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Annals of the Royal College of Surgeons of England

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https://www.readbyqxmd.com/read/29692194/gastrointestinal-manifestations-of-extramedullary-plasmacytoma-a-narrative-review-and-illustrative-case-reports
#1
J C Glasbey, F Arshad, L M Almond, B Vydianath, A Desai, D Gourevitch, S J Ford
Introduction Solitary extramedullary plasmacytoma are rare, solid-mass tumours which appear immunophenotypically similar to multiple myeloma. The diagnosis and management of gastrointestinal plasmacytoma is complex and requires multidisciplinary input. This study presents a narrative review of intra-abdominal extramedullary plasmacytoma, illustrated with two case studies. Methods The PubMed database was searched without date restrictions for reports of intra-abdominal extramedullary plasmacytoma to synthesise a narrative review...
April 25, 2018: Annals of the Royal College of Surgeons of England
https://www.readbyqxmd.com/read/29692192/an-animal-tissue-simulation-assessing-three-directional-displacement-forces-on-five-common-tracheostomy-securing-techniques
#2
D Yap, S Goddard, M Ng, A Al-Hussaini, D Owens
Introduction Several methods of securing a tracheostomy tube have been described in the literature including using ties or tapes around the neck and suturing the plastic flange to the neck in various ways. However, there are no wet lab-based studies to objectively determine the force required to displace the tracheostomy tube using different securing techniques. Ours is the first animal tissue simulation study published in the literature. Methods A simulated tracheostomy stoma was created on a sheep neck model...
April 25, 2018: Annals of the Royal College of Surgeons of England
https://www.readbyqxmd.com/read/29692191/the-independent-patient-factors-that-affect-length-of-stay-following-hip-fractures
#3
T Richards, A Glendenning, D Benson, S Alexander, S Thati
Introduction Management of hip fractures has evolved over recent years to drive better outcomes including length of hospital stay. We aimed to identify and quantify the effect that patient factors influence acute hospital and total health service length of stay. Methods A retrospective observational study based on National Hip Fracture Database data was conducted from 1 January 2014 to 31 December 2015. A multiple regression analysis of 330 patients was carried out to determine independent factors that affect acute hospital and total hospital length of stay...
April 25, 2018: Annals of the Royal College of Surgeons of England
https://www.readbyqxmd.com/read/29692190/routine-pre-and-post-neoadjuvant-chemotherapy-fitness-testing-is-not-indicated-for-oesophagogastric-cancer-surgery
#4
R J Drummond, D Vass, H Wadhawan, C F Craig, C K MacKay, G M Fullarton, M J Forshaw
Introduction There is a known correlation between anaerobic threshold (AT) during cardiopulmonary exercise testing and development of cardiopulmonary complications in high-risk patients undergoing oesophagogastric cancer surgery. This study aimed to assess the value of routine retesting following neoadjuvant chemotherapy. Methods Patients undergoing neoadjuvant chemotherapy with subsequent oesophagogastric cancer surgery with pre- and post-neoadjuvant chemotherapy cardiopulmonary exercise data were identified from a prospectively maintained database...
April 25, 2018: Annals of the Royal College of Surgeons of England
https://www.readbyqxmd.com/read/29692189/use-of-the-embedded-peritoneal-dialysis-catheter
#5
S Sinha, M Fok, A Davenport, N Banga, B Lindsey, B Fernando, C J Forman
Introduction The use of embedded peritoneal dialysis (PD) catheters is purported to offer numerous benefits over standard placement. However, the optimum period of embedment and the effect of prolonged embedment on subsequent catheter function remain unclear. Methods This retrospective observational study looked at adult patients undergoing embedded PD catheter insertion in a large tertiary referral centre in the UK. Possible predictors for catheter non-function at externalisation were investigated. These included patient factors (age, sex, diabetic status, body mass index, ethnicity, smoking status, previous surgery, estimated glomerular filtration rate), procedural factors (modality of surgery, concurrent surgical procedure), duration of catheter embedment and catheter damage at externalisation...
April 25, 2018: Annals of the Royal College of Surgeons of England
https://www.readbyqxmd.com/read/29692188/severe-heterotopic-ossification-following-total-knee-replacement
#6
A Brown, R D Banerjee
We present a case of severe heterotopic ossification following a primary total knee replacement, which was complicated by a severe intraoperative anaphylactic reaction, and the successful treatment by revision to a rotating platform hinged implant, 32 months following the index procedure.
