11,078 results match your criteria Annals of the Royal College of Surgeons of England[Journal]


An innovative and cost-effective method for the targeted delivery of autologous bone grafts in foot and ankle surgery.

Authors:
D Gorbacev A Pillai

Ann R Coll Surg Engl 2018 Jul 3. Epub 2018 Jul 3.

Trauma and Orthopaedics Department, University Hospital of South Manchester NHS Foundation Trust , Wythenshawe, Manchester , UK.

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Will children ever learn? Removal of nasal and aural foreign bodies: a study of hospital episode statistics.

Ann R Coll Surg Engl 2018 Jul 3:1-3. Epub 2018 Jul 3.

Birmingham Women's and Children's NHS Foundation Trust , Birmingham , UK.

Introduction Foreign body removal is a common reason for children to attend the emergency department. Generally, aural and nasal foreign bodies are not associated with immediate morbidity unless they are button batteries. There can be consequences of migration and removal. Read More

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July 2018
1 Read

Influence of meteorological factors on the onset of primary spontaneous pneumothorax.

Ann R Coll Surg Engl 2018 Jul 3:1-6. Epub 2018 Jul 3.

Division of Thoracic Surgery, Department of Surgery, King Fahad Hospital of the University, Imam Abdulrahman Bin Faisal University , Dammam , Saudi Arabia.

Introduction Although links between meteorological conditions and primary spontaneous pneumothorax have been proposed, the reports are controversial. The aim of the study is to correlate between climatic changes and the development of this condition. Materials and methods A retrospective chart review included all patient presenting with primary spontaneous pneumothorax to King Fahd Hospital, Imam Abdulrahman Bin Faisal University, Alkhobar, Saudi Arabia, from 1 January 2005 to 31 December 2016. Read More

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Thy 3F and 3a malignancy rate, a multisite regional retrospective case series.

Ann R Coll Surg Engl 2018 Jul 3:1-6. Epub 2018 Jul 3.

Brighton and Sussex University Hospitals NHS Trust , Brighton , UK.

Introduction The aim of this study was to ascertain the incidence of thyroid cancer for patients categorised as Thy3, 3a or 3f across four tertiary thyroid multidisciplinary centres in the UK. Material and methods This is a retrospective case series examining patients who presented with a thyroid nodule and diagnosed as Thy3, 3a or 3f according to the Royal College of Pathologists modified British Thyroid Association and Royal College of Physicians Thy system. Results In total, 395 patients were included in this study. Read More

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July 2018
1 Read

A simple alternative to Chinese finger traps for wrist fracture reduction.

Ann R Coll Surg Engl 2018 Jul 3. Epub 2018 Jul 3.

Emergency Department, Northern General Hospital, Sheffield Teaching Hospitals NHS Foundation Trust , Sheffield , UK.

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Botox in reverse: a useful adjunct for acromial fractures.

Authors:
F Awad C D Smith

Ann R Coll Surg Engl 2018 Jul 3. Epub 2018 Jul 3.

Royal Devon and Exeter Hospital , Exeter , UK.

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Shooting up? Analysis of 182 gunshot injuries presenting to a London major trauma centre over a seven-year period.

Ann R Coll Surg Engl 2018 Jul;100(6):464-474

Department of Trauma and Acute Surgery, King's College Hospital , London , UK.

Introduction Metropolitan Police data, and those from the emergency department at a London major trauma centre show a resurgence in gun crime. The aim of this study was to collect data on all gunshot injuries over a seven-year period at South-East London's trauma hub. Materials and methods This was a retrospective observational study of all gunshot injuries between 1 January 2010 and 31 December 2016 at a London major trauma centre. Read More

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Current use of procedure specific consent forms for laparoscopic cholecystectomy.

Ann R Coll Surg Engl 2018 Jul;100(6):446-449

City Hospitals Sunderland NHS Foundation Trust , UK.

Introduction Procedure specific consent forms (PSCFs) have been shown to improve consenting practice for a standardised list of complications. The aim of this study was to assess the current usage and quality of PSCFs in the National Health Service (NHS) for cholecystectomy, specifically comparing the listed complications with those mentioned on the NHS website. Methods A freedom of information request was sent to all NHS trusts asking whether they perform laparoscopic cholecystectomy and whether they have a PSCF for this. Read More

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Morbidity in parathyroid surgery for renal disease is under reported: a comparison of outcomes with primary hyperparathyroidism.

