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Journals Annals of the Royal College of...

Annals of the Royal College of Surgeons of England

https://read.qxmd.com/read/38497796/surgical-outcomes-of-total-duct-excision-in-the-diagnosis-and-management-of-nipple-discharge
#1
JOURNAL ARTICLE
K Ward, G Selvarajah, H Al-Omishy, M Sait, H N Khan, K McEvoy, S Robertson
INTRODUCTION: Total duct excision (TDE) is performed for the diagnosis and management of nipple discharge. The Association of Breast Surgery's recent guidelines recommend considering diagnostic surgery for single-duct, blood-stained or clear nipple discharge, and for symptomatic management. METHODS: We retrospectively reviewed the diagnostic and surgical outcomes of all cases of TDE between January 2013 and November 2019. RESULTS: In total, 259 TDEs were carried out: 219 for nipple discharge, 29 for recurrent mastitis, 3 for screening abnormalities and 8 for breast lumps...
March 18, 2024: Annals of the Royal College of Surgeons of England
https://read.qxmd.com/read/38497793/systematic-review-of-survival-following-liver-or-lung-metastasectomy-for-metastatic-anal-squamous-cell-carcinoma
#2
REVIEW
L Hurt, E Barlow, M Davies, D A Harris, C Barrington, R L Harries
INTRODUCTION: Metastatic anal squamous cell carcinoma (SCC) carries a poor prognosis and the evidence base for surgical resection of metastases remains limited. The aim of this study was to establish the survival outcomes for patients undergoing metastasectomy for anal SCC. METHODS: A systematic review was performed using the MEDLINE® , Embase® , Cochrane and PubMed® databases. Studies were considered for inclusion in the review if they involved patients aged >18 years with a diagnosis of stage IV anal SCC who underwent metastasectomy for liver and/or lung metastases...
March 18, 2024: Annals of the Royal College of Surgeons of England
https://read.qxmd.com/read/38478070/retrospective-analysis-of-medium-term-outcomes-following-anterior-lumbar-interbody-fusion-surgery-performed-in-a-tertiary-spinal-surgical-centre
#3
JOURNAL ARTICLE
T Srirangarajan, K Eseonu, B Fakouri, P Liantis, P Panteliadis, J Lucas, T Ember, M Harris, M Tyrrell, B Sandford, J R Panchmatia
INTRODUCTION: Anterior lumbar interbody fusion (ALIF) can treat spondylolisthesis, degenerative disc disease and pseudoarthrosis. This approach facilitates complete discectomy, disc space distraction, indirect decompression of neural foramina and placement of large interbody devices. Several intra- and postoperative complications can be attributed to the anterior approach: vascular/visceral injury, hypogastric plexus injury and urogenital consequences. Spine-specific complications include implant migration, graft failure, pseudoarthrosis and persistent symptomology...
March 13, 2024: Annals of the Royal College of Surgeons of England
https://read.qxmd.com/read/38478057/intraluminal-negative-pressure-wound-therapy-and-rectal-anastomotic-leak-management-regular-vac-sponge-and-a-nasogastric-tube
#4
JOURNAL ARTICLE
F Soliman, T Zwiep
No abstract text is available yet for this article.
March 13, 2024: Annals of the Royal College of Surgeons of England
https://read.qxmd.com/read/38478048/postoperative-parathyroid-hormone-pth-is-equivalent-to-perioperative-pth-drop-in-predicting-postsurgical-hypoparathyroidism
#5
JOURNAL ARTICLE
M Hashem, C B Lim, S P Balasubramanian
INTRODUCTION: Postoperative surgical hypoparathyroidism (PoSH) following thyroid surgery is an established complication. Several predictive factors have been identified including perioperative parathyroid hormone (PTH) levels. The aim of the study is to compare the drop in perioperative PTH to postoperative day 1 PTH in predicting hypocalcaemia and hypoparathyroidism. METHODS: Records of consecutive patients who had either total or completion thyroidectomy with or without central neck dissection in a 3-year period in a single thyroid surgery unit were accessed to retrieve data on demographics, pathology, surgery, perioperative biochemistry and management...
March 13, 2024: Annals of the Royal College of Surgeons of England
https://read.qxmd.com/read/38478040/a-survey-of-patient-acceptability-of-the-use-of-artificial-intelligence-in-the-diagnosis-of-paediatric-fractures-an-observational-study
#6
JOURNAL ARTICLE
Fhg Roberts, Trw Roberts, Y Gelfer, C Hing
INTRODUCTION: This study aimed to assess carer attitudes towards the use of artificial intelligence (AI) in management of fractures in paediatric patients. As fracture clinic services come under increasing pressure, innovative solutions are needed to combat rising demand. AI programs can be used to diagnosis fractures, but patient perceptions towards its use are uncertain. METHODS: We conducted a cross-sectional survey of carers of paediatric patients presenting to fracture clinic at a tertiary care centre, combining single-best-answer questions and Likert-type questions...
