalis that was successfully managed without surgery despite a clinical picture of an acute abdomen and biochemical evidence of inflammation and systemic upset. Recognition of non-surgical pneumoperitoneum is important to avoid unneces...

journal_title：Annals of the Royal College of Surgeons of England

authors： Brill SE,Skipworth J,Stoker DL

更新日期：2008-03-01 00:00:00

abstract：INTRODUCTION:Nephroureterectomy with excision of a cuff of bladder remains the standard for managing upper tract transitional cell carcinoma (TCC). Increasing use of diagnostic upper tract endoscopy has underlined the importance of obtaining a pre-operative histological diagnosis in order to avoid under-treating high-g...

journal_title：Annals of the Royal College of Surgeons of England

authors： Chitale S,Mbakada R,Irving S,Burgess N

更新日期：2008-01-01 00:00:00

abstract：INTRODUCTION:The usual indications for oesophageal replacement in childhood are intractable corrosive strictures and long-gap oesophageal atresia. Generally, paediatric surgeons attempt to preserve the native oesophagus with repeat dilatations. However, when this is not successful, an appropriate conduit must be fashio...

journal_title：Annals of the Royal College of Surgeons of England

authors： Arul GS,Parikh D

更新日期：2008-01-01 00:00:00

abstract：INTRODUCTION:Carpal tunnel decompression is the most commonly performed surgical procedure within a hand unit. Although very effective, the complications following the procedure can be significant. In an attempt to identify the causes of such complications, we assessed whether seniority of the surgeon impacts on outcom...

journal_title：Annals of the Royal College of Surgeons of England

authors： Akhtar S,Sinha S,Bradley MJ,Burke FD,Wilgis SE,Dubin NH

更新日期：2007-11-01 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：INTRODUCTION:Methicillin-resistant Staphylococcus aureus (MRSA) has received much publicity and remains a major problem for the health service. The aim of this study was to determine whether case-notes of MRSA-positive patients can act as a vehicle for MRSA transmission. PATIENTS AND METHODS:A prospective study was pe...

journal_title：Annals of the Royal College of Surgeons of England

authors： Hamza N,Bazoua G,Al-Shajerie Y,Kubiak E,James P,Wong C

更新日期：2007-10-01 00:00:00

abstract：INTRODUCTION:Patients undergoing colorectal surgical resections have a high incidence of surgical site infection (SSI). Many patient-specific risk factors have been recognised in association with SSI in such patients, but environmental contamination is increasingly recognised as a contributor to hospital-acquired infec...

journal_title：Annals of the Royal College of Surgeons of England

authors： Brady RR,Kalima P,Damani NN,Wilson RG,Dunlop MG

更新日期：2007-10-01 00:00:00

abstract：INTRODUCTION:The aim of this study was to identify whether clinicians are obtaining a valid consent for surgery, and ascertain the parents' perception of parental responsibility when giving consent for their children. PATIENTS AND METHODS:Adults consenting for 100 children were questioned about the possession of paren...

journal_title：Annals of the Royal College of Surgeons of England

authors： Elmalik K,Wheeler RA

更新日期：2007-09-01 00:00:00

abstract：INTRODUCTION:The internal anal sphincter (IAS) is an important structure that is responsible for the majority of resting tone of the sphincter complex. It has a central role in continence and damage to the muscle has serious implications. Injury is most frequently from obstetric trauma though iatrogenic injury from pro...

journal_title：Annals of the Royal College of Surgeons of England

authors： Jones OM

更新日期：2007-09-01 00:00:00

abstract：INTRODUCTION:We have previously shown that Picolax bowel preparation causes a significant dehydrating effect, which can be minimised by administering a calculated volume of intravenous fluid. The aim of this prospective study was to assess whether peri-operative outcome is affected by administering a calculated volume ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Sanders G,Arthur CH,Hosie KB,Lambert AW

更新日期：2007-07-01 00:00:00

abstract：:A 77-year-old man had aorto-iliac bypass for an abdominal aortic aneurysm (AAA). This was complicated by occlusion that needed extension of the graft to the right femoral artery. He was unable to move his right leg with numbness after surgery. This was caused by extensive lumbosacral plexopathy on the right side. Lumb...

journal_title：Annals of the Royal College of Surgeons of England

authors： Abdelhamid MF,Sandler B,Awad RW

更新日期：2007-07-01 00:00:00

abstract：INTRODUCTION:The aim of this study was to evaluate the intra- and inter-observer variation of the Schatzker and AO/OTA classifications in assessing tibial plateau fractures, using plain radiographs. PATIENTS AND METHODS:Fifty tibial plateau fractures were classified independently by six observers as per the Schatzker ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Charalambous CP,Tryfonidis M,Alvi F,Moran M,Fang C,Samarji R,Hirst P

更新日期：2007-05-01 00:00:00