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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/29954672/authors-response-to-the-letter-re-evidence-based-treatment-for-unstable-slipped-upper-femoral-epiphysis-systematic-review-and-exploratory-patient-level-analysis
#1
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/29936016/inequalities-in-health-an-update-on-the-effect-of-social-deprivation-for-patients-with-breast-cancer-in-south-east-wales
#2
K Boyce, C White, P Hunt, N Abel, Z James, T Micic, K F Gomez
BACKGROUND: Breast cancer, historically a disease of more affluent women, has increased in incidence for women from areas of greater social deprivation, yet prognosis is worse for these women. This study identifies differences in presentation, treatment and prognostic factors between the socioeconomic groups. METHODS: Patient data obtained from the prospectively maintained Welsh national Cancer Network Information System Cymru, for an 11-year period, were categorised according to Welsh Index of Multiple Deprivation quintiles...
June 20, 2018: Surgeon: Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland
https://www.readbyqxmd.com/read/29929769/a-prospective-cohort-study-investigating-the-use-of-a-surgical-planning-tool-to-improve-patient-fasting-times-in-orthopaedic-trauma
#3
Samantha Downie, Judith Joss, Sankar Sripada
OBJECTIVES: To improve surgical planning and reduce fasting times with a tool designed to predict average surgical times for the commonest orthopaedic trauma operations. METHODS: A prospective cohort study comprising two 2-week periods before and after introduction of a surgical planning tool. The tool was used in the post-intervention group to predict surgical times for each patient and the predicted end-time for each list. The study was conducted in a UK trauma unit with consecutive orthopaedic trauma patients listed for surgery with no exclusions...
June 18, 2018: Surgeon: Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland
https://www.readbyqxmd.com/read/29907524/comparison-of-revision-risks-and-complication-rates-between-total-hip-replacement-and-hip-resurfacing-within-the-similar-age-group
#4
Veera Venkata Satyanarayana Eethakota, Vinod Vaishnav, Linda Johnston, Rami Abboud, Weijie Wang
BACKGROUND AND PURPOSE: Currently it is not clear whether age is a factor affecting revisions in total hip replacement (THR) and hip resurfacing (HR). This study aimed to investigate which of THR or HR has a higher risk in terms of revision and complication within similar age groups. METHODS: A systemic review was performed for published literature research databases and local data and compared the two procedures under the condition that both groups of patients were age matched...
June 12, 2018: Surgeon: Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland
https://www.readbyqxmd.com/read/29887315/systematic-review-and-meta-analysis-on-the-effect-of-obesity-on-recurrence-after-laparoscopic-anti-reflux-surgery
#5
REVIEW
Yasir Bashir, Hazel Ní Chonchubhair, Sinead N Duggan, Robert Memba, Qurat Ul Ain, Anne Murphy, Jean McMahon, Paul F Ridgway, Kevin C Conlon
BACKGROUND & AIMS: Laparoscopic anti-reflux surgery (LARS) aims to provide relief from gastroesophageal reflux disease (GORD). With increase in the prevalence of obesity, there is a concurrent increase in obese patients requiring LARS. In addition to being a more technically difficult procedure, there is conflicting evidence regarding the effectiveness of LARS in obese patients. We performed a systematic review and meta-analysis to compare the outcomes of LARS in obese versus non-obese patients...
June 7, 2018: Surgeon: Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland
https://www.readbyqxmd.com/read/29884507/differentiated-thyroid-cancer-a-retrospective-evaluation-of-the-impact-of-changes-to-disease-management-guidelines-on-patients-in-south-east-scotland
#6
A G Williamson, V Wilmot, C Ntala, F W Gibb, B Conn, I J Nixon
BACKGROUND: The British Thyroid Association (BTA) updated guidelines for the management of differentiated thyroid cancer (DTC) in 2014. A key update was that patients with unifocal disease >10-≤40 mm in diameter, aged <45 years and with no other risk factors could be considered for lobectomy alone. The aim of this study was to retrospectively evaluate the potential impact of these changes on the management of DTC in South East Scotland, and to analyse the characteristics of lobes now potentially considered for observation rather than resection...
June 5, 2018: Surgeon: Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland
https://www.readbyqxmd.com/read/29880431/using-three-dimensional-average-facial-meshes-to-determine-nasolabial-soft-tissue-deformity-in-adult-uclp-patients
#7
Ka Wai Frank Wong, Andrew Keeling, Kulraj Achal, Balvinder Khambay
BACKGROUND AND PURPOSE: There is limited literature discussing the residual nasolabial deformity of adult patients prior to undergoing orthognathic surgery. The purpose of this study is to determine the site and severity of the residual nasolabial soft tissue deformity between adult unilateral cleft lip and palate (UCLP) patients and a non-cleft reference group, prior to orthognathic surgery. MATERIAL AND METHODS: Sixteen adult male UCLP patients, who all received primary lip and palate surgery according to a standardised Hong Kong protocol were recruited for this study...
