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Annals of the Royal College of Surgeons of England

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https://www.readbyqxmd.com/read/30112955/splenic-trauma-in-the-twenty-first-century-changing-trends-in-management
#1
P Roy, R Mukherjee, M Parik
Over the past three decades, management of blunt splenic trauma has changed radically. Use of improved diagnostic techniques and proper understanding of disease pathology has led to nonoperative management being chosen as the standard of care in patients who are haemodynamically stable. This review was undertaken to assess available literature regarding changing trends of management of blunt splenic trauma, and to identify the existing lacunae in nonoperative management. The PubMed database was searched for studies published between January 1987 and August 2017, using the keywords 'blunt splenic trauma' and 'nonoperative management'...
August 16, 2018: Annals of the Royal College of Surgeons of England
https://www.readbyqxmd.com/read/30112954/triceps-on-alignment-off-a-comparison-of-total-elbow-arthroplasty-component-positioning-with-a-triceps-on-and-a-triceps-off-approach
#2
A King, S J Booker, W J Thomas, C D Smith
Introduction This retrospective review investigates whether the triceps-on approach obtains alignment of total elbow arthroplasty implants equivalent to a triceps-off approach. Methods The last 30 consecutive total elbow arthroplasties performed by the senior author were reviewed to identify the approach used and pathology treated. Initially, a triceps split and reflection approach was used, then a triceps-preserving approach. Two blinded reviewers measured the component alignment in standardised radiographs...
August 16, 2018: Annals of the Royal College of Surgeons of England
https://www.readbyqxmd.com/read/30112953/laparoscopic-retraction-in-nissen-fundoplication-for-the-patient-who-is-latex-allergic
#3
C Hadjittofi, E Cheong
No abstract text is available yet for this article.
August 16, 2018: Annals of the Royal College of Surgeons of England
https://www.readbyqxmd.com/read/30112952/ent-in-the-context-of-global-health
#4
N H Ta
Global health is a fashionable term frequently used in the twenty-first century's news that is rarely understood by ear, nose and throat (ENT) professionals. Communicable diseases such as HIV, tuberculosis and malaria have been in the headlines of global health for decades. Despite the recent public health concerns about noncommunicable diseases, including ENT disorders, these disorders still receive little attention on the global health stage. Despite the 'benign' nature and a large number of patients affected at a given time, noncommunicable diseases were found to account for 60% of international mortality in 2008...
August 16, 2018: Annals of the Royal College of Surgeons of England
https://www.readbyqxmd.com/read/30112950/combination-of-acellular-dermal-matrix-with-a-de-epithelialised-dermal-flap-during-skin-reducing-mastectomy-and-immediate-breast-reconstruction
#5
Hkn Kankam, Gjm Hourston, P Forouhi, M Di Candia, G C Wishart, C M Malata
Introduction Patients with large ptotic breasts undergoing immediate implant-based reconstruction often require skin-reducing mastectomy to optimise the aesthetic outcome. However, healing complications, especially at the resulting inverted T-junction, leading to wound dehiscence, infection, skin necrosis, implant exposure and failed reconstruction have been widely reported. We present an innovative approach for immediate implant-based reconstruction combining porcine- or bovine-derived acellular dermal matrices with a de-epithelialised dermal sling to protect and support the implant, while improving clinical outcomes in this challenging group of patients...
August 16, 2018: Annals of the Royal College of Surgeons of England
https://www.readbyqxmd.com/read/30112949/radial-forearm-free-flap-as-the-last-resort-for-oesophageal-reconstruction
#6
E A Griffiths, N Iqbal, T Martin, A Ranasinghe, S Parmar
Strategies for oesophageal reconstruction following resection vary according to the nature of the pathology encountered, patient factors and surgeon preference. However, reconstruction in patients with multiple previous failed attempts poses specific management challenges. We present the case of a 61-year-old man who underwent oesophageal reconstruction with a radial forearm flap as a last resort.
August 16, 2018: Annals of the Royal College of Surgeons of England
https://www.readbyqxmd.com/read/30112947/fracture-of-the-tibial-tubercle-with-a-stener-like-lesion-of-the-patellar-tendon-a-case-report
#7
B Pincher, J Smith
Fractures of the tibial tubercle account for less than 1% of paediatric orthopaedic injuries. We report a case of a 15-year-old boy presenting with a Stener-like lesion of the patellar tendon associated with a fracture of the tibial tubercle. There have been no previously reported cases of this type of injury in the literature. Treatment with open reduction and internal fixation of the fracture along with a repair of the patellar tendon can result in an excellent functional outcome.
