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Annals of the Royal College of Surgeons of England

https://read.qxmd.com/read/38873837/reverse-boot-technique-for-applying-traction-in-below-knee-amputees
#1
JOURNAL ARTICLE
R McAllister, M Franklin, N Hyder
No abstract text is available yet for this article.
June 14, 2024: Annals of the Royal College of Surgeons of England
https://read.qxmd.com/read/38869096/does-timely-reporting-of-preoperative-ct-scans-influence-outcomes-for-patients-following-emergency-laparotomy
#2
JOURNAL ARTICLE
S Ikram, N Mirtorabi, D Ali, H Aain, D N Naumann, M Dilworth
INTRODUCTION: Timely preoperative computed tomography (CT) scans are important for patients requiring emergency laparotomy. United Kingdom guidelines state that a CT scan should be reported within 1h for 'critical' patients (will alter management at the time) and within 12h for 'urgent' patients (will alter management but not necessarily that day). METHODS: An observational study included patients who were added to the National Emergency Laparotomy Audit (NELA) at a National Health Service trust from 2014 to 2021...
June 13, 2024: Annals of the Royal College of Surgeons of England
https://read.qxmd.com/read/38836371/coin-cidence-have-cashless-payments-reduced-the-incidence-of-upper-aerodigestive-foreign-body-insertion-a-study-of-uk-hospital-episode-statistics
#3
JOURNAL ARTICLE
A Jangan, E Watts, M Pankhania
OBJECTIVES: Insertions of nasal and oral foreign bodies (FB) are common presentations in the emergency department, with coins frequently implicated among paediatric populations. Contactless payments were first introduced in the UK in 2007, and cash payments significantly declined from 2012. This study aims to explore the potential implications of increasing contactless payments on FB ingestion. METHODS: UK Hospital Episode Statistics (HES) were reviewed between 2000 and 2022...
June 5, 2024: Annals of the Royal College of Surgeons of England
https://read.qxmd.com/read/38836369/immediate-versus-expedient-emergent-laparotomy-in-unstable-isolated-abdominal-trauma-patients
#4
JOURNAL ARTICLE
P Maya, B Moran, M Khan, H Yehuda, G Adi, D J Joseph, K Boris
INTRODUCTION: Unstable abdominal trauma patients should be treated with emergent laparotomy. However, few studies have evaluated the association between time to surgery and survival in these patients. We aimed to assess the influence of time to laparotomy on outcomes in blunt and penetrating unstable abdominal trauma patients. METHODS: This retrospective study includes patients with abdominal injuries, systolic blood pressure <90mmHg on arrival, admitted in Israel during 2000-2018...
June 5, 2024: Annals of the Royal College of Surgeons of England
https://read.qxmd.com/read/38813653/rare-case-of-combined-vascular-malformation-of-the-face-a-successful-surgical-management
#5
JOURNAL ARTICLE
S Bhatt, R M Karmacharya, S Vaidya, D Prajapati, R Napit, K Chapagain, N Bhandari, A Tamang
Combined vascular malformation affecting the facial region is an extremely rare clinical entity that is debilitating both functionally and emotionally. Treatment warrants a multidisciplinary approach with the aim of removing the vascular anomalies and ameliorating any functional facial disfigurement. Here, we present a case of a 40-year-old female with combined vascular malformation of the face who was treated successfully with surgical intervention accompanying significant resolution of facial disfigurement...
May 30, 2024: Annals of the Royal College of Surgeons of England
https://read.qxmd.com/read/38787326/surgical-arrest-of-post-tonsillectomy-haemorrhage-hospital-episode-statistics-2016-2022
#6
JOURNAL ARTICLE
C Heining, M Clark
INTRODUCTION: Return to theatre for arrest of post-tonsillectomy haemorrhage represents a significant complication of a commonly performed Ear, Nose and Throat procedure. We used Hospital Episode Statistics data to quantify this risk. This method has been used previously for data from 2002-2004 and again for 2010-2016. In this article, coblation tonsillectomy was considered separately as it had not been analysed in previous studies. METHODS: We used Hospital Episode Statistics data provided by the Department of Health to determine the risk of return to theatre for patients undergoing tonsillectomy between 2016 and 2022...
May 24, 2024: Annals of the Royal College of Surgeons of England
https://read.qxmd.com/read/38787322/trainee-as-trainer-in-paediatric-laparoscopic-appendicectomy
#7
JOURNAL ARTICLE
L Henderson, N Patwardhan, H Dagash
BACKGROUND: Intraoperative teaching is an essential surgical skill, but there is little literature regarding trainees acting as trainers; we characterised these cases in paediatric laparoscopic appendicectomy. METHODS: This is a retrospective review of casenotes over two years (2015-2017) in a single tertiary paediatric surgical centre in the UK. Operating were: paediatric surgery Core Trainees (CT) (postgraduate year (PGY)3-4), Junior Registrars (JR) (PGY5-6) and Senior Registrars (SR) (PGY7+); collectively described as trainees...
