journal
MENU ▼
Read by QxMD icon Read
search

Annals of the Royal College of Surgeons of England

journal
https://www.readbyqxmd.com/read/28379041/the-double-bend-guidewire-technique-in-intramedullary-nailing
#1
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/28300422/an-oral-lesion-as-the-primary-clinical-manifestation-of-sarcoidosis
#2
I Gill, J Siddiqi
An oral lesion as the first clinical presentation of sarcoidosis is extremely rare. We present the case of a 39-year-old woman who was referred to the oral and maxillofacial surgery department with a persistent asymptomatic nodular lesion in the hard palate. This was located adjacent to a grossly carious upper first molar and a provisional diagnosis of chronic periapical granuloma was made. An incisional biopsy of the lesion was carried out, which unexpectedly revealed the presence of a non-caseating granulomatous inflammatory reaction...
March 16, 2017: Annals of the Royal College of Surgeons of England
https://www.readbyqxmd.com/read/28349757/dnacpr-do-not-attempt-cardiopulmonary-resuscitation-orders-in-patients-with-a-fractured-neck-of-femur-who-lack-capacity
#3
REVIEW
D S Hill, L Nazar, M Freudmann
Nationally, half of all deaths occur in hospital, with 94% having a 'do not attempt cardiopulmonary resuscitation' (DNACPR) notice in place at the time of death. Recent court rulings have raised the profile of practices surrounding DNACPR orders where patients lack capacity. Failure to consult with those close to the patient in relation to DNACPR decisions is a breach of the right to respect for private and family life under article 8 of the Human Rights Act. A report from 2016 found that those close to the patient were not consulted before one out of every five DNACPR orders are placed...
April 2017: Annals of the Royal College of Surgeons of England
https://www.readbyqxmd.com/read/28349756/extruded-talus-treated-with-reimplantation-and-primary-tibiotalocalcaneal-arthrodesis
#4
H R Mohammad, J A'Court, A Pillai
Extruded talus is a rare serious result from a high-energy injury to a supinated and plantar flexed foot. Treatment remains controversial with a lack of congruent evidence for talar reimplantation. A 34-year-old woman was involved in a road traffic accident at 40 mph. Imaging revealed a left talus extruded anterolaterally with a talar neck fracture. Additional injuries included right acetabular fracture, transverse process fractures and rib fractures, which were treated conservatively. The talus was reimplanted and the talar neck fixed with a cortical screw...
April 2017: Annals of the Royal College of Surgeons of England
https://www.readbyqxmd.com/read/28349755/radical-prostatectomy-for-locally-advanced-and-metastatic-prostate-cancer
#5
REVIEW
R Veeratterapillay, S S Goonewardene, J Barclay, R Persad, C Bach
The management of advanced prostate cancer remains challenging. Traditionally, radical prostatectomy was discouraged in patients with locally advanced or node positive disease owing to the increased complication rate and treatment related morbidity. However, technical advances and refinements in surgical techniques have enabled the outcomes for patients with high risk prostate cancer to be improved. More recently, the concept of cytoreductive prostatectomy has been described where surgery (often Combined with an extended lymph node dissection) is performed in the setting of metastatic disease...
April 2017: Annals of the Royal College of Surgeons of England
https://www.readbyqxmd.com/read/28349754/useful-alternative-technique-for-tying-a-knot-with-one-hand
#6
F N Musharbash, M M Awad
No abstract text is available yet for this article.
April 2017: Annals of the Royal College of Surgeons of England
https://www.readbyqxmd.com/read/28349753/a-novel-technique-to-ensure-accurate-placement-of-synthetic-bone-graft
#7
A Mayne, C Chami
No abstract text is available yet for this article.
April 2017: Annals of the Royal College of Surgeons of England
https://www.readbyqxmd.com/read/28349752/endoscopic-cystic-duct-stent-as-primary-treatment-for-intrahepatic-gallbladder-perforation-with-abscess-formation
#8
P Williams, A Dosani, R Morgan-Jones
Intrahepatic gallbladder perforation with abscess formation is an uncommon presentation of biliary disease. There is no consensus on how to treat this condition, with strategies varying from percutaneous drainage to open cholecystectomy and washout. We present a case of a novel, minimally invasive treatment, using endoscopic retrograde cholangiopancreatography to place a transcystic drain as a bridge to laparoscopic cholecystectomy.
April 2017: Annals of the Royal College of Surgeons of England
https://www.readbyqxmd.com/read/28349751/bilateral-peroneal-artery-aneurysms
#9
O El Bakbachi, G A Antoniou, R G McWilliams, D R Jones
True aneurysm of the tibial arteries is a rare clinical condition. We report the case of a 67-year-old man who presented with a gradual onset of right calf swelling and pain. Imaging revealed large aneurysms arising from the proximal peroneal arteries bilaterally, measuring 7.4cm and 4cm on the right and left respectively. A detailed medical history, clinical examination and laboratory investigations did not identify evidence of an underlying cause. A surgical reconstruction with an interposition vein graft was successfully performed...