August 16, 2018: Annals of the Royal College of Surgeons of England
https://www.readbyqxmd.com/read/30112946/novel-technique-for-laparoscopic-common-bile-duct-exploration-using-disposable-bronchoscope
#8
Y Aawsaj, I Ibrahim, A Gilliam
No abstract text is available yet for this article.
August 16, 2018: Annals of the Royal College of Surgeons of England
https://www.readbyqxmd.com/read/30112945/laparoscopic-inguinal-hernia-repair-a-rare-case-of-colonic-mesh-migration
#9
K Narang, A Krishan, B Pisavadia, A Wadood, M Budhoo, S Zaman
Inguinal hernia repair can be performed via either an open or laparoscopic technique. Use of a mesh to repair the abdominal wall defect is now common practice, leading to a reduction in hernia recurrence but also associated with a number of complications. We report a rare case of a 49-year old man who presented 3 years after laparoscopic hernia repair with right-sided abdominal pain and loose stools. Colonoscopy and computed tomography revealed a mesh and fixation devices within the lumen of the caecum and ascending colon...
August 16, 2018: Annals of the Royal College of Surgeons of England
https://www.readbyqxmd.com/read/30112944/mediastinal-herniation-of-the-biliary-tract-leading-to-bile-duct-obstruction-following-oesophagectomy
#10
A Laliotis, T Hettiarachchi, F Rashid, A Hindmarsh, V Sujendran
Surgical management of oesophageal and gastro-oesophageal junction malignancies is one of the most challenging situations confronting the surgeon. Attaining a complete circumferential resection margin of lower-third oesophageal and gastro-oesophageal junction locally advanced carcinomas requires en-bloc resection of the hiatus and all the peri-oesophageal tissue and pleura. This results in an increased risk of herniation of the abdominal organs through the enlarged hiatus, which carries significant risk of morbidity and mortality...
August 16, 2018: Annals of the Royal College of Surgeons of England
https://www.readbyqxmd.com/read/30112942/hemiarthroplasty-compared-with-total-hip-arthroplasty-in-fractured-neck-of-femur-a-shift-in-national-practice
#11
A M Khan, M Rafferty, J S Daurka
Introduction The aim of this study was to determine the trends in national practice regarding total hip arthroplasty compared with hemiarthroplasty in fractured neck of femur between 2010 and 2016. Materials and methods A retrospective review was conducted of NHS Digital data (England) between 2010 and 2016. 'Emergency' neck of femur fracture admissions, hemiarthroplasties and total hip arthroplasties were included. Elective total hip arthroplasties, revisions and prostheses relocations were excluded. Annual percentages for each operation were calculated...
August 16, 2018: Annals of the Royal College of Surgeons of England
https://www.readbyqxmd.com/read/30112941/a-five-year-follow-up-observational-study-of-the-t-14-paediatric-throat-disorders-outcome-measure-in-tonsillectomy-and-adenotonsillectomy
#12
K M Konieczny, T N Pitts-Tucker, T C Biggs, M B Pringle
Introduction The T-14 questionnaire is a validated outcome measurement tool to assess the value of paediatric tonsillectomy from a parent's perspective. There is a paucity of data regarding the long-term postoperative effects of tonsillectomy on quality of life in the paediatric population. Our previous study assessed T-14 scores up to year 2 postoperatively, with this study extending follow-up to 5 years. Materials and methods We undertook a prospective uncontrolled observational study examining 54 paediatric patients undergoing tonsillectomy at Portsmouth Hospitals NHS Trust...
August 16, 2018: Annals of the Royal College of Surgeons of England
https://www.readbyqxmd.com/read/30112940/radiolucent-triangle-and-u-bolster-for-lower-leg-positioning-for-circular-frame-application
#13
F Awad, T Jennison, A Hughes
No abstract text is available yet for this article.
August 16, 2018: Annals of the Royal College of Surgeons of England
https://www.readbyqxmd.com/read/30112939/bariatric-fellowship-positively-influences-early-outcomes-for-laparoscopic-roux-en-y-gastric-bypass-surgery-over-seven-years-of-independent-practice
#14
A Ilczyszyn, W Lynn, S Rasheed, J Davids, R Aguilo, S Agrawal
Introduction Laparoscopic Roux-en-Y gastric bypass (LRYGB) is technically demanding and has an associated learning curve. We published previously that bariatric fellowship reduces the learning curve of primary LRYGB and improves patient outcomes after one year of independent practice. However, the long-term effect of fellowship is unknown. We therefore aimed to compare the 30-day outcomes of LRYGB between the first year of a surgeon's independent practice with the subsequent six years. Materials and methods A prospective database of patients undergoing primary LRYGB under a single surgeon from March 2010 until February 2017 was analysed...
