The value of peer review.
PMID: 33231481 [PubMed - as supplied by publisher] (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - November 24, 2020 Category: Surgery Authors: Rogers B Tags: Ann R Coll Surg Engl Source Type: research

Whipple's pancreaticoduodenectomy for cancer of the head of the pancreas in a patient with amyotrophic lateral sclerosis: perioperative challenges.
We report a patient with cancer of the head of the pancreas who underwent successful elective pancreaticoduodenectomy. PMID: 33185456 [PubMed - as supplied by publisher] (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - November 13, 2020 Category: Surgery Authors: Thakur UK, Kaman L, Singh C, Kumar M, Bhukal I, Shree R Tags: Ann R Coll Surg Engl Source Type: research

Resuming elective hip and knee arthroplasty in the COVID-19 era: a unique insight into patient risk aversion and sentiment.
CONCLUSION: There is a significant proportion of arthroplasty patients on waiting lists who would be willing to accept the increased risks associated with COVID-19 to undergo surgery on an urgent basis. The subgroup of younger patients awaiting hip arthroplasty is more willing than those awaiting knee arthroplasty to proceed with surgery. PMID: 33185459 [PubMed - as supplied by publisher] (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - November 13, 2020 Category: Surgery Authors: Madanipour S, Al-Obaedi O, Ayub A, Iranpour F, Subramanian P Tags: Ann R Coll Surg Engl Source Type: research

'Ball valve' small bowel obstruction caused by a large caecal faecolith.
Abstract Small bowel obstruction is a common surgical presentation, but intestinal faecoliths are rarely reported as a cause. A 75-year-old woman presented with small bowel obstruction from a large faecolith lodged in the caecum. This required removal at laparoscopy-assisted surgery. This case highlights the need to deal promptly with symptomatic intestinal faecoliths as they are unlikely to pass spontaneously and are prone to cause acute obstruction. PMID: 33185474 [PubMed - as supplied by publisher] (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - November 13, 2020 Category: Surgery Authors: Sharma S, Majeed T, Solomon J, Guy R Tags: Ann R Coll Surg Engl Source Type: research

Short-term outcomes after Ivor Lewis oesophagectomy for cancer during the COVID-19 pandemic.
CONCLUSIONS: ILO can be performed safely during the COVID-19 pandemic with the necessary precautions in place. PMID: 33179514 [PubMed - as supplied by publisher] (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - November 12, 2020 Category: Surgery Authors: Chan D, MacCormick A, Rashid B, Ariyarathenam A, Humphreys L, Sanders G, Wheatley T, Berrisford R Tags: Ann R Coll Surg Engl Source Type: research

The King's Cut: the sliding hindfoot osteotomy for talar body collapse.
PMID: 33063520 [PubMed - as supplied by publisher] (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - October 16, 2020 Category: Surgery Authors: Rabiu AR, Lyle S, Reichert I, Ahluwalia R Tags: Ann R Coll Surg Engl Source Type: research

How to perform safe laparoscopic extraction of surgical specimen during the COVID-19 era.
PMID: 32998521 [PubMed - in process] (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - September 30, 2020 Category: Surgery Authors: Wang K, Alam I Tags: Ann R Coll Surg Engl Source Type: research

Chronic groin pain following open inguinal hernia repair: has consenting practice improved?
Discussions during the initial consultation and on the day of surgery were assessed by reviewing clinic letters, medical notes and consent forms. FINDINGS: The risk of chronic pain was discussed with significantly more patients in 2019 than in 2009 (96% v 54%, p
Source: Annals of the Royal College of Surgeons of England - September 27, 2020 Category: Surgery Authors: Sivarajah V, Farquharson B, Mahdi S, Cathcart P, Jeyarajah S Tags: Ann R Coll Surg Engl Source Type: research

