Predictors of direct home discharge following fractured neck of femur.
CONCLUSIONS Identifying those at risk of being discharged to an alternative location following admission from home on the basis of identified preoperative indices could assist in streamlining the postoperative care phase. Pre-emptive action may help increase the numbers of patients discharged directly home and reduce the number requiring additional rehabilitation prior to discharge home with its associated socioeconomic effect. PMID: 28660828 [PubMed - in process] (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - July 1, 2017 Category: Surgery Authors: Salar O, Baker PN, Forward DP, Ollivere BJ, Weerasuriya N, Moppett IK, Moran CG Tags: Ann R Coll Surg Engl Source Type: research

Incarcerated Bochdalek hernia causing bowel obstruction in an adult male patient.
We report the case of a 28-year-old man who presented with subacute bowel obstruction, later diagnosed to have a left-sided incarcerated Bochdalek hernia containing an ischaemic splenic flexure and the distal transverse colon. During laparotomy, he underwent primary repair of the diaphragmatic defect and an extended right hemicolectomy with ileocolic anastomosis. The patient made a good recovery and is well at three months following surgery. This case highlights the need for surgeons to be vigilant about rare types of congenital internal hernias as they may become symptomatic later in life. PMID: 28660829 [PubMed - in...
Source: Annals of the Royal College of Surgeons of England - July 1, 2017 Category: Surgery Authors: Ekanayake E, Fernando SA, Durairajah PL, Jayasundara J Tags: Ann R Coll Surg Engl Source Type: research

A letter to Major-General Philip Mitchiner.
Authors: PMID: 28660830 [PubMed - in process] (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - July 1, 2017 Category: Surgery Tags: Ann R Coll Surg Engl Source Type: research

Diagnostic use of intramedullary reaming biopsy in metastatic long bone disease.
CONCLUSIONS In spite of adequate tissue sampling, the diagnostic accuracy and, hence, reliability of intramedullary reaming biopsy in metastatic bone disease is less than optimal. A reaming histopathology report suggesting no evident metastasis should always be taken in clinical context. PMID: 28660831 [PubMed - in process] (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - July 1, 2017 Category: Surgery Authors: Afinowi RA, Chaturvedi A, Cattermole HR Tags: Ann R Coll Surg Engl Source Type: research

Rare presentation of idiopathic duodenoduodenal intussusception.
We describe a case where a patient initially presented with symptoms mimicking pancreatitis but his symptoms persisted over the course of 2 weeks. When a laparotomy was performed, duodenoduodenal intussusception was discovered and confirmed with histopathology. In this case, a discernible leading point could not be identified. PMID: 28660832 [PubMed - in process] (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - July 1, 2017 Category: Surgery Authors: Loo GH, Mohamad Abu Zeid WM, Lim SL, Ismail AM Tags: Ann R Coll Surg Engl Source Type: research

Novel technique of Mapping Biopsies during laparoscopic assisted transanal Soave endorectal pull-through surgery for Hirschsprung's disease's.
PMID: 28660833 [PubMed - in process] (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - July 1, 2017 Category: Surgery Authors: Ram AD, Scholfield DW, Pimpalwar A Tags: Ann R Coll Surg Engl Source Type: research

The role of two-sided splinting for recalcitrant paediatric post-burn hand flexion contracture: a case report.
Abstract 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). However, inadeq.uate compliance to the postoperative splinting and exercise led to the recurrence of the contracture in the following year. A customised two-sided splint was therefore created to ensure proper placement and compliance. Reinforcement to the parents to encourage the boy to practise active exercise on demand was also an inte...
Source: Annals of the Royal College of Surgeons of England - July 1, 2017 Category: Surgery Authors: Prasetyono T, Caroline I Tags: Ann R Coll Surg Engl Source Type: research

