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    10839 results match your criteria Annals of the Royal College of Surgeons of England[Journal]

    1 OF 217

    Proposal for a national triage system for the management of ventral hernias.
    Ann R Coll Surg Engl 2017 Sep 4:1-5. Epub 2017 Sep 4.
    Department of Colorectal Surgery and Abdominal Wall Reconstruction , University College London Hospital, London , UK.
    Ventral hernia disease is becoming increasingly prevalent and complex. Subspecialisation for patients with challenging conditions requiring surgery has been shown to improve postoperative outcomes. Worldwide, there is an emergence of specialist hernia centres using new and innovative techniques to repair large and complicated ventral hernias. Read More

    Impact of the quantity of intradiscal cement leak on the progression of intervertebral disc degeneration.
    Ann R Coll Surg Engl 2017 Sep;99(7):529-533
    Department of Trauma and Orthopaedics, Royal Derby Hospital , Derby , UK.
    Introduction We aim to assess the impact of the quantity of intradiscal cement leak during kyphoplasty on the rate of progression of degenerative changes in the affected disc. Methods Of 316 kyphoplasty procedures, we identified 32 episodes of intradiscal cement leak in 26 patients. The quantity of cement leaked was graded from I to IV. Read More

    Current assessment of choledochoduodenostomy: 130 consecutive series.
    Ann R Coll Surg Engl 2017 Sep;99(7):545-549
    Department of Gastrointestinal, Breast and Endocrine Surgery, Faculty of Medicine, University of Yamanashi , Yamanashi , Japan.
    Introduction Cholelithiasis usually can be managed successfully by endoscopic sphincterotomy. Choledochoduodenostomy (CDD) is one of the surgical treatment options but its acceptance remains debated because of the risk of reflux cholangitis and sump syndrome. The aim of this study was to assess the current features and outcomes of patient undergoing CDD. Read More

    A fatal case of amphetamine induced ischaemic colitis.
    Ann R Coll Surg Engl 2017 Sep;99(7):e200-e201
    Royal Liverpool and Broadgreen University Hospitals NHS Trust , UK.
    Amphetamine induced ischaemic colitis is an exceedingly rare presentation of amphetamine toxicity. The cases reported in the literature have described mild or transient disease. We present a fatal case of ischaemic colitis induced by amphetamine use in a 44-year-old woman who presented in extremis after a cardiac arrest en route to the emergency department. Read More

    The BeSMART (Best Supportive Management for Adults Referred with Tonsillopharyngitis) multicentre observational study.
    Ann R Coll Surg Engl 2017 Sep;99(7):573-578
    Aintree University Hospital NHS Foundation Trust , UK.
    Introduction Tonsillopharyngitis is the most common ear, nose and throat emergency admission, with 80,000 episodes recorded in England in 2015-2016. Despite this, there is a paucity of evidence addressing the supportive management of tonsillopharyngitis in inpatients. The aim of this retrospective multicentre observational study was to consider the Best Supportive Management for Adults Referred with Tonsillopharyngitis (BeSMART) in the inpatient setting, and to establish any associations between practice and outcomes. Read More

    Management of choledocholithiasis after previous gastrectomy.
    Ann R Coll Surg Engl 2017 Sep;99(7):e213-e215
    Aneurin Bevan University Health Board , UK.
    Common bile duct stones in patients with a previous gastrectomy can be a technical challenge because of the altered anatomy. This paper presents the successful management of two such patients using non-traditional techniques as conventional endoscopic retrograde cholangiopancreatography was not possible. Read More

    Rotator cuff surgery in patients with rheumatoid arthritis: clinical outcome comparable to age, sex and tear size matched non-rheumatoid patients.
    Ann R Coll Surg Engl 2017 Sep;99(7):579-583
    Asan Medical Center, School of Medicine, University of Ulsan , Seoul , Korea.
    Aims This study aimed to compare the clinical outcomes of rotator cuff repair in patients with rheumatoid arthritis with those of patients who have no known history of the disease. We hypothesised that the functional outcomes are comparable between patients and without rheumatoid arthritis and may be affected by the level of disease activity, as assessed from C-reactive protein (CRP) level and history of systemic steroid intake. Patients and methods We conducted a retrospective review of the institutional surgical database from May 1995 to April 2012. Read More