April 2017: Annals of the Royal College of Surgeons of England
https://www.readbyqxmd.com/read/28349750/necrotising-fasciitis-after-laparoscopic-rectal-cancer-surgery
#10
M Yiasemidou, S Majumder, M Basheer
Necrotising fasciitis is a rare, serious infection of the deep fascia leading to subcutaneous tissue necrosis. It is extremely important for this condition to be identified and treated promptly as it bears significant mortality. We describe a case of necrotising fasciitis after laparoscopic rectal cancer surgery. To our knowledge, this is the first case reported after the specific procedure. This case report aims to encourage surgeons to have a low threshold in recognising necrotising fasciitis postoperatively, especially for patients with possible risk factors...
April 2017: Annals of the Royal College of Surgeons of England
https://www.readbyqxmd.com/read/27917662/validating-a-benchmarking-tool-for-audit-of-early-outcomes-after-operations-for-head-and-neck-cancer
#11
D Tighe, I Sassoon, M McGurk
INTRODUCTION In 2013 all UK surgical specialties, with the exception of head and neck surgery, published outcome data adjusted for case mix for indicator operations. This paper reports a pilot study to validate a previously published risk adjustment score on patients from separate UK cancer centres. METHODS A case note audit was performed of 1,075 patients undergoing 1,218 operations for head and neck squamous cell carcinoma under general anaesthesia in 4 surgical centres. A logistic regression equation predicting for all complications, previously validated internally at sites A-C, was tested on a fourth external validation sample (site D, 172 operations) using receiver operating characteristic curves, Hosmer-Lemeshow goodness of fit analysis and Brier scores...
April 2017: Annals of the Royal College of Surgeons of England
https://www.readbyqxmd.com/read/27869495/a-comparison-of-airborne-bacterial-fallout-between-orthopaedic-and-vascular-surgery
#12
COMPARATIVE STUDY
P Stather, M Salji, S-U Hassan, M Abbas, A Ahmed, H Mills, T Elston, C Backhouse, A Howard, S Choksy
INTRODUCTION The objective of the study was to compare bacterial fallout during vascular prosthesis insertion and orthopaedic major joint replacement performed in conventional and laminar flow ventilation, respectively. MATERIALS AND METHODS A prospective single-centre case control study of 21 consecutive elective vascular procedures involving prosthetic graft insertion and 24 consecutive elective orthopaedic major joint replacements were tested for degree of bacterial fallout using agar settle plates. Preparation time, waiting time and total procedure duration were collected at the time of surgery, and bacterial colony counts on the agar settle plates from airborne bacterial fallout were counted after an incubation period...
April 2017: Annals of the Royal College of Surgeons of England
https://www.readbyqxmd.com/read/27869493/laparoscopy-assisted-gastrectomy-in-the-elderly-experience-from-a-uk-centre
#13
A Tandon, I Rajendran, M Aziz, R Kolamunnage-Dona, Q M Nunes, M Shrotri
BACKGROUND Gastric cancer has a high incidence in the elderly in the UK, with a significant number of patients aged 75 years or more. While surgery forms the mainstay of treatment, evidence pertaining to the management of gastric cancer in the Western population in this age group is scarce. METHODS We retrospectively reviewed the outcomes of laparoscopy-assisted total and distal gastrectomies at our centre from 2005 to 2015. Patients aged 70 years or above were included in the elderly group. RESULTS A total of 60 patients underwent laparoscopy-assisted gastrectomy over a 10-year period, with a predominance of male patients...
April 2017: Annals of the Royal College of Surgeons of England
https://www.readbyqxmd.com/read/27869488/a-randomised-controlled-trial-assessing-the-efficacy-of-co-phenylcaine-nasal-spray-in-flexible-transnasal-pharyngolaryngoscopy
#14
RANDOMIZED CONTROLLED TRIAL
F Javed, A Parmar, A Hussain, D Hajioff, D Pinder
INTRODUCTION The aim of this study was to assess whether using co-phenylcaine nasal spray before flexible transnasal pharyngolaryngoscopy results in reduced pain and discomfort during the procedure. METHODS This was a randomised controlled trial. Eighty-four patients were randomised to receive either co-phenylcaine nasal spray or placebo nasal spray before performing transnasal flexible pharyngolaryngoscopy. Patient reported outcome measures included pain, discomfort, unpleasantness and willingness to repeat the procedure while clinician reported outcome measures comprised ease of examination and quality of view obtained during the procedure...
April 2017: Annals of the Royal College of Surgeons of England
https://www.readbyqxmd.com/read/27869487/the-incidence-of-incisional-hernias-following-ileostomy-reversal-in-colorectal-cancer-patients-treated-with-anterior-resection
#15
Balazs Fazekas, Bence Fazekas, J Hendricks, N Smart, T Arulampalam
INTRODUCTION The aim of this study was to identify the rate of incisional hernia formation following ileostomy reversal in patients who underwent anterior resection for colorectal cancer. In addition, we aimed to ascertain risk factors for the development of reversal-site incisional hernias and to record the characteristics of the resultant hernias. MATERIALS AND METHODS Using a prospectively compiled database of colorectal cancer patients who were treated with anterior resection, we identified individuals who had undergone both ileostomy formation and subsequent reversal of their ileostomies from January 2005 to December 2014...