Rectal foreign body insertion as a rare cause of persistent lumbosacral plexus injury.
Abstract 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. The patient underwent abdominal computed tomography, which showed a rectal foreign body measuring 13 × 11.5 × 10 cm in the lower abdomen and pelvis. Extraluminal ass...
Source: Annals of the Royal College of Surgeons of England - July 1, 2017 Category: Surgery Authors: Meister FA, Amygdalos I, Neumann UP, Lurje G Tags: Ann R Coll Surg Engl Source Type: research

Superior mesenteric artery syndrome: a single centre experience of laparoscopic duodenojejunostomy as the operation of choice.
CONCLUSIONS The superior mesenteric artery syndrome should be considered in patients with epigastric pain, prolonged vomiting and weight loss. Laparoscopic duodenojejunostomy is a safe and effective operation for management of the syndrome. A multi-speciality team approach including gastrointestinal, vascular and radiological specialists should be invoked in the management of these patients. PMID: 28660836 [PubMed - in process] (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - July 1, 2017 Category: Surgery Authors: Kirby GC, Faulconer ER, Robinson SJ, Perry A, Downing R Tags: Ann R Coll Surg Engl Source Type: research

Cruciate Retaining compared with Posterior Stabilised Nexgen total knee arthroplasty: results at 10 years in a matched cohort.
CONCLUSIONS There were no significant differences in functional score, overall range of motion or patient satisfaction between the Nexgen cruciate retaining and posterior stabilised total knee arthroplasty at 10-year follow-up. However, PS knees had a greater score improvement in range of motion compared with CR knees. PMID: 28653546 [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 - June 27, 2017 Category: Surgery Authors: Mayne A, Harshavardhan HP, Johnston LR, Wang W, Jariwala A Tags: Ann R Coll Surg Engl Source Type: research

Adult Burkitt's lymphoma presenting as intussusception: first UK case report.
We describe the case of a 22-year-old woman who presented with 4-week history of intermittent epigastric pain. On the third hospital admission, the diagnosis was made by abdominal computed tomography, which showed the 'sign' target, suggestive of intussusception. A right hemicolectomy was performed and histology later confirmed Burkitt's lymphoma. This case demonstrates the difficulty in diagnosing intussusception in adults, which must be considered in recurrent abdominal pain when more common causes have been ruled out. The rare diagnosis of Burkitt's lymphoma made early diagnosis and treatment important. PMID: 28593...
Source: Annals of the Royal College of Surgeons of England - June 8, 2017 Category: Surgery Authors: Simson R, Planner A, Alexander R Tags: Ann R Coll Surg Engl Source Type: research

A novel technique to reduce the likelihood of proximal junctional failure.
PMID: 28581339 [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 - June 5, 2017 Category: Surgery Authors: Panchmatia JR, Bhagawati D, Mitrasinovic S, Molloy S Tags: Ann R Coll Surg Engl Source Type: research

The evolution of acute burn care - retiring the split skin graft.
Abstract The skin graft was born in 1869 and since then, surgeons have been using split skin grafts for wound repair. Nevertheless, this asset fails the big burn patient, who deserves an elastic, mobile and robust outcome but who receives the poorest possible outcome based on donor site paucity. Negating the need for the skin graft requires an autologous composite cultured skin and a material capable of temporising the burn wound for four weeks until the composite is produced. A novel, biodegradable polyurethane chemistry has been used to create two such products. This paper describes the design, production, optim...
Source: Annals of the Royal College of Surgeons of England - May 31, 2017 Category: Surgery Authors: Greenwood JE Tags: Ann R Coll Surg Engl Source Type: research

Distance of translation as a predictor of failure of fixation in paediatric supracondylar fractures.
This study investigates the influence of incomplete reduction of supracondylar fractures on the incidence of loss of reduction requiring reoperation MATERIALS AND METHODS A review of 107 consecutive patients presenting with supracondylar fractures treated with closed reduction and Kirschner wire stabilisation, between January 2011 and March 2013, was conducted. The mean age was 5 years (range 10 months to 12 years). Pre-, intra- and postoperative radiographs were reviewed. All patients who had failure of fixation requiring revision surgery were identified. RESULTS Ninety-nine patients had an initial adequate radiographic r...
Source: Annals of the Royal College of Surgeons of England - May 18, 2017 Category: Surgery Authors: Holland P, Highcock A, Bruce C Tags: Ann R Coll Surg Engl Source Type: research

