First-line tracheal resection and primary anastomosis for postintubation tracheal stenosis.
Conclusions First-line tracheal resection with primary anastomosis is a safe option for the treatment of tracheal stenosis following intubation and obviates the need for repeated dilations. Endoscopic dilation should be reserved for those patients with significant co-morbidities or as a temporary measure in non-equipped centres. PMID: 27138847 [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 - May 3, 2016 Category: Surgery Authors: Elsayed H, Mostafa AM, Soliman S, Shoukry T, El-Nori AA, El-Bawab HY Tags: Ann R Coll Surg Engl Source Type: research

Minimally invasive open thyroid surgery combined with facelift approach for the surgical management of metastatic papillary thyroid carcinoma.
PMID: 27138848 [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 - May 3, 2016 Category: Surgery Authors: Tzanidakis K, Drury P, Kalavrezos N Tags: Ann R Coll Surg Engl Source Type: research

Determinants of return to work 12 months after total hip and knee arthroplasty.
This study aimed to identify differences in determinants of return to work in THA and TKA. Methods We conducted a prospective, observational study of working patients aged
Source: Annals of the Royal College of Surgeons of England - May 3, 2016 Category: Surgery Authors: Leichtenberg CS, Tilbury C, Kuijer P, Verdegaal S, Wolterbeek R, Nelissen R, Frings-Dresen M, Vliet Vlieland T Tags: Ann R Coll Surg Engl Source Type: research

Neonatal compartment syndrome.
Abstract A term neonate was born with a grossly swollen and discoloured left hand and forearm. He was transferred from the local hospital to the plastic surgical unit, where a diagnosis of compartment syndrome was made and he underwent emergency forearm fasciotomies at six hours of age. Following serial debridements of necrotic tissue, he underwent split-thickness skin grafting of the resultant defects of his forearm, hand and digits. At the clinic follow-up appointment two months after the procedure, he was found to have developed severe flexion contractures despite regular outpatient hand therapy and splintage. ...
Source: Annals of the Royal College of Surgeons of England - May 3, 2016 Category: Surgery Authors: Martin B, Treharne L Tags: Ann R Coll Surg Engl Source Type: research

The impact of neoadjuvant chemotherapy on cardiopulmonary physical fitness in gastro-oesophageal adenocarcinoma.
Abstract Introduction Operable oesophagogastric adenocarcinoma management in the UK includes three cycles of neoadjuvant chemotherapy (NAC) followed by resection. Determination of oxygen uptake at the anaerobic threshold (AT) with cardiopulmonary exercise testing (CPET) is used to objectively measure cardiorespiratory reserve. Oxygen uptake at AT predicts perioperative risk, with low values associated with increased morbidity. Previous studies indicate NAC may have a detrimental impact on cardiorespiratory reserve. Methods CPET was completed by 30 patients before and after a standardised NAC protocol. The ventilat...
Source: Annals of the Royal College of Surgeons of England - May 3, 2016 Category: Surgery Authors: Sinclair R, Navidi M, Griffin SM, Sumpter K Tags: Ann R Coll Surg Engl Source Type: research

Intraoperative assessment of flexor hallucis longus tendon integrity following hallux valgus correction.
PMID: 27138852 [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 - May 3, 2016 Category: Surgery Authors: Vanhegan IS, Alva A, Shaerf D, Baghla D Tags: Ann R Coll Surg Engl Source Type: research

Routine use of nasogastric drainage tubes.
PMID: 27138853 [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 - May 3, 2016 Category: Surgery Authors: Reasbeck P Tags: Ann R Coll Surg Engl Source Type: research

The impact of The Royal College of Surgeons of England research fellowship scheme.
Conclusions The RCS research fellowship scheme has helped trainee surgeons to undertake research towards the start of their career. Most trainees used RCS fellowships as part of their funding towards a higher degree and this was regularly achieved, along with a number of peer reviewed publications. A significant proportion of fellowship recipients progressed into academic positions in surgery. PMID: 27138854 [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 - May 3, 2016 Category: Surgery Authors: Shalhoub J, Cromwell D, Coomer M, Alderson D Tags: Ann R Coll Surg Engl Source Type: research

