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Journals Surgeon : Journal of the Royal...

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

https://read.qxmd.com/read/38862376/does-reusable-mean-green-comparison-of-the-environmental-impact-of-reusable-operating-room-bed-covers-and-lift-sheets-versus-single-use
#1
JOURNAL ARTICLE
Jenny H Chang, Kimberly P Woo, Nathalia Silva de Souza Lima Cano, Melissa M Bilec, Maya Camhi, Alexandra I Melnyk, Abby Gross, R Matthew Walsh, Sofya H Asfaw, Ilyssa O Gordon, Benjamin T Miller
INTRODUCTION: As hospitals strive to reduce their environmental footprint, there is an ongoing debate over the environmental implications of reusable versus disposable linens in operating rooms (ORs). This research aimed to compare the environmental impact of reusable versus single-use OR bed covers and lift sheets using life cycle assessment (LCA) methodology. METHODS: LCA is an established tool with rigorous methodology that uses science-based processes to measure environmental impact...
June 10, 2024: Surgeon: Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland
https://read.qxmd.com/read/38862375/general-surgeons-occupational-musculoskeletal-injuries-a-systematic-review
#2
REVIEW
Michael El Boghdady, Béatrice Marianne Ewalds-Kvist
INTRODUCTION: Surgeons are expected to work long hours in operating theatres. A high prevalence of work-related musculoskeletal (WRMSK) injuries and pain in healthcare professions exists. We aimed to study WRMSK pain and injuries in general surgeons and study their risk in different surgical techniques comprising open, laparoscopic and robotic-assisted surgery. METHODS: A systematic search was performed in compliance with The PRISMA checklist. Search was performed in PubMed and Cochrane library databases for 6 years to 2024...
June 10, 2024: Surgeon: Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland
https://read.qxmd.com/read/38796322/comment-on-phallus-preservation-and-reconstruction-5-year-outcomes-of-national-penile-cancer-centralisation-in-the-republic-of-ireland
#3
LETTER
Matthias May, Steffen Lebentrau, Philippe E Spiess
No abstract text is available yet for this article.
May 24, 2024: Surgeon: Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland
https://read.qxmd.com/read/38789384/a-comparison-of-the-accuracy-of-tzanakis-and-alvarado-score-in-the-diagnosis-of-acute-appendicitis-a-systematic-review-and-meta-analysis
#4
REVIEW
Abdul Rafeh Awan, Zaka Ullah Khan, Hira Saleem, Hanniya Iqbal, Waqas Ahmad, Ali Raza Khan, Mobeen Farooqi
BACKGROUND AND OBJECTIVES: Acute appendicitis is one of the most commonly encountered surgical emergencies on a global level. Due to the requirement of an immediate clinical diagnosis and the presence of limited resources, clinicians and diagnosticians refer to scoring systems to diagnose this condition, among which Alvarado and Tzanakis scoring systems are widely used. This meta-analysis aims to compare the diagnostic accuracy of these two systems. METHODS: We searched PubMed, Google Scholar, and SCOPUS databases...
May 23, 2024: Surgeon: Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland
https://read.qxmd.com/read/38772772/anaesthetic-gases-and-the-environment-is-it-time-for-a-rethink
#5
JOURNAL ARTICLE
Orlagh O'Brien, Niamh Conlon
BACKGROUND: General anaesthesia is in common use for patients undergoing surgical procedures, with the option of both inhalational and intravenous anaesthetic techniques. Anaesthetic gases are often excluded from discussions on sustainable healthcare delivery, despite being a significant contributor to the overall environmental impact of healthcare services. METHODS: A literature review was carried out on previously published papers on the impact anaesthetic gases have on our environment and at ways to reduce their impact in current anaesthetic practice...