Complete laparoscopic excision of a giant retroperitoneal paraganglioma.
We report the case of a 26-year-old woman who underwent laparoscopic excision of an 8.2cm functioning paraganglioma. Complete resection of the tumour was achieved and the patient's symptoms resolved. Twelve months later, she remains well with no evidence of recurrence. PMID: 28462638 [PubMed - in process] (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - May 1, 2017 Category: Surgery Authors: Jawad Z, Fajardo-Puerta AB, Lefroy D, Todd J, Lim PB, Jiao LR Tags: Ann R Coll Surg Engl Source Type: research

Can laparoscopy be part of a paediatric surgery outreach service?
CONCLUSIONS Elective laparoscopic procedures in young children can be provided safely as components of an outreach paediatric surgery service in a DGH setting as part of an increasing volume of operations performed by specialist paediatric surgeons. This enables children to have a high quality service as close to their home as possible. PMID: 28462639 [PubMed - in process] (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - May 1, 2017 Category: Surgery Authors: Peeraully R, Hill R, Colliver D, Williams A, Motiwale S, Davies B Tags: Ann R Coll Surg Engl Source Type: research

'Harrier' technique to close a penoscrotal incision following insertion of an inflatable penile prosthesis.
PMID: 28462640 [PubMed - in process] (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - May 1, 2017 Category: Surgery Authors: Muneer SD Tags: Ann R Coll Surg Engl Source Type: research

The utility of the radionuclide probe in parathyroidectomy for primary hyperparathyroidism.
CONCLUSIONS RNP use is associated with fewer false positives and reduced operative failure than IOPTH measurement. It also has a higher sensitivity and positive predictive value. RNP use is recommended in centres that have the required facilities. PMID: 28462641 [PubMed - in process] (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - May 1, 2017 Category: Surgery Authors: Lim MS, Jinih M, Ngai CH, Foley NM, Redmond HP Tags: Ann R Coll Surg Engl Source Type: research

Oncological and quality of life outcomes following extralevator versus standard abdominoperineal excision for rectal cancer.
CONCLUSIONS This is the largest study with the longest follow-up period that compares QoL after ELAPE with that after SAPE. Although more radical in nature, ELAPE did not demonstrate any significant impact on QoL compared with SAPE. There was no significant difference in long-term oncological outcome between the groups. Impotence remains a significant problem for all patients and they should be well informed of this risk prior to surgery. PMID: 28462642 [PubMed - in process] (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - May 1, 2017 Category: Surgery Authors: Kamali D, Sharpe A, Musbahi A, Reddy A Tags: Ann R Coll Surg Engl Source Type: research

Rectal perforation secondary to transanal haemorrhoidal dearterialisation.
We report a case of a fit 44-year-old male who underwent the procedure as a day case, who subsequently developed pelvic sepsis due to rectal perforation. This case is the first report of a potentially life-threatening complication resulting from this procedure, which has a previously excellent safety profile. PMID: 28462643 [PubMed - in process] (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - May 1, 2017 Category: Surgery Authors: Greensmith S, Ip B, Vujovic Z Tags: Ann R Coll Surg Engl Source Type: research

Evaluation of the radiation dose exposure and associated cancer risks in patients having preoperative parathyroid localization.
CONCLUSIONS Multiphase CT is associated with a higher radiation dose and thus a higher potential risk of cancer, but this risk is low in the older population that constituted the majority of our cohort. PMID: 28462644 [PubMed - in process] (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - May 1, 2017 Category: Surgery Authors: Moosvi SR, Smith S, Hathorn J, Groot-Wassink T Tags: Ann R Coll Surg Engl Source Type: research

