abstract：AIM:To identify what proportion of patients who, having sustained an initial distal radial fragility fracture and a subsequent femoral neck fracture, had had their osteoporosis addressed in the interval between the two events. PATIENTS AND METHODS:The hospital electronic information system was used to identify all pat...

journal_title：Annals of the Royal College of Surgeons of England

authors： Smith MG,Dunkow P,Lang DM

更新日期：2004-09-01 00:00:00

abstract：:We describe a case of salmonella septic arthritis of the knee in a middle-aged woman with the following predisposing conditions: long-term corticosteroids and microscopic collagenous colitis. The patient presented with enteritis caused by the same strain 3 months before the arthritis. The first series of cultures were...

journal_title：Annals of the Royal College of Surgeons of England

authors： Katsoulis E,Pallett A,Bowyer GW

更新日期：2004-07-01 00:00:00

abstract：AIMS:To compare the effect of buffered commercial 1% xylocaine (with 1:200,000 adrenaline) and the unbuffered commercial 1% xylocaine (with 1:200,000 adrenaline) preparation on pain during infiltration and procedure. PATIENTS AND METHODS:A randomised, double blind controlled trial involving 85 patients who underwent b...

journal_title：Annals of the Royal College of Surgeons of England

authors： Younis I,Bhutiani RP

更新日期：2004-05-01 00:00:00

abstract：BACKGROUND:About 60,000 patients are treated for hip fractures each year in the UK and the incidence is increasing. The majority of these patients are elderly and sick, and delay to operation may be fatal. The National Confidential Enquiry into Peri-Operative Deaths (NCEPOD) guidelines aim to improve quality of care fo...

journal_title：Annals of the Royal College of Surgeons of England

authors： Guryel E,Redfern DJ,Ricketts DM

更新日期：2004-05-01 00:00:00

abstract：BACKGROUND:In 1999, a statement of best practice in primary total hip replacement was approved by the Council of the British Orthopaedic Association (BOA) and by the British Hip Society (BHS) to provide a basis for regional and national auditable standards. We have compared practice in the North West Region of England ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Malik MH,Gambhir AK,Bale L,Pradhan N,Porter ML

更新日期：2004-03-01 00:00:00

abstract：BACKGROUND:Giant-cell tumour of the distal radius is a rare neoplasm that affects the peri-articular metaphysial region of the bone. Curettage alone or with bone grafting has been reported to be associated with high incidence of local recurrence in these tumours. In the present series, we report the results of curettag...

journal_title：Annals of the Royal College of Surgeons of England

authors： Khan MT,Gray JM,Carter SR,Grimer RJ,Tillman RM

更新日期：2004-01-01 00:00:00

abstract：AIM:To describe 19th century amputations carried out at the Royal Berkshire Hospital, Reading. METHODS:A retrospective analysis of hospital archives. RESULTS:Details of 276 amputations were analysed. The majority (86%) were in men and boys. The median age was 33 years. The ratio of leg:arm amputation was 2:1. Trauma ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Galland RB

更新日期：2003-11-01 00:00:00

abstract：BACKGROUND:Ureteric lithiasis is a common urological problem in Kuwait. Because of the different interventional approaches, we carried out an audit on the morbidity associated with the surgical management of the disorder. PATIENTS AND METHODS:The surgical records were reviewed of all patients with the diagnosis of ure...

journal_title：Annals of the Royal College of Surgeons of England

authors： Kehinde EO,Al-Awadi KA,Al-Hunayan A,Okasha GH,Al-Tawheed A,Ali Y

更新日期：2003-09-01 00:00:00

abstract：AIMS:Ultrasound is a non-invasive, non-ionising radiation modality which is highly successful at soft tissue imaging. Groin pain from an occult hernia can be a difficult clinical diagnosis made easier by good imaging. The aim of this study was to demonstrate the accuracy of ultrasound in diagnosing and typing the groin...

journal_title：Annals of the Royal College of Surgeons of England

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

更新日期：2003-05-01 00:00:00

abstract：:We report a patient with ulcerative colitis who, in the period following surgery, developed recurrent episodes of acute adrenal insufficiency presenting clinically as a high output ileostomy. ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Rai S,Hemingway D

