12,069 results match your criteria Annals Of The Royal College Of Surgeons Of England[Journal]


Outcomes of patients with non-lower gastrointestinal cancer diagnosed via the lower gastrointestinal two-week-wait service.

Ann R Coll Surg Engl 2022 May 26. Epub 2022 May 26.

University of Exeter Medical School, UK.

Introduction: Patients referred via lower gastrointestinal two-week-wait (LGI-2WW) services deemed at 'low risk' of LGI cancer may have delayed or no investigation. However, 20% of patients diagnosed with cancer via the LGI-2WW have non-LGI cancer. This study investigates the outcomes in this under-reported group. Read More

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The effect of local anaesthetic biopsy in head and neck cancer on cancer pathway waiting times.

Ann R Coll Surg Engl 2022 May 26. Epub 2022 May 26.

NHS Greater Glasgow and Clyde, UK.

Introduction: The 31-day target in urgent suspicion of cancer (USOC) referrals fast-tracks patients through the cancer pathway. Local anaesthetic (LA) biopsy can be performed during an outpatient clinic and may improve pathway times. The aim of this study was to compare LA biopsy in head and neck USOC referrals with the traditional general anaesthetic (GA) pathway. Read More

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Predictors of mortality and nephrectomy in emphysematous pyelonephritis: a tertiary care centre study.

Ann R Coll Surg Engl 2022 May 26. Epub 2022 May 26.

Post Graduate Institute of Medical Education and Research, Chandigarh, India.

Introduction: Emphysematous pyelonephritis (EPN) is a deadly disease due to its associated morbidity and mortality. Attempts have been made to identify predictors of severity, mortality and need for nephrectomy in EPN with little success.

Methods: We conducted an ambispective study of EPN patients between March 2014 and September 2019. Read More

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Optimising the use of physiotherapy resources after manipulation under anaesthetic for frozen shoulder.

Ann R Coll Surg Engl 2022 May 26. Epub 2022 May 26.

Great Western Hospitals NHS Foundation Trust, UK.

Introduction: Manipulation under anaesthetic (MUA) is a successful treatment for frozen shoulder (FS), and the recovery period and recurrence rates may be reduced by postoperative physiotherapy. This study evaluates two physiotherapy pathways for patients undergoing MUA for FS.

Methods: Between 2016 and 2018, 248 age- and sex-matched patients presented to either a NHS secondary care upper limb service or the lead author's independent practice with a diagnosis of FS. Read More

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Isolated volar dislocation of the distal radioulnar joint: a case series and systematic review.

Ann R Coll Surg Engl 2022 May 26. Epub 2022 May 26.

Liverpool University Hospitals NHS Foundation Trust, UK.

Introduction: Isolated volar dislocations of the distal radioulnar joint are reported as rare. We observed three such cases over a 12-month period. Literature to date consists of multiple case reports and case series with no structured reviews. Read More

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Relationship between guideline adherence and outcomes in severe traumatic brain injury.

Ann R Coll Surg Engl 2022 May 26. Epub 2022 May 26.

King's College Hospital NHS Foundation Trust, UK.

Introduction: Traumatic brain injury (TBI) is a leading cause of death and morbidity worldwide. Evidence-based guidelines for managing severe TBI have been available for over 25 years. However, adherence to guidelines remains variable despite evidence highlighting improvement in outcomes with individual recommendations. Read More

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Adapting the investigation of patients on urgent suspected cancer pathway with lower gastrointestinal symptoms across Wales during COVID-19.

Ann R Coll Surg Engl 2022 May 26. Epub 2022 May 26.

Glangwilli General Hospital, UK.

Introduction: The COVID-19 pandemic necessitated the introduction of revised diagnostic pathways for assessing urgent suspected cancer (USC) referrals. Combinations of faecal immunochemical testing (FIT) and minimal preparation computed tomography (CT) scans (MPCT) were used to manage referrals and prioritise access to clinical services or invasive tests. The effectiveness of these pathways across Wales is evaluated in this study. Read More

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The effect of anaesthetic use on healing in sub cutaneous abscess management: a retrospective before and after cohort study.