Spontaneous central venous thrombosis and shunt occlusion following peritoneovenous shunt placement for intractable ascites.
Abstract A 43-year-old man had a peritoneovenous shunt inserted for the treatment of chylous ascites secondary to myelofibrosis. Despite being on anticoagulation for superior mesenteric vein thrombosis, he developed shunt dysfunction within two weeks of insertion. Superior venacavography showed multiple filling defects in the right axillary vein, no filling of the right brachiocephalic and right subclavian vein, and thrombotic occlusion of the internal jugular veins bilaterally. The shunt was removed 11 days after insertion, and there was extensive thrombosis of the venous end of the shunt and the compressible pum...
Source: Annals of the Royal College of Surgeons of England - May 1, 2017 Category: Surgery Authors: Hariharan D, Wilkes EA, Aithal GP, Travis SJ, Lobo DN Tags: Ann R Coll Surg Engl Source Type: research

Primary giant aggressive amelanotic duodenal melanoma.
Abstract Primary malignant melanoma of the gastrointestinal tract is extremely rare. A 35-year-old man presented with complaints of abdominal pain and weight loss. Contrast enhanced computed tomography showed a large mass involving the duodenum and the superior mesenteric vessels. Upper gastrointestinal endoscopy demonstrated a large, friable mass along the duodenal wall and biopsy was suggestive of malignant melanoma. A detailed physical examination and whole body imaging (positron emission tomography and computed tomography) did not reveal any other lesion. The patient underwent a pancreaticoduodenectomy with se...
Source: Annals of the Royal College of Surgeons of England - May 1, 2017 Category: Surgery Authors: Kilambi R, Singh AN, Dash NR, Madhusudhan KS, Das P Tags: Ann R Coll Surg Engl Source Type: research

Laboratory risk indicator for necrotising fasciitis (LRINEC) score for the assessment of early necrotising fasciitis: a systematic review of the literature.
Abstract Introduction Early operative debridement of necrotising fasciitis is a major outcome determinant. Identification and diagnosis of such patients can be clinically difficult. The Laboratory Risk Indicator for Necrotising Fasciitis (LRINEC) score first published in 2004 is based on routinely performed parameters and offers a method for identifying early cases. No literature review has yet been performed on the application of such a score. Methods A systematic review of English-language literature was performed from 2004 to 2014 to identify articles reporting use of LRINEC score and the incidence of necrotisi...
Source: Annals of the Royal College of Surgeons of England - May 1, 2017 Category: Surgery Authors: Bechar J, Sepehripour S, Hardwicke J, Filobbos G Tags: Ann R Coll Surg Engl Source Type: research

Predicting response to neoadjuvant chemoradiotherapy in locally advanced rectal cancer with serum biomarkers.
Conclusions None of the assessed biomarkers offer the ability to predict response to neoadjuvant CRT in patients with rectal cancer. They cannot therefore assist in identifying complete clinical or pathological responders who could be considered for a non-operative, observational approach. PMID: 28462648 [PubMed - in process] (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - May 1, 2017 Category: Surgery Authors: Clarke TL, White DA, Osborne ME, Shaw AM, Smart NJ, Daniels IR Tags: Ann R Coll Surg Engl Source Type: research

Postoperative survival following perioperative MAGIC versus neoadjuvant OE02-type chemotherapy in oesophageal adenocarcinoma.
Abstract The optimal management of resectable oesophageal adenocarcinoma is controversial, with many centres using neoadjuvant chemotherapy following the Medical Research Council (MRC) oesophageal working group (OE02) trial and the MRC Adjuvant Gastric Infusional Chemotherapy (MAGIC) trial. The more intensive MAGIC regimen is used primarily in gastric cancer but some also use it for oesophageal cancer. A database of cancer resections (2001-2013) provided information on survival of patients following either OE02 or MAGIC-type treatment. The data were compared using Kaplan-Meier analysis. Straight-to-surgery patient...
Source: Annals of the Royal College of Surgeons of England - May 1, 2017 Category: Surgery Authors: Reece-Smith AM, Saunders JH, Soomro IN, Bowman CR, Duffy JP, Kaye PV, Welch NT, Madhusudan S, Parsons SL Tags: Ann R Coll Surg Engl Source Type: research