更新日期：2003-03-01 00:00:00

abstract：:There has been renewed emphasis on research following the Calman recommendations for higher training. It is often considered essential for progression in training to have participated in research projects and to have some publications to one's credit. Orthopaedic surgery is usually thought to lag behind other discipli...

journal_title：Annals of the Royal College of Surgeons of England

authors： Singh GK,Qadir W,Deshmukh RG

更新日期：2003-01-01 00:00:00

abstract：OBJECTIVE:To ascertain whether a written information sheet is acceptable to patients and improves recall of the consent interview. DESIGN:Prospective randomised controlled study using questionnaires, comparing a group of patients given information in a written sheet with appropriate explanation to a group given verbal...

journal_title：Annals of the Royal College of Surgeons of England

authors： Langdon IJ,Hardin R,Learmonth ID

更新日期：2002-11-01 00:00:00

abstract：AIM:Only half of those patients undergoing major lower limb amputations for peripheral vascular disease (PVD) are likely to mobilise on a prosthesis. This study aimed to determine whether a surgeon's experience influenced the quality of the residual limb and thus the likelihood of the stump being suitable for a prosthe...

journal_title：Annals of the Royal College of Surgeons of England

authors： Cosgrove CM,Thornberry DJ,Wilkins DC,Ashley S

更新日期：2002-09-01 00:00:00

abstract：:Little is known about the outcome after pancreatic debridement in the district general hospital (DGH) setting and the debate about centralisation of pancreatic surgical services continues. We retrospectively reviewed our experience over 2 years, looking particularly at mortality, morbidity and cost. Of 12 cases treate...

journal_title：Annals of the Royal College of Surgeons of England

authors： Catto JW,Alexander DJ

更新日期：2002-09-01 00:00:00

abstract：BACKGROUND:Haemorrhagic radiation proctitis frequently presents as a problem in management. We analysed the technique of formalin dab in its management. PATIENTS AND METHODS:Twenty patients presenting with haemorrhagic radiation proctitis and treated with formalin dab were prospectively analysed. RESULTS:Twelve patie...

journal_title：Annals of the Royal College of Surgeons of England

authors： Ismail MA,Qureshi MA

更新日期：2002-07-01 00:00:00

abstract：:A previously fit 37-year-old man developed superior mesenteric venous thrombosis after undergoing a laparoscopic Nissen fundoplication. Despite receiving thrombo-embolic prophylaxis on postoperative day 16, he presented with a gradual onset of vague, but severe, umbilical and epigastric pains. Laboratory tests, abdomi...

journal_title：Annals of the Royal College of Surgeons of England

authors： Davies M,Satyadas T,Akle CA

更新日期：2002-05-01 00:00:00

abstract：BACKGROUND:Serious complications of laparoscopic fundoplication (LF) have been reported by surgeons new to LF. We investigated whether the reported benefits of LF could be realised by an established consultant, new to LF, without compromising safety, control of reflux or dysphagia rates obtained after open surgery. PA...

journal_title：Annals of the Royal College of Surgeons of England

authors： Tan LC,Samanta S,Hosking SW

更新日期：2002-03-01 00:00:00

abstract：BACKGROUND:Peripheral angioplasty is increasingly the first choice intervention in patients with peripheral vascular disease. The aim of the current study was to audit prospectively all major complications, especially the requirement for emergency surgical intervention. PATIENTS AND METHODS:A prospective audit of outc...

journal_title：Annals of the Royal College of Surgeons of England

authors： Axisa B,Fishwick G,Bolia A,Thompson MM,London NJ,Bell PR,Naylor AR

更新日期：2002-01-01 00:00:00

abstract：BACKGROUND:The diagnosis and management of sphincter of Oddi dysfunction are controversial issues. Both surgical and endoscopic series report modest success in the treatment of this condition. There is evidence from endoscopic series that the Milwaukee classification could predict the clinical outcome after sphincterot...

journal_title：Annals of the Royal College of Surgeons of England

authors： Tzovaras G,Rowlands BJ

更新日期：2002-01-01 00:00:00

abstract：:In the differential diagnosis of a swollen elbow, the palpation of the supratrochlear glands is useful. They are not enlarged in a traumatic elbow joint. They are enlarged, discrete and shotty in rheumatoid arthritis. In tuberculosis, they are enlarged, matted and they may caseate and form a cold abscess on the medial...

