abstract：INTRODUCTION:Surgical intervention has become a common component in the management of patients infected with the human immunodeficiency virus (HIV) or suffering from the clinical consequences of acquired immunodeficiency syndrome (AIDS). We investigated the evolution of this involvement at a tertiary referral centre fo...

journal_title：Annals of the Royal College of Surgeons of England

authors： Dua RS,Wajed SA,Winslet MC

更新日期：2007-05-01 00:00:00

abstract：INTRODUCTION:Nosocomial MRSA infection has become an important healthcare issue. We present 6 cases of MRSA enteritis, acquired following bowel surgery and ileostomy formation. PATIENTS AND METHODS:The data set was obtained from the experience of one consultant surgeon over 6 years in one medical centre. The clinical ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Haq AI,Cook LJ

更新日期：2007-04-01 00:00:00

abstract：INTRODUCTION:Extensor mechanism ruptures might be easily overlooked and misdiagnosed, and delayed diagnosis of quadriceps tendon rupture is frequent. However, the literature recommends early surgical repair within 72 h. PATIENTS AND METHODS:This paper describes a new simple clinical diagnostic test that directly evalu...

journal_title：Annals of the Royal College of Surgeons of England

authors： Jolles BM,Garofalo R,Gillain L,Schizas C

更新日期：2007-04-01 00:00:00

abstract：INTRODUCTION:Insulinoma is a rare, but curable, endocrine tumour. The ability to localise the tumour accurately before or during surgery is an important factor in the management of these elusive lesions, which has been extensively debated. We have reviewed our experience of these lesions to establish the role of locali...

journal_title：Annals of the Royal College of Surgeons of England

authors： Ravi K,Britton BJ

更新日期：2007-04-01 00:00:00

abstract：:We present the first reported case of a partial thickness burn to the skin from discarded bone cement during a routine total hip replacement (THR). The patient required plastic surgical attention for 5 months before the skin was healed. We summarise the reported incidents of cement burns to various other structures an...

journal_title：Annals of the Royal College of Surgeons of England

authors： Burston B,Yates P,Bannister G

更新日期：2007-03-01 00:00:00

abstract：:Congenital cholesteatoma is a rare entity. It arises from aberrant epithelial remnants left at the time of closure of the neural groove, between the 3rd and 5th week of embryonic life. Otoscopy typically shows a pearly white mass, medial to the intact tympanic membrane, primarily in the anterosuperior quadrant, withou...

journal_title：Annals of the Royal College of Surgeons of England

authors： Mahanta VR,Uddin FJ,Mohan S,Sharp JF

更新日期：2007-03-01 00:00:00

abstract：:Spontaneous rupture of colon or rectum is a rare event. Protrusion of several loops of small bowel through the anal orifice is a bizarre condition which has only rarely been reported in the literature. We report the first case where Thiersch repair was used to manage spontaneous perforation of rectal prolapse and prov...

journal_title：Annals of the Royal College of Surgeons of England

authors： Shoab SS,Saravanan B,Neminathan S,Garsaa T

更新日期：2007-01-01 00:00:00

abstract：:We describe three cases that presented with symptoms suggestive of appendicitis but were found at operation to have an inflamed solitary caecal diverticulum. All were treated successfully with diverticulectomy or inversion of the diverticulum. We wish to highlight this diagnosis and its surgical management so that inf...

journal_title：Annals of the Royal College of Surgeons of England

authors： Connolly D,McGookin RR,Gidwani A,Brown MG

更新日期：2006-11-01 00:00:00

abstract：INTRODUCTION:Involvement of regional lymph node is a critical sign in prognosis of gastric cancer. Radiological techniques are commonly used to evaluate the extension of gastric cancer. But their sensitivity and specificity are low especially in the early stage. Our aim was to assess the value of gastric lymphoscintigr...

journal_title：Annals of the Royal College of Surgeons of England

authors： Ozmen MM,Zulfikaroglu B,Kucuk NO,Ozalp N,Aras G,Koseoglu T,Koç M

更新日期：2006-11-01 00:00:00

abstract：INTRODUCTION:The Modified Early Warning Score (MEWS) is a simple, physiological score that may allow improvement in the quality and safety of management provided to surgical ward patients. The primary purpose is to prevent delay in intervention or transfer of critically ill patients. PATIENTS AND METHODS:A total of 33...