Efficiency and safety of ondansetron in preventing postanaesthesia shivering.
Conclusions Ondansetron can prevent PAS effectively and reduce the risk of hypotension. PMID: 27138855 [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 - May 3, 2016 Category: Surgery Authors: He K, Zhao H, Zhou HC Tags: Ann R Coll Surg Engl Source Type: research

Short and medium-term outcomes for general surgery in nonagenarian patients in a district general hospital.
Conclusions The P-POSSUM correlates significantly with outcome and should be used when planning major elective or emergency surgery in patients over 90 years of age. Infective complications appear to be a significant predictor of postoperative mortality. This study supports operative intervention as an option in this extreme age group but we emphasise the importance of appropriate patient selection and judicious clinical care. PMID: 27138856 [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 - May 3, 2016 Category: Surgery Authors: Hayes AJ, Davda A, El-Hadi M, Murphy P, Papettas T Tags: Ann R Coll Surg Engl Source Type: research

Patient and disease factors predictive of adverse perioperative outcomes after nephrectomy.
Conclusions Adverse perioperative outcomes after nephrectomy are predicted by clinical presentation with haematuria, poor WHO-PS and higher TNM (tumour, lymph nodes, metastasis) stage. This study used surgeon collected data as opposed to an administrative database, which may have advantages in terms of accuracy and breadth of data fields. These data form a basis for preoperative patient counselling and informed consent for nephrectomy. They can also be used as a standard against which surgeons and hospitals can compare their own results. PMID: 27087323 [PubMed - in process] (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - April 20, 2016 Category: Surgery Authors: Henderson JM, Pitcher D, Steenkamp R, Fowler S, Keeley FX Tags: Ann R Coll Surg Engl Source Type: research

An intraoperative irrigation regimen to reduce the surgical site infection rate following adolescent idiopathic scoliosis surgery.
Conclusions Wound irrigation with a povidone-iodine solution reduces SSIs following adolescent idiopathic scoliosis surgery. The direct application of vancomycin powder to the wound is safe but does not reduce the SSI rate further in low risk patients. Additional studies are needed to elucidate whether it is effective at higher doses and in high risk patient groups. PMID: 27087324 [PubMed - in process] (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - April 20, 2016 Category: Surgery Authors: Herwijnen Bv, Evans NR, Dare CJ, Davies EM Tags: Ann R Coll Surg Engl Source Type: research

Extra-axial chordomas.
Conclusions In view of the rarity of this tumour and the difficulty in confirming its diagnosis, we suggest that any suspected case is discussed with a specialist sarcoma multidisciplinary team so that the correct diagnosis can be achieved and treatment tailored accordingly. PMID: 27087325 [PubMed - in process] (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - April 20, 2016 Category: Surgery Authors: Evans S, Khan Z, Jeys L, Grimer R Tags: Ann R Coll Surg Engl Source Type: research

Day case laparoscopic cholecystectomy in patients with high BMI: Experience from a UK centre.
Conclusions LC in patients with a high BMI is safe and can be performed effectively as a day case procedure. PMID: 27087326 [PubMed - in process] (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - April 20, 2016 Category: Surgery Authors: Tandon A, Sunderland G, Nunes QM, Misra N, Shrotri M Tags: Ann R Coll Surg Engl Source Type: research

Quality of life with anal fistula.
Abstract Introduction Anal fistula affects people of working age. Symptoms include abscess, pain, discharge of pus and blood. Treatment of this benign disease can affect faecal continence, which may, in turn, impair quality of life (QOL). We assessed the QOL of patients with cryptoglandular anal fistula. Methods Newly referred patients with anal fistula completed the St Mark's Incontinence Score, which ranges from 0 (perfect continence) to 24 (totally incontinent), and Short form 36 (SF-36) questionnaire at two institutions with an interest in anal fistula. The data were examined to identify factors affecting QOL....
Source: Annals of the Royal College of Surgeons of England - April 20, 2016 Category: Surgery Authors: Owen HA, Buchanan GN, Schizas A, Cohen R, Williams AB Tags: Ann R Coll Surg Engl Source Type: research