journal_title：Annals of the Royal College of Surgeons of England

authors： Patel DA

更新日期：2001-11-01 00:00:00

abstract：:A simple technique is presented for the control of bleeding from the posterior aspect of an aortic end-to-end anastomosis. ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Hosseinpour AR,Rajan S,Nashef SA

更新日期：2001-11-01 00:00:00

abstract：:Contact with rat saliva or faeces can lead to infection with Streptobacillus moniliformis and the condition known as 'rat bite fever'. We report a case of septic arthritis of the hip due to this organism following a bite on the finger of a 14-year-old boy from a rat for sale in a pet shop. The case was successfully tr...

journal_title：Annals of the Royal College of Surgeons of England

authors： Downing ND,Dewnany GD,Radford PJ

更新日期：2001-07-01 00:00:00

abstract：:Intra-operative injury to the ureter is a well known but fortunately uncommon complication of any major pelvic surgical procedure. If recognised on table, it can be repaired by either a substitution ureteroplasty or end-to-end anatomical repair depending upon the extent of tissue loss. Either of these anastomoses coul...

journal_title：Annals of the Royal College of Surgeons of England

authors： Chitale SV,Webb RJ

更新日期：2001-07-01 00:00:00

abstract：:Finger discoloration may result from recognized conditions affecting upper limb vasculature. We describe 11 patients who presented with acute pain, swelling and blue/purple discoloration in a finger. This benign condition mimicked digital ischaemia. There were 9 women and 2 men. The episode usually started with an ach...

journal_title：Annals of the Royal College of Surgeons of England

authors： Khaira HS,Rittoo D,Vohra RK,Smith SR

更新日期：2001-05-01 00:00:00

abstract：:Neutropaenic patients are at particular risk of developing a pseudomonal fasciitis known as ecthyma gangraenosum. Despite the similarities with necrotising fasciitis, Fournier's gangrene has a very different aetiology and management. ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Arul GS,Spicer RD

更新日期：2001-01-01 00:00:00

abstract：:Aortic angiography is widely considered the 'gold standard' for the diagnosis of traumatic thoracic aortic injury. Unfortunately, thoracic aortic angiography has many disadvantages: the technique is invasive but, more importantly, it is not routinely available in all hospitals, necessitating transfer of critically ill...

journal_title：Annals of the Royal College of Surgeons of England

authors： Beese RC,Allan R,Treasure T

更新日期：2001-01-01 00:00:00

abstract：:The series comprises 6 patients (mean age, 21 years) who presented with an epidermoid cyst of the testis between 1991 and 1998. Pre-operative ultrasonography suggested the presence of a testicular cancer in 3 patients who underwent a radical orchidectomy. The ultrasound successfully predicted the true diagnosis in 3 p...

journal_title：Annals of the Royal College of Surgeons of England

authors： Gupta SK,Golash A,Thomas JA,Cochlin D,Griffiths D,Jenkins BJ

更新日期：2000-11-01 00:00:00

abstract：:A 56-year-old woman presented with abdominal pain after using a Jacuzzi hours earlier. Abdominal radiographs revealed intra-peritoneal free gas and, as she presented symptomatically, a laparotomy was performed. This revealed fluid and gas but no visceral perforation or intra-abdominal pathology to account for this. Pe...

journal_title：Annals of the Royal College of Surgeons of England

authors： Inston N,Lake S

更新日期：2000-09-01 00:00:00

abstract：:Delay in operating on trauma patients leads to increased morbidity, mortality, length of hospital stay and overall cost. The urgency of operative intervention depends on the injury sustained. There are no published guidelines on what constitutes a reasonable delay between admission and operation. As part of the clinic...

journal_title：Annals of the Royal College of Surgeons of England

authors： Lankester BJ,Paterson MP,Capon G,Belcher J

更新日期：2000-09-01 00:00:00

abstract：:Pancreatic injuries are uncommon, difficult to diagnose and there is no uniform standard for treatment. The purpose of this study was to audit the management of pancreatic injuries in our practice. Equally important is to attempt to find out a simple management plan particularly in the era of increasing conservative t...