journal_title：Annals of the Royal College of Surgeons of England

authors： Gardner-Thorpe J,Love N,Wrightson J,Walsh S,Keeling N

更新日期：2006-10-01 00:00:00

abstract：:A comparative review of changing patterns between 1997 and 2002 of who performs appendicectomy and a snapshot of the surgical approaches in use. It also indicates the stage at which competency in appendicectomy may be achieved by contemporary trainees in surgery and anaesthesia. ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Lansdown MR,Gray AJ,Treasure T,Layer GT

更新日期：2006-10-01 00:00:00

abstract：INTRODUCTION:As a result of a single spinal injury seen at Frimley Park Hospital, we reviewed the injuries recorded at the Army School of Physical Training since December 1996. PATIENTS AND METHODS:This was a retrospective review of all acute accidents and injuries recorded in the Accident Book since its inception. R...

journal_title：Annals of the Royal College of Surgeons of England

authors： Griffiths DE,Hargrove R,Clasper J

更新日期：2006-09-01 00:00:00

abstract：:Bleeding from the edge of an ileostomy site is a common problem. In those who have undergone a proctocolectomy with ileostomy formation in conjunction with a risk of chronic liver disease (even with normal liver function tests), this may be due to peristomal varices. If this is the case, significant, difficult-to-cont...

journal_title：Annals of the Royal College of Surgeons of England

authors： Farquharson AL,Bannister JJ,Yates SP

更新日期：2006-09-01 00:00:00

abstract：INTRODUCTION:The aim of this study was to assess the safety and the efficacy of hepatic resective surgery in the treatment of single lobe hepatolithiasis. PATIENTS AND METHODS:Retrospective analysis and comparison between hepatic resections in patients with hepatolithiasis (hepatolithiasis group [HG]) and liver masses...

journal_title：Annals of the Royal College of Surgeons of England

authors： Catena M,Aldrighetti L,Finazzi R,Arzu G,Arru M,Pulitanò C,Ferla G

更新日期：2006-07-01 00:00:00

abstract：:The treatment of erectile dysfunction has been revolutionised with the introduction of orally active phosphodiesterase inhibitors which are successful in 70-80% of men. However, there remain a group of men in whom conservative treatment fails and surgical insertion of a penile prosthesis is required. This type of surg...

journal_title：Annals of the Royal College of Surgeons of England

authors： Jain S,Terry TR

更新日期：2006-07-01 00:00:00

abstract：INTRODUCTION:Screening for prostate cancer with serum prostate specific antigen (PSA) remains a controversial topic. The UK NHS Executive has issued extensive guidance stressing the importance of adequate counselling prior to performing this test. This study aims to assess men's knowledge of the PSA test at the time of...

journal_title：Annals of the Royal College of Surgeons of England

authors： Lamplugh M,Gilmore P,Quinlan T,Cornford P

更新日期：2006-05-01 00:00:00

abstract：INTRODUCTION:Accurate written communication is essential in orthopaedic surgery. Incomplete and poorly structured letters can lead to poor knowledge of a patient's diagnosis. MATERIALS AND METHODS:Structured and traditional letter formats were compared for speed of reading and preference by general practitioners (GPs)...

journal_title：Annals of the Royal College of Surgeons of England

authors： Hook SE,Banister GC,Topliss C,Webb J

更新日期：2006-05-01 00:00:00

abstract：INTRODUCTION:Septal surgery has been identified as suitable for day-surgery, but is not widely performed as such. Guidelines for day-surgery state that the unexpected admission rate should be 2-3%. Previous audits have not achieved this figure and septoplasty is not universally considered suitable for day-surgery. We h...

journal_title：Annals of the Royal College of Surgeons of England

authors： Georgalas C,Obholzer R,Martinez-Devesa P,Sandhu G

更新日期：2006-03-01 00:00:00

abstract：INTRODUCTION:The aim of this study is to ascertain the accuracy of diagnostic ultrasound in the assessment of the occult abdominal and groin herniae. The authors have previously demonstrated its efficacy in diagnosing the type of clinical groin herniae but occult herniae provide a further diagnostic problem. PATIENTS ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Bradley M,Morgan J,Pentlow B,Roe A

更新日期：2006-03-01 00:00:00

abstract：INTRODUCTION:The use of postoperative drains following total knee replacement (TKR) has recently been modified by the use of re-transfusion drains. The aim of our study was to investigate the optimal time for removal of re-transfusion drains following TKR. PATIENTS AND METHODS:The medical records of 66 patients who ha...

