Titanium miniplate removal after joint orthodontic-orthognathic surgery treatment: a 10-year retrospective hospital-based audit
This study reduces sampling bias by limiting the cohort to only consecutive orthognathic cases. The primary aim of the study was to identify the incidence of miniplate removal following orthognathic surgery. The secondary aim was to assess the indications and any risk factors for miniplate removal.METHODS: Data from the clinical records of 907 orthognathic surgery cases treated within a centralised oral and maxillofacial hospital service over a 10-year period were collected by two operators and analysed. Every identified case qualified for inclusion. Patient demographics (age, sex, medical comorbidity, smoking), operations...
Source: Annals of the Royal College of Surgeons of England - January 6, 2022 Category: Surgery Authors: A Adatia M Padashi-Fard N S Adali A C Camilleri Source Type: research

Titanium miniplate removal after joint orthodontic-orthognathic surgery treatment: a 10-year retrospective hospital-based audit
This study reduces sampling bias by limiting the cohort to only consecutive orthognathic cases. The primary aim of the study was to identify the incidence of miniplate removal following orthognathic surgery. The secondary aim was to assess the indications and any risk factors for miniplate removal.METHODS: Data from the clinical records of 907 orthognathic surgery cases treated within a centralised oral and maxillofacial hospital service over a 10-year period were collected by two operators and analysed. Every identified case qualified for inclusion. Patient demographics (age, sex, medical comorbidity, smoking), operations...
Source: Annals of the Royal College of Surgeons of England - January 6, 2022 Category: Surgery Authors: A Adatia M Padashi-Fard N S Adali A C Camilleri Source Type: research

Titanium miniplate removal after joint orthodontic-orthognathic surgery treatment: a 10-year retrospective hospital-based audit
This study reduces sampling bias by limiting the cohort to only consecutive orthognathic cases. The primary aim of the study was to identify the incidence of miniplate removal following orthognathic surgery. The secondary aim was to assess the indications and any risk factors for miniplate removal.METHODS: Data from the clinical records of 907 orthognathic surgery cases treated within a centralised oral and maxillofacial hospital service over a 10-year period were collected by two operators and analysed. Every identified case qualified for inclusion. Patient demographics (age, sex, medical comorbidity, smoking), operations...
Source: Annals of the Royal College of Surgeons of England - January 6, 2022 Category: Surgery Authors: A Adatia M Padashi-Fard N S Adali A C Camilleri Source Type: research

Titanium miniplate removal after joint orthodontic-orthognathic surgery treatment: a 10-year retrospective hospital-based audit
This study reduces sampling bias by limiting the cohort to only consecutive orthognathic cases. The primary aim of the study was to identify the incidence of miniplate removal following orthognathic surgery. The secondary aim was to assess the indications and any risk factors for miniplate removal.METHODS: Data from the clinical records of 907 orthognathic surgery cases treated within a centralised oral and maxillofacial hospital service over a 10-year period were collected by two operators and analysed. Every identified case qualified for inclusion. Patient demographics (age, sex, medical comorbidity, smoking), operations...
Source: Annals of the Royal College of Surgeons of England - January 6, 2022 Category: Surgery Authors: A Adatia M Padashi-Fard N S Adali A C Camilleri Source Type: research

Titanium miniplate removal after joint orthodontic-orthognathic surgery treatment: a 10-year retrospective hospital-based audit
This study reduces sampling bias by limiting the cohort to only consecutive orthognathic cases. The primary aim of the study was to identify the incidence of miniplate removal following orthognathic surgery. The secondary aim was to assess the indications and any risk factors for miniplate removal.METHODS: Data from the clinical records of 907 orthognathic surgery cases treated within a centralised oral and maxillofacial hospital service over a 10-year period were collected by two operators and analysed. Every identified case qualified for inclusion. Patient demographics (age, sex, medical comorbidity, smoking), operations...
Source: Annals of the Royal College of Surgeons of England - January 6, 2022 Category: Surgery Authors: A Adatia M Padashi-Fard N S Adali A C Camilleri Source Type: research

