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Surgeon: Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland

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https://www.readbyqxmd.com/read/30195865/the-impact-of-indocyanine-green-fluorescence-angiogram-on-colorectal-resection
#1
Yuk Kwan Chang, Chi Chung Foo, Jeremy Yip, Rockson Wei, Ka Kin Ng, Oswens Lo, Hok Kwok Choi, Wai Lun Law
BACKGROUND: Perfusion plays an important role in anastomotic healing. Indocyanine-green fluorescence angiogram allows objective bowel perfusion assessment. This study aimed to investigate the impact of perfusion assessment on intraoperative decision during left-sided colorectal resections. METHOD: This was a prospective, single-centre, observational study recruiting patients with left-sided colorectal resections. Perfusion of bowel segment was assessed with ICG fluorescence angiogram prior to resection and anastomosis intra-operatively...
September 5, 2018: Surgeon: Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland
https://www.readbyqxmd.com/read/30195864/recommendations-for-the-post-operative-management-of-an-existing-warfarin-therapy-after-lower-limb-joint-arthroplasty
#2
Leonidas Roumeliotis, Caroline Jenkins, Srinivasa Chakravarty Budithi, Sudheer Karlakki
BACKGROUND: Warfarin administration after lower limb joint replacements is associated with a high bleeding risk, creating the circumstances for periprosthetic joint infections, increased treatment costs and prolonged Length of Stay (L.o.S). We believe that previously warfarinized patients can be treated safely and discharged without delays, if appropriate policies are established and adhered to. METHODS: This is a retrospective cohort study. We have collected and analyzed data from an audit cycle between 2012 and 2015 on: 1) the post-operative Warfarin reloading protocol, identifying 4 distinct patterns: usual dose, 1...
September 5, 2018: Surgeon: Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland
https://www.readbyqxmd.com/read/30170915/new-biotechnologies-for-musculoskeletal-injuries
#3
REVIEW
Isabel Andia, Nicola Maffulli
The practice of any sport is inherently associated with the risk of musculoskeletal lesions. We describe regenerative medicine technologies, including cellular therapies, gene therapies and multimolecular preparations of growth factors and cytokines, which are expected to advance the field of orthopaedics and sports medicine. Gene therapy involves the introduction of genetic information in the injured tissue to help that tissue to heal and, possibly, regenerate. Cell therapies used in clinical practice are based on the transplantation of adult human cells, which can be at different stages of differentiation...
August 28, 2018: Surgeon: Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland
https://www.readbyqxmd.com/read/30170914/is-there-a-role-for-routine-laryngoscopy-before-and-after-parathyroid-surgery
#4
George E Fowler, Pei Ru Chew, C B B Lim, Sabapathy P Balasubramanian
INTRODUCTION: Recurrent laryngeal nerve (RLN) palsy is a potential complication of parathyroid surgery with significant morbidity and a cause of medico-legal litigation. Peri-operative laryngoscopy to assess RLN function helps identify a vocal cord palsy and guide management. The value of its routine use in asymptomatic patients is however unclear. The low risk of permanent palsy, rarity of true asymptomatic palsy and costs, discomfort and inconvenience to patients are arguments against routine laryngoscopy...
August 28, 2018: Surgeon: Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland
https://www.readbyqxmd.com/read/30166239/incidence-of-deep-infection-union-and-malunion-for-open-diaphyseal-femoral-shaft-fractures-treated-with-im-nailing-a-systematic-review
#5
Hany Saleeb, Theodoros Tosounidis, Costas Papakostidis, Peter V Giannoudis
BACKGROUND: and purpose: We have undertaken a systematic review to evaluate the clinical results of intramedullary nailing (IMN) for open diaphyseal femoral fractures on the rates of union, delayed union, malunion, superficial and deep infection and bone grafting. METHODS: We searched the electronic databases of EMBASE, MEDLINE, from their inception until December 1st, 2017 with no language restrictions. The reference lists of all included articles and relevant reviews were also examined for potentially eligible studies...