journal_title：Annals of the Royal College of Surgeons of England

authors： el-Boghdadly S,al-Yousef Z,al Bedah K

更新日期：2000-07-01 00:00:00

abstract：:This paper considers the potential role of videoconferencing technology for postgraduate dental and medical education. Drawing on work from the University of Bristol Dental School, it presents an analysis of the potential cost savings achievable by using videoconferencing compared to traditional face-to-face teaching ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Cook JH,Stevens CD

更新日期：2000-05-01 00:00:00

abstract：OBJECTIVE:To examine the current scale of provision of patient information materials by consultant surgeons in UK NHS and private sector hospitals. DESIGN:Secondary analysis of the responses of 12,555 surgical patients to surveys evaluating surgical services provided by specific consultants. SETTING:7 NHS Trusts and ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Meredith P,Emberton M

更新日期：2000-05-01 00:00:00

abstract：:Pseudoaneurysm is a rare complication of surgery or trauma around the knee. A 30-year-old man presented 10 days following anterior cruciate ligament repair with a 2 cm pulsatile swelling on the medial side of the knee. Angiography demonstrated a pseudoaneurysm of the medial inferior genicular artery. Surgical explorat...

journal_title：Annals of the Royal College of Surgeons of England

authors： Evans JD,de Boer MT,Mayor P,Rees D,Guy AJ

更新日期：2000-05-01 00:00:00

abstract：AIM:The analgesia provided for children is often less than for adults with the same underlying pathology. This paper attempts to quantify the postoperative analgesic requirements of patients undergoing appendicectomy. METHODS:Patients between 6 and 30 years of age who underwent an unscheduled appendicectomy were prosp...

journal_title：Annals of the Royal College of Surgeons of England

authors： Lambert AW,Mayor A

更新日期：2000-03-01 00:00:00

abstract：OBJECTIVE:The objective of this study was to describe the impact of a 'fast-track' unit, combined with a computerised system for information collection and analysis, on the clinical practice and finance of a cardiothoracic department over the first 12 month period of its application. METHODS:Within 12 months, starting...

journal_title：Annals of the Royal College of Surgeons of England

authors： Hadjinikolaou L,Cohen A,Glenville B,Stanbridge RD

更新日期：2000-01-01 00:00:00

abstract：:Oesophageal cancer is an increasingly common disease in the UK. Sadly, the overall results of treatment remain poor with overall 5 year survival of approximately 10%. More than 50% of patients receive purely palliative care from the outset. Of those having potentially curative treatment, 40% will not survive the first...

journal_title：Annals of the Royal College of Surgeons of England

authors： Bancewicz J

更新日期：1999-11-01 00:00:00

abstract：:Some 1000 postcard questionnaires were sent to Fellows of the British Orthopaedic Association (BOA) to establish current follow-up practice of primary total hip replacement (THR) patients. For cemented THRs, 50% of surgeons saw their patients for under 1 year, 78% under 5 years with indefinite follow-up being performe...

journal_title：Annals of the Royal College of Surgeons of England

authors： Bankes MJ,Coull R,Ferris BD

更新日期：1999-09-01 00:00:00

abstract：:In a personal series of 162 tumours, 101 were pleomorphic adenomas 28 of which were removed by elective local extra capsular dissection and 73 by a conventional nerve dissection. There were no recurrences in either group after a mean follow-up 10.3 years, range 3-21 years for local dissection and 8.3 years, range 3-22...

journal_title：Annals of the Royal College of Surgeons of England

authors： Hancock BD

更新日期：1999-09-01 00:00:00

abstract：:Isaac Newton, among others, observed that 'we see so far because we are standing upon the shoulders of giants'. In vascular surgery most of the giants have been European, and this is a heritage which we as Europeans can take pride in and build upon if we chose to do so. As in other areas of life, commitment is essenti...

journal_title：Annals of the Royal College of Surgeons of England

authors： Harris P

更新日期：1999-09-01 00:00:00

abstract：:This study suggests that appendicectomy should be routinely performed at laparoscopy for suspected acute appendicitis and that this can be achieved with minimal morbidity. ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Grabham JA,Sutton C,Nicholson ML

更新日期：1999-07-01 00:00:00