Titanium miniplate removal after joint orthodontic-orthognathic surgery treatment: a 10-year retrospective hospital-based audit
This study reduces sampling bias by limiting the cohort to only consecutive orthognathic cases. The primary aim of the study was to identify the incidence of miniplate removal following orthognathic surgery. The secondary aim was to assess the indications and any risk factors for miniplate removal.METHODS: Data from the clinical records of 907 orthognathic surgery cases treated within a centralised oral and maxillofacial hospital service over a 10-year period were collected by two operators and analysed. Every identified case qualified for inclusion. Patient demographics (age, sex, medical comorbidity, smoking), operations...
Source: Annals of the Royal College of Surgeons of England - January 6, 2022 Category: Surgery Authors: A Adatia M Padashi-Fard N S Adali A C Camilleri Source Type: research

Titanium miniplate removal after joint orthodontic-orthognathic surgery treatment: a 10-year retrospective hospital-based audit
This study reduces sampling bias by limiting the cohort to only consecutive orthognathic cases. The primary aim of the study was to identify the incidence of miniplate removal following orthognathic surgery. The secondary aim was to assess the indications and any risk factors for miniplate removal.METHODS: Data from the clinical records of 907 orthognathic surgery cases treated within a centralised oral and maxillofacial hospital service over a 10-year period were collected by two operators and analysed. Every identified case qualified for inclusion. Patient demographics (age, sex, medical comorbidity, smoking), operations...
Source: Annals of the Royal College of Surgeons of England - January 6, 2022 Category: Surgery Authors: A Adatia M Padashi-Fard N S Adali A C Camilleri Source Type: research

Giant celiac artery aneurysm - a rare experience
We describe a case of a 45-year-old male with chronic kidney disease who presented with abdominal pain for the past 6 months. CT showed a celiac artery aneurysm of size 6×6.2cm involving the common hepatic artery and compressing the portal vein posteriorly. During the procedure the supra celiac aorta was exposed, and the neck of the aneurysm was identified. After taking control of branches of the celiac and common hepatic arteries, the neck of the aneurysm was clamped and divided. In view of diminished flow in the hepatic arteries aorto hepatic bypass was done using PTFE graft from supra celiac aorta to right hepatic...
Source: Annals of the Royal College of Surgeons of England - January 4, 2022 Category: Surgery Authors: V B Mulpuri V Gupta S Kumarasamy P Gupta Source Type: research

Open reduction of displaced intertrochanteric neck of femur fractures
Ann R Coll Surg Engl. 2022 Jan 4. doi: 10.1308/rcsann.2021.0240. Online ahead of print.NO ABSTRACTPMID:34981985 | DOI:10.1308/rcsann.2021.0240 (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - January 4, 2022 Category: Surgery Authors: G Crate M Webb Source Type: research

A rare case of adrenal extramedullary haematopoiesis in a Cypriot woman with β-thalassaemia
We report a rare case of adrenal extramedullary haematopoiesis (EMH) in a thalassaemia patient in Cyprus. A 40-year-old woman with β-thalassaemia presented with a 2-day history of non-specific right-sided abdominal pain on routine follow-up for her thalassaemia treatment. Her laboratory tests were not dissimilar to her routine results and no palpable mass was detected. Computed tomography findings revealed a 5.8×4.2×4.6cm solid lesion in the right adrenal gland. Surgical excision was advised for this symptomatic large tumour with the possibility of malignancy in a young patient, and a laparoscopic adrenale...
Source: Annals of the Royal College of Surgeons of England - January 4, 2022 Category: Surgery Authors: A C Georgiou A B Lisacek-Kiosoglous D Mariannis S Christou V G Hadjianastassiou Source Type: research

What's the SCORE? Current management of symptomatic, clinically occult, radiologically evident inguinal hernias
CONCLUSIONS: There is heterogeneity in SCORE-IH management, likely due to an absence of adequate guidelines. The results highlight that further SCORE-IH research is needed to achieve consensus.PMID:34981988 | DOI:10.1308/rcsann.2021.0211 (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - January 4, 2022 Category: Surgery Authors: Surgical Trainees in East of England Research (STEER) Collaborative Source Type: research

Outcomes of emergency laparoscopy in the elderly
Ann R Coll Surg Engl. 2022 Jan 4. doi: 10.1308/rcsann.2021.0205. Online ahead of print.ABSTRACTINTRODUCTION: This paper assessed the association between operative approach and postoperative in-hospital mortality in elderly patients undergoing emergency abdominal surgery. Patients undergoing emergency laparotomy have high morbidity and mortality rates. One-third of patients requiring emergency surgery are over 75 years old, and their in-hospital mortality rate exceeds 17%. Fewer than 20% of emergency abdominal operations in the UK are attempted laparoscopically, and only 10% are completed laparoscopically. Little is known a...
Source: Annals of the Royal College of Surgeons of England - January 4, 2022 Category: Surgery Authors: S J Mercer S Body N C Carter G I Van Boxel B C Knight Source Type: research