Refocusing cancer multidisciplinary team meetings in the United Kingdom: comparing urology with other specialties.
CONCLUSIONS: To facilitate decisions on which patients require discussion in an MDT meeting, factors adding to case complexity across all tumour types were identified, including rare tumour type, cognitive impairment and previous treatment failure. This study confirms that urology MDT members are supportive of changing from reviewing all new cancer diagnoses to discussing complex cases but managing others with a more protocolised pathway. The mechanisms for how to do this and how to ensure the safety of patients require further clarification. PMID: 32981347 [PubMed - as supplied by publisher] (Source: Annals of the Ro...
Source: Annals of the Royal College of Surgeons of England - September 27, 2020 Category: Surgery Authors: Warner R, Hoinville L, Pottle E, Taylor C, Green J Tags: Ann R Coll Surg Engl Source Type: research

The 'double scalpel' scar excision technique.
PMID: 32981354 [PubMed - as supplied by publisher] (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - September 27, 2020 Category: Surgery Authors: Burns S, Subramanian P Tags: Ann R Coll Surg Engl Source Type: research

Lipoma of the temporal region: a rare case series.
We describe a second case arising from the temporal fat pad in a patient treated at our unit, having previously reported the first one, and discuss the relevant anatomy and management. PMID: 32985216 [PubMed - as supplied by publisher] (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - September 27, 2020 Category: Surgery Authors: Davies J, Srinivasan B, Brennan PA Tags: Ann R Coll Surg Engl Source Type: research

A rare cause of diplopia: Solitary extramedullary plasmacytoma of the skull base.
Abstract Diplopia is a common presenting complaint with a broad spectrum of differential diagnoses. Causative pathologies may affect the eye, extraocular muscles, neuromuscular junction, cranial nerves and central nervous system. Tumours, inflammatory and autoimmune conditions, vasculopathies and atypical infections are the most common underlying pathologies. Solitary extramedullary plasmacytoma is a rare cause of diplopia. This case emphasises the importance of submucosal biopsies for diagnosis and early involvement of the multidisciplinary team. Moreover, we advocate a low threshold for a second opinion and furt...
Source: Annals of the Royal College of Surgeons of England - September 27, 2020 Category: Surgery Authors: Bonduelle Q, Garas G, Ramakrishnan Y Tags: Ann R Coll Surg Engl Source Type: research

A simple middle and ring finger traction splint modification.
PMID: 32967438 [PubMed - as supplied by publisher] (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - September 23, 2020 Category: Surgery Authors: Peacock C, Bellringer SF, Oliveira M Tags: Ann R Coll Surg Engl Source Type: research

A technique for urethral meatal dilatation using a commonly found piece of medical equipment.
PMID: 32969236 [PubMed - as supplied by publisher] (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - September 23, 2020 Category: Surgery Authors: Clement KD, Salji M, Amer T Tags: Ann R Coll Surg Engl Source Type: research

SDH-deficient renal cell carcinoma: a clinicopathological analysis highlighting the role of genetic counselling.
We present a woman with SDH-deficient RCC and review the literature associated with this uncommon entity. PMID: 32969237 [PubMed - as supplied by publisher] (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - September 23, 2020 Category: Surgery Authors: Wilczek Y, Sachdeva A, Turner H, Veeratterapillay R Tags: Ann R Coll Surg Engl Source Type: research

Hip fractures in centenarians: a multicentre review of outcomes.
CONCLUSION: Trauma in the elderly population is an area of growing interest, yet few studies address centenarians with hip fractures. This work demonstrates that mortality rates within one year of injury were high, but almost half survived beyond a year. Two-thirds of patients regained their pre-injury level of independence, suggesting that functional recovery may not be as poor as previously reported. PMID: 32969242 [PubMed - as supplied by publisher] (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - September 23, 2020 Category: Surgery Authors: Barrett-Lee J, Barbur S, Johns J, Pearce J, Elliot RR Tags: Ann R Coll Surg Engl Source Type: research

Combined endovascular and surgical approaches to treat intralobar pulmonary sequestration: a case report.
We report a case of a 61-year old woman with intralobar pulmonary sequestration treated with a combination of endovascular coil embolisation and surgical resection. PMID: 32969253 [PubMed - as supplied by publisher] (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - September 23, 2020 Category: Surgery Authors: Wang L, Balasubramanian S, Jackson R, Agrawal D Tags: Ann R Coll Surg Engl Source Type: research