Mechanical complications of central venous catheterisation in trauma patients.
Abstract INTRODUCTION Central venous catheterisation (CVC) is a commonly performed procedure in a wide variety of hospital settings and is associated with appreciable morbidity. There is a paucity of literature focusing on mechanical complications specifically in the trauma setting. The aim of our study was to determine the spectrum of mechanical complications in a high-volume trauma centre in a developing world setting where ultrasound guidance was not available. METHODS A retrospective study was performed analysing data from a four-year period at the Pietermaritzburg Metropolitan Trauma Service in South Africa. ...
Source: Annals of the Royal College of Surgeons of England - May 1, 2017 Category: Surgery Authors: Odendaal J, Kong VY, Sartorius B, Liu TY, Liu YY, Clarke DL Tags: Ann R Coll Surg Engl Source Type: research

The rectus abdominis muscle advancement flap as a salvage option for chest wall reconstruction.
We describe a previously unreported technique of advancing the rectus abdominis muscle superiorly, based on the deep inferior epigastric artery, to cover a lower anterior chest wall defect. This technique represents an important salvage option for chest wall reconstruction and affords a great deal of intra-operative flexibility. PMID: 28462651 [PubMed - in process] (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - May 1, 2017 Category: Surgery Authors: Pantelides NM, Young SS, Iyer S Tags: Ann R Coll Surg Engl Source Type: research

Sequential scapholunate and volar beak ligament reconstructions with flexor carpi radialis tendon grafts.
We present an interesting case of sequential scapholunate and volar beak ligament reconstructions using a flexor carpi radialis tendon autograft where a slip of tendon was harvested twice within three years, achieving a satisfactory clinical outcome at five years following the initial surgery. PMID: 28462652 [PubMed - in process] (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - May 1, 2017 Category: Surgery Authors: Iyengar KP, Matar HE, Durrani M, Loh YC Tags: Ann R Coll Surg Engl Source Type: research

Management of ampullary tumours in children: still a challenge.
This study describes the case of the youngest patient ever reported with ampullary adenoma. The incidence of ampullary adenomas in childhood is unknown. Endoscopic retrograde cholangiopancreatography (ERCP) and endoscopic ultrasound are used in adults to assess and treat these lesions, although there are no instruments designed specifically for use in young children. A six-year-old girl was admitted for abdominal pain, vomiting, pruritus and weight loss. Abdominal ultrasound showed biliary tree (8mm) and pancreatic duct dilatation (4mm). Magnetic resonance cholangiopancreatography and computed tomography confirmed these fi...
Source: Annals of the Royal College of Surgeons of England - May 1, 2017 Category: Surgery Authors: Fernandez-Eire P, Vazquez Castelo JL, Herreros Villaraviz M, Fernandez Caama├▒o B, Gonzalez-Carrer├│ J, Ausania F Tags: Ann R Coll Surg Engl Source Type: research

A useful technique for intraosseous sutures to promote early rehabilitation.
PMID: 28462654 [PubMed - in process] (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - May 1, 2017 Category: Surgery Authors: Singh R, Roberts A Tags: Ann R Coll Surg Engl Source Type: research

The effect of numbness on outcome from total knee replacement.
Abstract INTRODUCTION Some patients report continuing pain and functional limitations after total knee replacement (TKR). While numbness around the TKR scar is common, the impact of numbness is less clear. One particular activity that could be influenced by numbness is kneeling. The aim of this study was to explore the impact of numbness around TKR scars on health related quality of life and kneeling ability. METHODS Fifty-six patients were recruited one year after primary TKR. Sensation around the knee was assessed through patient self-reporting, monofilament testing and vibration, and patients' distress was meas...
Source: Annals of the Royal College of Surgeons of England - May 1, 2017 Category: Surgery Authors: Blackburn J, Wylde V, Greenwood R, Blom AW, Levy A Tags: Ann R Coll Surg Engl Source Type: research

