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

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https://read.qxmd.com/read/30772181/letter-to-the-editors-in-response-to-the-article-facial-restoration-by-transplantation-b-kolar-b-pomahac-the-surgeon-16-2018-245-249
#1
LETTER
J V Sullivan, Q Frew, N Fox, P Dziewulski
No abstract text is available yet for this article.
February 13, 2019: Surgeon: Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland
https://read.qxmd.com/read/30709681/a-review-of-forehead-lipomas-important-tips-for-the-training-surgeon
#2
REVIEW
Ralph Murphy, Adam Hague, Jeyaram Srinivasan
BACKGROUND: Forehead swellings can be caused by a variety of different pathologies, including lipomas. These benign lesions are composed of mature fat cells and often result in a poor cosmetic appearance causing significant psychosocial distress. Surgical removal is therefore frequently requested and they are often listed on a training local anaesthetic list. Thus, it is essential that trainees understand the nature of these lesions, their anatomical location and management, as well as differential diagnoses...
January 29, 2019: Surgeon: Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland
https://read.qxmd.com/read/30709680/exploring-geographical-variation-in-access-to-general-surgery-in-ireland-evidence-from-a-national-study
#3
Ola Ahmed, Ken Mealy, Gerry Kelliher, Frank Keane, Jan Sorensen
BACKGROUND: Improving the equity of surgical services is an important objective of all clinical programmes both local and overseas. Variations in access to care threaten to dismantle the structural paradigm of any health service and such information can aid in promoting quality and access to surgical services. The aim of this study was to explore the geographical variation in the utilisation of common general surgical procedures in Ireland as a measure of the population's access to surgical interventions...
January 29, 2019: Surgeon: Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland
https://read.qxmd.com/read/30704859/single-stage-approach-for-the-management-of-choledocolithiasis-with-concomitant-cholelithiasis-implementation-of-a-protocol-in-a-secondary-hospital
#4
Robert Memba, Sergio González, Daniel Coronado, Verónica González, Fernando Mata, José Antonio Rodríguez, Carlos Mühlenberg, Joan Sala, Ruth Ribas, Eva Pueyo, Alfredo Mata, Donal B O'Connor, Kevin C Conlon, Rosa Jorba
BACKGROUND: Current evidence shows that single-stage treatment of concomitant choledocholithiasis and cholelithiasis is as effective and safe as two-stage treatment. However, several studies suggest that single-stage approach requires shorter hospitalization time and is more cost-effective than the two-stage approach, even though it requires considerable training. This study aimed to evaluate the implementation of a protocol for managing concomitant choledocholithiasis and cholelithiasis using single-stage treatment...
January 28, 2019: Surgeon: Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland
https://read.qxmd.com/read/30661952/psychology-input-to-an-orthognathic-clinic-patients-perception-of-service-quality
#5
Arun K Selvaraj, Philip C M Benington, Lorna Murphy, Ashraf F Ayoub
AIMS: The aim of this study was to assess patient satisfaction with a clinical psychology service, integrated within an inter-disciplinary orthognathic planning clinic. METHOD: A self-report, custom-designed questionnaire was sent to patients who had completed orthognathic treatment within the last three years. Of the 60 patients approached, 49 responded. RESULTS: The great majority of patients agreed that there was a need for a psychological assessment and that its purpose was adequately explained...
January 17, 2019: Surgeon: Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland
https://read.qxmd.com/read/30639336/hip-hemiarthroplasty-for-fractured-neck-of-femur-a-freedom-of-information-study-to-assess-national-variation-in-implant-selection-and-procurement
#6
Alexander Martin, Ivor Vanhegan, Benjamin Dean
INTRODUCTION: During 2016, according to the National Hip Fracture Database (NHFD), over 65,000 patients suffered a hip fracture of which approximately half underwent hemiarthroplasty. Clear guidelines exist on the usage of proven cemented implants. The Getting It Right First Time (GIRFT) Report highlighted the financial implications of 'unwarranted variation' and stressed the importance of rationalising and standardising service provision, in particular implant usage. The primary aims of this study were to investigate the variation in hip hemiarthroplasty implant usage and associated costs...