Hashimoto's thyroiditis on outcomes in papillary thyroid cancer revisited: experience from South East Asia
CONCLUSIONS: One-fifth of patients with PTC have coexisting HT. These patients tend to have less-aggressive tumour features such as extrathyroidal extension. However, the effect of HT on recurrence and overall survival appears to be inconsequential clinically.PMID:34982591 | DOI:10.1308/rcsann.2021.0224 (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - January 4, 2022 Category: Surgery Authors: J Lau J Lee M Mahipal S P Yang W B Tan N K Yuan R Parameswaran Source Type: research

Medical complications following shoulder arthroplasty: a review of the evidence
CONCLUSIONS: To reduce risk, we encourage optimisation of patients prior to surgery with correction of anaemia, arranging necessary clinician reviews and appropriate postoperative nursing care.PMID:34982604 | DOI:10.1308/rcsann.2021.0221 (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - January 4, 2022 Category: Surgery Authors: H E King D Ricketts T Roper J Phadnis Source Type: research

Traction-induced aneurysm of an accessory left hepatic artery: a potentially fatal but synchronously treatable complication of a large hiatus hernia
Ann R Coll Surg Engl. 2022 Jan 4. doi: 10.1308/rcsann.2021.0249. Online ahead of print.ABSTRACTA 59-year-old man presented to our surgical clinic with a long-standing history of heart burn, and upper abdominal pain. Gastroscopy showed a large sliding hiatus hernia associated with severe reflux oesophagitis. Oesophageal pH manometry revealed a high DeMeester score of 36.03. A computed tomography (CT) scan was performed for preoperative hiatal hernia repair planning. This showed the incidental finding of an accessory left hepatic artery (ALHA) and an aneurysm of this accessory artery. The aneurysm occurred at the point where...
Source: Annals of the Royal College of Surgeons of England - January 4, 2022 Category: Surgery Authors: D Isola Zar Jawad E Chua P Shorvon A Martinez-Isla Source Type: research

It's Not Binary
Ann R Coll Surg Engl. 2022 Jan;104(1):1. doi: 10.1308/rcsann.2021.0346.NO ABSTRACTPMID:34972492 | DOI:10.1308/rcsann.2021.0346 (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - January 1, 2022 Category: Surgery Authors: B Rogers Source Type: research

Round window membrane rupture following blunt force trauma
Ann R Coll Surg Engl. 2022 Jan;104(1):e12-e13. doi: 10.1308/rcsann.2021.0056.ABSTRACTRound window rupture following barotrauma such as diving and air travel is well documented. However, we describe a case of round window rupture following a slap to the ear, which has not been described previously. A 12-year-old boy was slapped by his teacher in rural Nepal over his left ear and immediately noted hearing loss. There was no dizziness or tinnitus. He presented to our unit 21 days after the trauma and examination showed a perforation of the tympanic membrane in the anterior inferior quadrant with an otherwise normal ear examin...
Source: Annals of the Royal College of Surgeons of England - January 1, 2022 Category: Surgery Authors: W S Cho G Koju S Parajuli N Gautam M Smith Source Type: research

Clamped percutaneous Poller screws to assist intramedullary nailing of proximal third tibia shaft fractures
Ann R Coll Surg Engl. 2022 Jan;104(1):74-75. doi: 10.1308/rcsann.2021.0098.NO ABSTRACTPMID:34972495 | DOI:10.1308/rcsann.2021.0098 (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - January 1, 2022 Category: Surgery Authors: H Abdalaziz P Bates A Iliadis A Vris Source Type: research

Digital and robotic MSK surgery: is this the moment?
Ann R Coll Surg Engl. 2022 Jan;104(1):2-4. doi: 10.1308/rcsann.2021.0131.NO ABSTRACTPMID:34972496 | DOI:10.1308/rcsann.2021.0131 (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - January 1, 2022 Category: Surgery Authors: R Plastow D J Beard F S Haddad Source Type: research

A novel technique of draping for the Smith-Robinson approach
Ann R Coll Surg Engl. 2022 Jan;104(1):73-74. doi: 10.1308/rcsann.2020.7149.NO ABSTRACTPMID:34972497 | DOI:10.1308/rcsann.2020.7149 (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - January 1, 2022 Category: Surgery Authors: T Jennison O Stokes D Chan Source Type: research