April 2017: Annals of the Royal College of Surgeons of England
https://www.readbyqxmd.com/read/27809577/acute-kidney-injury-following-primary-hip-and-knee-arthroplasty-surgery
#16
K B Ferguson, A Winter, L Russo, A Khan, M Hair, M S MacGregor, G Holt
Acute kidney injury (AKI) is a recognised postoperative complication following primary hip/knee arthroplasty surgery. The aim of this study was to determine causative and potentially modifiable risk factors associated with postoperative AKI. Standard data were collected for 413 consecutive arthroplasty patients, both retrospectively and prospectively. Univariate and multivariate analyses were performed to identify any potential causative factors. Eight percent of patients developed postoperative AKI. Univariate analysis found increasing age, history of previous chronic kidney disease and requirement for postoperative intravenous fluids to be risk factors for AKI...
April 2017: Annals of the Royal College of Surgeons of England
https://www.readbyqxmd.com/read/27659374/inpatient-magnetic-resonance-cholangiopancreatography-does-it-increase-the-efficiency-in-emergency-hepatopancreaticobiliary-surgery-services
#17
J A Milburn, J A Bailey, Wk Dunn, I C Cameron, D S Gomez
INTRODUCTION Magnetic resonance cholangiopancreatography (MRCP) is commonly used to evaluate the biliary tree, although indications for patients who require inpatient imaging are not fully defined. The aim of this study was to evaluate inpatient MRCP performed on surgical patients and to devise a treatment pathway for these patients. MATERIAL AND METHODS All adult inpatient MRCP examinations between January 2012 and December 2013 were reviewed. Demographic, clinical and radiological data were collated. RESULTS During the study period, 271 inpatient MRCP were requested, of which 234 examinations were included...
April 2017: Annals of the Royal College of Surgeons of England
https://www.readbyqxmd.com/read/27659369/the-construction-and-implementation-of-a-clinical-decision-making-algorithm-reduces-the-cost-of-adult-fracture-clinic-visits-by-up-to-%C3%A2-104-800-per-year-a-quality-improvement-study
#18
P Legg, D Ramoutar, F Shivji, B Choudry, S Milner
INTRODUCTION Inappropriate referrals to the new patient fracture clinic unnecessarily consume hospital resources and many hospitals lack clear guidelines as to what should be referred. Many of these injuries can be definitively managed by the emergency department. Our aim was to construct and disseminate a clinical decision-making algorithm to reduce the frequency of inappropriate referrals to fracture clinics at our institution, to improve the management of patients with minor injuries and save the hospital and the patient the cost of unnecessary visits...
April 2017: Annals of the Royal College of Surgeons of England
https://www.readbyqxmd.com/read/27659360/a-cadaveric-study-showing-the-anatomical-variations-in-the-branches-of-the-dorsalis-pedis-artery-at-the-level-of-the-ankle-joint-and-its-clinical-implication-in-ankle-arthroscopy
#19
S Parikh, E Dawe, C Lee, T Whitehead-Clarke, C Smith, S Bendall
Introduction Pseudoaneurysm formation following ankle arthroscopy is a rare but potentially catastrophic complication. The placement of anterior ankle portals carries inherent risk to the superficial and deep peroneal nerves, as well as to the dorsalis pedis artery. Anatomical variations in the dorsalis pedis and the presence of branches at the joint line may increase the risk of vascular injury and pseudoaneurysm formation during arthroscopy. There is limited anatomical evidence available regarding the branches of the dorsalis pedis artery, which occur at the point at which they cross the ankle joint...
April 2017: Annals of the Royal College of Surgeons of England
https://www.readbyqxmd.com/read/27659357/usefulness-of-chemoradiotherapy-for-inoperable-gastric-cancer
#20
T Taki, Y Hoya, A Watanabe, T Nakayoshi, T Okamoto, H Sekine, N Mitsumori, K Yanaga
Introduction Radiotherapy is not commonly used for the treatment of gastric cancer in Japan, where surgery is the standard local treatment. We report the results of chemoradiotherapy in patients with advanced or recurrent gastric cancer which was deemed difficult to treat surgically. Methods Twenty-one patients with gastric cancer (including sixteen with advanced/recurrent gastric cancer and five with poor general condition) underwent chemo-radiotherapy, for whom the therapeutic efficacy, toxicity and survival period were analysed...
April 2017: Annals of the Royal College of Surgeons of England
journal
journal
26211
1
2
Fetch more papers »
Fetching more papers... Fetching...
Read by QxMD. Sign in or create an account to discover new knowledge that matter to you.
Remove bar
Read by QxMD icon Read
×

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"