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Annals of the Royal College of Surgeons of England

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https://www.readbyqxmd.com/read/28869388/proposal-for-a-national-triage-system-for-the-management-of-ventral-hernias
#1
S G Parker, T H Reid, R Boulton, C Wood, D Sanders, Ajc Windsor
Ventral hernia disease is becoming increasingly prevalent and complex. Subspecialisation for patients with challenging conditions requiring surgery has been shown to improve postoperative outcomes. Worldwide, there is an emergence of specialist hernia centres using new and innovative techniques to repair large and complicated ventral hernias. After a national meeting of hernia experts, we present an algorithm to be used as a national triage system for patients with ventral hernias, with the aim of ensuring that patients are operated on by the most appropriate surgeon...
September 4, 2017: Annals of the Royal College of Surgeons of England
https://www.readbyqxmd.com/read/28841030/effective-positioning-of-the-fingers-for-intraoperative-x-rays
#2
J Wright, S Nicholson, J Arrowsmith
No abstract text is available yet for this article.
August 25, 2017: Annals of the Royal College of Surgeons of England
https://www.readbyqxmd.com/read/28768430/multi-and-univariate-analyses-of-the-weekend-effect-for-elective-lower-limb-joint-replacements
#3
Wte Briggs, Blt Guevel, A W McCaskie, S M McDonnell
Introduction The weekend effect is a perceived difference in outcome between medical care provided at the weekend when compared to that of a weekday. Clearly multifactorial, this effect remains incompletely understood and variable in different clinical contexts. In this study we analyse factors relevant to the weekend effect in elective lower-limb joint replacement at a large NHS multispecialty academic healthcare centre. Materials and Methods We reviewed the electronic medical records of 352 consecutive patients who received an elective primary hip or knee arthroplasty...
August 3, 2017: Annals of the Royal College of Surgeons of England
https://www.readbyqxmd.com/read/28768427/enhanced-recovery-programmes-for-lower-limb-arthroplasty-in-the-uk
#4
N S Nagra, T W Hamilton, L Strickland, D W Murray, H Pandit
Introduction Enhanced recovery programmes (ERPs) reduce patient morbidity and mortality, and provide significant cost savings by reducing length of stay. Currently, no uniform ERP guidelines exist for lower limb arthroplasty in the UK. The aim of this study was to identify variations in ERPs and determine adherence to local policy. Methods Hospitals offering elective total knee arthroplasty (TKA) and total hip arthroplasty (THA) (23 and 22 centres respectively) contributed details of their ERPs, and performed an audit (15 patients per centre) to assess compliance...
August 3, 2017: Annals of the Royal College of Surgeons of England
https://www.readbyqxmd.com/read/28768426/necrotising-fasciitis-in-a-patient-treated-with-folfiri-aflibercept-for-colorectal-cancer-a-case-report
#5
A Gonzaga-López, J Muñoz-Rodriguez, A Ruiz-Casado
Anti-angiogenics have become an important part of the treatment of several types of tumours such as ovarian, breast, lung and colorectal cancer. Necrotising fasciitis has been reported with bevacizumab but no cases have been reported with aflibercept, ramucirumab or regorafenib in patients with colorectal cancer. Necrotising fasciitis is a rare complication affecting one in 5000 bevacizumab users. We report the case of a 64-year-old man with stage IV rectosigmoid cancer under treatment with folinic acid, fluorouracil and irinotecan (FOLFIRI) and aflibercept, who developed a Fournier's gangrene...
August 3, 2017: Annals of the Royal College of Surgeons of England
https://www.readbyqxmd.com/read/28682133/outcomes-of-an-innovative-training-course-in-laparoscopic-hernia-repair
#6
D Light, S Bawa, P Gallagher, L Horgan
INTRODUCTION The Ethicon™ laparoscopic inguinal groin hernia training (LIGHT) course is an educational course based on three days of teaching on laparoscopic hernia surgery. The first day involves didactic lectures with tutorials. The second day involves practical cadaveric procedures in laparoscopic hernia surgery. The third day involves direct supervision by a consultant surgeon during laparoscopic hernia surgery on a real patient. We reviewed our outcomes for procedures performed on real patients on the final day of the course for early complications and outcomes...
July 6, 2017: Annals of the Royal College of Surgeons of England
https://www.readbyqxmd.com/read/28682129/a-simple-technique-to-reduce-occlusion-in-three-way-catheters
#7
M Boydell, B Mooney
No abstract text is available yet for this article.