Use of smartphones as a camera system for flexible cystoscopy during COVID-19 outbreak
Ann R Coll Surg Engl. 2022 Jan;104(1):72-75. doi: 10.1308/rcsann.2021.0108.NO ABSTRACTPMID:34972498 | DOI:10.1308/rcsann.2021.0108 (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - January 1, 2022 Category: Surgery Authors: J S Shin J Jones E Day Source Type: research

The impact of a fellow on a regional robotic-assisted partial nephrectomy service
Ann R Coll Surg Engl. 2022 Jan;104(1):28-34. doi: 10.1308/rcsann.2020.7103.ABSTRACTINTRODUCTION: Training a fellow has a cost in time and effort for the surgeon and their team. Their relative inexperience may also negatively affect the patient. The aim of this study was to determine and quantify the impact of a fellow on a regional robotic-assisted partial nephrectomy service and on perioperative outcomes.MATERIALS AND METHODS: We reviewed the prospectively collected data for 522 patients who had undergone robotic-assisted partial nephrectomy since 2015 during the tenure of six fellows. Perioperative outcomes for three gro...
Source: Annals of the Royal College of Surgeons of England - January 1, 2022 Category: Surgery Authors: M G Crockett M Malki M Hussain G Mueller S Segaran S Tadtayev N J Barber Source Type: research

It's Not Binary
Ann R Coll Surg Engl. 2022 Jan;104(1):1. doi: 10.1308/rcsann.2021.0346.NO ABSTRACTPMID:34972492 | DOI:10.1308/rcsann.2021.0346 (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - January 1, 2022 Category: Surgery Authors: B Rogers Source Type: research

Round window membrane rupture following blunt force trauma
Ann R Coll Surg Engl. 2022 Jan;104(1):e12-e13. doi: 10.1308/rcsann.2021.0056.ABSTRACTRound window rupture following barotrauma such as diving and air travel is well documented. However, we describe a case of round window rupture following a slap to the ear, which has not been described previously. A 12-year-old boy was slapped by his teacher in rural Nepal over his left ear and immediately noted hearing loss. There was no dizziness or tinnitus. He presented to our unit 21 days after the trauma and examination showed a perforation of the tympanic membrane in the anterior inferior quadrant with an otherwise normal ear examin...
Source: Annals of the Royal College of Surgeons of England - January 1, 2022 Category: Surgery Authors: W S Cho G Koju S Parajuli N Gautam M Smith Source Type: research

Clamped percutaneous Poller screws to assist intramedullary nailing of proximal third tibia shaft fractures
Ann R Coll Surg Engl. 2022 Jan;104(1):74-75. doi: 10.1308/rcsann.2021.0098.NO ABSTRACTPMID:34972495 | DOI:10.1308/rcsann.2021.0098 (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - January 1, 2022 Category: Surgery Authors: H Abdalaziz P Bates A Iliadis A Vris Source Type: research

Digital and robotic MSK surgery: is this the moment?
Ann R Coll Surg Engl. 2022 Jan;104(1):2-4. doi: 10.1308/rcsann.2021.0131.NO ABSTRACTPMID:34972496 | DOI:10.1308/rcsann.2021.0131 (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - January 1, 2022 Category: Surgery Authors: R Plastow D J Beard F S Haddad Source Type: research

A novel technique of draping for the Smith-Robinson approach
Ann R Coll Surg Engl. 2022 Jan;104(1):73-74. doi: 10.1308/rcsann.2020.7149.NO ABSTRACTPMID:34972497 | DOI:10.1308/rcsann.2020.7149 (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - January 1, 2022 Category: Surgery Authors: T Jennison O Stokes D Chan Source Type: research

Use of smartphones as a camera system for flexible cystoscopy during COVID-19 outbreak
Ann R Coll Surg Engl. 2022 Jan;104(1):72-75. doi: 10.1308/rcsann.2021.0108.NO ABSTRACTPMID:34972498 | DOI:10.1308/rcsann.2021.0108 (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - January 1, 2022 Category: Surgery Authors: J S Shin J Jones E Day Source Type: research