May 20, 2024: Surgeon: Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland
https://read.qxmd.com/read/38749901/the-cost-of-cosmetic-surgery-tourism-complications-to-the-nhs-a-retrospective-analysis
#6
JOURNAL ARTICLE
Jessica L Roberts, Martyn Eckersley, Kerry J Davies, Adam Gilmour
INTRODUCTION: Medical tourism refers to the process of patients travelling outside of their native country to undergo elective surgical procedures and is a rapidly expanding healthcare phenomenon [1-3]. Whilst a multitude of established Private Healthcare Providers (PHPs) offer cosmetic surgical procedures within the United Kingdom (UK), a growing number of patients are opting to travel outside of the UK to undergo cosmetic surgery. AIM: To assess the number of patients presenting to the Canniesburn Plastic Surgery Unit, with cosmetic surgery tourism complications, from outside of the UK, and the associated costs to NHS Scotland over a five-year period...
May 14, 2024: Surgeon: Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland
https://read.qxmd.com/read/38744575/scalpel-and-strife-assessing-the-impact-of-sudan-s-ongoing-civil-war-on-surgical-practice-and-healthcare-delivery
#7
JOURNAL ARTICLE
Mahmoud Bashary, Dana Eltyeb, Samar Hassan, Mohammed Eltyeb, Ali Yasen Mohamedahmed, Hazim Eltyeb
BACKGROUND: This study aims to shed light on the profound ramifications of the military conflict that started in April 2023 on surgical practice in Sudan. METHODS: This is a survey-based study. The survey link was disseminated to Sudanese medical practitioners via various social media (WhatsApp, Telegram, X (previously twitter) and Facebook) channels. We included only responses from medical practitioners working in the surgical specialities. RESULTS: A total of 90 responses have been collected...
May 13, 2024: Surgeon: Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland
https://read.qxmd.com/read/38735800/assessing-current-handover-practices-in-surgery-a-survey-of-non-consultant-hospital-doctors-in-ireland
#8
JOURNAL ARTICLE
Jessica M Ryan, Anastasija Simiceva, Conor Toale, Walter Eppich, Dara O Kavanagh, Deborah A McNamara
BACKGROUND: Handovers of care are potentially hazardous moments in the patient journey and can lead to harm if conducted poorly. Through a national survey of surgical doctors in Ireland, this paper assesses contemporary surgical handover practices and evaluates barriers and facilitators of effective handover. METHODS: After ethical approval and pre-testing with a representative sample, a cross-sectional, online survey was distributed to non-consultant hospital doctors (NCHDs) working in the Republic of Ireland...
May 11, 2024: Surgeon: Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland
https://read.qxmd.com/read/38729820/bone-cement-in-total-hip-arthroplasty-is-it-really-green
#9
JOURNAL ARTICLE
Lee Hoggett, Tom Havenhand, Anthony Helm
BACKGROUND: Total hip replacement (THR)is typically cemented, cementless or hybrid depending on patient factors and surgeon preference. To date no studies have evaluated waste generated with each of these procedures in relation to implant choice, and particularly waste related to consumables. We aimed to quantify the volume; type and ability to recycle this waste and suggest potential strategies for reducing the overall waste related to consumables in THR. METHOD: This was a prospective review of all waste related to consumables in THR...
May 9, 2024: Surgeon: Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland
https://read.qxmd.com/read/38724298/the-environmental-impact-of-hip-and-knee-arthroplasty-an-analysis-of-carbon-emissions-and-disposal-costs
#10
JOURNAL ARTICLE
Arthur P Drouaud, Peggy E Miller, John M O'Byrne
BACKGROUND AND PURPOSE: The rise in hip and knee arthroplasty for osteoarthritis requires addressing healthcare system pollution to support Ireland's climate change goals. This research aimed to quantify waste generated and determine environmental and economic impacts to promote sustainable strategies in joint arthroplasty and shed light on the suboptimal waste management practices. METHODS: The study was conducted at National Orthopaedic Hospital Cappagh (NOHC), measuring waste generated during hip and knee arthroplasty...
