journal
MENU ▼
Read by QxMD icon Read
search

Annals of the Royal College of Surgeons of England

journal
https://www.readbyqxmd.com/read/30644323/limited-preoperative-physical-capacity-continues-to-be-associated-with-poor-postoperative-outcomes-within-a-colorectal-eras-programme
#1
E McLennan, R Oliphant, S J Moug
AIM: Enhanced recovery after surgery (ERAS) programmes aim to standardise perioperative care leading to optimal patient outcomes. Despite these programmes, variation in outcomes still persists. This study aimed to assess the influence of lifestyle factors on short-term outcomes after colorectal surgery within this optimal recovery programme. METHODS: Consecutive patients enrolled on an ERAS pathway who underwent elective colorectal surgery (June 2013 to July 2014) at one site were included...
January 15, 2019: Annals of the Royal College of Surgeons of England
https://www.readbyqxmd.com/read/30644321/the-incidence-of-post-thyroidectomy-hypocalcaemia-a-retrospective-single-centre-audit
#2
S Arman, A Vijendren, G Mochloulis
INTRODUCTION: The aim of this single centre retrospective observational record-based audit was to assess the incidence of post-thyroidectomy hypocalcaemia. The setting was a district general hospital in Hertfordshire covering a population of 500,000 people. A total of 196 patients who had had total or completion thyroidectomy during a five-year period were included in the study. MATERIALS AND METHODS: The primary outcome measure was to determine the rate of biochemical and symptomatic hypocalcaemia in patients undergoing total or completion thyroidectomy...
January 15, 2019: Annals of the Royal College of Surgeons of England
https://www.readbyqxmd.com/read/30602308/gastric-remnant-perforation-due-to-trocar-site-herniation-after-laparoscopic-roux-en-y-gastric-bypass
#3
R Ebrahimi, M Kermansaravi, F Eghbali, A Pazouki
A 39-year-old woman was admitted with colicky left upper-quadrant pain, dyspnoea, low-grade fever, tachycardia and a subtle left upper-quadrant tenderness without leucocytosis. Computed tomography revealed a distended gastric remnant due to small-bowel loop herniation at the trocar site. The patient underwent a diagnostic laparoscopy as her general condition worsened. Perforation across the staple line was seen and repaired. The postoperative period was uneventful. As a rare complication of laparoscopic Roux-en-Y gastric bypass, small-bowel obstruction is of great importance because it can lead to gastric remnant perforation if not managed correctly...
January 3, 2019: Annals of the Royal College of Surgeons of England
https://www.readbyqxmd.com/read/30602304/does-a-dedicated-hip-fracture-unit-improve-clinical-outcomes-a-five-year-case-series
#4
T J Walton, S F Bellringer, M Edmondson, P Stott, B A Rogers
INTRODUCTION: The aim of the study was to establish whether a dedicated hip fracture unit, geographically separate from the local major trauma centre, could improve clinical outcomes for patients sustaining proximal femoral fragility fractures. MATERIALS AND METHODS: This study was a retrospective case series, using data collected from Brighton and Sussex University Hospitals NHS Trust's submissions to the National Hip Fracture Database between 1 April 2011 and 16 September 2016...
January 3, 2019: Annals of the Royal College of Surgeons of England
https://www.readbyqxmd.com/read/30602297/the-effects-of-foam-sclerotherapy-on-ulcer-healing-a-single-centre-prospective-study
#5
G Cuffolo, E Hardy, J Perkins, L J Hands
INTRODUCTION: This prospective study of foam sclerotherapy for varicose veins aimed to determine the outcomes of treatment including ulcer healing and complication rates in our unit. Data were collected prospectively over a 10-year period and maintained on a database by our vascular sciences unit, which performed the planning and post-treatment venous duplex scans. Patients undergoing treatment due to venous ulceration were identified from this database. An initial cohort of patients underwent a follow-up scan and assessment at one year...
January 3, 2019: Annals of the Royal College of Surgeons of England
https://www.readbyqxmd.com/read/30602293/adult-onset-giant-cervical-cystic-hygroma-with-pressure-manifestations-on-aerodigestive-tract-managed-surgically-reporting-of-a-rare-case
#6
Khaled Elshaar, Laila AbuAleid
Cystic hygroma is a benign congenital malformation of the lymphatic system that occurs in children younger than two years of age. Hygroma commonly presents in head and neck but can be present anywhere. It is rarely seen in adults. We report the case of a 28-year-old woman who presented with a huge painless right-sided cystic neck swelling of 11 months duration, associated with progressive dysphagia and difficulty in breathing when lying supine or on her left side. Clinically, the swelling occupied both right anterior and posterior triangles of her neck with impalpable right carotid pulsations...
