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Annals of the Royal College of Surgeons of England

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https://www.readbyqxmd.com/read/28593823/adult-burkitt-s-lymphoma-presenting-as-intussusception-first-uk-case-report
#1
R Simson, A Planner, Roderick Alexander
Colonic intussusception is rare in adults and can present with non-specific symptoms that can make diagnosis difficult and delayed. Unlike in children, it is commonly due to a pathological lead point that is often malignant. This case is the first reported case of adult intussusception due to Burkitt's lymphoma in the UK. We describe the case of a 22-year-old woman who presented with 4-week history of intermittent epigastric pain. On the third hospital admission, the diagnosis was made by abdominal computed tomography, which showed the 'sign' target, suggestive of intussusception...
June 8, 2017: Annals of the Royal College of Surgeons of England
https://www.readbyqxmd.com/read/28581339/a-novel-technique-to-reduce-the-likelihood-of-proximal-junctional-failure
#2
J R Panchmatia, D Bhagawati, S Mitrasinovic, S Molloy
No abstract text is available yet for this article.
June 5, 2017: Annals of the Royal College of Surgeons of England
https://www.readbyqxmd.com/read/28560888/the-evolution-of-acute-burn-care-retiring-the-split-skin-graft
#3
J E Greenwood
The skin graft was born in 1869 and since then, surgeons have been using split skin grafts for wound repair. Nevertheless, this asset fails the big burn patient, who deserves an elastic, mobile and robust outcome but who receives the poorest possible outcome based on donor site paucity. Negating the need for the skin graft requires an autologous composite cultured skin and a material capable of temporising the burn wound for four weeks until the composite is produced. A novel, biodegradable polyurethane chemistry has been used to create two such products...
May 31, 2017: Annals of the Royal College of Surgeons of England
https://www.readbyqxmd.com/read/28517958/distance-of-translation-as-a-predictor-of-failure-of-fixation-in-paediatric-supracondylar-fractures
#4
P Holland, A Highcock, C Bruce
INTRODUCTION This study investigates the influence of incomplete reduction of supracondylar fractures on the incidence of loss of reduction requiring reoperation MATERIALS AND METHODS A review of 107 consecutive patients presenting with supracondylar fractures treated with closed reduction and Kirschner wire stabilisation, between January 2011 and March 2013, was conducted. The mean age was 5 years (range 10 months to 12 years). Pre-, intra- and postoperative radiographs were reviewed. All patients who had failure of fixation requiring revision surgery were identified...
May 18, 2017: Annals of the Royal College of Surgeons of England
https://www.readbyqxmd.com/read/28379041/the-double-bend-guidewire-technique-in-intramedullary-nailing
#5
A Vris, K R Vaghela, N Heidari
No abstract text is available yet for this article.
April 5, 2017: Annals of the Royal College of Surgeons of England
https://www.readbyqxmd.com/read/28462662/antibiotic-prophylaxis-for-clean-neck-surgery
#6
K Vamvakidis, K Rellos, M Tsourma, C Christoforides, E Anastasiou, K A Zorbas, A Arambatzi, M E Falagas
The frequency of surgical site infections (SSIs) after clean neck surgery is low and antibiotic prophylaxis is not recommended. This retrospective study investigated the effect of perioperative prophylactic antimicrobial therapy on the development of infections. A total of 807 consecutive patients undergoing clean neck surgery were included in the study. Antimicrobial prophylaxis with intravenous cefuroxime was administered in 518 cases. Although patients who received prophylaxis had a lower rate of SSIs than those who did not receive antibiotics, this was not statistically significant (0...
May 2017: Annals of the Royal College of Surgeons of England
https://www.readbyqxmd.com/read/28462661/inflammatory-pseudotumour-of-the-colon
#7
I Spyrou, S Davakis, D Moris, E Lakiotaki, N Dimitrokallis, A Papalampros, D Schizas, E Pikoulis, E Felekouras
Introduction A colorectal inflammatory myofibroblastic tumour (IMT) is a rare but benign entity masquerading as a malignant tumour. Although the lung is considered the most common site of occurrence, IMTs may arise in diverse extrapulmonary locations. We describe a case of a colonic IMT in a patient who presented in the emergency setting. Case History A 77-year-old man was admitted at our emergency department with acute abdominal pain. Physical examination revealed vague tenderness of the lower abdomen and non-palpable masses...