June 4, 2018: Surgeon: Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland
https://www.readbyqxmd.com/read/29861144/mode-of-presentation-rather-than-the-weekend-effect-is-a-major-determinant-of-in-hospital-mortality
#8
Anwen Williams, Arfon G M T Powell, Izabela Spernaes, Pallavi Basu, Stephen Edwards, Paul Edwards
BACKGROUND: The influence of patient demographics and mode of admission on the 'weekend effect' remains unclear. This study examins the relationship between day of admission, patient demographics, mode of presentation and survival. METHODS: Hospital admissions over a three-year period were studied. Patients with an inpatient stay less than 24 h and those who were discharged from the emergency department were excluded. In-hospital mortality was correlated with day of admission, age, gender and mode of presentation in a binary logistical regression analysis...
May 31, 2018: Surgeon: Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland
https://www.readbyqxmd.com/read/29861143/surgical-complications-and-cardiovascular-comorbidity-substantial-non-immunological-confounders-of-survival-after-living-donor-kidney-transplantation
#9
Andrej Khandoga, Michael Thomas, Axel Kleespies, Lennart Kühnke, Joachim Andrassy, Antje Habicht, Manfred Stangl, Markus Guba, Martin Angele, Jens Werner, Markus Rentsch
BACKGROUND: Surgical complications following kidney transplantation compromise immediate graft survival. However, the role of early surgical complications in the impairment of long-term survival is not completely established due to various other influences, such as patient comorbidities. The purpose of this study was to characterize the impact of surgical complications and overlapping patient comorbidities on graft function and survival after living donor kidney transplantation (LDKT)...
May 31, 2018: Surgeon: Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland
https://www.readbyqxmd.com/read/29843958/survival-outcome-of-tonsillar-squamous-cell-carcinoma-tscc-in-the-context-of-human-papillomavirus-hpv-a-systematic-review-and-meta-analysis
#10
Navid Ahmadi, Michael Chan, Ya Ruth Huo, Niranjan Sritharan, Ronald Y Chin
OBJECTIVE: The objective of our study was to assess whether HPV-positive TSCC had better survival and prognosis rates, when compared to HPV-negative TSCC. METHOD: A systematic review and meta-analysis was performed comparing HPV status in TSCC patients. TSCC was confirmed with histopathology and HPV status was confirmed with PCR, immunohistochemistry and/or in-situ-hybridisation. The primary endpoints were overall survival (OS) and disease free survival (DFS). RESULTS: Twenty-four studies were identified, involving 1921 TSCC cases, of which 56...
May 26, 2018: Surgeon: Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland
https://www.readbyqxmd.com/read/29807673/long-term-outcomes-of-en-bloc-renal-transplantation-from-paediatric-donors-into-adult-recipients
#11
S W Considine, N F Davis, L C McLoughlin, P Mohan, J C Forde, R Power, G Smyth, D M Little
INTRODUCTION: Transplant units are exploring strategies to increase the availability of donor kidneys. The use of en-bloc kidney transplantation (EBKT) from paediatric donors represents one potential solution. We present our long-term experience with paediatric EBKT among adult recipients. METHODS: Twenty-three paediatric to adult EBKTs were performed by the Irish National Kidney Transplant Service between 1990 and 2016. The primary outcome variable was long-term en-bloc allograft survival rate...
May 25, 2018: Surgeon: Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland
https://www.readbyqxmd.com/read/29803742/total-hip-arthroplasty-in-patients-with-trisomy-21-systematic-review-and-exploratory-patient-level-analysis
#12
REVIEW
Shiv Sha, Hany Abdelsabour, Suganth J Vijimohan, Tim Board, Sattar Alshryda
INTRODUCTION: Trisomy 21 is the most common chromosomal disorders in humans; it is caused by an extra copy of chromosome number 21. This extra chromosomal material causes widespread abnormalities involving nearly every part of human body. Hip disorders are the second most serious musculoskeletal disorder in patients with T21 with a reported incidence between 2 and 28%. The outcomes of these hip disorders in patients with T21 are much less favorable than similar hip diagnoses in normal patients and a substantive number of these patients develop severe osteoarthritis that require total hip arthroplasty (THA)...
May 23, 2018: Surgeon: Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland
https://www.readbyqxmd.com/read/29801707/prevalence-and-anatomy-of-the-axillary-arch-and-its-implications-in-surgical-practice-a-meta-analysis
#13
Dominik Taterra, Brandon Michael Henry, Michał P Zarzecki, Beatrice Sanna, Przemysław A Pękala, Roberto Cirocchi, Jerzy A Walocha, R Shane Tubbs, Krzysztof A Tomaszewski
PURPOSE: The following research aimed to investigate the prevalence and anatomical features of the axillary arch (AA) - a muscular, tendinous or musculotendinous slip arising from the latissimus dorsi and that terminates in various structures around the shoulder girdle. The AA may complicate axillary lymph node biopsy or breast reconstruction surgery and may cause thoracic outlet syndrome. METHODS: Major electronic databases were thoroughly searched for studies on the AA and its variations...