    Incidental finding of a persistent median artery (palmar type) during a routine carpal tunnel decompression: a case report.
    Ann R Coll Surg Engl 2017 Sep;99(7):e204-e205
    Lewisham and Greenwich NHS Foundation Trust, Queen Elizabeth Hospital, Trauma and Orthopaedics, London, UK.
    Carpal tunnel syndrome is characterised by compression of the median nerve. The mainstay of treatment is surgical decompression. This case report highlights the occurrence of a persistent median artery, which could complicate surgery. Read More

    Safety and effectiveness of antireflux surgery in obese patients.
    Ann R Coll Surg Engl 2017 Sep;99(7):515-523
    Royal Liverpool and Broadgreen University Hospitals NHS Trust , UK.
    Introduction The incidence of gastro-oesophageal reflux disease and obesity has increased significantly in recent years. The number of antireflux procedures being carried out on people with a higher body mass index (BMI) has been rising. Evidence is conflicting for outcomes of antireflux surgery in obese patients in terms of its safety and efficacy. Read More

    Staple line oversewing during laparoscopic sleeve gastrectomy.
    Ann R Coll Surg Engl 2017 Sep;99(7):509-514
    Third Affiliated Hospital of Soochow University, Jiangsu, China.
    Introduction This meta-analysis was performed to assess the possible benefits of staple line oversewing during laparoscopic sleeve gastrectomy. Methods A comprehensive search up to February 2017 was conducted on PubMed, the Web of Science™ and Embase™. All eligible studies were included, and the outcomes of staple line bleeding and leak, overall complications and operative time were pooled. Read More

    Bone metastases of the hand.
    Ann R Coll Surg Engl 2017 Sep;99(7):563-567
    Royal Orthopaedic Hospital NHS Foundation Trust , UK.
    Introduction The aim of this study was to identify patients with malignant hand lesions, establish the proportions of those that were metastases and review their clinical course. Methods A retrospective search of a prospective tumour database was carried out to identify all patients treated at our unit with hand metastases. Patient demographics were recorded including site of primary malignancy, region of the hand involved, management of their metastasis and clinical outcome. Read More

    Changes in bone turnover markers in primary hyperparathyroidism and response to surgery.
    Ann R Coll Surg Engl 2017 Sep;99(7):559-562
    Department of Endocrine and General Surgery, St Mary's Hospital, Newport , Isle of Wight , UK.
    Introduction Involvement of the bone is common in primary hyperparathyroidism. The aim of the study was to assess bone turnover markers in response to surgery for primary hyperparathyroidism. Methods This was a retrospective study of patients diagnosed and treated for parathyroid disease between 2005 and 2012. Read More

    Diaphragmatic eventration presenting as a recurrent diaphragmatic hernia.
    Ann R Coll Surg Engl 2017 Sep;99(7):e196-e199
    Icahn School of Medicine at Mount Sinai , New York , US.
    Diaphragmatic eventration is an uncommon condition, usually discovered incidentally in asymptomatic patients. Even in symptomatic patients, the diagnosis can be challenging and should be considered among the differential diagnoses of diaphragmatic hernia. The correct diagnosis can often only be made in surgery. Read More

    Pedunculated, well differentiated liposarcoma of the oesophagus mimicking giant fibrovascular polyp.
    Ann R Coll Surg Engl 2017 Sep;99(7):e209-e212
    University of Münster , Germany.
    We present a rare case of a big oesophageal liposarcoma causing dysphagia and weight loss in a 75-year-old patient. Endoscopically, a pedunculated lesion with subtotal obstruction of the oesophageal lumen had been detected and thoracoabdominal oesophageal resection with gastric sleeve reconstruction was performed. Surprisingly, a liposarcoma of the oesophagus was revealed on histopathological analysis, showing MDM2 overexpression. Read More

    Malignant bone tumours of the foot.
    Ann R Coll Surg Engl 2017 Sep;99(7):568-572
    Royal Orthopaedic Hospital NHS Foundation Trust , UK.
    Introduction Malignant osseous foot tumours are uncommon. Their oncological outcomes have been poorly documented in the literature so far. The aim of this study was to establish the incidence and to evaluate the oncological outcomes of such patients. Read More