The impact of a fellow on a regional robotic-assisted partial nephrectomy service
Ann R Coll Surg Engl. 2022 Jan;104(1):28-34. doi: 10.1308/rcsann.2020.7103.ABSTRACTINTRODUCTION: Training a fellow has a cost in time and effort for the surgeon and their team. Their relative inexperience may also negatively affect the patient. The aim of this study was to determine and quantify the impact of a fellow on a regional robotic-assisted partial nephrectomy service and on perioperative outcomes.MATERIALS AND METHODS: We reviewed the prospectively collected data for 522 patients who had undergone robotic-assisted partial nephrectomy since 2015 during the tenure of six fellows. Perioperative outcomes for three gro...
Source: Annals of the Royal College of Surgeons of England - January 1, 2022 Category: Surgery Authors: M G Crockett M Malki M Hussain G Mueller S Segaran S Tadtayev N J Barber Source Type: research

It's Not Binary
Ann R Coll Surg Engl. 2022 Jan;104(1):1. doi: 10.1308/rcsann.2021.0346.NO ABSTRACTPMID:34972492 | DOI:10.1308/rcsann.2021.0346 (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - January 1, 2022 Category: Surgery Authors: B Rogers Source Type: research

Round window membrane rupture following blunt force trauma
Ann R Coll Surg Engl. 2022 Jan;104(1):e12-e13. doi: 10.1308/rcsann.2021.0056.ABSTRACTRound window rupture following barotrauma such as diving and air travel is well documented. However, we describe a case of round window rupture following a slap to the ear, which has not been described previously. A 12-year-old boy was slapped by his teacher in rural Nepal over his left ear and immediately noted hearing loss. There was no dizziness or tinnitus. He presented to our unit 21 days after the trauma and examination showed a perforation of the tympanic membrane in the anterior inferior quadrant with an otherwise normal ear examin...
Source: Annals of the Royal College of Surgeons of England - January 1, 2022 Category: Surgery Authors: W S Cho G Koju S Parajuli N Gautam M Smith Source Type: research

A thank you to all our reviewers
Ann R Coll Surg Engl. 2022 Jan;104(1):76-77. doi: 10.1308/rcsann.2021.0353.NO ABSTRACTPMID:34972494 | DOI:10.1308/rcsann.2021.0353 (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - January 1, 2022 Category: Surgery Source Type: research

Clamped percutaneous Poller screws to assist intramedullary nailing of proximal third tibia shaft fractures
Ann R Coll Surg Engl. 2022 Jan;104(1):74-75. doi: 10.1308/rcsann.2021.0098.NO ABSTRACTPMID:34972495 | DOI:10.1308/rcsann.2021.0098 (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - January 1, 2022 Category: Surgery Authors: H Abdalaziz P Bates A Iliadis A Vris Source Type: research

Digital and robotic MSK surgery: is this the moment?
Ann R Coll Surg Engl. 2022 Jan;104(1):2-4. doi: 10.1308/rcsann.2021.0131.NO ABSTRACTPMID:34972496 | DOI:10.1308/rcsann.2021.0131 (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - January 1, 2022 Category: Surgery Authors: R Plastow D J Beard F S Haddad Source Type: research

A novel technique of draping for the Smith-Robinson approach
Ann R Coll Surg Engl. 2022 Jan;104(1):73-74. doi: 10.1308/rcsann.2020.7149.NO ABSTRACTPMID:34972497 | DOI:10.1308/rcsann.2020.7149 (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - January 1, 2022 Category: Surgery Authors: T Jennison O Stokes D Chan Source Type: research

Use of smartphones as a camera system for flexible cystoscopy during COVID-19 outbreak
Ann R Coll Surg Engl. 2022 Jan;104(1):72-75. doi: 10.1308/rcsann.2021.0108.NO ABSTRACTPMID:34972498 | DOI:10.1308/rcsann.2021.0108 (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - January 1, 2022 Category: Surgery Authors: J S Shin J Jones E Day Source Type: research

The impact of a fellow on a regional robotic-assisted partial nephrectomy service
Ann R Coll Surg Engl. 2022 Jan;104(1):28-34. doi: 10.1308/rcsann.2020.7103.ABSTRACTINTRODUCTION: Training a fellow has a cost in time and effort for the surgeon and their team. Their relative inexperience may also negatively affect the patient. The aim of this study was to determine and quantify the impact of a fellow on a regional robotic-assisted partial nephrectomy service and on perioperative outcomes.MATERIALS AND METHODS: We reviewed the prospectively collected data for 522 patients who had undergone robotic-assisted partial nephrectomy since 2015 during the tenure of six fellows. Perioperative outcomes for three gro...
Source: Annals of the Royal College of Surgeons of England - January 1, 2022 Category: Surgery Authors: M G Crockett M Malki M Hussain G Mueller S Segaran S Tadtayev N J Barber Source Type: research