May 24, 2024: Annals of the Royal College of Surgeons of England
https://read.qxmd.com/read/38787311/robotic-versus-laparoscopic-surgery-for-colorectal-disease-a-systematic-review-meta-analysis-and-meta-regression-of-randomised-controlled-trials
#8
REVIEW
A Thrikandiyur, G Kourounis, S Tingle, P Thambi
INTRODUCTION: Robotic surgery (RS) is gaining prominence in colorectal procedures owing to advantages like three-dimensional vision and enhanced dexterity, particularly in rectal surgery. Although recent reviews report similar outcomes between laparoscopic surgery (LS) and RS, this study investigates the evolving trends in outcomes over time, paralleling the increasing experience in RS. METHODS: A systematic review, meta-analysis and meta-regression were conducted of randomised controlled trials exploring postoperative outcomes in patients undergoing RS or LS for colorectal pathology...
May 24, 2024: Annals of the Royal College of Surgeons of England
https://read.qxmd.com/read/38787310/impact-of-untreated-preoperative-asymptomatic-bacteriuria-in-patients-undergoing-holmium-laser-enucleation-of-prostate
#9
JOURNAL ARTICLE
D Bheenick, M Conroy, J Bondad, D Dawam, T Young, P Acher
INTRODUCTION: Treatment of preoperative asymptomatic bacteriuria (ASB) before endoscopic surgery is recommended by European Association of Urology (EAU) guidelines. United Kingdom (UK) practice varies, however, owing to the historical nature of the evidence behind the guidelines, risk of increased antimicrobial resistance, the paradoxical view that treatment of ASB leads to increased infection and inefficiencies in rescheduling. We do not routinely treat ASB in our practice before holmium enucleation of the prostate (HoLEP)...
May 24, 2024: Annals of the Royal College of Surgeons of England
https://read.qxmd.com/read/38787306/environmentally-friendly-splints-for-limb-immobilisation-a-systematic-review
#10
REVIEW
J A Mawhinney, Sjm Parker, A Selby, N A Johnson
INTRODUCTION: Climate change is estimated to be the biggest global health threat of the 21st century, and has prompted calls to move away from processes in healthcare associated with high energy consumption and greenhouse gas emission. In musculoskeletal medicine, splints are widely used for limb immobilisation. These have typically been made from single-use materials such as gypsum, although in recent years purportedly environmentally friendly splints have been designed. In this systematic review, we set out to assess the clinical effectiveness of all commercially available environmentally friendly splinting materials, including Woodcast® ...
May 24, 2024: Annals of the Royal College of Surgeons of England
https://read.qxmd.com/read/38787302/proximie-in-the-operating-theatre-evaluation-of-a-virtual-operating-platform-for-medical-student-education
#11
JOURNAL ARTICLE
D C Schramm, A Abdul-Hamid, J Ramsden, R Mathew
INTRODUCTION: Medical students often hesitate to enter the operating theatre because of poor visibility of the surgical field and anxiety about the theatre environment. In addition, ear, nose and throat (ENT) surgery is underrepresented in many medical curricula. Virtual systems like Proximie offer flexible viewing of surgeries with surgeon commentary, potentially addressing these issues. METHODS: This descriptive survey study aimed to evaluate the use of Proximie as a surgical education tool for delivering ENT teaching to medical students...
May 24, 2024: Annals of the Royal College of Surgeons of England
https://read.qxmd.com/read/38787286/selective-nonoperative-versus-operative-management-of-liver-gunshot-injuries-a-retrospective-cohort-study
#12
JOURNAL ARTICLE
R R Dalcin, Ytm Petrillo, Lac Alves, M K Fonseca, A S Almeida, C O Corso
INTRODUCTION: Experience accumulated over the last decades suggests nonoperative management (NOM) of civilian gunshot liver injuries can be safely applied in selected cases. This study aims to compare the outcomes of selective NOM versus operative management (OM) of patients sustaining gunshot wounds (GSW) to the liver. METHODS: A registry-based retrospective cohort analysis was performed for the period of 2008 to 2016 in a Brazilian trauma referral. Patients aged 16-80 years sustaining civilian GSW to right-sided abdominal quadrants and liver injury were included...
May 24, 2024: Annals of the Royal College of Surgeons of England
https://read.qxmd.com/read/38747152/the-role-of-social-inequalities-in-the-epidemiology-of-urological-cancers-can-this-inform-cancer-screening
#13
JOURNAL ARTICLE
M G Cumberbatch
Health inequalities are systematic and potentially remediable differences in health across populations. Understanding the origins of these discrepancies, the healthcare consequences and the manifestations of related diseases can help improve the outcomes of underserved communities. Here I discuss how social factors may be used to help identify particular at-risk populations with regards to urological malignancies, and how these can be potentially used as biomarkers that inform cancer screening targets.