May 2017: Annals of the Royal College of Surgeons of England
https://www.readbyqxmd.com/read/28462660/malignant-peripheral-nerve-sheath-tumour-in-the-submandibular-space
#8
J B Olivier
Malignant peripheral nerve sheath tumours (MPNSTs) are a rare but aggressive form of soft tissue sarcoma with few reported cases in the anatomic location seen with the case presented here. This case involves a 23-year-old man presenting with a soft tissue mass under the mandible found to be a MPNST, which was investigated and fully excised. Adjuvant radiotherapy was used postoperatively. Although uncommon, these tumours have a poor prognosis and suitable management therefore needs to be put in place as soon as possible...
May 2017: Annals of the Royal College of Surgeons of England
https://www.readbyqxmd.com/read/28462659/prevalence-management-and-outcome-of-traumatic-diaphragm-injuries-managed-by-the-pietermaritzburg-metropolitan-trauma-service
#9
N D'Souza, D Clarke, G Laing
INTRODUCTION This audit of traumatic diaphram injury (TDI) from a busy South African trauma service reviews the spectrum of disease and highlights current approaches to these injuries. METHODS The Pietermaritzburg Metropolitan Trauma Service (PMTS) has maintained an Electronic Surgical Registry (ESR) and a Hybrid Electronic Medical Record (HEMR) system since January 1(st) 2012. RESULTS A total of 105 TDIs were identified and repaired during the study period. The mean patient age was 30 years (range 15-68 years - SD 9...
May 2017: Annals of the Royal College of Surgeons of England
https://www.readbyqxmd.com/read/28462658/the-use-of-henna-as-a-semipermanent-skin-marker-to-indicate-the-site-of-application-for-ultrasonography-bone-stimulation
#10
J Fazekas, N Riley, I McNab
No abstract text is available yet for this article.
May 2017: Annals of the Royal College of Surgeons of England
https://www.readbyqxmd.com/read/28462657/second-generation-cephalosporin-antibiotic-prophylaxis-and-clostridium-difficile-infection-in-hip-and-knee-arthroplasty
#11
K Al-Tawil, A Babu, M Loeffler, T Williams
Introduction The use of broad spectrum cephalosporin antibiotics has been discouraged by the Department of Health in England because of the link to increased Clostridium difficile infection rates. The aim of this study was to evaluate whether a local protocol that included the use of second generation cephalosporin (cefuroxime) antibiotics as a prophylactic agent was associated with increased risk of C difficile in elective hip and knee arthroplasty patients. Methods A retrospective intention-to-treat study was conducted...
May 2017: Annals of the Royal College of Surgeons of England
https://www.readbyqxmd.com/read/28462656/peripherally-inserted-central-catheters-for-calcium-requirements-after-successful-parathyroidectomy-a-comparison-with-centrally-inserted-catheters
#12
H J Qi, W W Yang, L D Zhang, X J Shi, Q Y Li, T Ye
BACKGROUND Intravenous calcium supplements are often required following parathyroidectomy to avoid postoperative hypocalcaemia. The aim of this study was to compare application effect of a femoral central venous catheter (CVC) and peripherally inserted central catheter (PICC) on intravenous calcium supplements after parathyroidectomy. METHODS We retrospectively reviewed the hospital records of 73 patients with secondary hyperparathyroidism who underwent a successful parathyroidectomy at the Huashan Hospital attached to Fudan University between 1 April 2011 and 1 February 2016...
May 2017: Annals of the Royal College of Surgeons of England
https://www.readbyqxmd.com/read/28462655/the-effect-of-numbness-on-outcome-from-total-knee-replacement
#13
J Blackburn, V Wylde, R Greenwood, A W Blom, A Levy
INTRODUCTION Some patients report continuing pain and functional limitations after total knee replacement (TKR). While numbness around the TKR scar is common, the impact of numbness is less clear. One particular activity that could be influenced by numbness is kneeling. The aim of this study was to explore the impact of numbness around TKR scars on health related quality of life and kneeling ability. METHODS Fifty-six patients were recruited one year after primary TKR. Sensation around the knee was assessed through patient self-reporting, monofilament testing and vibration, and patients' distress was measured on a visual analogue scale...
May 2017: Annals of the Royal College of Surgeons of England
https://www.readbyqxmd.com/read/28462654/a-useful-technique-for-intraosseous-sutures-to-promote-early-rehabilitation
#14
R Singh, A Roberts
No abstract text is available yet for this article.