    The effect of systematic factors on the outcome of trauma laparotomy at a major trauma centre in South Africa.
    Ann R Coll Surg Engl 2017 Sep;99(7):540-544
    School of Nursing and Public Health, University of KwaZulu-Natal , Durban , South Africa.
    Introduction The aim of this study was to examine and interrogate outcomes in trauma laparotomy in a South African trauma centre to determine whether systematic factors were associated with any discrepancies in outcome. Methods This was a retrospective review of a prospectively entered trauma registry undertaken at the Pietermaritzburg Metropolitan Trauma Service, Pietermaritzburg, South Africa. The service has developed a hybrid electronic medical record system (HEMR) where clinical data were captured in real time, which were incorporated this into a database. Read More

    Oesophagogastric invagination.
    Ann R Coll Surg Engl 2017 Sep 15;99(7):e202-e203. Epub 2017 Aug 15.
    Tianjin Medical University General Hospital , China.
    Oesophagogastric invagination is a relatively rare disease that is primarily caused by a sliding hiatal hernia. We report a successfully treated case of oesophagogastric invagination caused by achalasia. Oesophagogastric invagination should be considered in patients complaining of upper abdominal discomfort. Read More

    Multi- and univariate analyses of the weekend effect for elective lower-limb joint replacements.
    Ann R Coll Surg Engl 2017 Aug 3:1-5. Epub 2017 Aug 3.
    Division of Trauma and Orthopaedic Surgery, Addenbrooke's Hospital, Cambridge, UK.
    Introduction The weekend effect is a perceived difference in outcome between medical care provided at the weekend when compared to that of a weekday. Clearly multifactorial, this effect remains incompletely understood and variable in different clinical contexts. In this study we analyse factors relevant to the weekend effect in elective lower-limb joint replacement at a large NHS multispecialty academic healthcare centre. Read More

    Enhanced recovery programmes for lower limb arthroplasty in the UK.
    Ann R Coll Surg Engl 2017 08 3:1-6. Epub 2017 Aug 3.
    Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, UK.
    Introduction Enhanced recovery programmes (ERPs) reduce patient morbidity and mortality, and provide significant cost savings by reducing length of stay. Currently, no uniform ERP guidelines exist for lower limb arthroplasty in the UK. The aim of this study was to identify variations in ERPs and determine adherence to local policy. Read More

    Necrotising fasciitis in a patient treated with FOLFIRI-aflibercept for colorectal cancer: a case report.
    Ann R Coll Surg Engl 2017 Aug 3:e1-e2. Epub 2017 Aug 3.
    Medical oncologist at Puerta de Hierro Majadahonda University Hospital.
    Anti-angiogenics have become an important part of the treatment of several types of tumours such as ovarian, breast, lung and colorectal cancer. Necrotising fasciitis has been reported with bevacizumab but no cases have been reported with aflibercept, ramucirumab or regorafenib in patients with colorectal cancer. Necrotising fasciitis is a rare complication affecting one in 5000 bevacizumab users. Read More

    Outcomes of an innovative training course in laparoscopic hernia repair.
    Ann R Coll Surg Engl 2017 Jul 6. Epub 2017 Jul 6.
    Northumbria NHS Trust, North Shields, UK.
    INTRODUCTION The Ethicon™ laparoscopic inguinal groin hernia training (LIGHT) course is an educational course based on three days of teaching on laparoscopic hernia surgery. The first day involves didactic lectures with tutorials. The second day involves practical cadaveric procedures in laparoscopic hernia surgery. Read More

    Inadequate pelvic radiographs: implications of not getting it right the first time.
    Ann R Coll Surg Engl 2017 Sep 6;99(7):534-539. Epub 2017 Jul 6.
    Department of Trauma and Orthopaedic Surgery, Stoke Mandeville Hospital , Aylesbury , UK.
    Introduction Pelvic radiography is a frequent investigation. European guidelines aim to ensure appropriate use and adequate quality. When initial images are inadequate, repeat radiographs are often required, which may have significant patient safety and economic implications. Read More

