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Annals of the Royal College of Surgeons of England

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https://www.readbyqxmd.com/read/30381964/a-tip-to-prevent-total-hip-arthroplasty-femoral-stem-pull-out
#1
R Coomber, S Dotivala, M Chowdhry, A Carrothers
No abstract text is available yet for this article.
November 1, 2018: Annals of the Royal College of Surgeons of England
https://www.readbyqxmd.com/read/30381954/anterior-cruciate-ligament-reconstruction-without-the-use-of-a-tourniquet
#2
K M Yaghmour, H Al-Khateeb
INTRODUCTION: Anterior cruciate ligament tears are a common ligamentous knee injury and are usually managed with arthroscopic reconstruction surgery using a tourniquet. The employment of a tourniquet in the management of an anterior cruciate ligament tear has been a debatable topic for some time. Here, we discuss our technique in the reconstruction of anterior cruciate ligament tears without the use of a tourniquet. MATERIALS AND METHODS: We performed 26 anterior cruciate ligament reconstruction surgeries using hamstring grafts without the use of a tourniquet...
November 1, 2018: Annals of the Royal College of Surgeons of England
https://www.readbyqxmd.com/read/30381953/dual-mobility-total-hip-arthroplasty-identification-and-reduction-technique
#3
R Coomber, S Dotivala, M Chowdhry, A Carrothers
No abstract text is available yet for this article.
November 1, 2018: Annals of the Royal College of Surgeons of England
https://www.readbyqxmd.com/read/30372125/outcomes-of-urgent-suspicion-of-head-and-neck-cancer-referrals-in-glasgow
#4
C M Douglas, V Carswell, J Montgomery
INTRODUCTION: Primary care patients with a suspected head and neck cancer are referred through the urgent suspicion of cancer referral pathway. Rates of cancer detection through this pathway are low. Evidence surrounding the pathway of these patients is lacking. This study aimed to determine the outcome of urgent suspicion of cancer referrals for head and neck cancer. METHODS AND METHODS: All head and neck cancer urgent suspicion of cancer referrals in NHS Greater Glasgow and Clyde between June 2015 and May 2016 were analysed in regard to their clinical pathway...
October 29, 2018: Annals of the Royal College of Surgeons of England
https://www.readbyqxmd.com/read/30372118/rare-and-life-threatening-complication-after-an-attempted-lower-third-molar-extraction-lemierre-syndrome
#5
G Varvara, S Bernardi, M Piattelli, T Cutilli
Lemierre's syndrome is also known as the forgotten disease, and is a rare but life-threatening complication that can arise after surgical extractions of infected mandibular third molars. Owing to its rarity, oral and maxillofacial surgeons might not immediately recognise or can underestimate the pathological signs, and consequently do not apply the appropriate therapy to treat the syndrome. Here, we report on the occurrence and management of a case of Lemierre's syndrome, where the complications affected the right sigmoid sinus...
October 29, 2018: Annals of the Royal College of Surgeons of England
https://www.readbyqxmd.com/read/30372116/an-unusual-case-of-a-completely-eroded-gastric-band-and-port-tubing-removed-via-endoscopy-alone
#6
G Kourounis, R Pearson, D McArthur, S Gibson
Bariatric surgery is an established intervention providing significant health benefits to patients with obesity. As a result, the National Institute for Health and Care Excellence now recommends bariatric surgery for those that fulfil the eligibility criteria, while emphasising the need for multidisciplinary care before and after surgery. The UK National Bariatric Surgery Registry shows gastric band procedures to be the second most common bariatric procedure performed in the UK. Gastric band erosion is a known potential complication treated primarily by laparoscopic removal of band and repair of stomach...
October 29, 2018: Annals of the Royal College of Surgeons of England
https://www.readbyqxmd.com/read/30371110/retroperitoneal-paraganglioma-a-chameleon-masquerading-as-an-adrenal-pheochromocytoma
#7
K Parmar, A Chandna, S Kumar
Retroperitoneal paragangliomas are rare tumours arising from neural crest cells located near or in the autonomic nervous system; right from the skull bass to the pelvic floor. Often called the great masqueraders, their diagnosis and treatment is often difficult and fraught with danger, considering the close proximity of these tumours to important retroperitoneal organs. A 29-year-old woman presented to the outpatient department with complaints of paroxysms of headache, sweating and palpitations for one year...