Ann R Coll Surg Engl 2022 May 26. Epub 2022 May 26.

St. James's University Hospital, Leeds Teaching Hospital Trust, UK.

Introduction: There is wide variation in the management of simple subcutaneous abscesses in the UK and no national guidelines describing best practice. During the SARS-CoV-2 pandemic, regional or local anaesthesia (LA) use was recommended instead of general anaesthesia. This study aimed to assess the effect of anaesthetic use on outcomes following incision and drainage (I&D) of simple subcutaneous abscesses. Read More

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Robotic-assisted versus laparoscopic living donor nephrectomy for renal transplantation: a systematic review and meta-analysis.

Ann R Coll Surg Engl 2022 May 26. Epub 2022 May 26.

Tecnológico de Monterrey, Escuela de Medicina y Ciencias de la Salud, México.

Introduction: Renal transplantation remains the definitive treatment for end-stage renal disease. Currently employed minimally invasive techniques include robotic-assisted laparoscopy and laparoscopy. This study aims to determine whether either method provides an advantage. Read More

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Intrathecal baclofen overdose mimicking brainstem death during deep brain stimulation surgery for pain.

Ann R Coll Surg Engl 2022 May 26. Epub 2022 May 26.

St George's University of London, UK.

We describe a unique case of intrathecal baclofen overdose mimicking brainstem death, during bilateral anterior cingulate cortex deep brain stimulation (DBS) for pain. A 37-year-old man with chronic regional pain syndrome requiring an intrathecal baclofen pump underwent DBS under general anaesthesia and experienced an intraoperative generalised tonic-clonic seizure on dural opening. Once the operation was completed, the patient was noted to have fixed, dilated pupils bilaterally and was transferred for an emergency computed tomography scan of the head, which did not reveal any acute intracranial pathology. Read More

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The influence of frailty on outcomes for older adults admitted to hospital with benign biliary disease: a single-centre, observational cohort study.

Ann R Coll Surg Engl 2022 May 26. Epub 2022 May 26.

Salford Royal NHS Foundation Trust, Northern Care Alliance, UK.

Introduction: The prevalence and complications of biliary disease increase with age. Frailty has been associated with adverse outcomes in the hospital setting. We describe the prevalence of frailty in older patients hospitalised with benign biliary disease and its association with duration of hospital stay, and 90-day and 1-year mortality. Read More

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Laparoscopic retrograde appendicectomy with intracorporeal tie.

Ann R Coll Surg Engl 2022 May 26. Epub 2022 May 26.

London North West University Healthcare NHS Trust, UK.

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CORESS Feedback: Cases from the Confidential Reporting System for Surgery.

Authors:
F Ct Smith

Ann R Coll Surg Engl 2022 May;104(5):392

Programme Director, on behalf of the CORESS Advisory Board.

We are grateful to those who have provided the material for these reports. The online reporting form is available on the website (www.coress. Read More

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The benefits of index telephone consultations in patients referred on the two-week wait colorectal cancer pathway.

Ann R Coll Surg Engl 2022 Apr 29. Epub 2022 Apr 29.

South Warwickshire NHS Foundation Trust, UK.

Introduction: The coronavirus disease 2019 (COVID-19) pandemic led to hospitals in the UK substituting face-to-face (FtF) clinics with virtual clinic (VC) appointments. We evaluated the use of virtual two-week wait (2-ww) lower gastrointestinal (LGI) clinic appointments, conducted using telephone calls at a district general hospital in England.

Methods: Patients undergoing index outpatient 2-ww LGI clinic assessment between 1 June 2019 and 31 October 2019 (FtF group) and 1 June 2020 and 31 October 2020 (VC group) were identified. Read More

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Prediction of long-term dependence on vitamin D analogues following total thyroidectomy for Graves' disease.

Ann R Coll Surg Engl 2022 Apr 21. Epub 2022 Apr 21.

Cardiff and Vale University Health Board, UK.