journal_title：Annals of the Royal College of Surgeons of England

authors： Leeman MF,Costa ML,Costello E,Edwards D

更新日期：2006-03-01 00:00:00

abstract：:This review aims to change clinical practice and alert clinicians to consider that unrecognised coeliac disease may present acutely with abdominal pain. Targeting patients who have non-specific abdominal pain or coeliac-associated symptoms/diseases may improve diagnosis. ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Sanders DS,Azmy IA,Hurlstone DP

更新日期：2006-03-01 00:00:00

abstract：:INTRODUCTIONAbstracts presented at national and international scientific meetings are an important educational resource. However, the work is not peer reviewed and little is known about the quality or validity of the presented results and the fate of such abstracts.MATERIALS AND METHODSThis is a retrospective cohort s...

journal_title：Annals of the Royal College of Surgeons of England

authors： Balasubramanian SP,Kumar ID,Wyld L,Reed MW

更新日期：2006-01-01 00:00:00

abstract：INTRODUCTION:HIV positivity alone as a predictor of surgical outcome has not been extensively studied in regions of high prevalence. The aim was to determine the prevalence of HIV infection in surgical patients, and compare differences in their clinical course based on their serological status and CD4 counts. PATIENTS...

journal_title：Annals of the Royal College of Surgeons of England

authors： Cacala SR,Mafana E,Thomson SR,Smith A

更新日期：2006-01-01 00:00:00

abstract：INTRODUCTION:The aim of this study was to investigate the degree of contamination of a surgeon's hand following use of chlorhexidine gluconate or alcohol gel as disinfectants. MATERIALS AND METHODS:In this prospective, randomised trial, orthopaedic surgeons were allocated to one of two different hand-washing protocols...

journal_title：Annals of the Royal College of Surgeons of England

authors： Hajipour L,Longstaff L,Cleeve V,Brewster N,Bint D,Henman P

更新日期：2006-01-01 00:00:00

abstract：INTRODUCTION:Admission for overnight or longer hospital stay from a day-case unit is an unwelcome event. This audit was designed to identify the incidence of unplanned admissions and also to detect the potential factors for such overstays. PATIENTS AND METHODS:Details of plastic surgical day-case patients were obtaine...

journal_title：Annals of the Royal College of Surgeons of England

authors： Mandal A,Imran D,McKinnell T,Rao GS

更新日期：2005-11-01 00:00:00

abstract：INTRODUCTION:The objective was to assess the impact on the management of colorectal patients treated in a district general hospital within the first year after the introduction of transanal endoscopic microsurgery (TEM). PATIENTS AND METHODS:Data were collected for consecutive unselected patients who underwent TEM. Co...

journal_title：Annals of the Royal College of Surgeons of England

authors： Mihai R,Borley N

更新日期：2005-11-01 00:00:00

abstract：:A young woman who presented with loin pain and pyuria after a prolonged period of investigations and treatment, finally having a nephrectomy for non-functioning kidney, was revealed to have schistosomial infestation with an adult worm in the ureter. Unusually, she only developed bladder manifestations later. ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Ajit MK,Groenewald EA,Speakman M

更新日期：2005-11-01 00:00:00

abstract：INTRODUCTION:Modernisation of Medical Careers dictates a shortening of the training required to achieve consultant status. Precisely what type of work these consultants could be expected to accomplish, and be trained to do, is not clear. The objective of this study was to demonstrate a method of stratifying urological ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Payne SR,Shaw MB

更新日期：2005-09-01 00:00:00

abstract：INTRODUCTION:Pulmonary staging in colorectal cancer (CRC) has traditionally been carried out by means of plain chest radiograph (CXR), although computerised tomography (CT) imaging of the chest is increasingly being performed for this purpose. The aim of this study was to assess the value of pre-operative thoracic CT f...

journal_title：Annals of the Royal College of Surgeons of England

authors： McIntosh J,Sylvester PA,Virjee J,Callaway M,Thomas MG

更新日期：2005-09-01 00:00:00

abstract：:Circumcision is one of the commonest operations performed throughout the world for ritual, traditional or medical reasons. Self-circumcision may lead to disastrous complications. There have been reports of the complications following use of the constricting devices for improved sexual performance and for auto-erotic i...