October 29, 2018: Annals of the Royal College of Surgeons of England
https://www.readbyqxmd.com/read/30371103/ipsilateral-nonrecurrent-laryngeal-nerve-palsy-and-delayed-palsy-of-the-contralateral-recurrent-laryngeal-nerve-in-a-case-of-third-time-reoperative-thyroid-surgery
#8
S Wijerathne, X Goh, R Parameswaran
The occurrence of nonrecurrent laryngeal nerve and delayed nerve palsy of the contralateral nerve occurring simultaneously has never been described. A 67-year-old woman underwent reoperative completion thyroidectomy for enlarging thyroid nodules with recurrent hyperthyroidism and obstructive symptoms. Preoperative computed tomography of the neck showed a large compressive goitre with an aberrant right subclavian artery. At surgery, a type 1 nonrecurrent laryngeal nerve was found and inadvertently transected due to dense adhesions...
October 29, 2018: Annals of the Royal College of Surgeons of England
https://www.readbyqxmd.com/read/30354264/image-guided-surgery-for-removal-of-deep-foreign-bodies-and-soft-tissue-tumours-using-portable-ultrasonography
#9
R J Holleyman, H Husaini, K S Rankin
No abstract text is available yet for this article.
October 24, 2018: Annals of the Royal College of Surgeons of England
https://www.readbyqxmd.com/read/30354187/the-use-of-the-somatostatin-analogue-octreotide-for-the-conservative-management-of-symptomatic-cholecystocolonic-fistula-a-case-report
#10
C Y Kong, P Glen
An 84-year-old woman presented with acute worsening of diarrhoea for a few weeks, with a background of chronic diarrhoea over the past 12 months accompanied by weight loss. Computed tomography during this admission revealed air in the biliary tree and resolution of gallstones in keeping with a cholecystocolonic fistula. Owing to her comorbidities, surgical management was deemed not to be the best option. She was trialled on octreotide, a somatostatin analogue, which effectively resolved her symptoms. This case presents an effective and novel method of managing cholecystocolonic fistulas conservatively in a patient where medical therapy is the ceiling of care...
October 24, 2018: Annals of the Royal College of Surgeons of England
https://www.readbyqxmd.com/read/30354186/survival-after-non-resection-of-colorectal-cancer-the-argument-for-including-non-operatives-in-consultant-outcome-reporting-in-the-uk
#11
M Abdel-Halim, H Wu, M Poustie, A Beveridge, N Scott, P J Mitchell
INTRODUCTION: Although the mainstay of colorectal cancer treatment remains operative, a significant proportion of patients end up without surgery. This is because they are either deemed to have no oncological benefit from the resection (too much disease) or to be unfit for major surgery (too frail). The aim of this study was to assess the proportion and survival of these two groups among the totality of practice in a tertiary unit and to discuss the implications on the conceptual understanding of outcome measures...
October 24, 2018: Annals of the Royal College of Surgeons of England
https://www.readbyqxmd.com/read/30354179/transjejunal-laparoscopic-assisted-ercp-in-roux-en-y-patient-the-new-right-path
#12
M T Mita, G Dalmonte, A Gnocchi, F Marchesi
The incidence of biliary lithiasis after gastric surgery seems to be higher than in the general population. Endoscopic retrograde cholangiopancreatography (ERCP) allows several biliary and pancreatic pathologies to be dealt with; however, in patients with an altered anatomy of the upper and mid gastrointestinal tract, this endoscopic manoeuvre can be extremely challenging. We report a case of a 79-year-old woman with previous subtotal gastrectomy and Roux-en-Y reconstruction, admitted with a diagnosis of cholecystitis and choledocolithiasis...
October 24, 2018: Annals of the Royal College of Surgeons of England
https://www.readbyqxmd.com/read/30354177/current-preoperative-antisepsis-in-neurosurgery-an-example-of-the-challenges-in-implementing-evidence-based-medicine-to-surgical-practice
#13
Sachdev Bobby, Jenkinson Michael D, Patel Hiren, Davies Benjamin
INTRODUCTION: Surgical site infection is associated with significant morbidity and mortality. Effective preoperative skin decolonisation is an important preventative strategy. The National Institute for Health and Care Excellence clinical guidelines recommend decolonisation using chlorhexidine gluconate (CHG) or povidone iodine (PVI). Current evidence indicates that CHG is more effective, while the combination of CHG and PVI is greater still. This study describes current practice among neurosurgeons in the UK, including differences between trainees and consultants, to review compliance with the latest evidence...
October 24, 2018: Annals of the Royal College of Surgeons of England
https://www.readbyqxmd.com/read/30328703/a-new-adaptation-for-a-secure-surgical-drain-placement-and-a-comparison-with-four-common-drain-fixation-methods
#14
L Heskin, V Cahill, G Filobbos, P Regan, S T O'Sullivan, K Bryan
INTRODUCTION: The importance of postoperative drain fixation cannot be overemphasised. There are numerous described techniques for drain fixation. However, to our knowledge, there is no evidence-based comparison between the various techniques of drain fixation used in postoperative management. We describe a new method and compare its reliability with four other commonly used methods. MATERIALS AND METHODS: Five methods were chosen for testing based on current trends in clinical practice: centurion sandal with plastic locking ties, centurion sandal or lattice method, centurion sandal with half-inch Steristrips®, double and multiple looped methods...