March 13, 2024: Annals of the Royal College of Surgeons of England
https://read.qxmd.com/read/38478034/the-effect-of-antiplatelet-therapy-and-oral-anticoagulants-on-the-accuracy-of-faecal-immunochemical-testing
#7
JOURNAL ARTICLE
F Wu, A A Khan, M Klimovskij, R Harshen
INTRODUCTION: Faecal immunochemical testing (FIT) has been adopted to identify patients requiring further investigations on the colorectal cancer (CRC) referral pathway. We aimed to investigate the effect of antiplatelet and anticoagulant drugs on the accuracy of FIT results. METHODS: This observational study categorised patients with suspected CRC symptoms, who completed both FIT and colonic investigations, into two groups (control and exposed) based on their use of antiplatelet and anticoagulant drugs...
March 13, 2024: Annals of the Royal College of Surgeons of England
https://read.qxmd.com/read/38478020/validation-of-the-emergency-surgery-score-ess-in-a-uk-patient-population-and-comparison-with-nela-scoring-a-retrospective-multicentre-cohort-study
#8
JOURNAL ARTICLE
D Clinch, A Dorken-Gallastegi, D Argandykov, A Gebran, J A Proano Zamudio, C S Wong, N Clinch, L Haddow, K Simpson, E Imbert, Rje Skipworth, S J Moug, Hma Kaafarani, D Damaskos
INTRODUCTION: Accurate risk scoring in emergency general surgery (EGS) is vital for consent and resource allocation. The emergency surgery score (ESS) has been validated as a reliable preoperative predictor of postoperative outcomes in EGS but has been studied only in the US population. Our primary aim was to perform an external validation study of the ESS in a UK population. Our secondary aim was to compare the accuracy of ESS and National Emergency Laparotomy Audit (NELA) scores. METHODS: We conducted an observational cohort study of adult patients undergoing emergency laparotomy over three years in two UK centres...
March 13, 2024: Annals of the Royal College of Surgeons of England
https://read.qxmd.com/read/38478016/technique-for-traversing-both-plate-and-nail-locking-screw-holes-in-nail-plate-composite-fixation
#9
JOURNAL ARTICLE
C Uzoigwe, T Symes
No abstract text is available yet for this article.
March 13, 2024: Annals of the Royal College of Surgeons of England
https://read.qxmd.com/read/38445611/the-performance-of-large-language-models-in-intercollegiate-membership-of-the-royal-college-of-surgeons-examination
#10
JOURNAL ARTICLE
J Chan, T Dong, G D Angelini
INTRODUCTION: Large language models (LLM), such as Chat Generative Pre-trained Transformer (ChatGPT) and Bard utilise deep learning algorithms that have been trained on a massive data set of text and code to generate human-like responses. Several studies have demonstrated satisfactory performance on postgraduate examinations, including the United States Medical Licensing Examination. We aimed to evaluate artificial intelligence performance in Part A of the intercollegiate Membership of the Royal College of Surgeons (MRCS) examination...
March 6, 2024: Annals of the Royal College of Surgeons of England
https://read.qxmd.com/read/38445605/comparison-of-laparoscopic-cholecystectomy-in-children-at-paediatric-centres-and-adult-centres-a-systematic-review-and-meta-analysis
#11
JOURNAL ARTICLE
A Sinha, A Mattson, I Njere, C K Sinha
INTRODUCTION: Paediatric laparoscopic cholecystectomy (LC) is performed by both paediatric and adult surgeons. The aim of this review was to compare outcomes at paediatric centres (PCs) and adult centres (ACs). METHODS: A literature search was conducted, in accordance with PRISMA (Preferred Reporting Items for Systematic reviews and Meta-Analyses) guidelines, for papers published between January 2000 and December 2020. Statistical analysis was performed using Stata® version 16 (StataCorp, College Station, TX, US)...
March 6, 2024: Annals of the Royal College of Surgeons of England
https://read.qxmd.com/read/38445600/opinion-uptake-and-current-practice-of-robot-assisted-upper-gastrointestinal-and-oesophagogastric-surgery-in-the-uk-augis-national-survey-results
#12
JOURNAL ARTICLE
P May-Miller, S R Markar, N Blencowe, J A Gossage, A Botros, P H Pucher
INTRODUCTION: The uptake of upper gastrointestinal (GI) robotic surgery in the United Kingdom (UK), and Europe more widely, is expanding rapidly. This study aims to present a current snapshot of the practice and opinions of the upper GI community with reference to robotic surgery, with an emphasis on tertiary cancer (oesophagogastric) resection centres. METHODS: An electronic survey was circulated to the UK upper GI surgical community via national mailing lists, social media and at an open-invitation conference on robotic upper GI surgery in January 2023...
March 6, 2024: Annals of the Royal College of Surgeons of England
https://read.qxmd.com/read/38445599/broken-tibial-nail-extraction-a-useful-technique
#13
JOURNAL ARTICLE
S Walters, A Trompeter
No abstract text is available yet for this article.