April 25, 2018: Annals of the Royal College of Surgeons of England
https://www.readbyqxmd.com/read/29692187/comparative-learning-curves-for-early-complications-in-anatomical-and-reverse-shoulder-arthroplasty
#7
Jcs Beazley, J P Evans, N D Furness, C D Smith
Introduction There has been a significant increase in the implantation of reverse shoulder replacements over anatomical shoulder replacements in the past five years. Few comparative data exist comparing early complication rates and learning curves. This study aimed to evaluate the early complication rates and learning curves of a single surgeon series of anatomical and reverse shoulder replacements over the first five years of independent practice. Materials and methods The first 100 anatomical and 100 reverse shoulder replacements performed between July 2011 and July 2016 were reviewed to identify early complications...
April 25, 2018: Annals of the Royal College of Surgeons of England
https://www.readbyqxmd.com/read/29692186/outcome-of-indeterminate-liver-lesions-on-computed-tomography-in-patients-with-colorectal-cancer
#8
E Mohamed, A Adiamah, W K Dunn, Y Higashi, I C Cameron, D Gomez
Introduction The aim of this study was to determinate the outcome of indeterminate liver lesions on computed tomography (CT) in patients with a background history of colorectal cancer (CRC) and to identify clinicopathological variables associated with malignancy in these lesions. A secondary aim was to devise a management algorithm for such patients. Methods Patients referred to our institution with indeterminate liver lesions on CT with a background history of CRC between January 2012 and December 2014 were included in the study...
April 25, 2018: Annals of the Royal College of Surgeons of England
https://www.readbyqxmd.com/read/29692185/management-of-injury-to-ducts-of-luschka-during-cholecystectomy
#9
Y Matsui, S Hirooka, M Kon
No abstract text is available yet for this article.
April 25, 2018: Annals of the Royal College of Surgeons of England
https://www.readbyqxmd.com/read/29692184/an-innovative-bespoke-technique-for-the-retrieval-of-broken-distal-locking-bolts
#10
M A Imam, Z Harb, D Elliott
No abstract text is available yet for this article.
April 25, 2018: Annals of the Royal College of Surgeons of England
https://www.readbyqxmd.com/read/29658342/a-rare-case-of-haemorrhagic-shock-secondary-to-spontaneous-rupture-of-a-branch-of-the-left-colic-artery-and-the-right-gastric-artery
#11
B Pisavadia, M Hanif, K Rana, M Budhoo, S Zaman
Spontaneous splanchnic artery rupture is associated with up to 70% mortality. Affected vessels are often aneurysmal, secondary to atherosclerosis. We report, to our knowledge, the only case of spontaneous rupture of a branch of the left colic artery and the right gastric artery, possibly secondary to vasculitis.
April 16, 2018: Annals of the Royal College of Surgeons of England
https://www.readbyqxmd.com/read/29658341/calcific-myonecrosis-diagnostic-dilemma
#12
H E Matar, P Stritch, S Connolly, N Emms
Calcific myonecrosis is a rare benign condition affecting mainly the muscles of a single leg compartment. It is thought to follow a history of trauma with a latent period of years. Patients present with a slowly growing mass. Differential diagnosis from a malignant tumour can be made from the history and the distinctive radiographical features of a fusiform lesion with predominantly peripheral calcifications. Magnetic resonance imaging may be necessary to confirm the diagnosis; treatment is largely symptomatic...
April 16, 2018: Annals of the Royal College of Surgeons of England
https://www.readbyqxmd.com/read/29658340/a-novel-use-of-cement-as-a-salvage-procedure-in-patients-with-complex-spinal-injuries-with-proximal-junctional-failure
#13
K Divani, S Selvadurai, S Molloy
Long-construct fixations can be complicated by proximal junctional kyphosis. In elderly, high-risk patients with numerous comorbidities, lengthy surgical times and increased blood loss associated with revision osteotomies and extension of fusions are not often tolerated and pose serious life-threatening risks. We present a salvage technique used in a patient with proximal junctional failure and demonstrate its role in improving symptoms and functionality in those not deemed fit for major surgery. Pre- and postoperative pain scores in accordance with the visual analogue scale, walking distances and radiographs were reviewed in a patient who underwent the salvage technique to ascertain the subjective and objective difference in pain and functionality...
April 16, 2018: Annals of the Royal College of Surgeons of England
https://www.readbyqxmd.com/read/29658339/refractory-hypercalcaemia-secondary-to-localised-gastrointestinal-stromal-tumour
#14
T Hart, D Sinitsky, A Shamsiddinova, A Rohatgi
Gastrointestinal stromal tumours are a rare form of intra-abdominal neoplasm derived from mesenchymal tissue, typically presenting with abdominal pain, anaemia or bleeding into the bowel or abdominal cavity. Hypercalcaemia is an unusual complication, having been documented in only seven previous patients, all of whom had advanced metastatic disease. We present a case of treatment-resistant hypercalcaemia in a patient with non-metastatic gastrointestinal stromal tumour, which resolved following excision of the tumour...