Projections for primary hip and knee replacement surgery up to the year 2060: an analysis based on data from The National Joint Registry for England, Wales, Northern Ireland and the Isle of Man
CONCLUSION: By 2060 demand for hip and knee joint replacement is estimated to increase by almost 40%. Demand will be greatest in older patients (70+ years), which will have significant implications for the health service requiring forward planning given that morbidity and resource use is higher in this population. These issues, coupled with two waves of COVID-19, will impact the ability of health services to deliver timely joint replacement to many patients for a number of years, requiring urgent planning.PMID:34939832 | DOI:10.1308/rcsann.2021.0206 (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - December 23, 2021 Category: Surgery Authors: G S Matharu D J Culliford A W Blom A Judge Source Type: research

The combined measurement of synovial markers in the diagnosis of periprosthetic joint infection
CONCLUSIONS: The combination of SF-CRP and SF-WCC measurement has been shown to have high sensitivity of over 99% in detecting both acute and chronic PJI in both hip and knee arthroplasty. This ability of the test to exclude infection with a high degree of certainty will help in preoperative planning of PJIs.PMID:34939833 | DOI:10.1308/rcsann.2021.0186 (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - December 23, 2021 Category: Surgery Authors: A Felstead P Kundasamy G Penfold K Whiting J Buck S Sturridge M Meda Source Type: research

Serum TSH as a predictor of malignancy in indeterminate thyroid nodules
Ann R Coll Surg Engl. 2021 Dec 23. doi: 10.1308/rcsann.2021.0196. Online ahead of print.ABSTRACTINTRODUCTION: Thyroid nodules are lesions that are radiologically distinct from the thyroid parenchyma. Cervical ultrasound diagnoses 19-67% of nodules and is crucial in identifying those that lack cytological characterisation. Approximately 25% of biopsies reveal an indeterminate cytological result (Bethesda III), in which the risk of malignancy is variable (5-15%). The clinical importance of the diagnostic strategy used for thyroid nodules results from the need to exclude malignancy. The aim of this study was to evaluate the u...
Source: Annals of the Royal College of Surgeons of England - December 23, 2021 Category: Surgery Authors: A Amado B Castro A P Torre S Gra ça A Tavares A P óvoa C Soares G Gon çalves Source Type: research

A quantitative study to explore functional outcomes following laparoscopic ventral mesh rectopexy for rectal prolapse
This study assesses short-term functional outcomes following LVMR.MATERIALS AND METHODS: This quantitative retrospective study with a pretest-post-test design included 130 adults who had undergone LVMR from October 2010 to December 2018 in a tertiary centre. Analysis with paired-samples t-test and Wilcoxon matched pairs test was done using SPSS (v26).RESULTS: The median age was 58 years (interquartile range, 48-74 years); 123 (94.6%) were female. The median length of stay was two days (interquartile range, 1-2 days). A total of 104 (80%) sets of medical notes were reviewed. One patient had recurrence of rectal prolapse. Sy...
Source: Annals of the Royal College of Surgeons of England - December 23, 2021 Category: Surgery Authors: O Olatunbode S Rangarajan V Russell Yks Viswanath A Reddy Source Type: research

Radiolucent foreign bodies presenting as inflammatory bowel disease: the case of an ingested plastic straw disguising as Crohn's
We present the rare case of a 27-year-old woman with severe learning difficulties and a complex surgical history who presented with a 2-year history of increasing abdominal discomfort due to a 'missed' foreign body. Initially diagnosed as Crohn's disease, this case highlights the value of oral contrast enhancement imaging in patients who do not fit a 'classical' inflammatory bowel disease presentation.PMID:34939838 | DOI:10.1308/rcsann.2021.0204 (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - December 23, 2021 Category: Surgery Authors: B Wadham T Connolly V Ledda R Y Satchidanand Source Type: research