Novel technique for percutaneous biopsy of a peri-acetabular lesion.
PMID: 27087328 [PubMed - in process] (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - April 20, 2016 Category: Surgery Authors: Vaishya R, Vijay V, Agarwal AK Tags: Ann R Coll Surg Engl Source Type: research

Z-entry technique reduces the risk of trocar-site hernias in obese patients.
PMID: 27087329 [PubMed - in process] (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - April 20, 2016 Category: Surgery Authors: Cisano C, Sapienza P, Crocetti D, de Toma G Tags: Ann R Coll Surg Engl Source Type: research

A method for rapid laparoscopic irrigation.
PMID: 27087330 [PubMed - in process] (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - April 20, 2016 Category: Surgery Authors: Arnaudov S, Cresswell AB Tags: Ann R Coll Surg Engl Source Type: research

Combination of a drainage tube and fenestrated topical negative-pressure device for the management of Morel-Lavallée lesions.
Combination of a drainage tube and fenestrated topical negative-pressure device for the management of Morel-Lavallée lesions. Ann R Coll Surg Engl. 2016 May;98(5):341-2 Authors: Malagelada F, König TC, Bates P PMID: 27087331 [PubMed - in process] (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - April 20, 2016 Category: Surgery Authors: Malagelada F, König TC, Bates P Tags: Ann R Coll Surg Engl Source Type: research

Simple glove guard to protect soft tissues during digital amputation.
PMID: 27087332 [PubMed - in process] (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - April 20, 2016 Category: Surgery Authors: Honeyman CS, Wiberg A, Sen SK Tags: Ann R Coll Surg Engl Source Type: research

A simple technique for injecting the small joints of the fingers and thumb using finger traps for traction.
PMID: 27087333 [PubMed - in process] (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - April 20, 2016 Category: Surgery Authors: Bashir MA, Arya A Tags: Ann R Coll Surg Engl Source Type: research

Novel intraoperative applications for the metal suction cannula.
PMID: 27087334 [PubMed - in process] (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - April 20, 2016 Category: Surgery Authors: Pettitt D, Anandan SM, Kulkarni MK Tags: Ann R Coll Surg Engl Source Type: research

Syringe barrels as radiolucent drill sleeves during fixation of intramedullary nails for long-bone fractures.
PMID: 27087335 [PubMed - in process] (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - April 20, 2016 Category: Surgery Authors: Stirling E, Patel MS, Williams SC Tags: Ann R Coll Surg Engl Source Type: research

Low dose methylene blue in the surgical management of hyperparathyroidism.
PMID: 27087336 [PubMed - in process] (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - April 20, 2016 Category: Surgery Authors: Mihai R Tags: Ann R Coll Surg Engl Source Type: research

Avoiding inferior epigastric artery damage at stoma formation.
PMID: 27087337 [PubMed - in process] (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - April 20, 2016 Category: Surgery Authors: Brown JM, Williams GL, Stephenson BM Tags: Ann R Coll Surg Engl Source Type: research

CORESS feedback.
Authors: PMID: 27087338 [PubMed - in process] (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - April 20, 2016 Category: Surgery Tags: Ann R Coll Surg Engl Source Type: research

Anal metastasis as the sentinel and isolated presentation of invasive ductal breast carcinoma.
We present the case of a 78-year-old woman with an anal metastasis as the sentinel and isolated presentation of an invasive ductal breast carcinoma. As advances in the treatment of breast cancer improve, and with an ageing and expanding population, there will be an increasing number of cancer survivors, and more of these unusual presentations may be encountered in the future. PMID: 27087339 [PubMed - in process] (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - April 20, 2016 Category: Surgery Authors: Rengifo C, Titi S, Walls J Tags: Ann R Coll Surg Engl Source Type: research

Presenting symptoms of giant fibrovascular polyp of the oesophagus: case report and literature review.
Conclusions Resection is recommended for large (>5 cm) or symptomatic polyps. Outcomes are excellent given that lesions are universally benign and oesophageal resection is not required. PMID: 27087340 [PubMed - in process] (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - April 20, 2016 Category: Surgery Authors: Sestini S, Gisabella M, Pastorino U, Billé A Tags: Ann R Coll Surg Engl Source Type: research