Ann R Coll Surg Engl 2018 Jul;100(6):436-442

Department of Endocrine and Thyroid Surgery, Imperial College Healthcare NHS Trust, Hammersmith Hospital , London , UK.

Introduction Parathyroidectomy is considered to be a safe procedure with low morbidity. However, while this is true for primary hyperparathyroidism, whether it applies to tertiary disease is not so well documented. The aim of this study was to assess the morbidity of surgery for tertiary hyperparathyroidism compared with primary disease and to establish whether there are predictive factors for poor outcomes. Read More

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The effect of consultant outcome publication on surgeon behaviour: a systematic review and narrative synthesis.

Ann R Coll Surg Engl 2018 Jul;100(6):428-435

Bristol Urological Institute, Southmead Hospital , Bristol , UK.

Introduction Surgeon-specific outcome data, or consultant outcome publication, refers to public access to named surgeon procedural outcomes. Consultant outcome publication originates from cardiothoracic surgery, having been introduced to US and UK surgery in 1991 and 2005, respectively. It has been associated with an improvement in patient outcomes. Read More

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Urinary schistosomiasis presented as bladder malignancy with pulmonary metastases: a case report.

Authors:
K Hosny A Luk

Ann R Coll Surg Engl 2018 Jul;100(6):e145-e146

Urology Department, Royal Blackburn Hospital, East Lancashire Hospitals NHS Trust , Blackburn , UK.

Schistosoma haematobium is the species primarily responsible for the manifestation of schistosomiasis in the genitourinary tract. It is a parasitic disease caused by flukes (trematodes) of the genus Schistosoma, which can result in acute and chronic manifestation. We report a case of urinary schistosomiasis that initially presented as advanced bladder cancer with pulmonary metastasis on initial computed tomography scan. Read More

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National variation between clinical commissioning groups in referral criteria for primary total hip replacement surgery.

Ann R Coll Surg Engl 2018 Jul;100(6):443-445

Royal United Hospital , Bath , UK.

The referral criteria used by the UK clinical commissioning groups for primary total hip replacement surgery appear inconsistent; the criteria rarely follow National Institute for Health and Care Excellence criteria. With established guidelines available, it is unclear why the clinical commissioning groups have referral criteia with less evidence base, without obviously addressing particular issues in their locality. Read More

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Decision Time.

Authors:
Tim Lane

Ann R Coll Surg Engl 2018 Jul;100(6):423

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Jejunojejunal intussusception: an unusual case of postoperative intestinal obstruction.

Ann R Coll Surg Engl 2018 Jun 18:e1-e3. Epub 2018 Jun 18.

Department of General Surgery, Kasturba Medical College Mangalore, Manipal Academy of Higher Education , Karnataka , India.

Intussusception is a rare cause for postoperative intestinal obstruction. We report a case of intussusception in the early postoperative period following resection of proximal jejunum and end to end anastomosis. Computed tomography showed jejunal intussusception, which was confirmed on exploration. Read More

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Hydatid cyst of the pancreas causing both acute pancreatitis and splenic vein thrombosis.

Ann R Coll Surg Engl 2018 Jun 18:e1-e3. Epub 2018 Jun 18.

Department of General Surgery, Izmir Katip Celebi University Ataturk Training and Research Hospital , Izmir , Turkey.

Hydatid cyst of the pancreas is a rarely seen entity even in endemic countries. Cyst may causes several symptoms due to external compression or fistulisation to pancreaticobiliary tract or small bowel. A 23-year-old female patient was referred with a complaint of abdominal pain. Read More

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Metastatic endometrial cancer of the paranasal sinuses.

Ann R Coll Surg Engl 2018 Jun 18:e1-e4. Epub 2018 Jun 18.

Ear, Nose and Throat Department, Royal Surrey County Hospital , Guildford, Surrey , UK.

Endometrial carcinoma is the fourth most common cancer affecting women in the UK. Its most frequent sites of spread are to the pelvic and para-aortic lymph nodes, vagina and peritoneum. We report a case of a 63-year-old woman with known endometrial cancer who presented with left facial swelling and eye displacement. Read More

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Use of a bladder syringe to evacuate ruptured breast implants: a neat approach.