Long-term follow-up of resection of primary benign right ventricular tumours: a 10-year surgical experience.
CONCLUSIONS: Tumour resection for primary benign right ventricular tumours is safe and effective, and has a good prognosis. Tricuspid valvuloplasty or tricuspid valve replacement may be necessary for the resection of right ventricular tumours to improve the haemodynamics. Haemangiomas naturally undergo spontaneous regression. PMID: 32969255 [PubMed - as supplied by publisher] (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - September 23, 2020 Category: Surgery Authors: Qiao E, Wang Y, Huang Z, Li F, Wang W Tags: Ann R Coll Surg Engl Source Type: research

A space suit modification for the COVID-19 era.
PMID: 32969259 [PubMed - as supplied by publisher] (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - September 23, 2020 Category: Surgery Authors: Carter J, Doorgakant A, Rigby M, Robb C Tags: Ann R Coll Surg Engl Source Type: research

Prophylaxis with rivaroxaban after laparoscopic sleeve gastrectomy could reduce the frequency of portomesenteric venous thrombosis.
The objective was to evaluate the effect of rivaroxaban on the frequency of portal and mesenteric venous thrombosis and its safety profile after laparoscopic sleeve gastrectomy. MATERIALS AND METHODS: This retrospective analysis of prospectively collected data includes all laparoscopic sleeve gastrectomies performed by a single surgeon at Pontificia Universidad Católica de Chile Hospital between January 2009 and June 2019. All patients received low molecular weight heparin thromboprophylaxis during the whole hospital stay. Between July 2012 and June 2019, patients received additional post-discharge thromboproph...
Source: Annals of the Royal College of Surgeons of England - September 23, 2020 Category: Surgery Authors: Rodríguez JI, Kobus V, Téllez I, Pérez G Tags: Ann R Coll Surg Engl Source Type: research

Transanal evisceration of small bowel in two patients with chronic rectal prolapse: case presentation and literature review.
We report two cases of this rare surgical emergency in an 84-year old man and a 79-year old woman. Both patients required urgent laparotomy, resection of ischaemic bowel and transabdominal resection of the rectal defect with colostomy. Postoperative recovery was uneventful. Rare imaging and clinical photography are shared to highlight the extreme nature of this condition. We identified 38 relevant cases of reported bowel evisceration through our literature review. Most patients were elderly women with untreated rectal prolapse. Gynaecological comorbidity was another risk factor. The aetiological mechanism is suspected to s...
Source: Annals of the Royal College of Surgeons of England - September 23, 2020 Category: Surgery Authors: Hajiev S, Ezzat A, Sivarajah V, Reese G, El-Masry N Tags: Ann R Coll Surg Engl Source Type: research

Inflammation and infarction of adipose tissue: implications in bariatric surgery.
We report two cases of young women with diabetes who underwent bariatric surgery and had complications resulting from extensive inflammation and necrosis of adipose tissue. The first patient was diagnosed with omental infarction, which is a type of fat necrosis that is rarely associated with obesity and bariatric surgery. The second patient had an intraoperative finding of mesenteric panniculitis, which resulted in an intra-operative change in the choice of bariatric surgery to do a sleeve gastrectomy instead of a gastric bypass. Surgeons who perform surgery on bariatric patients must be aware of complications related to e...
Source: Annals of the Royal College of Surgeons of England - September 23, 2020 Category: Surgery Authors: Fadel MG, Fehervari M, Khwaja HA Tags: Ann R Coll Surg Engl Source Type: research