July 6, 2017: Annals of the Royal College of Surgeons of England
https://www.readbyqxmd.com/read/28682128/the-effects-of-centralisation-of-vascular-surgical-services-in-the-bath-bristol-and-weston-area-on-the-carotid-endarterectomy-pathway
#8
E Partridge, M Brooks, C Curd, V Davis, C Oates, D McGeeney
Introduction Patients who experience a transient ischaemic attack are at the highest risk of having a subsequent stroke immediately after their symptoms. A carotid endarterectomy should be performed on symptomatic, surgically suitable patients who present with a greater than 50% North American Symptomatic Carotid Endarterectomy Trial stenosis of the internal carotid artery within 2 weeks of their symptoms. This study aimed to determine whether the effectiveness of the carotid endarterectomy pathway has been impacted by the centralisation of vascular surgical services in the Bath, Bristol and Weston area...
July 6, 2017: Annals of the Royal College of Surgeons of England
https://www.readbyqxmd.com/read/28682127/factors-influencing-the-choice-of-treatment-modality-for-individual-patients-with-varicose-veins
#9
B Campbell, N Chinai, P Hollering, H Wright, R McCarthy
INTRODUCTION There is evidence of effectiveness for a range of different treatment modalities for varicose veins but limited information about factors that influence treatment choice for individual patients. METHODS A postal survey was sent to 438 UK members of the Vascular Society of Great Britain and Ireland. RESULTS Overall, 251 responses were received (response rate 57%). A total of 222 respondents treated varicose veins using conventional surgery (84%), endothermal ablation (82%) and foam sclerotherapy (68%)...
July 6, 2017: Annals of the Royal College of Surgeons of England
https://www.readbyqxmd.com/read/28682126/a-method-for-securing-the-temporary-lead-s-in-sacral-nerve-stimulation
#10
P M Smith, C Tawadros, N Fletcher, C D Betts
No abstract text is available yet for this article.
July 6, 2017: Annals of the Royal College of Surgeons of England
https://www.readbyqxmd.com/read/28653546/cruciate-retaining-compared-with-posterior-stabilised-nexgen-total-knee-arthroplasty-results-at-10-years-in-a-matched-cohort
#11
Aiw Mayne, H P Harshavardhan, L R Johnston, W Wang, A Jariwala
INTRODUCTION Debate has persisted for many years about whether to sacrifice or replace the posterior cruciate ligament when performing total knee arthroplasty. A paucity of long-term follow-up studies comparing outcomes between cruciate-retaining and posterior-stabilised knees exist. We aimed to compare results at ten-year follow-up. METHODS A matched paired study comparing a cohort of 107 Zimmer Nexgen® Cruciate Retaining (CR) patients with a cohort of 107 Nexgen Posterior-Stabilised (PS) knees matched for age, sex, body mass index and preoperative American Knee Society score was undertaken...
June 27, 2017: Annals of the Royal College of Surgeons of England
https://www.readbyqxmd.com/read/28853607/ringing-the-changes
#12
Tim Lane
No abstract text is available yet for this article.
September 2017: Annals of the Royal College of Surgeons of England
https://www.readbyqxmd.com/read/28853606/impact-of-the-quantity-of-intradiscal-cement-leak-on-the-progression-of-intervertebral-disc-degeneration
#13
B Jamjoom, S Patel, R Bommireddy, Z Klezl
Introduction We aim to assess the impact of the quantity of intradiscal cement leak during kyphoplasty on the rate of progression of degenerative changes in the affected disc. Methods Of 316 kyphoplasty procedures, we identified 32 episodes of intradiscal cement leak in 26 patients. The quantity of cement leaked was graded from I to IV. Disc degenerative changes were assessed at presentation and follow-up using radiographical scoring and magnetic resonance imaging (MRI) grading systems. Data for low-grade leaks (grade I) were compared with the medium- and high-grade leaks (grades II-IV) using a chi-squared test...