Introduction: This study aimed to identify patients at risk of long-term hypocalcaemia following total thyroidectomy for Graves' disease, and to determine the thresholds of postoperative day 1 serum calcium and parathyroid hormone (PTH) at which long-term activated vitamin D treatment can be safely excluded.

Methods: This study was a retrospective analysis of 115 consecutive patients undergoing total thyroidectomy for Graves' disease at a university referral centre between 2010 and 2018. Outcome measures were the day 1 postoperative adjusted calcium and PTH results, and vitamin D analogue need at 6 months postoperatively. Read More

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Validating low-fidelity arthroscopic simulation in medical students: a feasibility trial.

Ann R Coll Surg Engl 2022 Apr 21. Epub 2022 Apr 21.

Royal Free London NHS Foundation Trust, UK.

Introduction: With surgical opportunities becoming increasingly restricted for orthopaedic trainees, simulation training is a valuable alternative at providing sufficient practice. This pilot study aims to assess the potential effectiveness of low-fidelity simulation in teaching medical students basic arthroscopic skills and the feasibility of its incorporation into formal student training programmes.

Methods: Twenty-two medical students completed pre- and post-training tests on the Probing (Task 1) and Maze (Task 2) exercises from the Sawbones 'Fundamentals of Arthroscopy Surgery Training' (FAST) programme. Read More

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A national survey on enhanced recovery for renal transplant recipients: current practices and trends in the UK.

Ann R Coll Surg Engl 2022 Apr 21. Epub 2022 Apr 21.

Freeman Hospital, UK.

Introduction: Enhanced recovery after surgery (ERAS) is well established in many specialties but has not been widely adopted in renal transplantation. The aim of this survey was to understand current national practices and sentiment concerning ERAS for renal transplant recipients in the UK.

Methodology: A national web-based survey was sent to consultant surgeons at all 23 UK adult renal transplant units. Read More

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Percutaneous threaded pin reduction of Bosworth fracture: a novel surgical technique.

Ann R Coll Surg Engl 2022 Apr 21. Epub 2022 Apr 21.

Guy's and St Thomas' NHS Foundation Trust, UK.

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The impact of age on long-term survival following gastrectomy for gastric cancer.

Ann R Coll Surg Engl 2022 Apr 21. Epub 2022 Apr 21.

The Newcastle upon Tyne Hospitals NHS Foundation Trust, UK.

Introduction: Gastrectomy remains the primary curative treatment modality for patients with gastric cancer. Concerns exist about offering surgery with a high associated morbidity and mortality to elderly patients. The study aimed to evaluate the long-term survival of patients with gastric cancer who underwent gastrectomy comparing patients aged <70 years with patients aged ≥70 years. Read More

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Risk of malignancy in thyroid nodules with indeterminate (THY3f) cytology.

Ann R Coll Surg Engl 2022 Apr 21. Epub 2022 Apr 21.

Oxford University Hospitals NHS Foundation Trust, UK.

Background: Fine-needle aspiration cytology (FNAC) is an integral part of thyroid nodule assessment. Nodules with an indeterminate cytology (THY3a-f) require formal histological assessment to confirm benign or malignant pathology. This study aimed to provide data for an evidence-based approach for management of patients with THY3f nodules. Read More

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Ultrasound-guided wire localisation to aid excision of cervical nodes.

Ann R Coll Surg Engl 2022 Apr 21. Epub 2022 Apr 21.

University Hospitals Plymouth NHS Trust, UK.

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Comparison of fine-needle aspiration with fine-needle capillary cytology in thyroid nodules.

Ann R Coll Surg Engl 2022 Apr 21. Epub 2022 Apr 21.

Tehran University of Medical Sciences, Tehran, Iran.

Introduction: High false-negative results have been reported for fine-needle aspiration (FNA) cytology in thyroid nodules. Fine-needle capillary (FNC) cytology is an alternative technique that prevents aspiration, reducing tissue damage. This study aimed to compare FNA and FNC in assessing thyroid nodules and in terms of their predictive role in the appropriate diagnosis of malignancy. Read More

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Paediatric quality-of-life following adenotonsillectomy: an evaluation of T14 paediatric throat disorder quality-of-life outcomes according to operative indication.