Peripherally inserted central catheters for calcium requirements after successful parathyroidectomy: a comparison with centrally inserted catheters.
Abstract BACKGROUND Intravenous calcium supplements are often required following parathyroidectomy to avoid postoperative hypocalcaemia. The aim of this study was to compare application effect of a femoral central venous catheter (CVC) and peripherally inserted central catheter (PICC) on intravenous calcium supplements after parathyroidectomy. METHODS We retrospectively reviewed the hospital records of 73 patients with secondary hyperparathyroidism who underwent a successful parathyroidectomy at the Huashan Hospital attached to Fudan University between 1 April 2011 and 1 February 2016. RESULTS Of the 73 study part...
Source: Annals of the Royal College of Surgeons of England - May 1, 2017 Category: Surgery Authors: Qi HJ, Yang WW, Zhang LD, Shi XJ, Li QY, Ye T Tags: Ann R Coll Surg Engl Source Type: research

Second generation cephalosporin antibiotic prophylaxis and Clostridium difficile infection in hip and knee arthroplasty.
Conclusions The use of cephalosporin antibiotic prophylaxis in the elective hip and knee arthroplasty setting does not appear to be associated with increased C difficile infection rates, achieving surgical site infection rates that are comparable with the national average. PMID: 28462657 [PubMed - in process] (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - May 1, 2017 Category: Surgery Authors: Al-Tawil K, Babu A, Loeffler M, Williams T Tags: Ann R Coll Surg Engl Source Type: research

The use of henna as a semipermanent skin marker to indicate the site of application for ultrasonography bone stimulation.
PMID: 28462658 [PubMed - in process] (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - May 1, 2017 Category: Surgery Authors: Fazekas J, Riley N, McNab I Tags: Ann R Coll Surg Engl Source Type: research

Prevalence, management and outcome of traumatic diaphragm injuries managed by the Pietermaritzburg Metropolitan Trauma Service.
CONCLUSIONS TDI is a fairly uncommon injury with a local incidence of 1.6%. It presents in a spectrum from the obvious to the occult. Multiple associated injuries and high morbidity occur following blunt trauma or gunshot wounds, right diaphragm injury and chronic diaphragmatic hernias. Diagnostic laparoscopy offers a diagnostic and therapeutic tool to prevent progression of occult TDI to chronic diaphragmatic hernias. PMID: 28462659 [PubMed - in process] (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - May 1, 2017 Category: Surgery Authors: D'Souza N, Clarke D, Laing G Tags: Ann R Coll Surg Engl Source Type: research

Malignant peripheral nerve sheath tumour in the submandibular space.
Abstract Malignant peripheral nerve sheath tumours (MPNSTs) are a rare but aggressive form of soft tissue sarcoma with few reported cases in the anatomic location seen with the case presented here. This case involves a 23-year-old man presenting with a soft tissue mass under the mandible found to be a MPNST, which was investigated and fully excised. Adjuvant radiotherapy was used postoperatively. Although uncommon, these tumours have a poor prognosis and suitable management therefore needs to be put in place as soon as possible. Complete excision with negative margins and adjuvant radiotherapy are the current meth...
Source: Annals of the Royal College of Surgeons of England - May 1, 2017 Category: Surgery Authors: Olivier JB Tags: Ann R Coll Surg Engl Source Type: research

Inflammatory pseudotumour of the colon.
Conclusions A colorectal IMT is a rare clinical entity that can easily mimic a highly malignant tumour and cannot be distinguished clinically or radiologically. An accurate diagnosis is based on histological examination and surgical resection is therefore usually required. PMID: 28462661 [PubMed - in process] (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - May 1, 2017 Category: Surgery Authors: Spyrou I, Davakis S, Moris D, Lakiotaki E, Dimitrokallis N, Papalampros A, Schizas D, Pikoulis E, Felekouras E Tags: Ann R Coll Surg Engl Source Type: research