October 17, 2018: Annals of the Royal College of Surgeons of England
https://www.readbyqxmd.com/read/30325219/a-rare-case-of-paget-s-disease-affecting-the-cervical-spine
#15
J Holton, M Jones, Z Klezl, M Czyz, M Grainger, P Rehousek
We present the case of a 75-year-old man with a rapidly progressive cervical myelopathy on a background of a 3-year history of neck pain and a severely degenerative cervical spine. The patient developed progressive myelopathy over a six-month period and suffered from worsening kyphosis. Suspicion of an underlying oncological process prompted transfer to our tertiary referral unit. Biopsy was consistent for Paget's disease, an extremely rare diagnosis of the cervical spine. Magnetic resonance imaging revealed cord compression between C4 and C6 with associated cord signal change indicative of myelopathy...
October 16, 2018: Annals of the Royal College of Surgeons of England
https://www.readbyqxmd.com/read/30322290/minimally-invasive-video-assisted-thyroidectomy-a-critical-analysis-of-long-term-cosmetic-results-using-a-validated-tool
#16
N Sahm, R Otto, M Pross, R Mantke
INTRODUCTION: Since its first publication in 1997, minimally invasive video-assisted thyroidectomy (MIVAT) has developed into the predominant minimally invasive surgery of the thyroid. A major advantage over conventional thyroid surgery is the superior cosmetic result. However, there are still few data comparing the long-term cosmetic results of the two methods. This paper compares the long-term cosmetic results of the two methods, based on follow-up assessments. METHODS: Between 2004 and 2011, 143 preselected patients underwent a MIVAT in our department...
October 16, 2018: Annals of the Royal College of Surgeons of England
https://www.readbyqxmd.com/read/30322289/surgical-review-of-the-anatomical-variations-of-the-internal-jugular-vein-an-update-for-head-and-neck-surgeons
#17
S Mumtaz, M Singh
BACKGROUND: The internal jugular vein is one of the major vessels of the neck. The anatomy of this vessel is considered to be relatively stable. It is an important landmark for head and neck surgeons as well as the anaesthetists for both diagnostic and therapeutic purposes. METHODS: We present two case reports of the posterior tributary of the internal jugular vein and review the surgical literature regarding anatomical variations of the vein. FINDINGS: A total of 1197 patients from 27 published papers were included in this review...
October 16, 2018: Annals of the Royal College of Surgeons of England
https://www.readbyqxmd.com/read/30322288/benefits-of-introduction-of-oncotype-dx-%C3%A2-testing
#18
N Green, A Al-Allak, C Fowler
INTRODUCTION: Decisions regarding adjuvant chemotherapy in women with oestrogen receptor positive, human epidermal growth factor receptor 2 negative, node negative, early invasive breast cancer are unclear. The Recurrence Score® (RS) from Oncotype DX® (ODX) testing guides decisions based on individual cancer genomics. The aim of this study was to evaluate the impact of introducing ODX results on adjuvant treatment decisions and its potential economic benefits. METHODS: Patients offered the test were identified from the ODX requesting system...
October 16, 2018: Annals of the Royal College of Surgeons of England
https://www.readbyqxmd.com/read/30322287/a-systematic-review-of-mckittrick-wheelock-syndrome
#19
M R Orchard, J Hooper, J A Wright, K McCarthy
INTRODUCTION: McKittrick-Wheelock syndrome describes the condition of extreme electrolyte and fluid depletion caused by large distal colorectal tumours, usually the benign villous adenoma. Patients generally present critically unwell with severe hyponatraemia, hypokalaemia and/or acute kidney injury. METHODS: A structured literature review was undertaken to discover what is known about this condition, which is almost universally described as rare. Important features of the syndrome were identified, including common presenting symptoms, blood results, tumour location and size...
October 16, 2018: Annals of the Royal College of Surgeons of England
https://www.readbyqxmd.com/read/30322286/beyond-belsey-complex-laparoscopic-hiatus-and-diaphragmatic-hernia-repair
#20
D Zanotti, C Fiorani, A Botha
BACKGROUND: Diaphragmatic and hiatus hernias can cause mild chronic symptoms or have an acute presentation with gastric volvulus and obstruction. Elective or emergency surgery is indicated in symptomatic patients and nowadays is generally performed laparoscopically. METHODS: We report four different types of hernias: a giant hiatus hernia following a gastric pull-up for recurrent congenital diaphragmatic hernia; a Bochdalek hernia in a pregnant young woman; concomitant hiatus and Morgagni hernias; and a giant hiatus hernia occupying the right chest...
October 16, 2018: Annals of the Royal College of Surgeons of England
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