May 8, 2024: Surgeon: Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland
https://read.qxmd.com/read/38693029/biomechanical-and-ergonomic-risks-associated-with-cervical-musculoskeletal-dysfunction-amongst-surgeons-a-systematic-review
#11
REVIEW
K O'Reilly, J M McDonnell, S Ibrahim, J S Butler, J D Martin-Smith, J B O'Sullivan, R T Dolan
INTRODUCTION: Surgeons are at high risk of developing musculoskeletal symptoms due to a range of factors including, maladaptive positioning and surgical ergonomics. Cervical muscle strain and biomechanical load is most prevalent due to repetitive motions and prolonged static neck positioning. This issue is apparent through reports of prevalence between 10 and 74.4% among surgeons. The aim of this systematic review is to provide an objective assessment of the clinical evidence available and a descriptive analysis of the effects of kinematics and surgical ergonomics on the prevalence of surgeons' cervical musculoskeletal pain...
April 30, 2024: Surgeon: Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland
https://read.qxmd.com/read/38688824/first-metatarsophalangeal-joint-arthroscopy-unearthing-clinical-evidence-a-systematic-review
#12
REVIEW
Elena Artioli, Antonio Mazzotti, Simone Ottavio Zielli, Alberto Arceri, Edoardo Cassanelli, Federico Pilla, Cesare Faldini
PURPOSE: Arthroscopy of the first metatarsophalangeal joint (1 MTP) has gained increasing attention in the last two decades. Despite numerous studies describing the surgical technique, only a few provide clinical or radiological outcome data. This systematic review aimed to analyze studies presenting objectively measurable clinical outcomes of patients who underwent 1 MTP arthroscopy as the primary procedure, categorizing results by indication pathology. METHODS: Following PRISMA guidelines, PubMed and Cochrane databases were searched for studies reporting outcomes of primary 1 MTP arthroscopy, regardless of underlying pathology...
April 29, 2024: Surgeon: Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland
https://read.qxmd.com/read/38677961/do-social-media-use-and-patient-satisfaction-scores-correlate-with-online-award-recognition-among-hip-and-knee-arthroplasty-specialists
#13
JOURNAL ARTICLE
Andrew R Grant, Ruijia Niu, Abigail Smith, Elisabeth R Grant, Eric L Smith
INTRODUCTION: The physician-patient interaction now begins before patients arrive in the office. Online ratings, social media profiles, and online award status are all components of physician online reputation which contributes to the patient's initial impressions. Therefore, it is important to understand the interplay of these factors and determine if there is a consistent trend indicating the value of this information. METHODS: We Identified all (N ​= ​160) registered American Association of Hip and Knee Surgeons (AAHKS) in New England using the https://findadoctor...
April 26, 2024: Surgeon: Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland
https://read.qxmd.com/read/38677960/the-current-standard-of-the-shoulder-trauma-series-in-ireland-a-national-audit
#14
JOURNAL ARTICLE
Rosie Mc Colgan, Aoife S O'Halloran, Patrick J Carroll, Ken Kaar, Kieran O'Shea
OBJECTIVES/AIMS: The primary aim of this study was to assess the current standard of shoulder radiographs in Ireland. The secondary aim of this study was to determine whether orthopaedic surgeons in Ireland are of the opinion that a national protocol is required, and what this protocol should consist of. METHODS: A national audit of shoulder trauma series x-rays performed in emergency departments was conducted. The number and type of views performed was recorded...
April 26, 2024: Surgeon: Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland
https://read.qxmd.com/read/38653641/association-between-psoas-major-muscle-mass-and-cpet-performance-and-long-term-survival-following-major-colorectal-surgery-a-retrospective-cohort-study
#15
JOURNAL ARTICLE
Shahab Hajibandeh, Iain Gilham, Winnie Tam, Emma Kirby, Adetona Obaloluwa Babs-Osibodu, William Jones, George A Rose, Damian M Bailey, Christopher Morris, Rachel Hargest, Amy Clayton, Richard G Davies
OBJECTIVES: To evaluate whether computed tomography (CT)-derived psoas major muscle measurements could predict preoperative cardiopulmonary exercise testing (CPET) performance and long-term mortality in patients undergoing major colorectal surgery and to compare predictive performance of psoas muscle measurements using 2D approach and 3D approach. METHODS: A retrospective cohort study compliant with STROCSS standards was conducted. Consecutive patients undergoing major colorectal surgery between January 2011 and January 2017 following CPET as part of their preoperative assessment were included...