March 6, 2024: Annals of the Royal College of Surgeons of England
https://read.qxmd.com/read/38445592/ocular-radiation-exposure-is-negligible-in-normal-volume-endourological-practice
#14
JOURNAL ARTICLE
J Peacock, J Henderson
INTRODUCTION: The annual dose limit for radiation exposure to the eye has been reduced recently; the eye is widely recognised as one of the most radiosensitive tissues in the body. There is minimal good quality research as to the radiation dose that the eye receives during endourological surgery and this study aimed to address this. METHODS: A prospective study was performed over an 8-month period at a single large teaching hospital in the UK. Three index procedures were included: ureteric stent insertion, ureteroscopy (URS) and percutaneous nephrolithotomy (PCNL)...
March 6, 2024: Annals of the Royal College of Surgeons of England
https://read.qxmd.com/read/38445588/dislocation-of-the-hip-after-normal-sonographic-screening-examination-a-case-report-and-literature-review
#15
LETTER
A Rehm, R Clegg, P Linardatou Novak, R Shehata
No abstract text is available yet for this article.
March 6, 2024: Annals of the Royal College of Surgeons of England
https://read.qxmd.com/read/38445587/association-of-upper-gi-surgery-of-great-britain-and-ireland-augis-delphi-consensus-recommendations-on-the-adoption-of-robotic-upper-gi-surgery
#16
JOURNAL ARTICLE
P H Pucher, N Maynard, S Body, K Bowling, M Asif Chaudry, M Forshaw, S Hornby, S R Markar, S J Mercer, S R Preston, B Sgromo, G I van Boxel, J A Gossage
BACKGROUND: The adoption of robotic platforms in upper gastrointestinal (GI) surgery is expanding rapidly. The absence of centralised guidance and governance in adoption of new surgical technologies may lead to an increased risk of patient harm. METHODS: Surgeon stakeholders participated in a Delphi consensus process following a national open-invitation in-person meeting on the adoption of robotic upper GI surgery. Consensus agreement was deemed met if >80% agreement was achieved...
March 6, 2024: Annals of the Royal College of Surgeons of England
https://read.qxmd.com/read/38445585/factors-affecting-the-rates-of-incidental-parathyroidectomy-during-thyroidectomy
#17
JOURNAL ARTICLE
H E Arslan, S Zeren, A C Yildirim, M F Ekici, O Arik, M C Algin
BACKGROUND: The most important factors affecting the development of postoperative hypocalcaemia (PH) include intraoperative trauma to the parathyroid glands, incidental parathyroidectomy (IP), and the surgeon's experience. In this study, we aimed to determine the incidence of IP, evaluate its effect on postoperative calcium levels and investigate the effect of surgeon experience and volume on IP incidence and postoperative calcium levels. METHODS: This retrospective study included 645 patients who underwent thyroid surgery at the Department of General Surgery, Kütahya Health Sciences University between September 2016 and March 2020...
March 6, 2024: Annals of the Royal College of Surgeons of England
https://read.qxmd.com/read/38445581/use-of-jejunal-serosal-patch-and-pyloric-exclusion-in-the-management-of-complex-duodenal-injury
#18
JOURNAL ARTICLE
D Alsaadi, D Low, A Osman, M Mcmonagle
BACKGROUND: Duodenal injuries are relatively rare but remain a management challenge with a high incidence of postoperative complications. Guidelines from the World Society of Emergency Surgery and American Association for the Surgery of Trauma favour a primary repair for less-complex injuries, but the management of more complex duodenal trauma remains controversial with varying techniques supported, including pyloric exclusion, omental or jejunal patch closure, gastrojejunostomy and pancreatoduodenectomy...
March 6, 2024: Annals of the Royal College of Surgeons of England
https://read.qxmd.com/read/38445579/management-of-acute-colonic-pseudo-obstruction-opportunities-to-improve-care
#19
JOURNAL ARTICLE
Z Khan, C P Challand, M J Lee
BACKGROUND: Acute colonic pseudo-obstruction (ACPO) is a functional bowel obstruction characterised by colonic dilatation in the absence of mechanical obstruction on imaging. Complications include bowel ischaemia, perforation and death. The aim of this study was to explore outcomes for patients treated for ACPO and to assess adherence to current ACPO treatment guidelines. METHODS: This is a retrospective service evaluation and included patients with a diagnosis of ACPO between 1 March 2018 and 31 March 2023...
March 6, 2024: Annals of the Royal College of Surgeons of England
https://read.qxmd.com/read/38404255/a-new-setup-for-single-surgeon-paediatric-supracondylar-fracture-pinning
#20
JOURNAL ARTICLE
K Dogramatzis, M Imam, A Cameron-Smith
No abstract text is available yet for this article.
February 26, 2024: Annals of the Royal College of Surgeons of England
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