Antibiotic prophylaxis for clean neck surgery.
Abstract The frequency of surgical site infections (SSIs) after clean neck surgery is low and antibiotic prophylaxis is not recommended. This retrospective study investigated the effect of perioperative prophylactic antimicrobial therapy on the development of infections. A total of 807 consecutive patients undergoing clean neck surgery were included in the study. Antimicrobial prophylaxis with intravenous cefuroxime was administered in 518 cases. Although patients who received prophylaxis had a lower rate of SSIs than those who did not receive antibiotics, this was not statistically significant (0.4% vs 1.4% respe...
Source: Annals of the Royal College of Surgeons of England - May 1, 2017 Category: Surgery Authors: Vamvakidis K, Rellos K, Tsourma M, Christoforides C, Anastasiou E, Zorbas KA, Arambatzi A, Falagas ME Tags: Ann R Coll Surg Engl Source Type: research

The double bend guidewire technique in intramedullary nailing.
PMID: 28379041 [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 - April 5, 2017 Category: Surgery Authors: Vris A, Vaghela KR, Heidari N Tags: Ann R Coll Surg Engl Source Type: research

Necrotising fasciitis after laparoscopic rectal cancer surgery.
We describe a case of necrotising fasciitis after laparoscopic rectal cancer surgery. To our knowledge, this is the first case reported after the specific procedure. This case report aims to encourage surgeons to have a low threshold in recognising necrotising fasciitis postoperatively, especially for patients with possible risk factors. PMID: 28349750 [PubMed - in process] (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - March 30, 2017 Category: Surgery Authors: Yiasemidou M, Majumder S, Basheer M Tags: Ann R Coll Surg Engl Source Type: research

Bilateral peroneal artery aneurysms.
We report the case of a 67-year-old man who presented with a gradual onset of right calf swelling and pain. Imaging revealed large aneurysms arising from the proximal peroneal arteries bilaterally, measuring 7.4cm and 4cm on the right and left respectively. A detailed medical history, clinical examination and laboratory investigations did not identify evidence of an underlying cause. A surgical reconstruction with an interposition vein graft was successfully performed. To our knowledge, this is the first reported case of primary aneurysm of the peroneal artery in the English literature. We undertook a systematic literature...
Source: Annals of the Royal College of Surgeons of England - March 30, 2017 Category: Surgery Authors: El Bakbachi O, Antoniou GA, McWilliams RG, Jones DR Tags: Ann R Coll Surg Engl Source Type: research

Endoscopic cystic duct stent as primary treatment for intrahepatic gallbladder perforation with abscess formation.
We present a case of a novel, minimally invasive treatment, using endoscopic retrograde cholangiopancreatography to place a transcystic drain as a bridge to laparoscopic cholecystectomy. PMID: 28349752 [PubMed - in process] (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - March 30, 2017 Category: Surgery Authors: Williams P, Dosani A, Morgan-Jones R Tags: Ann R Coll Surg Engl Source Type: research

A novel technique to ensure accurate placement of synthetic bone graft.
PMID: 28349753 [PubMed - in process] (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - March 30, 2017 Category: Surgery Authors: Mayne A, Chami C Tags: Ann R Coll Surg Engl Source Type: research

Useful alternative technique for tying a knot with one hand.
PMID: 28349754 [PubMed - in process] (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - March 30, 2017 Category: Surgery Authors: Musharbash FN, Awad MM Tags: Ann R Coll Surg Engl Source Type: research