Symptomatic hepatothorax presenting 25 years after penetrating thoracoabdominal injury.
Abstract Hepatic herniation through the diaphragm is a rare finding. It generally occurs due to a congenital diaphragmatic abnormality or blunt trauma resulting in a diaphragmatic defect. Making the diagnosis is difficult, as there are few definitive clinical signs and chest radiograph (CXR) findings may be non-specific. To our knowledge, only a single case report exists of penetrating right diaphragm injury leading to hepatic herniation. A 42-year-old man presented to the emergency department of a regional hospital with hyperglycaemia and exertional dyspnoea. He was diagnosed with diabetes mellitus type 2. He gav...
Source: Annals of the Royal College of Surgeons of England - September 23, 2020 Category: Surgery Authors: Variawa S, Marais R, Buitendag J, Edge J, Steyn E Tags: Ann R Coll Surg Engl Source Type: research

Benign parotid mass and facial palsy: systematic review.
Abstract INTRODUCTION: Parotid masses causing facial palsy are highly indicative of malignancy. A significant number of cases describing benign parotid disease causing facial palsy have been reported. MATERIALS AND METHODS: We performed a systematic review of the literature to establish the aetiology, clinical features, investigations and management undertaken during these presentations to assess how these factors differed from malignant presentations and to establish an evidence-based algorithm for their management. RESULTS: A total of 85 cases were identified from 78 articles. Cystadenolymphomas were t...
Source: Annals of the Royal College of Surgeons of England - September 23, 2020 Category: Surgery Authors: Stewart KE, Bannon R, Bannister M Tags: Ann R Coll Surg Engl Source Type: research

Percutaneous needle fasciotomy in the digit for Dupuytrens: creating a double 90-degree step in the needle to reduce anxiety in the supervising surgeon.
PMID: 32969267 [PubMed - as supplied by publisher] (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - September 23, 2020 Category: Surgery Authors: Hazlerigg A, McNab I Tags: Ann R Coll Surg Engl Source Type: research

A technique to secure a knot in a confined space.
PMID: 32969269 [PubMed - as supplied by publisher] (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - September 23, 2020 Category: Surgery Authors: Al-Benna S, Banieghbal B Tags: Ann R Coll Surg Engl Source Type: research

Late onset metastasis from renal cell carcinoma masquerading as a gallbladder polyp.
We report a case of gallbladder metastasis from clear-cell RCC in a 71-year-old woman 13 years after RCC of her right kidney. Preoperative imaging studies showed a suspicious, progressively enlarged gallbladder polyp. The patient underwent open cholecystectomy and lymph node dissection along the hepatoduodenal ligament. The pathology report was compatible with metastatic disease from the kidney that was previously resected. Gallbladder metastasis can occur from RCC several years after initial management. Physicians should be aware of this rare pathology, and intensive follow-up is essential after surgery for RCC. PMID...
Source: Annals of the Royal College of Surgeons of England - September 23, 2020 Category: Surgery Authors: Papalampros A, Davakis S, Syllaios A, Vagios I, Diamantopoulou P, Kyros E, Karydakis L, Goutas D, Nonni A, Felekouras E Tags: Ann R Coll Surg Engl Source Type: research

Enterocutaneous fistula from migration of hepatic artery infusion catheter.
We present an 84-year-old man with erosion of the chemotherapy port on his chest wall. He had a history of colorectal cancer with liver metastases more than 20 years ago, when he underwent right hemicolectomy and liver resection. A hepatic artery infusion catheter was placed for targeted administration of chemotherapy for the liver metastases. Imaging showed the catheter had migrated into the small bowel lumen. We considered the best approach for removing the migrated catheter - either remove the catheter and accept the likelihood of a low-volume enterocutaneous fistula that may self-resolve, or explore the enterocutaneous...
Source: Annals of the Royal College of Surgeons of England - September 23, 2020 Category: Surgery Authors: Hew N, Ng ZQ, Cover J Tags: Ann R Coll Surg Engl Source Type: research

AUTHORS' RESPONSE to Cardiorespiratory fitness in patients undergoing elective open surgery for abdominal aortic aneurysm: does it really fail to predict short-term postoperative mortality?
PMID: 32962413 [PubMed - as supplied by publisher] (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - September 22, 2020 Category: Surgery Authors: Bailey DM, Rose GA, Berg R, Davies RG, Appadurai IR, Lewis MH, Williams IM Tags: Ann R Coll Surg Engl Source Type: research