journal_title：Annals of the Royal College of Surgeons of England

authors： Sagar J,Sagar B,Shah DK

更新日期：2005-07-01 00:00:00

abstract：INTRODUCTION:To address concerns about reduced opportunities for operative training, a programme of training operating lists for senior house officers was established. The entire patient pathway was used as a learning resource so that training was offered in a range of areas including development of knowledge, communic...

journal_title：Annals of the Royal College of Surgeons of England

authors： Feldman M,Nasmyth G

更新日期：2005-07-01 00:00:00

abstract：:Surgical practice must be driven by wise professional judgements, involving complex deliberation, in the interests of ensuring the safe care of patients. Large amounts of energy are now being concentrated in training doctors in skills (competencies) in the belief that this will reduce risk to patients. Little thought ...

journal_title：Annals of the Royal College of Surgeons of England

authors： de Cossart L

更新日期：2005-07-01 00:00:00

abstract：:John Hunter's many contributions to surgery include the development of the scientific approach and possibly the first use of evidence-based medicine. This oration, concentrates on two other areas ? first, some of his contributions to orthopaedics and secondly past, present and future surgical training and competence. ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Galasko CS

更新日期：2005-05-01 00:00:00

abstract：INTRODUCTION:This is a consequential study of a previous audit, evaluating the role of skull X-rays in the emergency department in patients with head injuries, to see if the changes recommended, (implementation of The Royal College of Surgeons of England guidelines) have been adopted successfully and had the desired re...

journal_title：Annals of the Royal College of Surgeons of England

authors： Mossop D,Soysa S

更新日期：2005-05-01 00:00:00

abstract：INTRODUCTION:The National Joint Registry (NJR) for England and Wales was launched in April 2003. The UK Department of Health (DoH) awarded the contract to run the NJR to Atomic Energy Authority (AEA) Technology in September 2002. The aim was to etablish the views of a large group of orthopaedic consultants on the new N...

journal_title：Annals of the Royal College of Surgeons of England

authors： Philipson MR,Westwood MJ,Geoghegan JM,Henry AP,Jefferiss CD

更新日期：2005-03-01 00:00:00

abstract：:The authors present a case of pyomyositis of the piriformis muscle. This case, the first in the English speaking literature of piriformis involvement in a juvenile, serves to illustrate the need for a high index of suspicion when treating children with symptoms related to impalpable pathology deep in the pelvis and th...

journal_title：Annals of the Royal College of Surgeons of England

authors： Burton DJ,Enion D,Shaw DL

更新日期：2005-01-01 00:00:00

abstract：:Jehovah's Witnesses do not permit the use of allogeneic blood products. An increasing number of patients are refusing blood transfusion for non-religious reasons. In addition, blood stores are decreasing, and costs are increasing. Transfusion avoidance strategies are, therefore, desirable. Bloodless surgery refers to ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Gohel MS,Bulbulia RA,Slim FJ,Poskitt KR,Whyman MR

更新日期：2005-01-01 00:00:00

abstract：OBJECTIVES:To provide guidance about the risks which should be disclosed to patients and documented during the consent process. METHODS:The Delphi Consensus Technique was used to decide what constitutes mandatory risk disclosure for three index procedures. Documentation of risk on consent forms was audited and compare...

journal_title：Annals of the Royal College of Surgeons of England

authors： Edwards TJ,Finlay I,Wilkins DC,Lambert AW

更新日期：2004-11-01 00:00:00

abstract：OBJECTIVES:Transurethral resection of the prostate (TURP) is considered by many to be the 'gold standard' treatment for benign prostatic enlargement. However, with the relatively recent introduction of pharmacological and other surgical treatment modalities, the performance of TURP appears to be in decline. METHODS:A ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Wilson JR,Urwin GH,Stower MJ

更新日期：2004-11-01 00:00:00

abstract：:Aggressive angiomyxoma (AAM) was first reported in 1983 as a distinct, slow growing, benign but locally infiltrative, soft tissue tumour. It usually arises in the pelvic and perineal organs, mostly in women. A 47-year-old woman was found to have a large encapsulated retroperitoneal aggressive angiomyxoma. The mass was...

journal_title：Annals of the Royal College of Surgeons of England

authors： Adwan H,Patel B,Kamel D,Glazer G

更新日期：2004-11-01 00:00:00