Role of magnetic resonance imaging in the early diagnosis of paratesticular rhabdomyosarcoma.
Conclusions Improvements in imaging in addition to early surgical intervention and chemotherapy treatment are crucial to improve survival chances against rhabdomyosarcoma. Ultrasound findings for benign diseases may mimic those seen in rhabdomyosarcoma. In such cases of diagnostic uncertainty, our surgical team suggest MRI to reduce the risk of a delayed diagnosis and time to treatment. PMID: 27087341 [PubMed - in process] (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - April 20, 2016 Category: Surgery Authors: Shah T, Abu-Sanad O, Marsh H Tags: Ann R Coll Surg Engl Source Type: research

Development of hepatolithiasis due to a celery stalk retained within the bile ducts of the liver.
Conclusions Here, we describe, for the first time, an intact, undigested celery stalk in the biliary tract which induced hepatolithiasis. We believe that choledochojejunostomy favoured reflux of the celery stalk from the duodenum into the biliary tract. PMID: 27087342 [PubMed - in process] (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - April 20, 2016 Category: Surgery Authors: Lv GY, Qiu W, Yu Y, Li T Tags: Ann R Coll Surg Engl Source Type: research

Retained enteroscopy capsule in a patient with diaphragm disease.
Conclusions This case highlights the difficulty of diagnosing diaphragm disease without laparotomy and bowel resection. A high index of suspicion must be exercised in any patient with chronic, colicky abdominal pain and anaemia together with multiple strictures and saccular dilatations on computed tomography even in the absence of longstanding NSAID ingestion. Moreover, capsule enteroscopy should be avoided as a diagnostic modality of small-bowel disease if computed tomography raises the suspicion of strictures. PMID: 27087343 [PubMed - in process] (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - April 20, 2016 Category: Surgery Authors: Meshikhes AW Tags: Ann R Coll Surg Engl Source Type: research

Incarcerated umbilical Littre's hernia at the trocar site of a previous laparoscopic surgical procedure.
Conclusion An incarcerated umbilical Littre's hernia at a laparoscopic trocar site has not been reported before. To avoid this complication, we agree with the numerous authors who recommend closure of trocar sites of width ≥10mm. PMID: 27087344 [PubMed - in process] (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - April 20, 2016 Category: Surgery Authors: Bailon-Cuadrado M, Rodriguez-Lopez M, Blanco-Alvarez JI, Rodriguez-Vielba PL Tags: Ann R Coll Surg Engl Source Type: research

A novel corrective approach to achieve satisfactory function of a 'sunk' colostomy.
Conclusions This case highlights the challenges of stoma management, its related risks, avoidance of delay in chemotherapy, a patient wish for early return to work, and the novel approach we adopted to deal with these issues. PMID: 27087345 [PubMed - in process] (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - April 20, 2016 Category: Surgery Authors: Siddique K, Prud'Homme G, Samuel N, Avil-Griffiths K, Offori T Tags: Ann R Coll Surg Engl Source Type: research

Recurrence rate after Delorme's procedure with simultaneous placement of a Thiersch suture.
Conclusions There was no increase in complications after placement of a Thiersch suture with Delorme's procedure. The rate of recurrence could potentially be decreased with this combined technique. Additional studies are required to investigate this further. PMID: 27092405 [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 19, 2016 Category: Surgery Authors: Warwick AM, Zimmermann E, Boorman PA, Smart NJ, Gee AS Tags: Ann R Coll Surg Engl Source Type: research

Adherence to guidelines regarding total hip replacement for fractured neck of femur.
Conclusions Small general hospitals can meet and even exceed the standards regarding treatment strategies for hip factures. However, there is still room for improvement. Departmental training may be useful in achieving this aim. The anaesthetic team should be involved at the earliest opportunity, to help optimise patients preoperatively and determine whether patients listed for THR with higher ASA grades are suitable for this surgery. PMID: 27092581 [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 19, 2016 Category: Surgery Authors: Fishlock A, Scarsbrook C, Marsh R Tags: Ann R Coll Surg Engl Source Type: research