May 2017: Annals of the Royal College of Surgeons of England
https://www.readbyqxmd.com/read/28462653/management-of-ampullary-tumours-in-children-still-a-challenge
#15
P Fernandez-Eire, J L Vazquez Castelo, M Herreros Villaraviz, B Fernandez Caamaño, J Gonzalez-Carreró, F Ausania
This study describes the case of the youngest patient ever reported with ampullary adenoma. The incidence of ampullary adenomas in childhood is unknown. Endoscopic retrograde cholangiopancreatography (ERCP) and endoscopic ultrasound are used in adults to assess and treat these lesions, although there are no instruments designed specifically for use in young children. A six-year-old girl was admitted for abdominal pain, vomiting, pruritus and weight loss. Abdominal ultrasound showed biliary tree (8mm) and pancreatic duct dilatation (4mm)...
May 2017: Annals of the Royal College of Surgeons of England
https://www.readbyqxmd.com/read/28462652/sequential-scapholunate-and-volar-beak-ligament-reconstructions-with-flexor-carpi-radialis-tendon-grafts
#16
K P Iyengar, H E Matar, M Durrani, Y C Loh
The flexor carpi radialis tendon is considered by many the workhorse tendon in hand and wrist surgery. Some have expressed concerns about altering the mechanics of the wrist by sacrificing part or all of the flexor carpi radialis tendon. We present an interesting case of sequential scapholunate and volar beak ligament reconstructions using a flexor carpi radialis tendon autograft where a slip of tendon was harvested twice within three years, achieving a satisfactory clinical outcome at five years following the initial surgery...
May 2017: Annals of the Royal College of Surgeons of England
https://www.readbyqxmd.com/read/28462651/the-rectus-abdominis-muscle-advancement-flap-as-a-salvage-option-for-chest-wall-reconstruction
#17
N M Pantelides, S S Young, S Iyer
We describe a previously unreported technique of advancing the rectus abdominis muscle superiorly, based on the deep inferior epigastric artery, to cover a lower anterior chest wall defect. This technique represents an important salvage option for chest wall reconstruction and affords a great deal of intra-operative flexibility.
May 2017: Annals of the Royal College of Surgeons of England
https://www.readbyqxmd.com/read/28462650/mechanical-complications-of-central-venous-catheterisation-in-trauma-patients
#18
J Odendaal, V Y Kong, B Sartorius, T Y Liu, Y Y Liu, D L Clarke
INTRODUCTION Central venous catheterisation (CVC) is a commonly performed procedure in a wide variety of hospital settings and is associated with appreciable morbidity. There is a paucity of literature focusing on mechanical complications specifically in the trauma setting. The aim of our study was to determine the spectrum of mechanical complications in a high-volume trauma centre in a developing world setting where ultrasound guidance was not available. METHODS A retrospective study was performed analysing data from a four-year period at the Pietermaritzburg Metropolitan Trauma Service in South Africa...
May 2017: Annals of the Royal College of Surgeons of England
https://www.readbyqxmd.com/read/28462649/postoperative-survival-following-perioperative-magic-versus-neoadjuvant-oe02-type-chemotherapy-in-oesophageal-adenocarcinoma
#19
A M Reece-Smith, J H Saunders, I N Soomro, C R Bowman, J P Duffy, P V Kaye, N T Welch, S Madhusudan, S L Parsons
The optimal management of resectable oesophageal adenocarcinoma is controversial, with many centres using neoadjuvant chemotherapy following the Medical Research Council (MRC) oesophageal working group (OE02) trial and the MRC Adjuvant Gastric Infusional Chemotherapy (MAGIC) trial. The more intensive MAGIC regimen is used primarily in gastric cancer but some also use it for oesophageal cancer. A database of cancer resections (2001-2013) provided information on survival of patients following either OE02 or MAGIC-type treatment...
May 2017: Annals of the Royal College of Surgeons of England
https://www.readbyqxmd.com/read/28462648/predicting-response-to-neoadjuvant-chemoradiotherapy-in-locally-advanced-rectal-cancer-with-serum-biomarkers
#20
T L Clarke, D A White, M E Osborne, A M Shaw, N J Smart, I R Daniels
Introduction The aim of this study was to identify patient factors including serum biomarkers that may predict response to neoadjuvant chemoradiotherapy (CRT) in patients with locally advanced rectal cancer staged on magnetic resonance imaging. Prediction of response may be helpful when selecting patients for a non-operative programme. Methods A retrospective review was carried out of patients undergoing neoadjuvant CRT for rectal cancer, conducted at the Royal Devon and Exeter Hospital. All patients were managed through the multidisciplinary team...
May 2017: Annals of the Royal College of Surgeons of England
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