May 22, 2018: Surgeon: Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland
https://www.readbyqxmd.com/read/29793784/an-assessment-of-the-quality-and-content-of-information-on-diverticulitis-on-the-internet
#14
Tara M Connelly, Mohammad Shoaib Khan, Liana Victory, Abeera Mehmood, Fiachra Cooke
AIM: Although commonly the first port of call for medical information, the internet provides unregulated information of variable quality. We aimed to evaluate commonly accessed web-based patient information on diverticulitis using validated and novel scoring systems. METHODS: The top internet search engines (Google/Bing/Yahoo) were queried using the keyword 'diverticulitis.' The first 20 websites from each were graded using the DISCERN and Journal of the American Medical Association (JAMA) benchmark criteria...
May 21, 2018: Surgeon: Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland
https://www.readbyqxmd.com/read/29730174/a-systematic-review-of-the-aetiology-and-management-of-post-cholecystectomy-syndrome
#15
REVIEW
Jennifer Isherwood, Kathryn Oakland, Achal Khanna
BACKGROUND: 10% of patients who undergo a cholecystectomy go on to develop post-cholecystectomy syndrome (PCS). The majority of these patients may suffer from extra-biliary or unrelated organic disorders that may have been present before cholecystectomy. The numerous aetiological causes of PCS result in a wide spectrum of management options, each with varying success in abating symptoms. This systematic review aims to provide a summary of the causative aetiologies of post cholecystectomy syndrome, their incidences and efficacy of available management options...
May 2, 2018: Surgeon: Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland
https://www.readbyqxmd.com/read/29724664/cognitive-skills-training-in-digital-era-a-paradigm-shift-in-surgical-education-using-the-tatme-model
#16
REVIEW
Joep Knol, Deborah S Keller
Surgical competence is a complex, multifactorial process, requiring ample time and training. Optimal training is based on acquiring knowledge and psychomotor and cognitive skills. Practicing surgical skills is one of the most crucial tasks for both the novice surgeon learning new procedures and surgeons already in practice learning new techniques. Focus is placed on teaching traditional technical skills, but the importance of cognitive skills cannot be underestimated. Cognitive skills allow recognizing environmental cues to improve technical performance including situational awareness, mental readiness, risk assessment, anticipating problems, decision-making, adaptation, and flexibility, and may also accelerate the trainee's understanding of a procedure, formalize the steps being practiced, and reduce the overall training time to become technically proficient...
April 30, 2018: Surgeon: Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland
https://www.readbyqxmd.com/read/29699782/a-systematic-review-of-mechanical-thromboprophylaxis-in-the-lithotomy-position
#17
REVIEW
Chloé Gelder, Audrey L McCallum, Alan J R Macfarlane, John H Anderson
BACKGROUND: Venous thrombosis and compartment syndrome are potentially serious complications of prolonged, lithotomy position surgery. It is unclear whether mechanical thromboprophylaxis in this group of patients modifies the risk of compartment syndrome. This qualitative systematic review examines the evidence base to guide clinical practice. METHOD: A systematic review was performed guided by Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) criteria, to identify studies reporting relationships between lithotomy position, compartment syndrome and mechanical thromboprophylaxis...
April 23, 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
#18
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...
April 23, 2018: Surgeon: Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland
https://www.readbyqxmd.com/read/29456055/re-antibiotic-treatment-of-asymptomatic-bacteriuria-prior-to-hip-and-knee-arthroplasty-a-systematic-review-of-the-literature-by-mayne-et-al
#19
LETTER
Chenglong Wang, Dong Yin, Xiong Chen, Chen Zhou, Xiao Huang
No abstract text is available yet for this article.
June 2018: Surgeon: Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland
https://www.readbyqxmd.com/read/29337046/the-impact-of-fast-track-protocols-in-upper-gastrointestinal-surgery-a-meta-analysis-of-observational-studies
#20
REVIEW
Charalampos Siotos, Konstantinos Stergios, Androniki Naska, Maximos Frountzas, Vasilios Pergialiotis, Despina N Perrea, Nikolaos Nikiteas
BACKGROUND: Fast track surgery has been implemented in colorectal procedures during the last decade and is accompanied by significant improvement in patient outcomes during the early postoperative period. However, to date, its adoption in upper gastrointestinal surgery remains a matter of debate. In this context, we aimed to summarize the existing evidence in the international literature. MATERIALS AND METHODS: We searched Medline, Scopus, ClinicalTrials.gov and Cochrane Central Register databases for published randomized controlled trials...
June 2018: Surgeon: Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland
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