January 10, 2019: Surgeon: Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland
https://read.qxmd.com/read/30639335/peri-operative-outcomes-for-orif-of-acetabular-fracture-in-the-elderly-comparison-with-displaced-intracapsular-hip-fractures-in-a-national-pelvic-and-acetabular-referral-centre-over-5-years
#7
John P Gibbons, Mark Quinn, Brendan O'Daly, John McElwain, Michael Leonard
INTRODUCTION: The increasing incidence of acetabular fractures in the elderly and the fracture complexity seen in this cohort represents one of the greatest challenges faced by trauma orthopaedic surgeons today. There are no formal guidelines of best practice in the treatment of these patients. Management options vary from non-operative, acute ORIF, and/or total joint replacement. Although surgical intervention allows for earlier mobilization and avoidance of the complications of prolonged bedrest, the patients ability to tolerate what is often major surgery is always of concern...
January 10, 2019: Surgeon: Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland
https://read.qxmd.com/read/30514665/alshryda-s-et-al-evidence-based-treatment-for-unstable-slipped-upper-femoral-epiphysis-systematic-review-and-exploratory-patient-level-analysis-the-surgeon-2018-16-46-54
#8
LETTER
Reinhold Ganz
No abstract text is available yet for this article.
December 1, 2018: Surgeon: Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland
https://read.qxmd.com/read/29730174/a-systematic-review-of-the-aetiology-and-management-of-post-cholecystectomy-syndrome
#9
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...
February 2019: Surgeon: Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland
https://read.qxmd.com/read/29724664/cognitive-skills-training-in-digital-era-a-paradigm-shift-in-surgical-education-using-the-tatme-model
#10
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...
February 2019: Surgeon: Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland
https://read.qxmd.com/read/29907524/comparison-of-revision-risks-and-complication-rates-between-total-hip-replacement-and-hip-resurfacing-within-the-similar-age-group
#11
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...
December 2018: Surgeon: Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland
https://read.qxmd.com/read/29666000/how-does-the-application-of-surgical-components-in-enhanced-recovery-programs-for-colorectal-surgery-change-over-time
#12
Julie Veziant, Daniel Leonard, Bruno Pereira, Karem Slim
BACKGROUND: Enhanced recovery programs (ERP) improve post-operative outcomes in proportion to how fully they are implemented. Maintaining an optimal level of application of all the ER components is thus essential. Our aim was to assess the sustainability of ER surgical components 2 years after their first implementation. METHOD: Patients undergoing elective colorectal resections were included in a prospective database. To retrospectively analyze compliance with ERP over a period of 24 months, the following components were considered: colonic preparation, surgical approach, nasogastric tube omission and absence of abdominal drainage...
December 2018: Surgeon: Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland
https://read.qxmd.com/read/30420320/use-of-laparoscopic-videos-amongst-surgical-trainees-in-the-united-kingdom
#13
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://read.qxmd.com/read/30396859/management-of-post-cholecystectomy-vascular-injuries
#14
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://read.qxmd.com/read/30389220/meta-analysis-of-the-effect-of-sarcopenia-in-predicting-postoperative-mortality-in-emergency-and-elective-abdominal-surgery
#15
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://read.qxmd.com/read/30361126/a-meta-analysis-comparing-the-direct-anterior-with-other-approaches-in-primary-total-hip-arthroplasty
#16
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://read.qxmd.com/read/30333089/association-between-sarcopaenia-and-outcomes-in-a-vascular-surgical-patient-cohort
#17
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://read.qxmd.com/read/30314957/patient-consent-in-the-post-montgomery-era-a-national-multi-speciality-prospective-study
#18
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://read.qxmd.com/read/30314956/the-role-of-emergency-laparoscopic-colectomy-for-complicated-sigmoid-diverticulits-a-systematic-review-and-meta-analysis
#19
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://read.qxmd.com/read/30309747/can-crp-velocity-in-right-iliac-fossa-pain-identify-patients-for-intervention-a-prospective-observational-cohort-study
#20
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
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