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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/30420320/use-of-laparoscopic-videos-amongst-surgical-trainees-in-the-united-kingdom
#1
Valerio Celentano, Neil Smart, Ronan A Cahill, John S McGrath, Sharmila Gupta, John P Griffith, Austin G Acheson, Tom D Cecil, Mark G Coleman
BACKGROUND: Surgical trainers consider laparoscopic videos as a useful teaching aid to maximize trainees' learning and skill development given the backdrop of time constraints and productivity demands. Aim of this study is to assess the current use of laparoscopic videos amongst surgical trainees in the United Kingdom. METHODS: A steering committee of 15 experienced laparoscopic trainers from 8 countries developed a survey on the use of laparoscopic videos by surgical trainees...
November 9, 2018: Surgeon: Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland
https://www.readbyqxmd.com/read/30396859/management-of-post-cholecystectomy-vascular-injuries
#2
Vishal Gupta, Vivek Gupta, Pradeep Joshi, Saket Kumar, Rugved Kulkarni, Nikhil Chopra, G Pavankumar, Abhijit Chandra
INTRODUCTION: Vasculobiliary and vascular injuries following cholecystectomy are the most serious complications requiring complex surgical management resulting in greater patient morbidity and mortality. METHODOLOGY: The study was performed at a tertiary teaching hospital of North India. Records of patients referred for biliary or vascular injury sustained during cholecystectomy were reviewed retrospectively to identify patients with vascular injury between January 2009 and March 2018...
November 2, 2018: Surgeon: Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland
https://www.readbyqxmd.com/read/30389220/meta-analysis-of-the-effect-of-sarcopenia-in-predicting-postoperative-mortality-in-emergency-and-elective-abdominal-surgery
#3
REVIEW
Shahab Hajibandeh, Shahin Hajibandeh, Ross Jarvis, Talvinder Bhogal, Sanjush Dalmia
OBJECTIVES: To investigate the effect of sarcopenia on postoperative mortality in patients undergoing emergency abdominal procedures and to compare postoperative mortality in patients with sarcopenia undergoing emergency abdominal procedures with those undergoing elective abdominal procedures. METHODS: A search of electronic information sources was conducted to identify all observational studies comparing sarcopenia with no sarcopenia in a) emergency abdominal surgery and b) elective abdominal surgery...
October 30, 2018: Surgeon: Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland
https://www.readbyqxmd.com/read/30361126/a-meta-analysis-comparing-the-direct-anterior-with-other-approaches-in-primary-total-hip-arthroplasty
#4
Fatih Kucukdurmaz, Mohamed Sukeik, Javad Parvizi
BACKGROUND: Proponents of the direct anterior approach (DAA) for THAs suggest earlier recovery with no increased complications whereas opponents suggest higher complication rates. METHODS: We conducted a meta-analysis of randomized controlled trials (RCTs) to compare the outcomes of the DAA versus other surgical approaches in primary THAs. RESULTS: We identified 18 RCTs suitable for detailed extraction of the data. The RCTs included a total of 1661 patients with a mean age of 62 years (range 55-69)...
October 22, 2018: Surgeon: Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland
https://www.readbyqxmd.com/read/30333089/association-between-sarcopaenia-and-outcomes-in-a-vascular-surgical-patient-cohort
#5
LETTER
Ju-Dong Li, Xin-Fei Xu, Jiong-Jie Yu, Tian Yang
No abstract text is available yet for this article.
October 14, 2018: Surgeon: Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland
https://www.readbyqxmd.com/read/30314957/patient-consent-in-the-post-montgomery-era-a-national-multi-speciality-prospective-study
#6
Stephen R Knight, Robert Pearson, Ciara Kiely, Grace Lee, Alisdair J MacDonald, Angus Macdonald
BACKGROUND: The Montgomery ruling has had a wide-ranging impact on the consent process and has been the subject of new guidelines by bodies, including the Royal College of Surgeons (RCSEng). This is the first study to examine the current standard of consent for surgical procedures at a national level. METHOD: A national collaborative research model was used, with prospective data collection performed across hospitals in Scotland. Variables associated with the consent process were audited across three surgical specialities (general surgery, urology and orthopaedics) and measured against standards set by RCSEng, the Scottish Public Services Ombudsman and medical defence organisations...
October 9, 2018: Surgeon: Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland
https://www.readbyqxmd.com/read/30314956/the-role-of-emergency-laparoscopic-colectomy-for-complicated-sigmoid-diverticulits-a-systematic-review-and-meta-analysis
#7
REVIEW
Roberto Cirocchi, Nicola Fearnhead, Nereo Vettoretto, Diletta Cassini, Georgi Popivanov, Brandon Michael Henry, Krzysztof Tomaszewski, Vito D'Andrea, Justin Davies, Salomone Di Saverio
BACKGROUND: Nowadays sigmoidectomy is recommended as "gold standard" treatment for generalized purulent or faecal peritonitis from sigmoid perforated diverticulitis. This systematic review and meta-analysis aimed to assess effectiveness and safety of laparoscopic access versus open sigmoidectomy in acute setting. METHODS: A systematic literature search was performed for randomized controlled trials (RCTs) and non-RCTs published in PubMed, SCOPUS and Web of Science...
October 9, 2018: Surgeon: Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland
https://www.readbyqxmd.com/read/30309747/can-crp-velocity-in-right-iliac-fossa-pain-identify-patients-for-intervention-a-prospective-observational-cohort-study
#8
Brayden March, Lucy Leigh, Marcio Brussius-Coelho, Merran Holmes, Peter Pockney, Jon Gani
INTRODUCTION: Previous studies have shown single CRP measurements at time of presentation to have limited predictive benefit for appendicitis. Our objective was to determine the diagnostic utility of serial CRP measurements (to determine CRP velocity [CRPv]) in patients with right iliac fossa (RIF) pain. METHODS: A single-centre prospective observational study was conducted on adult patients admitted with RIF pain. CRP was measured on admission, at midnight, and the following morning...
October 8, 2018: Surgeon: Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland
https://www.readbyqxmd.com/read/30195865/the-impact-of-indocyanine-green-fluorescence-angiogram-on-colorectal-resection
#9
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
#10
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
#11
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
#12
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
#13
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
#14
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
#15
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
#16
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/29699781/long-term-follow-up-for-pilonidal-sinus-surgery-a-review-of-literature-with-metanalysis
#17
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
#18
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
#19
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
#20
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
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