Producing three-dimensional printed models of the hepatobiliary system from computed tomography imaging data.
This study is among the first of a series in which we will document the newly formed Oxford Library of Anatomy. This series will provide the methodology for the production of three-dimensional models from computed tomography and magnetic resonance imaging scans, and the library will provide a complete collection of the most complex anatomical areas. We hope that these models will form an important adjunct in teaching anatomy to medical students and surgical trainees. PMID: 32964727 [PubMed - as supplied by publisher] (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - September 22, 2020 Category: Surgery Authors: Smillie RW, Williams MA, Richard M, Cosker T Tags: Ann R Coll Surg Engl Source Type: research

Cardiorespiratory fitness in patients undergoing elective open surgery for abdominal aortic aneurysm: does it really fail to predict short-term postoperative mortality?
PMID: 32964751 [PubMed - as supplied by publisher] (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - September 22, 2020 Category: Surgery Authors: Harwood AE, Perissiou M, Askew CD Tags: Ann R Coll Surg Engl Source Type: research

Improvised biliary cooling technique for radiofrequency ablation of liver tumours close to central bile ducts.
PMID: 32829641 [PubMed - as supplied by publisher] (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - August 23, 2020 Category: Surgery Authors: Elshaer M, White J, Liau SS Tags: Ann R Coll Surg Engl Source Type: research

PROMs in total knee replacement: analysis of negative outcomes.
CONCLUSION: The OKS needs to be revalidated on current patient groups for accurate and reliable data. Further prospective studies should be undertaken on larger cohorts to understand the recovery course and whether PROMs should be carried out later. PMID: 32829644 [PubMed - as supplied by publisher] (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - August 23, 2020 Category: Surgery Authors: Begum F, Panagiotidou A, Park C, Ashdown T, El-Tawil S Tags: Ann R Coll Surg Engl Source Type: research

The changing face of reoperative parathyroidectomy: a single-centre comparison of 147 parathyroid reoperations.
CONCLUSION: Optimal imaging is key to good cure rates in reoperative parathyroidectomy. High-quality non-interventional imaging techniques have produced a shift in the preoperative algorithm without compromising outcomes. PMID: 32829647 [PubMed - as supplied by publisher] (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - August 23, 2020 Category: Surgery Authors: Camenzuli C, DiMarco AN, Isaacs KE, Grant Y, Jackson J, Alsafi A, Harvey C, Barwick TD, Tolley N, Palazzo FF Tags: Ann R Coll Surg Engl Source Type: research

International normalised ratio as an independent predictor of mortality in limb necrotising fasciitis with sepsis.
CONCLUSIONS: INR is a significant independent predictor of mortality in sepsis patients diagnosed with necrotising fasciitis. PMID: 32829649 [PubMed - as supplied by publisher] (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - August 23, 2020 Category: Surgery Authors: Ling XW, Lin K, Jiang XQ, Wu Q, Liu ZJ, Li S, Zhao S, Lin C Tags: Ann R Coll Surg Engl Source Type: research

Urgent surgical repair of symptomatic Bochdalek hernia containing an intrathoracic kidney.
Abstract Bochdalek hernias rarely contain an intrathoracic kidney, and there are few reports of their operative repair. A woman presented with progressive dyspnoea limiting her quality of life. Imaging showed a Bochdalek hernia containing omentum, large bowel and the left kidney. The woman was unexpectedly admitted to the intensive care unit with respiratory failure secondary to gallstone pancreatitis whilst awaiting elective repair of her hernia. Surgical repair of the hernia was performed via laparotomy with cholecystectomy to treat both problems. The woman recovered well and is independently mobile without any ...
Source: Annals of the Royal College of Surgeons of England - August 23, 2020 Category: Surgery Authors: Halle-Smith JM, Pande R, Griffiths EA Tags: Ann R Coll Surg Engl Source Type: research