    Taeniectomy pouch as neorectum after low rectal resection.
    Ann R Coll Surg Engl 2017 Sep 6;99(7):555-558. Epub 2017 Jul 6.
    Department of General Surgery, Cairo University , Egypt.
    Background and purpose The functional outcomes of incontinence and high stool frequency resulting from restorative surgery are often criticised. The aim of this study was to assess the taeniectomy pouch in comparison with other pouches described in the literature. Material and methods This was a prospective cohort study. Read More

    The front-line general surgery consultant as a new model of emergency care.
    Ann R Coll Surg Engl 2017 Sep 6;99(7):550-554. Epub 2017 Jul 6.
    Nottingham University Hospitals NHS Trust , UK.
    Introduction Emergency general surgery services in England are undergoing rapid structural change with the aim of improving care. In our centre, the key issues identified were high numbers of admissions, inappropriate referrals, prolonged waiting times, delayed senior input and poor patient satisfaction. A new model was launched in January 2015 to address these issues: the surgical triage unit (STU). Read More

    The effects of centralisation of vascular surgical services in the Bath, Bristol and Weston area on the carotid endarterectomy pathway.
    Ann R Coll Surg Engl 2017 Jul 6:1-7. Epub 2017 Jul 6.
    Newcastle University, Newcastle upon Tyne , UK.
    Introduction Patients who experience a transient ischaemic attack are at the highest risk of having a subsequent stroke immediately after their symptoms. A carotid endarterectomy should be performed on symptomatic, surgically suitable patients who present with a greater than 50% North American Symptomatic Carotid Endarterectomy Trial stenosis of the internal carotid artery within 2 weeks of their symptoms. This study aimed to determine whether the effectiveness of the carotid endarterectomy pathway has been impacted by the centralisation of vascular surgical services in the Bath, Bristol and Weston area. Read More

    Factors influencing the choice of treatment modality for individual patients with varicose veins.
    Ann R Coll Surg Engl 2017 Jul 6:1-7. Epub 2017 Jul 6.
    South Devon and Exeter Vascular Service, Royal Devon and Exeter Hospital, UK.
    INTRODUCTION There is evidence of effectiveness for a range of different treatment modalities for varicose veins but limited information about factors that influence treatment choice for individual patients. METHODS A postal survey was sent to 438 UK members of the Vascular Society of Great Britain and Ireland. RESULTS Overall, 251 responses were received (response rate 57%). Read More

    Superior mesenteric artery syndrome: a single centre experience of laparoscopic duodenojejunostomy as the operation of choice.
    Ann R Coll Surg Engl 2017 Jul;99(6):472-475
    Department of Vascular Surgery, Worcestershire Acute Hospitals NHS Trust , Worcester , UK.
    INTRODUCTION The superior mesenteric artery (SMA) syndrome, or Wilkie's syndrome, is a rare cause of postprandial epigastric pain, vomiting and weight loss caused by compression of the third part of the duodenum as it passes beneath the proximal superior mesenteric artery. The syndrome may be precipitated by sudden weight loss secondary to other pathologies, such as trauma, malignancy or eating disorders. Diagnosis is confirmed by angiography, which reveals a reduced aorto-SMA angle and distance, and contrast studies showing duodenal obstruction. Read More

    Rectal foreign body insertion as a rare cause of persistent lumbosacral plexus injury.
    Ann R Coll Surg Engl 2017 Jul;99(6):e191-e192
    Department of Surgery and Transplantation, University Hospital RWTH-Aachen , Aachen , Germany.
    Rectal foreign body insertion is a common condition in emergency surgery, which often requires surgical intervention. Here we report a clinical case of rectal foreign body insertion as a rare cause of persistent lumbosacral plexus injury. A 72-year-old man presented to the emergency department complaining of acute bilateral paraplegia with loss of sensation in both legs, as well as total urinary retention. Read More