Ann R Coll Surg Engl 2022 Apr 21. Epub 2022 Apr 21.

Swansea Bay University Health Board, UK.

Introduction: Adenotonsillectomy is the most common surgical intervention for obstructive sleep apnoea (OSA) or recurrent tonsillitis. The Paediatric Throat Disorder Quality of Life Outcome (T14) questionnaire is a validated tool completed by parents to compare the outcome of surgery by measuring the pre- and postoperative scores. This study was undertaken to evaluate the quality-of-life outcome in children undergoing surgical intervention for recurrent tonsillitis and/or OSA. Read More

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Severe acute pancreatitis in the early postoperative period due to afferent loop syndrome following gastrectomy for gastric cancer.

Ann R Coll Surg Engl 2022 Apr 21. Epub 2022 Apr 21.

All India Institute of Medical Sciences, Rishikesh India.

Afferent loop syndrome (ALS) is an uncommon complication of gastrojejunostomy. It may be acute or chronic depending on whether symptoms manifest within 7 days of surgery. Rarely acute ALS may give rise to acute pancreatitis. Read More

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Pilonidal sinus laser-assisted closure (PiLAC) - a low-morbidity alternative to excision with excellent long-term outcomes.

Ann R Coll Surg Engl 2022 Apr 21. Epub 2022 Apr 21.

University Hospitals of Leicester NHS Trust, UK.

Introduction: Recurrence after surgery for pilonidal sinus disease is a recognised problem and patients often re-present months after discharge. We routinely treat primary and recurrent pilonidal sinus disease with Pilonidal sinus Laser-Assisted Closure (PiLAC). Long-term outcomes following PiLAC surgery was examined following clinical and telephone review. Read More

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Impact of COVID-19 pandemic on head-neck cancer referral and treatment pathway in North East London.

Ann R Coll Surg Engl 2022 Apr 21. Epub 2022 Apr 21.

Barts Health NHS Trust, UK.

Introduction: The COVID-19 pandemic has led to wide-ranging disruption of head-neck cancer (HNC) service provision in the UK. Early reports suggest delays in referral, diagnosis and initiation of treatment for new cancer cases compared with before the pandemic.

Methods: The HNC service was studied retrospectively for the time-periods between 1 January 2020 to 31 October 2020 (hereafter 'post-COVID') and 1 January 2019 to 31 October 2019 (hereafter 'pre-COVID'). Read More

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Implications of equipment failure occurring during surgery.

Ann R Coll Surg Engl 2022 Apr 21. Epub 2022 Apr 21.

Hull University Teaching Hospitals NHS Trust, UK.

Introduction: Few formal studies have been performed investigating the frequency of equipment failure during surgery. Surgeons are unable to operate without the plethora of instruments and equipment surrounding them in the operating theatre. As with any mechanical component, instruments and equipment are subject to time- and use-dependent degradation in their performance. Read More

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Vesicourachal diverticulum.

Ann R Coll Surg Engl 2022 Apr 21. Epub 2022 Apr 21.

Shrewsbury and Telford Hospital NHS Trust, UK.

We report a rare complication involving a healthy 45-year-old male patient who underwent an emergency laparoscopic appendicectomy for acute perforated gangrenous appendicitis. The patient was catheterised pre- procedure and the ports were inserted under vision. Upon completion of the procedure, a 15 Fr Robinson drain was left in the pelvis and was fed through the suprapubic port hole. Read More

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Acute limb ischaemia: not an uncommon complication of COVID-19 infection.

Ann R Coll Surg Engl 2022 Apr 21. Epub 2022 Apr 21.

Sri Krishnasevasharama Hospital, Bangalore, India.

A new variant of coronavirus (2019-nCoV) causing acute respiratory distress in humans was identified for the first time in 2019, in Wuhan, China. One of the many complications of infection with this coronavirus is hypercoagulopathy, resulting in acute thrombosis; often leading to acute limb ischaemia. Herein, we report 20 cases of COVID-19 with peripheral arterial thrombosis involving either upper or lower limbs. Read More

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