August 27, 2018: Surgeon: Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland
https://www.readbyqxmd.com/read/30166238/reliability-of-the-laboratory-risk-indicator-in-necrotising-fasciitis-lrinec-score
#6
REVIEW
Muhammad Abdullah, Billy McWilliams, Saad U Khan
BACKGROUND: The LRINEC score was introduced in 2004 but it has not yet been incorporated as a reliable diagnostic tool in the management of Necrotising Fasciitis. NF is uncommon and proportionately the evidence is limited, but the contradictory literature has resulted in varying individual concepts and clinical practices. This article is aimed to evaluate the reliability of the LRINEC score and determine its effectiveness based on the current available evidence. METHODS: Eighteen clinical studies published during 2004-2018 were identified after an extended literature search and critically appraised to determine the validity, reliability and applicability of the individual pieces of evidence...
August 27, 2018: Surgeon: Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland
https://www.readbyqxmd.com/read/30145045/classical-limberg-versus-classical-karydakis-flaps-for-pilonidal-disease-an-updated-systematic-review-and-meta-analysis-of-randomized-controlled-trials
#7
REVIEW
Shaheel M Sahebally, Gabriela McMahon, Stewart R Walsh, John P Burke
INTRODUCTION: Pilonidal disease (PD) is associated with significant disability culminating in time off work/school. Recurrence rates remain high following conventional surgical interventions. Flap-based techniques are postulated to decrease recurrence. We performed a systematic review and meta-analysis to compare the effectiveness of the classical Limberg (LF) and Karydakis (KF) flaps in the treatment of PD. METHODS: The online databases of Medline, CINAHL, EMBASE, Cochrane Central Register of Controlled Trials as well as Google Scholar were searched for relevant articles from inception until May 2017...
August 22, 2018: Surgeon: Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland
https://www.readbyqxmd.com/read/30145044/a-prospective-questionnaire-based-study-on-staff-awareness-of-intimate-partner-violence-ipv-in-orthopaedic-trauma-patients
#8
Samantha Downie, Kim Madden, Mohit Bhandari, Arpit Jariwala
AIMS: Investigate awareness in the multidisciplinary orthopaedic trauma team regarding intimate partner violence (IPV), willingness to ask patients and knowledge of available support. METHODS: Orthopaedic staff in several UK centres completed an anonymous online validated questionnaire reflecting their opinions on IPV in orthopaedics. Respondents from orthopaedic surgery, nursing, and physiotherapy participated. RESULTS: There were 121 respondents with a mean 10 years' experience...
August 22, 2018: Surgeon: Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland
https://www.readbyqxmd.com/read/30097345/renal-failure-parathyroidectomy-is-pre-operative-imaging-worthwhile
#9
Robert A J Spence, Timothy J Patterson, Peter Currie, Liam Convie, Lioe Tong, Tim Brown, Roy A J Spence
BACKGROUND: Tertiary hyperparathyroidism is a significant issue in renal failure patients and some require surgery to control their serum calcium. A number of imaging techniques are used to localise the position of the parathyroid glands prior to surgery. Currently, a combination of ultrasound and isotope preoperative localisation imaging is accepted as useful in parathyroid surgery for primary disease. However, the use of pre-operative imaging in parathyroid surgery in renal failure patients is uncertain...
August 7, 2018: Surgeon: Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland
https://www.readbyqxmd.com/read/30093229/non-technical-skills-training-in-the-operating-theatre-a-meta-analysis-of-patient-outcomes
#10
REVIEW
Sebastian Leuschner, Maria Leuschner, Siegfried Kropf, Andreas D Niederbichler
BACKGROUND: Non-technical skills (NTS) failures have been implicated in a large proportion of surgical errors. The objective of this meta-analysis was to investigate whether NTS training of theatre staff improves patient outcomes. METHODS: In a systematic literature search all interventional studies evaluating the effects of NTS training of theatre staff were identified. Primary outcomes included mortality, morbidity, readmission rate and length of hospital stay...