    The role of two-sided splinting for recalcitrant paediatric post-burn hand flexion contracture: a case report.
    Ann R Coll Surg Engl 2017 Jul;99(6):e185-e187
    Faculty of Medicine, Universitas Indonesia, Jakarta , Indonesia.
    A 2-year-old boy presented to the plastic and reconstructive surgery outpatient clinic with bilateral post-burn hand flexion contracture. The contracture had been released twice elsewhere. The third surgical repair on one hand at a time was conducted by the author (TOHP). Read More

    Rare presentation of idiopathic duodenoduodenal intussusception.
    Ann R Coll Surg Engl 2017 Jul;99(6):e188-e190
    Pathology Department, Hospital Umum Sarawak , Kuching, Sarawak , Malaysia.
    Enteroenteric intussusception is a condition in which the full-thickness bowel wall becomes telescoped into the lumen of distal bowel. Intussusception in adult occurs infrequently and varies from childhood intussusception, particularly in its presentation, aetiology and treatment. Duodenoduodenal intussusception is rare because the duodenum is fixed in the retroperitoneal position. Read More

    Diagnostic use of intramedullary reaming biopsy in metastatic long bone disease.
    Ann R Coll Surg Engl 2017 Jul;99(6):452-455
    Hull and East Yorkshire Hospitals NHS Trust, Department of Trauma and Orthopaedic Surgery , Hull , UK.
    INTRODUCTION Bone is the third most common site of metastasis. A histological diagnosis is important in guiding therapy and prognosis. In up to 15% of cases of metastatic disease, the primary tumour remains unknown. Read More

    Incarcerated Bochdalek hernia causing bowel obstruction in an adult male patient.
    Ann R Coll Surg Engl 2017 Jul;99(6):e159-e161
    District General Hospital , Mannar , Sri Lanka.
    Bochdalek hernias occur as a result of congenital fusion failure of the posterolateral muscular portion of the diaphragm derived from the embryonic pleuroperitoneal membrane. The vast majority of symptomatic Bochdalek hernias are diagnosed during the neonatal period. Congenital diaphragmatic hernias showing symptoms in adulthood are rare. Read More

    Predictors of direct home discharge following fractured neck of femur.
    Ann R Coll Surg Engl 2017 Jul;99(6):444-451
    Nottingham University Hospitals NHS Trust , UK.
    INTRODUCTION Direct home discharge (DHD) following hip fracture surgery represents a challenging proposition. The aim of this study was to identify factors influencing the discharge destination (home vs alternative location) for patients admitted from their own home with a fractured neck of femur. METHODS A retrospective cohort study of prospectively collected major trauma centre data was performed, identifying 10,044 consecutive hip fracture admissions between 2000 and 2012. Read More

    Giant solitary fibrous tumour of the pleura an unpredictable entity: case series and literature review.
    Ann R Coll Surg Engl 2017 Jul;99(6):e165-e171
    Department of Thoracic Surgery, Norfolk and Norwich University Hospitals NHS Trust , Norwich , UK.
    A small proportion of tumours can undergo malignant transformation. We report a case series of five patients diagnosed with giant solitary fibrous tumours of the pleura. These cases highlight the unpredictable nature of this disease process, with significant variability in clinical course observed, from indolence to aggressive progression. Read More

    An unexpected diagnosis of breast malignancy.
    Ann R Coll Surg Engl 2017 Jul;99(6):e180-e182
    Weaver Vale General Practice , Runcorn , UK.
    Inflammatory breast cancer constitutes 5% of all breast cancer diagnoses. Diagnosis is based on clinical signs including skin changes, erythema and oedema, together with rapid progression and involvement of more than one-third of the affected breast. It is an aggressive tumour with great metastatic potential, metastases being present in 30% of patients at first presentation. Read More

    Laparoscopic treatment of cystic artery pseudoaneurysm in the presence of calculous cholecystitis.
    Ann R Coll Surg Engl 2017 Jul;99(6):e183-e184
    Chelsea and Westminster Hospital, London , UK.
    Cystic artery pseudoaneurysm is a very rare disease in which there is an abnormal, focal dilatation of the artery supplying the gallbladder. The condition may occur as a consequence of a localised inflammatory response, such as in cholecystitis. Here, we present the case of a 56-year-old man who presented with chronic cholecystitis in whom a 1. Read More

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