Authors:
S Naseem H Devalia

Ann R Coll Surg Engl 2018 Jun 18. Epub 2018 Jun 18.

Maidstone and Tunbridge Wells NHS Trust , Tunbridge Wells , UK.

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Is it necessary to change instruments between sampling sites when taking multiple tissue specimens in musculoskeletal infections?

Ann R Coll Surg Engl 2018 Jun 18:1-3. Epub 2018 Jun 18.

Wirral University Teaching Hospital NHS Foundation Trust, Trauma and Orthopaedics , Wirral, Merseyside , UK.

Introduction Surgical debridement of orthopaedic infections allows biopsy for microbiology and facilitates successful treatment. It is recommended that biopsy instruments are changed when taking multiple samples. This study compared assessed cross-contamination between biopsy sites when using same instruments to take tissue samples from multiple sites. Read More

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June 2018
3 Reads

Prevention of iatrogenic chemical burns during tourniquet controlled hand surgery.

Ann R Coll Surg Engl 2018 Jun 18. Epub 2018 Jun 18.

Cardiff and Vale University Health Board , UK.

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Tip for maintaining sterility in antegrade on-table colonoscopy.

Ann R Coll Surg Engl 2018 Jun 18. Epub 2018 Jun 18.

Royal United Hospitals Bath NHS Foundation Trust , UK.

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Correcting varus malreduction in extracapsular fractures of the neck of the femur using a temporary external fixator.

Authors:
R Dimock D Elliott

Ann R Coll Surg Engl 2018 Jun 18. Epub 2018 Jun 18.

Ashford and St Peters Hospitals NHS Foundation Trust , UK.

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Lone Star retractor and elastic band compression dressing for urethroplasty.

Ann R Coll Surg Engl 2018 Jun 18. Epub 2018 Jun 18.

Urology Department, Royal Adelaide Hospital , Adelaide , South Australia.

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Management of laser fibre during ureterorenoscopy and laser lithotripsy.

Ann R Coll Surg Engl 2018 Jun 18. Epub 2018 Jun 18.

Urology Department, Cheltenham General Hospital , Cheltenham , UK.

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Drilling holes for locking screws in challenging anatomy.

Authors:
H Khan K Mitchell

Ann R Coll Surg Engl 2018 Jun 18. Epub 2018 Jun 18.

Auckland City Hospital , New Zealand.

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Risk of asphyxiation from Vernagel ingestion.

Ann R Coll Surg Engl 2018 Jun 18:e1-e2. Epub 2018 Jun 18.

York Teaching Hospital NHS Foundation Trust , UK.

Vernagel (sodium polyacrylate) is a powder commonly used in hospitals worldwide for the management and disposal of body fluids. It reacts with fluids to form a semisolid gel. Its main use is to reduce spillages. Read More

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Compliance with enhanced recovery protocols in elderly patients undergoing colorectal resection.

Ann R Coll Surg Engl 2018 Jun 18:1-10. Epub 2018 Jun 18.

University Hospitals Bristol NHS Foundation Trust , UK.

Introduction Enhanced recovery after surgery (ERAS) is associated with reduced length of stay (LOS) and improved outcomes in colorectal surgery. It is unclear whether ERAS can be safely implemented in elderly patients undergoing complex colorectal resections. The aim of this study was to evaluate the feasibility of ERAS in patients of all ages undergoing colorectal surgery. Read More

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Newborn and infant physical examination standards in a dedicated clinic for developmental dysplasia of the hip.

Ann R Coll Surg Engl 2018 Jun 18:1-4. Epub 2018 Jun 18.

Abertawe Bro Morgannwg University Health Board , UK.

Introduction In 2014 our centre started a dedicated clinic for developmental dysplasia of the hip (DDH). The aim of the clinic was to streamline DDH referrals, enabling timely review, imaging and multidisciplinary treatment. Ongoing audit has been carried out based on the UK National Screening Committee newborn and infant physical examination (NIPE) guidelines, first published in 2008. Read More

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The utility of irrigation drainage following video-assisted pancreatic necrosectomy.