Patient, Procedure, People (PPP): recognising and responding to intraoperative critical events
Ann R Coll Surg Engl. 2021 Dec 23. doi: 10.1308/rcsann.2021.0193. Online ahead of print.ABSTRACTIntraoperative critical events are rarely experienced by individual surgeons but are commonly experienced at a workforce level. Finding unfamiliar or unexpected pathology, anatomy, haemorrhage or an iatrogenic organ or structure injury cannot be completely eliminated in the complex surgical environment. It is vital that an appropriate, safe response to these infrequent events takes place to prevent possible further harm to patients. This paper introduces 'Patient, Procedure, People', a tool adapted from aviation threat and error...
Source: Annals of the Royal College of Surgeons of England - December 23, 2021 Category: Surgery Authors: J A Hardie D Hunn T E Mitchell P A Brennan Source Type: research

The introduction of the trauma triage clinic at a district general hospital: safety and efficacy during the first year of implementation
CONCLUSION: This study has shown that TTC is efficient in reducing the burden of patients seen in the fracture clinic, but it is not as safe as reported previously. Although the prevalence of missed injuries is low, hospitals introducing a TTC model should consider departmental processes to help accurately identify and triage high-risk injuries.PMID:34939841 | DOI:10.1308/rcsann.2021.0201 (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - December 23, 2021 Category: Surgery Authors: N Madhusudan T Lewis A Kunicki J Hardie I Macleod D Marsland Source Type: research

Minimally invasive surgery in giant ovarian cyst in children: a safe approach
Ann R Coll Surg Engl. 2021 Dec 23. doi: 10.1308/rcsann.2021.0191. Online ahead of print.NO ABSTRACTPMID:34939842 | DOI:10.1308/rcsann.2021.0191 (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - December 23, 2021 Category: Surgery Authors: S Frediani A Bertocchini A Inserra Source Type: research

Management of internal carotid artery injury sustained during routine endoscopic sinus surgery
Ann R Coll Surg Engl. 2021 Dec 23. doi: 10.1308/rcsann.2021.0278. Online ahead of print.ABSTRACTA 49-year-old patient with a history of aspirin-exacerbated respiratory disease presented with carotid artery injury following revision functional endoscopic sinus surgery. Carotid artery injury is a rare but catastrophic complication of this surgery. The patient was transferred to our tertiary facility with interventional radiology for immediate management of the carotid artery injury. This case reaffirms that any surgery can have disastrous complications and highlights the importance of multidisciplinary management of complica...
Source: Annals of the Royal College of Surgeons of England - December 23, 2021 Category: Surgery Authors: V Lingamanaicker E Irune Y Joshi Source Type: research

Bilateral obstructive megaureter with right lower ureteric urothelial carcinoma: a very rare coalition
We report a 55-year-old man diagnosed with bilateral obstructive megaureter with right lower ureteric urothelial cancer and review the current literature.PMID:34939844 | DOI:10.1308/rcsann.2021.0209 (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - December 23, 2021 Category: Surgery Authors: S Kumar P Kaundal K Parmar S Akif S Dey Source Type: research

Colorectal two-week wait service and quantitative FIT: it's not just about colon cancer
This study analyses the FIT-negative (
Source: Annals of the Royal College of Surgeons of England - December 23, 2021 Category: Surgery Authors: J W Faux K Cock R Bromley M Feldman Source Type: research

Patient perspectives on elective orthopaedic surgery during the COVID-19 pandemic: a comparison between patients from different ethnic backgrounds
This study compares the perspectives of patients from different ethnic backgrounds on the return to elective surgery.METHODS: Some 151 patients were sampled from cancelled operating lists at two hospitals. Semi-structured interviews focused on the impact of COVID-19, and views about resuming elective surgery. The Generalized Anxiety Disorder 7-iten Scale (GAD-7) measured anxiety. A visual analogue scale (VAS) measured pain. Data were analysed using exploratory thematic analysis.RESULTS: Fewer BAME patients were pleased about restarting surgery, compared with white patients (47.3% vs 82.6%, p
Source: Annals of the Royal College of Surgeons of England - December 23, 2021 Category: Surgery Authors: H Hodgson R Golmohamad A Gulati H Pandit J Palan P Giannoudis A Howard Source Type: research

Massive intratumoral bleed in renal cell cancer: an unusual life-threatening event
We report a case of massive intratumoral bleed in RCC in a young male and its management by renal artery angioembolisation followed by radical nephrectomy.PMID:34939847 | DOI:10.1308/rcsann.2021.0219 (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - December 23, 2021 Category: Surgery Authors: K Parmar Y Thummala S Kumar P Kaundal S Mandal Source Type: research