August 6, 2018: Surgeon: Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland
https://www.readbyqxmd.com/read/30055952/value-of-procalcitonin-as-a-marker-of-surgical-site-infection-following-spinal-surgery
#11
Yasser Aljabi, Angelo Manca, Jessica Ryan, Amr Elshawarby
AIM: To compare the value of Procalcitonin (PCT) as a marker of surgical site infection to other inflammatory markers, including C-Reactive Protein (CRP), White Cell Count (WCC) and Erythrocyte Sedimentation Rate (ESR) in patients undergoing a number of spinal procedures. This study also aims to describe the biokinetic profile of the above-named markers in patients developing surgical site infection and those remaining infection-free post-operatively. METHODS: 200 patients undergoing four routine elective spinal procedures were included for analysis...
July 25, 2018: Surgeon: Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland
https://www.readbyqxmd.com/read/30033140/surgical-treatment-of-diverticulitis-and-its-complications-a-systematic-review-and-meta-analysis-of-randomized-control-trials
#12
REVIEW
Ali Mahmoud Ahmed, Abdelrahman Tarek Moahammed, Omar Mohamed Mattar, Esraa Mowafy Mohamed, Esraa Abdelmon'em Faraag, Ammar Mohammed AlSafadi, Kenji Hirayama, Nguyen Tien Huy
PURPOSE: The surgical interventions of diverticulitis vary according to its grade and severity. There is a controversy about the best of these different surgical procedures. We aimed to systematically review and meta-analyze randomized controlled trials (RCTs) comparing outcomes and complications between different surgical approaches for acute diverticulitis and its complications. METHODS: Nine electronic databases including PubMed, Scopus, and Web of Science were searched for RCTs comparing different surgical procedures for different grades of diverticulitis...
July 19, 2018: Surgeon: Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland
https://www.readbyqxmd.com/read/30031668/close-rectal-dissection-in-benign-diseases-of-the-rectum-a-review
#13
REVIEW
D M Nally, D O Kavanagh, D C Winter
PURPOSE: Total mesorectal excision (TME) is the gold standard resectional strategy for rectal cancer to minimize loco-regional recurrence and optimize oncological outcomes. This plane is described by many as 'bloodless' but it does contain important pelvic neural plexuses and dissection may be close to the ureters and major vascular structures, particularly in inflammatory conditions of the distal colon and rectum. In such benign diseases a more conservative excision, so-called close rectal dissection, has been advocated to minimize damage to these structures...
July 18, 2018: Surgeon: Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland
https://www.readbyqxmd.com/read/30058533/pre-designed-consent-forms-for-total-hip-replacement-total-knee-replacement-and-caesarean-section-a-national-observational-study-of-current-english-practice
#14
Alexander Light, Tanya Gupta, Madura Nandakumar, Maria Dadabhoy, Abigail Burrows, Allen Daniel, Sandeep Karthikeyan
BACKGROUND: Pre-designed procedure-specific consent forms (PCFs) have potential advantages over handwritten forms for improving the consent process and disclosing material risks, as necessitated by the 2015 'Montgomery' ruling. We aimed to assess the use and quality of English NHS Trust PCFs for total hip replacement (THR), total knee replacement (TKR), and caesarean section (CS). METHODS: All 233 English NHS Trusts were sent a Freedom of Information request seeking PCFs for these operations...
July 4, 2018: Surgeon: Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland
https://www.readbyqxmd.com/read/29954672/authors-response-to-the-letter-re-evidence-based-treatment-for-unstable-slipped-upper-femoral-epiphysis-systematic-review-and-exploratory-patient-level-analysis
#15
LETTER
Sattar Alshryda, Kai Tsang, Anastasios Chytas, Muhammad Choudhry, Kevin Sacchi, Mubashshar Ahmad, James M Mason
No abstract text is available yet for this article.