April 22, 2024: Surgeon: Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland
https://read.qxmd.com/read/38637190/-barbie-tox-a-cosmetic-trend-with-potential-functional-implications
#16
LETTER
Eimear M Phoenix, Jake M McDonnell, Joseph S Butler, Colm Fuller, Colin M Morrison, Roisin T Dolan
No abstract text is available yet for this article.
April 17, 2024: Surgeon: Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland
https://read.qxmd.com/read/38631982/the-public-s-perspective-on-the-amount-of-time-surgeons-spend-operating
#17
JOURNAL ARTICLE
Kathryn Fu, James Walmsley, Mohamed Abdelrahman, David S Y Chan
BACKGROUND: As waiting lists for elective surgery grow, there seems to be a disconnect between the public's expectations on the amount of time surgeons spend operating compared with reality. On average, a surgeon in the NHS spends one day a week performing elective surgery. We aimed to investigate the public's perception on the amount of time surgeons spend performing elective surgery and what they would desire. METHODS: Members of the public in the UK were approached randomly either on-line or in-person to complete an anonymised 6-question survey...
April 16, 2024: Surgeon: Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland
https://read.qxmd.com/read/38631981/risk-stratification-of-best-medical-therapy-for-acute-uncomplicated-type-b-intramural-hematoma
#18
JOURNAL ARTICLE
Kelvin Jeason Yang, Huey-Shiuan Kuo, Nai-Hsin Chi, Hsi-Yu Yu, Shoei-Shen Wang, I-Hui Wu
OBJECTIVES: Best medical therapy (BMT) for acute uncomplicated type B intramural hematoma (TBIMH) is the current treatment guideline, but there is considerable controversy about subsequent clinical course and outcome, which may be associated with a significant failure rate. The purpose of this study was to identify potential risk factors for BMT failure and to develop a risk score to guide clinical decision making. METHODS: Patients with acute uncomplicated TBIMH between 2011 January and 2020 December were retrospectively studied...
April 16, 2024: Surgeon: Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland
https://read.qxmd.com/read/38614838/phallus-preservation-and-reconstruction-5-year-outcomes-of-national-penile-cancer-centralisation-in-the-republic-of-ireland
#19
JOURNAL ARTICLE
Donnacha Hogan, Sarah M Norton, Kenneth Patterson, Adrian Murphy, Brian O'Neill, Padraig Daly, Ivor M Cullen
INTRODUCTION: Penile cancer is a rare urological malignancy with an age-standardised incidence of 0.8 per 100,000 person-years [1]. Given this low incidence it has been suggested that centralised care may improve patient outcomes in relation to phallus sparing surgery and nodal assessment [2]. We aim to assess the outcomes after 5-years of national centralisation of penile cancer care. METHODS: A retrospective analysis of prospectively collected data was performed...
April 13, 2024: Surgeon: Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland
https://read.qxmd.com/read/38584041/comparative-surgical-outcomes-of-navigated-vs-non-navigated-posterior-spinal-fusions-in-ankylosing-spondylitis-patients
#20
JOURNAL ARTICLE
Harry Marland, Jake M McDonnell, Lauren Hughes, Cronan Morrison, Kielan V Wilson, Gráinne Cunniffe, Seamus Morris, Stacey Darwish, Joseph S Butler
INTRODUCTION: Ankylosing Spondylitis (AS) patients with acute spinal fractures represent a challenge for practicing spine surgeons due to difficult operative anatomy and susceptibility to complications. RESEARCH QUESTION: Does intraoperative CT-navigation improve outcomes in patients with ankylosing spondylitis undergoing surgery? METHODS: A retrospective review was carried out at our centre from 05/2016-06/2021 to identify AS patients presenting with a traumatic spinal fracture, managed surgically with posterior spinal fusion (PSF)...
April 6, 2024: Surgeon: Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland
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