Authors:
A X Samayoa T Vu

Ann R Coll Surg Engl 2018 Jun 18. Epub 2018 Jun 18.

Abington Jefferson Health , Abington, Pennsylvania , USA.

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Mind the gap: 11 years of train-related injuries at the Royal London Hospital Major Trauma Centre.

Ann R Coll Surg Engl 2018 Jun 18:1-9. Epub 2018 Jun 18.

Royal London Hospital, Barts Health NHS Trust , London , UK.

Introduction This study presents an extensive retrospective database of patients with polytrauma following train-related injuries and highlights the key lessons learnt in this rare clinical presentation. Materials and methods We retrospectively collected data from 127 patients who presented to Royal London Hospital after sustaining train related trauma. We analysed demographics, accident report data, aetiologies and clinical management interventions. Read More

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June 2018
3 Reads

Comparison of cervical anastomotic leak and stenosis after oesophagectomy for carcinoma according to the interval of the stomach ischaemic conditioning.

Ann R Coll Surg Engl 2018 Jun 18:1-6. Epub 2018 Jun 18.

Department of Surgery, University Hospital Brno Bohunice, Faculty of Medicine, Masaryk University , Czech Republic.

Background Stomach preparation by ischaemic conditioning prior to oesophageal resection represents a potential method of reducing the risk of anastomotic complications. This study compares the results of the anastomotic complications of cervical anastomosis after oesophagectomy with a short interval after ischaemic conditioning (group S) and a long interval (group L). Methods Subjects undergoing oesophagectomy for carcinoma after ischaemic conditioning were divided into two groups. Read More

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June 2018
1 Read

Haematomas after carotid endarterectomy can be reduced by direct pressure to the neck postoperatively.

Authors:
R Saghir G Humm T Rix

Ann R Coll Surg Engl 2018 Jun 18:1-4. Epub 2018 Jun 18.

Department of Vascular Surgery, East Kent Vascular Centre, Canterbury Hospital , Canterbury , UK.

Introduction A recognised complication of carotid endarterectomy (CEA) is postoperative haematoma, which can threaten the airway. Previous studies have looked at medical methods of preventing this complication. This study aims to evaluate the impact of simple direct pressure postoperatively on the development of haematoma. Read More

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A tissue sparing technique to remove the distal fragment of a broken femoral nail.

Ann R Coll Surg Engl 2018 Jun 18. Epub 2018 Jun 18.

Maidstone and Tunbridge Wells NHS Trust , UK.

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Management of a temporomandibular joint synovial cyst in a case complicated by severe trigeminocardiac reflex.

Ann R Coll Surg Engl 2018 Jun 18:e1-e2. Epub 2018 Jun 18.

North Manchester General Hospital, Pennine Acute Hospitals NHS Trust , Manchester , UK.

The trigeminocardiac reflex is a rare occurrence in patients undergoing maxillofacial surgery, with a reported incidence of 1-2%. Clinical signs and symptoms include bradycardia, nausea, with further stimulation potentially leading to cardiac dysrhythmias, ectopic beats, atrioventricular blocks and asystole. Most maxillofacial procedures, including temporomandibular joint procedures, are considered low risk. Read More

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Predicting in-hospital mortality in older general surgical patients.

Ann R Coll Surg Engl 2018 Jun 18:1-5. Epub 2018 Jun 18.

Salford Royal NHS Foundation Trust , UK.

Introduction A significant number of emergency general surgical admissions occur in older patients. Clinical decision making in this group is challenging and current risk prediction tools extrapolate data from cohorts of younger patients. This is the first UK study to examine risk factors predicting in-hospital mortality in older acute surgical patients undergoing comprehensive geriatric assessment. Read More

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June 2018
2 Reads

An innovative way of managing coeliac artery stenosis during pancreaticoduodenectomy.

Ann R Coll Surg Engl 2018 Jun 18:e1-e3. Epub 2018 Jun 18.

Kovai Medical Centre and Hospital , Coimbatore , India.

Coeliac artery stenosis (CAS) is rarely of consequence owing to rich collateral supply from the superior mesenteric artery via the pancreatic head. Pancreaticoduodenectomy (PD) in CAS disrupts these collaterals, and places the liver, stomach and spleen at risk of ischaemia. A 56-year-old man presented with a 3-week history of obstructive jaundice. Read More

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June 2018
1 Read

There is no 'weekend effect' in elective orthopaedic surgery.