August 16, 2018: Annals of the Royal College of Surgeons of England
https://www.readbyqxmd.com/read/30112938/a-modified-approach-from-the-edge-of-the-tragus-in-the-surgical-treatment-of-mandibular-condyle-fractures
#15
X Lin, X-Y Liu, X-P Huang
Introduction We present our experiences using a modified surgical approach from the edge of the tragus for mandibular condyle fractures, to reduce the risk of postoperative complications and visible scars. Materials and methods Thirty-two patients presenting with mandibular condyle fractures were treated through a modified approach on the edge of the tragus. The age of the patients ranged from 6 to 62 years. All mandibular condyle fractures were fixed. The patients were asked to start open-mouth training one week postoperatively, undergoing a cone-beam computed tomography examination and clinical follow-up...
August 16, 2018: Annals of the Royal College of Surgeons of England
https://www.readbyqxmd.com/read/30112937/a-rare-complication-of-ileostomy-obstruction-boerhaave-syndrome
#16
D Yap, M Ng, N Mbakada
Small bowel obstruction is the most common surgical emergency after a patient has had abdominal surgery. However, Boerhaave syndrome secondary to an ileostomy obstruction has not been reported in current literature. We present a rare case of two concurrent surgical emergencies in a patient with Boerhaave syndrome and small bowel obstruction. A 38-year-old woman presented with sudden onset severe central chest pain associated with breathlessness. She had a history of Crohn's disease, which had been treated with pancolectomy and ileostomy...
August 16, 2018: Annals of the Royal College of Surgeons of England
https://www.readbyqxmd.com/read/30112936/indications-and-outcomes-of-home-parenteral-nutrition-in-patients-with-an-ileoanal-pouch
#17
S M Oke, J Segal, S K Clark, A L Hart, S M Gabe
Introduction Restorative proctocolectomy is a surgical treatment for patients with medically refractory ulcerative colitis and some cases of familial adenomatous polyposis. Intestinal failure, defined as an inability to maintain adequate hydration and micronutrient balances when on a conventionally accepted normal diet, is a rare complication of restorative proctocolectomy. We describe our experience of patients with restorative proctocolectomy who have developed intestinal failure requiring parenteral support...
August 16, 2018: Annals of the Royal College of Surgeons of England
https://www.readbyqxmd.com/read/30112935/patient-positioning-for-tension-band-wiring-of-olecranon-fractures
#18
A Patel, K Shepherd, K Karthik
No abstract text is available yet for this article.
August 16, 2018: Annals of the Royal College of Surgeons of England
https://www.readbyqxmd.com/read/30112933/diverticulitis-of-the-transverse-colon-manifesting-as-colocutaneous-fistula
#19
A Bakopoulos, D I Tsilimigras, M Syriga, N Koliakos, V Ntomi, D Moris, D Bistarakis, D Schizas
The transverse colon is a particularly rare site for a diverticulum to develop, with only few reports of solitary diverticula described in the literature. Among the reported complications, colocutaneous fistulas appear relatively infrequently. We describe the case of an 80-year-old woman with a solitary diverticulum of the transverse colon presenting as acute diverticulitis with abscess formation in the epigastric region. A fistulous tract was found between the inflamed colon and the skin. A wedge resection of the inflamed colon together with the fistula and the solitary diverticulum was performed followed by primary suturing of the healthy colonic tissue...
August 16, 2018: Annals of the Royal College of Surgeons of England
https://www.readbyqxmd.com/read/30112932/a-rare-case-of-pelviureteric-junction-obstruction-in-the-uncrossed-kidney-of-a-crossed-fused-renal-ectopia
#20
F Hajji, K Moufid, O Ghoundale, D Touiti
Crossed renal ectopia with fusion is an extremely rare congenital anomaly with few reported cases of pelviureteric junction obstruction, which often involves the crossed-over kidney. To our knowledge, we describe the second case in literature to report an uncrossed kidney with pelviureteric junction obstruction and giant hydronephrosis, which obstructs the pelviureteric junction of the crossed-over kidney. The grossly hydronephrotic kidney was found to be poorly functioning and an aberrant crossing vessel was considered to be potentially involved, raising both diagnostic and management challenges...
August 16, 2018: Annals of the Royal College of Surgeons of England
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