A novel technique for Gravity Assisted Reduction of Ankle (GARA) fracture dislocations.
PMID: 32820636 [PubMed - as supplied by publisher] (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - August 20, 2020 Category: Surgery Authors: Rangan R, Riaz M, Bose D Tags: Ann R Coll Surg Engl Source Type: research

Ankle arthrodesis: using K wires in two planes to confidently correct and maintain anatomical alignment during articular surface preparation.
PMID: 32820637 [PubMed - as supplied by publisher] (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - August 20, 2020 Category: Surgery Authors: Donnelly TD, Fischer B, Thorpe P Tags: Ann R Coll Surg Engl Source Type: research

Preoperative scar perception study comparing 'scarless' in the neck endoscopic thyroidectomy with open thyroidectomy: a cross-sectional study.
CONCLUSION: Patients interest in undergoing scarless endoscopic thyroidectomy is driven by improved scar perception and surgeon's recommendation compared with open thyroid surgery. PMID: 32820638 [PubMed - as supplied by publisher] (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - August 20, 2020 Category: Surgery Authors: Qiu TY, Lau J, Wong O, Oh HB, Boon TW, Parameswaran R, Ngiam KY Tags: Ann R Coll Surg Engl Source Type: research

McKeown oesophagectomy and pulmonary wedge resection with a prone thoracoscopic and laparoscopic approach: a video report.
We present the case of a 60-year-old man with a lesion of the distal third of the oesophagus and solid pulmonary nodule who underwent McKeown subtotal oesophagectomy by laparoscopic and thoracoscopic approach in prone position with concomitant thoracoscopic pulmonary wedge resection. The postoperative course was smooth, and the patient was discharged on postoperative day 10. The procedure is feasible and safe, and combines better respiratory postoperative outcomes even when associated with other diagnostic or therapeutic lung procedures. PMID: 32820640 [PubMed - as supplied by publisher] (Source: Annals of the Royal C...
Source: Annals of the Royal College of Surgeons of England - August 20, 2020 Category: Surgery Authors: Annicchiarico A, Dalmonte G, Morini A, Marchesi F Tags: Ann R Coll Surg Engl Source Type: research

Acute hyperparathyroid crisis: ectopic submandibular parathyroid gland the culprit.
We report an interesting case of parathyroid surgery where the patient presented with a rare ectopic adenoma in the form of a hyperparathyroid crisis. PMID: 32820645 [PubMed - as supplied by publisher] (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - August 20, 2020 Category: Surgery Authors: Unais T M, Gangadhar P, Kolikkat N Tags: Ann R Coll Surg Engl Source Type: research

Virtual reality training compared with apprenticeship training in laparoscopic surgery: a meta-analysis.
Abstract INTRODUCTION: Since its inception, laparoscopic surgery has evolved and new techniques have been developed due to technological advances. This requires a different and more complex skill set in comparison with open surgery. Reduced working hours, less training time and patient safety factors demand that such skills need to be achieved outside the operating theatre environment. Several studies have been published and have determined the effectiveness of virtual reality training. We aimed to compare virtual reality training with the traditional apprenticeship method of training and determine whether it can ...
Source: Annals of the Royal College of Surgeons of England - August 20, 2020 Category: Surgery Authors: Portelli M, Bianco SF, Bezzina T, Abela JE Tags: Ann R Coll Surg Engl Source Type: research

Colonoscopy and flexible sigmoidoscopy for follow-up of patients with left-sided diverticulitis.
CONCLUSIONS: There is no evidence to support the routine use of endoscopic evaluation after an episode of left-sided diverticulitis diagnosed on computed tomography if no worrying radiological findings have been reported. This study supports similar findings from other studies and therefore we disagree with The Royal College of Surgeons of England (Association of Coloproctology of Great Britain and Ireland recommendations) commissioning guide, which advocates routine surveillance of the colon. PMID: 32820657 [PubMed - as supplied by publisher] (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - August 20, 2020 Category: Surgery Authors: Abdulazeez Z, Kukreja N, Qureshi N, Lascelles S Tags: Ann R Coll Surg Engl Source Type: research