June 25, 2018: Surgeon: Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland
https://www.readbyqxmd.com/read/29699781/long-term-follow-up-for-pilonidal-sinus-surgery-a-review-of-literature-with-metanalysis
#16
REVIEW
M Milone, N Velotti, M Manigrasso, P Anoldo, F Milone, G D De Palma
BACKGROUND: Sacrococcygeal pilonidal sinus disease (PSD) is a common chronic inflammation of the natal cleft and presents as an abscess or a chronically discharging, painful sinus tract. The management of chronic PSD is variable, contentious, and problematic. Although many surgical procedures have been tried, the best surgical method remains controversial. The aim of this systematic review with meta-analysis of literature is to provide surgeons an objective instrument of decision through an analysis of recurrence rate of various surgical techniques in a long-term follow-up...
October 2018: Surgeon: Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland
https://www.readbyqxmd.com/read/29657134/early-mortality-and-morbidity-following-a-type-ii-odontoid-fracture-in-the-elderly
#17
Hassaan Q Sheikh, Michael Athanassacopoulos, Arpan B Doshi, Lee Breakwell, Ashley Cole, Antony Louis Rex Michael, Neil Chiverton
BACKGROUND: We aimed to analyse the rates of early and causes of death in patients aged over 65 years with a type II odontoid fracture. METHODS: A consecutive series of 93 patients with a type II fracture of the odontoid process was retrospectively identified. Data collected included patient demographics, co-morbidities, associated injuries, neurological injury, date of death and cause of death. Mean patient age was 81. Five patients (5%) were treated operatively while the rest were treated in a hard cervical collar...
October 2018: Surgeon: Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland
https://www.readbyqxmd.com/read/29548552/faecal-immunochemical-tests-fit-in-the-assessment-of-patients-presenting-with-lower-bowel-symptoms-concepts-and-challenges
#18
REVIEW
Callum G Fraser
Colonoscopy is a relatively scarce resource in many countries, including Scotland, and a simple investigation which would aid general practitioners in particular in decision-making as to which patients presenting with lower bowel symptoms warranted referral would be of much help. Faecal immunochemical tests for haemoglobin (FIT) have many advantageous characteristics and are now proven to be of considerable value in the timely assessment of patients with symptoms of lower bowel disease. Quantitative FIT provide numerical estimates of faecal haemoglobin concentration (f-Hb) and, at low f-Hb cut-off, FIT have high sensitivity for colorectal cancer (CRC) and could be used as a rule-in test to stimulate rapid referral, especially when symptoms are suggestive of serious bowel disease...
October 2018: Surgeon: Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland
https://www.readbyqxmd.com/read/29534851/a-systematic-review-of-the-association-between-a-single-strenuous-event-and-the-development-of-an-inguinal-hernia-a-medicolegal-grey-area
#19
REVIEW
Timothy Patterson, Peter Currie, Robert Spence, Sinead McNally, Gary Spence
BACKGROUND: Inguinal hernia is a common surgical presentation. Evidence for its causation regarding occupational and recreational physical exposures is limited. The aim of this study is to conduct a systematic review objectively evaluating the evidence for a causal link between a single strenuous event and the development of an inguinal hernia. METHOD: A systematic review was carried out in accordance with PRISMA guidelines. PubMed, Ovid Embase, SCOPUS, and Cochrane Library were searched...
October 2018: Surgeon: Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland
https://www.readbyqxmd.com/read/29526658/long-term-outcomes-of-simple-clinical-risk-stratification-in-management-of-differentiated-thyroid-cancer
#20
W L Craig, L Smart, S Fielding, C Ramsay, Z H Krukowski
OBJECTIVE: To establish the long term outcomes of risk stratified management of differentiated thyroid cancer (DTC). BACKGROUND: Guidelines for management of DTC lack a strong evidence base and expose patients to overtreatment. This prospective study of patients diagnosed with DTC between 1977 and 2012 describes the long term outcomes of a conservative risk stratified (AMES) management policy. METHODS: Outcomes were analysed around patient and tumour characteristics, primary intervention (surgery ± radioiodine (RAI)), in terms of mortality, recurrence and reintervention...
October 2018: Surgeon: Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland
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