Radical prostatectomy for locally advanced and metastatic prostate cancer.
Abstract The management of advanced prostate cancer remains challenging. Traditionally, radical prostatectomy was discouraged in patients with locally advanced or node positive disease owing to the increased complication rate and treatment related morbidity. However, technical advances and refinements in surgical techniques have enabled the outcomes for patients with high risk prostate cancer to be improved. More recently, the concept of cytoreductive prostatectomy has been described where surgery (often Combined with an extended lymph node dissection) is performed in the setting of metastatic disease. Indirect ev...
Source: Annals of the Royal College of Surgeons of England - March 30, 2017 Category: Surgery Authors: Veeratterapillay R, Goonewardene SS, Barclay J, Persad R, Bach C Tags: Ann R Coll Surg Engl Source Type: research

Extruded talus treated with reimplantation and primary tibiotalocalcaneal arthrodesis.
Abstract Extruded talus is a rare serious result from a high-energy injury to a supinated and plantar flexed foot. Treatment remains controversial with a lack of congruent evidence for talar reimplantation. A 34-year-old woman was involved in a road traffic accident at 40 mph. Imaging revealed a left talus extruded anterolaterally with a talar neck fracture. Additional injuries included right acetabular fracture, transverse process fractures and rib fractures, which were treated conservatively. The talus was reimplanted and the talar neck fixed with a cortical screw. A hindfoot nail was used to fuse the calca...
Source: Annals of the Royal College of Surgeons of England - March 30, 2017 Category: Surgery Authors: Mohammad HR, A'Court J, Pillai A Tags: Ann R Coll Surg Engl Source Type: research

DNACPR ('do not attempt cardiopulmonary resuscitation') orders in patients with a fractured neck of femur who lack capacity.
Abstract Nationally, half of all deaths occur in hospital, with 94% having a 'do not attempt cardiopulmonary resuscitation' (DNACPR) notice in place at the time of death. Recent court rulings have raised the profile of practices surrounding DNACPR orders where patients lack capacity. Failure to consult with those close to the patient in relation to DNACPR decisions is a breach of the right to respect for private and family life under article 8 of the Human Rights Act. A report from 2016 found that those close to the patient were not consulted before one out of every five DNACPR orders are placed. We advocate ...
Source: Annals of the Royal College of Surgeons of England - March 30, 2017 Category: Surgery Authors: Hill DS, Nazar L, Freudmann M Tags: Ann R Coll Surg Engl Source Type: research

An oral lesion as the primary clinical manifestation of sarcoidosis.
We present the case of a 39-year-old woman who was referred to the oral and maxillofacial surgery department with a persistent asymptomatic nodular lesion in the hard palate. This was located adjacent to a grossly carious upper first molar and a provisional diagnosis of chronic periapical granuloma was made. An incisional biopsy of the lesion was carried out, which unexpectedly revealed the presence of a non-caseating granulomatous inflammatory reaction. A referral was sent to the respiratory medicine team and a diagnosis was later confirmed of stage II sarcoidosis. This case report highlights the need for clinicians ...
Source: Annals of the Royal College of Surgeons of England - March 16, 2017 Category: Surgery Authors: Gill I, Siddiqi J Tags: Ann R Coll Surg Engl Source Type: research

Lymphangioma of the jejunal mesentery and jejunal polyps presenting as an acute abdomen in a teenager.
We present the management experience of an 18-year-old woman who presented with rapid onset diffuse peritonism and raised inflammatory markers. Computed tomography showed a mass in the small bowel mesentery with suspicion of segmental bowel ischaemia. Emergency laparotomy revealed a mass in the mid-jejunal mesentery close to the bowel wall with no bowel ischaemia. The patient made an uncomplicated recovery after segmental bowel resection and end-to-end anastomosis. Histology confirmed the mass as a cystic lymphangioma involving the jejunal mesentery and two small jejunal polyps. Lymphangioma could be considered in the diff...
Source: Annals of the Royal College of Surgeons of England - March 1, 2017 Category: Surgery Authors: Jayasundara J, Perera E, Chandu de Silva MV, Pathirana AA Tags: Ann R Coll Surg Engl Source Type: research