The safety and efficacy of endoscopic submucosal dissection for treating early oesophageal carcinoma: a meta-analysis.
This study compares the safety and efficacy of endoscopic submucosal dissection and endoscopic mucosal resection in treating early oesophageal carcinoma. METHODS: We carried out a search of online databases including the Web of Science, PubMed, Embase and the Cochrane Library with no language restrictions. The inclusion criteria were patients with early oesophageal carcinoma who accepted the treatment of endoscopic submucosal dissection compared with endoscopic mucosal resection. FINDINGS: A total of 1,462 patients with 1,650 lesions from nine studies were included in the meta-analysis. When compared with the end...
Source: Annals of the Royal College of Surgeons of England - August 20, 2020 Category: Surgery Authors: Wang HY, Zeng X, Bai SY, Pu K, Zheng Y, Ji R, Guo QH, Guan QL, Wang YP, Zhou YN Tags: Ann R Coll Surg Engl Source Type: research

Transoral laser resection of hypopharyngeal liposarcoma.
We present a patient with the first documented primary excision via carbon dioxide laser using an entirely transoral approach. This case suggests a new standard of management but also highlights the difficulties with investigation and diagnosis in a rare presentation. PMID: 32820661 [PubMed - as supplied by publisher] (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - August 20, 2020 Category: Surgery Authors: Savoie A, Lester S Tags: Ann R Coll Surg Engl Source Type: research

Direct versus indirect transfer for traumatic brain injury to James Cook University Hospital: a retrospective study.
CONCLUSION: Patients are as safe, if not safer, by reaching the nearest trauma unit with facilities for resuscitation and imaging. PMID: 32820664 [PubMed - as supplied by publisher] (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - August 20, 2020 Category: Surgery Authors: Vats A, Roy D, Prasad MK Tags: Ann R Coll Surg Engl Source Type: research

The extended external fixator kickstand for free and local flap reconstruction of the heel.
PMID: 32808798 [PubMed - as supplied by publisher] (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - August 17, 2020 Category: Surgery Authors: Thakkar M, King I, Mohan A Tags: Ann R Coll Surg Engl Source Type: research

Incisional hernia formation in hepatobiliary surgery using transverse and hybrid incisions: a systematic review and meta-analysis.
CONCLUSION: Owing to the limitations in study design and heterogeneity, there is limited evidence to guide incision choice and methods of closure in hepatopancreatobiliary surgery. There is an urgent need for a high-quality prospective cohort study to understand the techniques used and their outcomes, to inform future research. PMID: 32808799 [PubMed - as supplied by publisher] (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - August 17, 2020 Category: Surgery Authors: Davey S, Rajaretnem N, Harji D, Rees J, Messenger D, Smart NJ, Pathak S Tags: Ann R Coll Surg Engl Source Type: research

Lymph node ratio as a prognostic marker of oral tongue squamous cell carcinoma: a cohort study.
The objective of the study was to evaluate lymph node ratio as a prognostic marker as compared with N-staging for tongue squamous cell carcinoma. MATERIALS AND METHODS: We conducted a retrospective cohort study with 56 patients with a lymph node ratio greater than 0.012 (exposed) and 74 patients with a lymph node ratio less than 0.012 (unexposed). Overall five-year survival and disease-free survival were assessed. The Cox proportional hazard model was used to analyse lymph node ratio as a predictor of outcome, together with other covariates. RESULTS: A total of 130 patients were included in the study. Patients wi...
Source: Annals of the Royal College of Surgeons of England - August 17, 2020 Category: Surgery Authors: Iftikhar H, Rozi S, Zahid N, Awan MS, Nathani KR Tags: Ann R Coll Surg Engl Source Type: research

Safe pedicle tunnelling and retrieval for free flap surgery.
PMID: 32808801 [PubMed - as supplied by publisher] (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - August 17, 2020 Category: Surgery Authors: Haque SA, Woollard A Tags: Ann R Coll Surg Engl Source Type: research