April 16, 2018: Annals of the Royal College of Surgeons of England
https://www.readbyqxmd.com/read/29658338/chyle-leak-following-an-axillary-sentinel-lymph-node-biopsy-for-breast-cancer-in-a-patient-with-superior-vena-caval-thrombosis-a-case-report-and-review-of-the-literature
#15
Z Al-Ishaq, S Gupta, M A Collins, T Sircar
Chyle leak is a very rare complication following an axillary lymph node dissection. We report a case of chyle leak following sentinel lymph node biopsy in a patient with breast cancer with superior vena caval thrombosis. To our knowledge, this is the first case report of chyle leakage following axillary sentinel lymph node biopsy. We describe the aetiology, prevention and treatment strategy that can be adopted in these patients.
April 16, 2018: Annals of the Royal College of Surgeons of England
https://www.readbyqxmd.com/read/29658337/surveillance-imaging-for-sporadic-renal-angiomyolipoma-less-than-40-mm-lessons-learnt-and-recommendations-from-the-experience-of-a-large-district-general-hospital
#16
K E Chan, Ecp Chedgy, C L Bent, K J Turner
Introduction Sporadic renal angiomyolipomas, although benign in natural can cause life-threatening spontaneous haemorrhage. Surveillance of smaller lesions is recommended but there is no guidance on the surveillance interval or modality. Our aim was to study our sporadic angiomyolipoma population to determine the growth rate, factors that were associated with a higher growth rate and design a surveillance programme. Materials and methods All sporadic renal angiomyolipomas diagnosed between September 2009 and March 2015 were included...
April 16, 2018: Annals of the Royal College of Surgeons of England
https://www.readbyqxmd.com/read/29658336/nodular-fasciitis-involving-the-palm
#17
M Emori, J Shimizu, Y Murahashi, E Mizushima, S Sugita, T Hasegawa, T Yamashita
Nodular fasciitis (NF) is a self-limiting fibrous neoplasm that can be mistaken for a soft tissue sarcoma. It is characterised by rapid growth, slight pain and local tenderness. Although it is frequently found in the forearm, a lesion distal to the wrist is quite rare. We present two unusual cases of NF involving the palm, supported by detecting ubiquitin specific protease 6 gene rearrangement. The first patient had non-intraneural NF presenting as peripheral neuropathy affecting the digital nerve while the second patient suffered from painless, non-tender NF in the palm, which had not regressed spontaneously during the five months prior to surgery...
April 16, 2018: Annals of the Royal College of Surgeons of England
https://www.readbyqxmd.com/read/29658335/a-case-report-of-caecal-herniation-through-the-foramen-of-winslow
#18
K Shek, N Ditkofsky, S Ashamalla, C Patel
Caecal herniation through the foramen of Winslow is a rare entity of which radiologist should be aware. We present a case of this entity in a patient presenting with diabetic ketoacidosis and ongoing epigastric pain. Abdominal computed tomography demonstrated herniation of the caecum into the lesser sac via the foramen of Winslow. Despite the caecum appearing viable at the time of surgery, the surgeons performed a right hemicolectomy via laparotomy to prevent future recurrence.
April 16, 2018: Annals of the Royal College of Surgeons of England
https://www.readbyqxmd.com/read/29658334/the-modified-brunelli-procedure-a-simple-passage-for-the-flexor-carpi-radialis-tendon-graft
#19
V Sharma, Z Haider, A Hunter
No abstract text is available yet for this article.
April 16, 2018: Annals of the Royal College of Surgeons of England
https://www.readbyqxmd.com/read/29658333/mucinous-breast-carcinoma-with-tall-columnar-cells
#20
N Tsoukalas, M Kiakou, M Tolia, I D Kostakis, M Galanopoulos, G Nakos, D Tryfonopoulos, G Kyrgias, G Koumakis
Mucinous carcinoma of the breast represents 1%-4% of all breast cancers. The World Health Organization classification divides this type of tumour into three different subtypes: mucinous carcinoma, mucinous carcinoma with tall columnar cells (mucinous cystadenocarcinoma and columnar cell mucinous carcinoma) and signet ring cell carcinoma. A 74-year-old woman presented a tumour with inflammatory features in the upper outer quadrant of her left breast, 7 cm in diameter. The core biopsy showed infiltrating ductal carcinoma of no specific type...
April 16, 2018: Annals of the Royal College of Surgeons of England
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