January 3, 2019: Annals of the Royal College of Surgeons of England
https://www.readbyqxmd.com/read/30602290/the-prognostic-significance-of-macroscopic-serosal-change-in-subserosal-invasion-stage-t3-gastric-cancer
#7
B Zhao, D Mei, J Zhang, S Zou, Hn Lu, H Xu, B Huang
BACKGROUND: For patients with gastric cancer intraoperative macroscopic serosal change is not always consistent with pathological T stage. We investigated whether macroscopic serosal change is associated with unfavourable prognosis of patients with gastric cancer. METHODS: We reviewed 856 patients with stage T3 gastric cancer who underwent curative gastrectomy in our institution. All patients were classified as serosa negative and serosa positive according to the macroscopic serosal change during the operation...
January 3, 2019: Annals of the Royal College of Surgeons of England
https://www.readbyqxmd.com/read/30602286/the-elusive-spleen
#8
S Dixon, L F Horgan
INTRODUCTION: The aim of this study was to review the experience of general surgeons performing splenectomy in a district general hospital. The outcomes are discussed together with potential reasons for the increasing rarity of the procedure. METHODS: A retrospective cohort study was carried out of all patients undergoing splenectomy (as identified by a single trust pathology department on receipt of splenic samples) between 1 January 2000 and 1 May 2017. Case notes and computer systems were interrogated for data on operating surgeon, patient demographics, diagnosis, surgical approach (laparoscopic/open/converted to open), critical care admission and 30-day mortality...
January 3, 2019: Annals of the Royal College of Surgeons of England
https://www.readbyqxmd.com/read/30602285/giant-angiolipoma-of-the-back-complicated-with-ulceration-and-sepsis-unusual-presentation-of-a-rare-benign-tumour
#9
A H Elfallal, Y N Laimon, S H Emile
A 63-year-old woman presented to the emergency unit with a huge (40 × 35 × 10 cm) oval-shaped pedunculated growth in the back with superficial ulceration in its lower aspect, associated with signs of sepsis. After adequate resuscitation, the patient was transferred to the operation theatre where the tumour was completely excised and the resultant wound was closed in primary manner using polypropylene sutures with suction drains inserted in the wound bed. The patient was discharged home after two days and was followed-up for two months...
January 3, 2019: Annals of the Royal College of Surgeons of England
https://www.readbyqxmd.com/read/30602284/three-intrasubstance-failures-of-a-lars%C3%A2-ligament-used-for-ligament-reconstruction
#10
V Ramsingh, A D Yewlett, H C Pullen
We report three cases of intrasubstance failure of a LARS™ (Ligament Augmentation and Reconstruction System) artificial ligament used for acromioclavicular joint reconstruction. The LARS™ ligament failed within four months of the index procedure. All patients underwent a revision procedure following an unsuccessful trial of conservative management. A modified second loop technique was employed during the revision procedure for all cases using the LARS™ ligament. All three patients achieved full recovery to pre-injury level function...
January 3, 2019: Annals of the Royal College of Surgeons of England
https://www.readbyqxmd.com/read/30525912/shift-working-reduces-operative-experience-for-trauma-and-orthopaedic-higher-surgical-trainees-a-uk-multicentre-study
#11
H Sevenoaks, S Ajwani, I Hujazi, J Sergeant, M Woodruff, J Barrie, J Mehta
INTRODUCTION: In recent years there has been a rise in the number of trauma and orthopaedics trainees working on full shift patterns. Historically, most trauma and orthopaedics trainees worked 24 hours non-resident on-call shifts. The effect of this change in shift patterns has not previously been measured. As two trusts (one trauma unit, one major trauma centre) in our region underwent a change to full shift working, we assessed the impact on the trainees' operating experience. METHODS: Fifty-five logbooks were analysed across the two trusts over a two-year period, with comparisons made between pre- and post-shift working...
December 11, 2018: Annals of the Royal College of Surgeons of England
https://www.readbyqxmd.com/read/30482052/effectiveness-of-fascial-closure-technique-following-percutaneous-endovascular-aneurysm-repair
#12
K Majid, M A Anwar, A Shepherd, M Malina, T Hussain
INTRODUCTION: Percutaneous access and closure is commonly performed for patients undergoing endovascular aneurysm repair (EVAR). It has proven to be a safe and successful method of closure associated with fewer complications when compared with the traditional open technique. Fascial closure is an alternative technique that can be used for closure reducing the risks associated with the open technique. The aim of this study was to assess the safety and durability of fascial closure for failed percutaneous closure device following EVAR...