May 15, 2024: Annals of the Royal College of Surgeons of England
https://read.qxmd.com/read/38747064/adherence-to-general-medical-council-guidance-regarding-disclosure-of-alternative-treatments-during-the-consent-process
#14
JOURNAL ARTICLE
G S Bethell, R A Wheeler, N J Hall
INTRODUCTION: General Medical Council (GMC) guidelines dictate that reasonable alternatives to treatment should be disclosed during the consent process. We aimed to determine whether GMC guidelines on disclosure of alternatives during consent are being followed in a real-world example which is disclosure of non-operative management as an alternative to appendicectomy in uncomplicated paediatric appendicitis. METHODS: We undertook a retrospective single-centre observational study and national consultant specialist paediatric surgeon survey...
May 15, 2024: Annals of the Royal College of Surgeons of England
https://read.qxmd.com/read/38746984/evaluation-of-long-term-outcome-following-therapeutic-mammaplasty-the-effect-of-wound-complication-on-initiation-of-adjuvant-therapy-and-subsequent-oncological-outcome
#15
JOURNAL ARTICLE
R Rampal, S Jones, W Hogg, B Rengabashyam, B Hogan, R Achuthan, B Kim
INTRODUCTION: Therapeutic mammaplasty (TM) facilitates large tumour resection while maintaining optimal aesthetic outcome. It carries higher wound complication risks, which may delay adjuvant therapy initiation. Whether this delay affects oncological outcome requires evaluation. METHODS: Data were collected for consecutive patients receiving TM at the Leeds breast unit (2009-2017). A prospectively maintained database was used to determine tumour characteristics, wound complication rates, receipt of adjuvant therapy and breast cancer recurrence or death...
May 15, 2024: Annals of the Royal College of Surgeons of England
https://read.qxmd.com/read/38721944/comparing-the-effectiveness-of-full-vacuum-and-half-vacuum-drainage-in-reducing-seroma-after-modified-radical-mastectomy-a-meta-analysis
#16
JOURNAL ARTICLE
S Oyewale, A Ariwoola
INTRODUCTION: Owing to limited outpatient support for drain management, delayed discharge after mastectomy is more prevalent in developing countries. Utilising half-vacuum (HV) suction drains for routine drainage after mastectomy could lead to a reduced incidence of seroma and a shorter hospital stay. This systematic review and meta-analysis compared the outcomes of HV against full-vacuum (FV) suction drains in patients who underwent modified radical mastectomy for breast cancer. METHODS: Differences between the two groups in length of hospital stay, total volume of drain effluent and incidence of seroma were assessed...
May 9, 2024: Annals of the Royal College of Surgeons of England
https://read.qxmd.com/read/38683381/the-green-surgery-report-a-guide-to-reducing-the-environmental-impact-of-surgical-care-but-will-it-be-implemented
#17
EDITORIAL
M Bhutta, C Rizan
No abstract text is available yet for this article.
April 29, 2024: Annals of the Royal College of Surgeons of England
https://read.qxmd.com/read/38661438/does-the-extent-of-neck-surgery-based-on-preoperative-calcitonin-level-influence-survival-in-medullary-thyroid-carcinoma-a-retrospective-tertiary-centre-experience
#18
JOURNAL ARTICLE
W Ansley, A Kamyab, L Noden, B Odutoye, P Williamson, K H Wong, P Dent, A Sharma, A Weller, G Pitiyage, E Ofo
INTRODUCTION: Medullary thyroid carcinoma (MTC) is a rare thyroid cancer arising from the calcitonin-secreting parafollicular cells. Previous studies suggested a preoperative calcitonin level >200ng/l is an indication for prophylactic lateral neck dissection (LND) to remove micrometastases and improve survival outcomes. METHODS: This retrospective single-centre study assessed the efficacy of preoperative calcitonin levels as a marker for determining need for prophylactic LND in MTC...
April 25, 2024: Annals of the Royal College of Surgeons of England
https://read.qxmd.com/read/38660827/laparoscopic-cholecystectomy-performed-by-a-surgical-care-practitioner-a-review-of-outcomes
#19
JOURNAL ARTICLE
S Odogwu, S Morris, S Addison, S Abbott
INTRODUCTION: Surgical care practitioners (SCPs) are non-medical workers involved in various aspects of the management of surgical patients. The role includes assisting and performing surgical procedures. More than 60,000 laparoscopic cholecystectomies (LC) are performed annually in the UK. With ever-increasing pressure on waiting lists, it is important to look at fully utilising the skills of our entire workforce. We report what we believe is the first published series of LC performed by an SCP...
April 25, 2024: Annals of the Royal College of Surgeons of England
https://read.qxmd.com/read/38660816/ileorectal-anastomosis-in-ulcerative-colitis-what-do-surgeons-and-patients-need-to-know-a-systematic-literature-review
#20
REVIEW
M R Orchard, A Saracino, J Hooper, J Shabbir
INTRODUCTION: Ileal pouch-anal anastomosis (IPAA) is currently the gold standard for restoration of gastrointestinal continuity after colectomy for ulcerative colitis in the UK. However, with further experience of the risks relating to IPAA, the use of ileorectal anastomosis (IRA) is being revisited. Decisions regarding restorative surgery after colectomy are individual to every patient's circumstances, and this paper aims to provide a comprehensive review of the literature to guide a full discussion of the risks and benefits of IRA...
April 25, 2024: Annals of the Royal College of Surgeons of England
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