September 2017: Annals of the Royal College of Surgeons of England
https://www.readbyqxmd.com/read/28853605/current-assessment-of-choledochoduodenostomy-130-consecutive-series
#14
H Okamoto, K Miura, J Itakura, H Fujii
Introduction Cholelithiasis usually can be managed successfully by endoscopic sphincterotomy. Choledochoduodenostomy (CDD) is one of the surgical treatment options but its acceptance remains debated because of the risk of reflux cholangitis and sump syndrome. The aim of this study was to assess the current features and outcomes of patient undergoing CDD. Patients and methods We retrospectively analysed the surgical results of consecutive 130 patients treated by CDD between 1991 and 2013 and excluded five cases with a malignant disorder...
September 2017: Annals of the Royal College of Surgeons of England
https://www.readbyqxmd.com/read/28853604/a-fatal-case-of-amphetamine-induced-ischaemic-colitis
#15
P A Green, Clf Battersby, R M Heath, L McCrossan
Amphetamine induced ischaemic colitis is an exceedingly rare presentation of amphetamine toxicity. The cases reported in the literature have described mild or transient disease. We present a fatal case of ischaemic colitis induced by amphetamine use in a 44-year-old woman who presented in extremis after a cardiac arrest en route to the emergency department. A short history of headache, abdominal pain, vomiting and agitation preceded her admission. Imaging revealed changes consistent with ischaemic colitis. Emergency laparotomy revealed widespread colonic necrosis necessitating a subtotal colectomy...
September 2017: Annals of the Royal College of Surgeons of England
https://www.readbyqxmd.com/read/28853603/the-besmart-best-supportive-management-for-adults-referred-with-tonsillopharyngitis-multicentre-observational-study
#16
MULTICENTER STUDY
A S Lau, C Mamais, E McChesney, N S Upile, C Vaughan, J Veitch, J R Abbas, A Markey, N G Brown, M Evans, J Thomas, M Gaines, Z Shehata, M D Wilkie, S C Leong
Introduction Tonsillopharyngitis is the most common ear, nose and throat emergency admission, with 80,000 episodes recorded in England in 2015-2016. Despite this, there is a paucity of evidence addressing the supportive management of tonsillopharyngitis in inpatients. The aim of this retrospective multicentre observational study was to consider the Best Supportive Management for Adults Referred with Tonsillopharyngitis (BeSMART) in the inpatient setting, and to establish any associations between practice and outcomes...
September 2017: Annals of the Royal College of Surgeons of England
https://www.readbyqxmd.com/read/28853602/management-of-choledocholithiasis-after-previous-gastrectomy
#17
S Anwer, R Egan, N Cross, S Guru Naidu, K Somasekar
Common bile duct stones in patients with a previous gastrectomy can be a technical challenge because of the altered anatomy. This paper presents the successful management of two such patients using non-traditional techniques as conventional endoscopic retrograde cholangiopancreatography was not possible.
September 2017: Annals of the Royal College of Surgeons of England
https://www.readbyqxmd.com/read/28853601/rotator-cuff-surgery-in-patients-with-rheumatoid-arthritis-clinical-outcome-comparable-to-age-sex-and-tear-size-matched-non-rheumatoid-patients
#18
S J Lim, J-H Sun, A L Kekatpure, J-M Chun, I-H Jeon
Aims This study aimed to compare the clinical outcomes of rotator cuff repair in patients with rheumatoid arthritis with those of patients who have no known history of the disease. We hypothesised that the functional outcomes are comparable between patients and without rheumatoid arthritis and may be affected by the level of disease activity, as assessed from C-reactive protein (CRP) level and history of systemic steroid intake. Patients and methods We conducted a retrospective review of the institutional surgical database from May 1995 to April 2012...
September 2017: Annals of the Royal College of Surgeons of England
https://www.readbyqxmd.com/read/28853600/coress-feedback
#19
(no author information available yet)
No abstract text is available yet for this article.
September 2017: Annals of the Royal College of Surgeons of England
https://www.readbyqxmd.com/read/28853599/pyomyositis-of-the-pectineus-muscle-in-an-adolescent-male
#20
J Hiddema, S Hassan, N Mangat, N Siddiqui
The 'irritable hip' continues to pose a challenge for clinicians. Even with predictive clinical algorithms, decision making can be difficult. Emergency treatment is required if septic arthritis is suspected. Other differential diagnoses such as transient synovitis, pyomyositis of the pelvic girdle muscles and osteomyelitis must be considered in order to help guide appropriate investigations and allow early treatment. We report the case of a 13-year-old boy presenting to our institution with an acutely painful left hip but still able to weight bear...
September 2017: Annals of the Royal College of Surgeons of England
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