November 28, 2018: Annals of the Royal College of Surgeons of England
https://www.readbyqxmd.com/read/30482043/the-role-of-core-needle-biopsies-in-the-management-of-neck-lumps
#13
A Kalra, G-M Prucher, S Hodges
INTRODUCTION: King's College Hospital has proudly provided a one-stop neck lump clinic since 2012. These multidisciplinary clinics allow for rapid diagnoses due to in-clinic investigations. In April 2013, ultrasound-guided core needle biopsies were introduced as an alternative/adjunct to fine-needle aspiration cytology and open biopsies for obtaining histological diagnoses. The aim of the study was to assess the impact of core needle biopsies on the diagnosis of neck lumps compared with fine-needle aspiration cytology and open biopsies between April 2015 and May 2016...
November 28, 2018: Annals of the Royal College of Surgeons of England
https://www.readbyqxmd.com/read/30482038/abscess-drainage-without-the-mess
#14
R Fallaize
A technique to reduce mess and odour in abscess drainage is presented.
November 28, 2018: Annals of the Royal College of Surgeons of England
https://www.readbyqxmd.com/read/30482037/toxicity-and-survival-of-anal-cancer-patients-treated-with-intensity-modulated-radiation-therapy
#15
A Ghareeb, K Paramasevon, P Mokool, H van der Voet, M Jha
INTRODUCTION: The definitive treatment of anal cancer with chemoradiotherapy spares abdominoperineal resection for salvage treatment but carries a high burden of toxicity. Intensity-modulated radiation therapy has been implemented to reduce toxicity, reduce treatment breaks and improve survival. However, large and long-term studies are lacking. We aimed to investigate the toxicities and long-term survival of anal cancer patients treated with intensity-modulated radiation therapy at James Cook University Hospital, Middlesbrough...
November 28, 2018: Annals of the Royal College of Surgeons of England
https://www.readbyqxmd.com/read/30482035/laparoscopic-hemi-splenectomy-a-valid-option-in-selected-cases-such-as-epidermoid-cyst
#16
F J Tejero-Pintor, C Cuesta-De la Llave, M Rodriguez-Lopez, M Bailon-Cuadrado, D Pacheco-Sánchez
Splenic cysts are a rare pathology, which can be classified as true (25%) or pseudocysts (75%). Total splenectomy has been the treatment of choice, particularly in recent times with the advent of the laparoscopic approach. However, as the spleen is an organ with multiple immunological functions, the laparoscopic partial splenectomy is an alternative, which is technically difficult but effective. We present a case of a 26-year-old woman with incidental evidence of a splenic cyst in an abdominal ultrasound scan...
November 28, 2018: Annals of the Royal College of Surgeons of England
https://www.readbyqxmd.com/read/30482033/stripped-screwhead-removal-a-simple-glove-technique
#17
M D Franklin, S Gandham, N Boyce Cam
No abstract text is available yet for this article.
November 28, 2018: Annals of the Royal College of Surgeons of England
https://www.readbyqxmd.com/read/30482032/surgical-management-of-a-giant-hepatic-cyst-with-suspicious-radiological-features
#18
C Clancy, C Gibbons, P F Ridgway
Cysts in the liver have a wide variety of aetiologies. Important features of malignancy based on various imaging techniques must be considered prior to any intervention. Perioperative decision making in complex or difficult cysts is key to appropriate patient management. A 66-year-old woman was referred to the outpatient department with a one-year history of intermittent, sharp, right upper quadrant pain, radiating to her back. Computed tomography and magnetic resonance imaging showed a large cyst in the right and left lobes of the liver with portal inflow closely related...
November 28, 2018: Annals of the Royal College of Surgeons of England
https://www.readbyqxmd.com/read/30482030/auxiliary-partial-orthotopic-liver-transplantation-for-acute-liver-failure
#19
M Shrivastav, A Rammohan, M S Reddy, M Rela
INTRODUCTION: Auxiliary partial orthotopic liver transplantation (APOLT) in acute liver failure acts as a bridge to native liver regeneration with potential for immunosuppression free survival. While technical concerns limit its universal acceptance, the indications in acute liver failure also need to be examined for this procedure to ultimately succeed. CASE HISTORY: We present the case of an eight-month-old girl with cryptogenic acute liver failure who underwent APOLT...
November 28, 2018: Annals of the Royal College of Surgeons of England
https://www.readbyqxmd.com/read/30421961/implementation-of-a-supervised-exercise-therapy-programme
#20
E Murgitroyd, Sca Fraser, A Hebson, D R Lewis
INTRODUCTION: Guidelines for peripheral vascular disease state that supervised exercise therapy (SET) programmes improve walking distance and quality of life in patients with intermittent claudication. This paper outlines the steps needed to implement a successful SET programme and discusses some of the challenges. METHODS: Edinburgh Leisure was approached to coordinate an exercise programme aimed at rehabilitation, run by level 4 members of the Register of Exercise Professionals...
November 13, 2018: 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"