Ann R Coll Surg Engl 2018 Jun 18:1-5. Epub 2018 Jun 18.

Calderdale and Huddersfield NHS Foundation Trust , Huddersfield , UK.

Introduction The 'weekend effect' is said to occur when patient outcomes are adversely affected by the day of the week on which they present to hospital or have surgery. However, it is uncertain whether such a phenomenon exists for elective orthopaedic surgery. We investigated whether there is a 'weekend effect' in elective orthopaedic patients. Read More

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Rectal varices due to chronic inferior mesenteric vein thrombosis caused by external compression in a large hiatus hernia containing the pancreas.

Ann R Coll Surg Engl 2018 Jun 18:e1-e3. Epub 2018 Jun 18.

Department of General Surgery, Stepping Hill Hospital , Stockport , UK.

A 79-year-old woman presented with a large fresh rectal bleed. Computed tomography revealed that she had a large type IV hiatus hernia, which contained the stomach and pancreas. Compression of the inferior mesenteric vein and splenic vein had led to thrombosis within these vessels and retrograde flow within the inferior mesenteric vein. Read More

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June 2018
3 Reads

Robotics in HPB surgery.

Ann R Coll Surg Engl 2018 May;100(6_sup):31-37

Department of HPB and Liver Transplant Surgery, The Royal Free NHS Trust , London.

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A short history of robotic surgery.

Authors:
Tim Lane

Ann R Coll Surg Engl 2018 May;100(6_sup):5-7

Lister Hospital , Stevenage.

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Robotics in neurosurgery.

Ann R Coll Surg Engl 2018 May;100(6_sup):19-22

Sheffield Teaching Hospitals NHS Foundation.

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An extra set of hands.

Authors:
Tim Lane

Ann R Coll Surg Engl 2018 May;100(6_sup)

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Robotics in trauma and orthopaedics.

Ann R Coll Surg Engl 2018 May;100(6_sup):8-15

King's College Hospital , London ; Joint CAG Leader, King's Health Partners, King's College London.

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Robotics in urology.

Ann R Coll Surg Engl 2018 May;100(6_sup):38-44

James Cook University Hospital , Middlesbrough.

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Robotics in oral and maxillofacial surgery.

Ann R Coll Surg Engl 2018 May;100(6_sup):16-18

Guy's Hospital , London.

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Robotic oesophago-gastric cancer surgery.

Ann R Coll Surg Engl 2018 May;100(6_sup):23-30

Department of Oesophago-Gastric Surgery, University College London Hospital , London.

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May 2018
1 Read

Biopsy of ureteric lesions using a semi-rigid ureteroscope through a ureteric access sheath.

Ann R Coll Surg Engl 2018 May;100(5):420-421

Department of Surgery, Cairns Hospital , Cairns, Queensland , Australia.

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Care and Culpability.

Authors:
Tim Lane

Ann R Coll Surg Engl 2018 May;100(5):349

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Gastrointestinal manifestations of extramedullary plasmacytoma: a narrative review and illustrative case reports.

Ann R Coll Surg Engl 2018 May 25;100(5):371-376. Epub 2018 Apr 25.

Department of Soft Tissue Sarcoma, Queen Elizabeth Hospital , Birmingham , UK.

Introduction Solitary extramedullary plasmacytoma are rare, solid-mass tumours which appear immunophenotypically similar to multiple myeloma. The diagnosis and management of gastrointestinal plasmacytoma is complex and requires multidisciplinary input. This study presents a narrative review of intra-abdominal extramedullary plasmacytoma, illustrated with two case studies. Read More

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May 2018
1 Read

Incidence of clinically suspected venous thromboembolism in British Indian patients.

Ann R Coll Surg Engl 2018 May 25;100(5):413-416. Epub 2018 Apr 25.

University Hospitals of Leicester NHS Trust , UK.

Introduction Venous thromboembolism (VTE) remains a major public health issue around the world. Ethnicity is known to alter the incidence of VTE. To our knowledge, there are no reports in the literature investigating the incidence of VTE in British Indians. Read More

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May 2018
1 Read