Prevalence of pelvic floor symptoms in female patients attending the two-week wait clinic with suspected colorectal cancer.
Conclusions Over half of the female patients attending our colorectal 2WW clinic had significant pelvic floor dysfunction (FI/ODS), which may account for their symptoms (especially in the CIBH referral category). While it is important for malignancy to be excluded, many patients may benefit from investigation and management of their pelvic floor dysfunction as the cause for their presenting symptoms. PMID: 27079259 [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 15, 2016 Category: Surgery Authors: Bennett J, Greenwood A, Durdey P, Glancy D Tags: Ann R Coll Surg Engl Source Type: research

Effective irrigation of contaminated open fractures.
PMID: 27055403 [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 8, 2016 Category: Surgery Authors: Lin D, Reddy V, Vasireddy A Tags: Ann R Coll Surg Engl Source Type: research

Use of blocking guidewires to ensure accurate placement of femoral nails.
PMID: 27055404 [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 8, 2016 Category: Surgery Authors: Sinnett T, Sinha I, Bhattacharya R Tags: Ann R Coll Surg Engl Source Type: research

Prophylactic proton pump inhibitors in femoral neck fracture patients - A life - and cost-saving intervention.
Conclusions Femoral neck fracture patients create a substantial workload for orthopaedic units. The increasingly elderly population often have comorbidities, and concomitantly use medications with gastrointestinal side effects. This, combined with the stress of a fracture and preoperative starvation periods increases the risk of gastric ulcers. Here, the use of prophylactic PPIs statistically reduced the incidence of gastric stress ulcers in patients with femoral neck fractures, resulting in fewer surgical delays, reduced length of hospital stay and reduced stress ulcer-related mortality. PMID: 27055405 [PubMed - as s...
Source: Annals of the Royal College of Surgeons of England - April 8, 2016 Category: Surgery Authors: Singh R, Trickett R, Meyer LC, Lewthwaite S, Ford D Tags: Ann R Coll Surg Engl Source Type: research

Impact of a blood management protocol on transfusion rates and outcomes following total hip and knee arthroplasty.
In this study, postoperative blood transfusions, length of stay and readmissions were assessed retrospectively for all patients undergoing elective primary hip/knee replacement in 2014 and compared with the baseline findings. Results During the 12-month study period, 406 patients were eligible for inclusion and none were excluded. Eighty-nine patients (22%) were anaemic preoperatively and sixty-five received treatment. The transfusion rate fell from the baseline levels of 23.0% and 6.7% to 4.3% and 0.5% for hip and knee replacements respectively (p
Source: Annals of the Royal College of Surgeons of England - April 8, 2016 Category: Surgery Authors: Frew N, Alexander D, Hood J, Acornley A Tags: Ann R Coll Surg Engl Source Type: research

Intrahepatic perforation of the gallbladder causing liver abscesses: case studies and literature review of a rare complication.
We report a short case series on this rare complication of intrahepatic gallbladder perforations and share our experience of management of this condition. PMID: 27055407 [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 8, 2016 Category: Surgery Authors: Hussain T, Adams M, Ahmed M, Arshad N, Solkar M Tags: Ann R Coll Surg Engl Source Type: research

Non-functioning parathyroid adenoma: a rare differential diagnosis for vocal-cord paralysis.
Conclusions This case emphasises the importance of including adenomatous disease of the parathyroid gland in the differential diagnosis despite normal parathyroid status as a cause of vocal cord palsy. PMID: 27055408 [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 8, 2016 Category: Surgery Authors: Kamali D, Sharpe A, Nagarajan S, Elsaify W Tags: Ann R Coll Surg Engl Source Type: research

Serum albumin and fixation failure with cannulated hip screws in undisplaced intracapsular femoral neck fracture.
Conclusions Preoperative serum albumin is an independent predictor of cannulated hip screw fixation failure in undisplaced femoral neck fractures. Nutritional status should therefore be considered when deciding between surgical fixation and arthroplasty to avoid the possibility of revision surgery, along with an increased risk of morbidity and mortality. PMID: 27055409 [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 8, 2016 Category: Surgery Authors: Riaz O, Arshad R, Nisar S, Vanker R Tags: Ann R Coll Surg Engl Source Type: research

What happens when we do not operate? Survival following conservative bowel cancer management.
Conclusions Although surgeons are naturally focused on surgical outcomes, non-operative outcomes are equally as important for patients. Elderly, frail patients benefit less from surgery for bowel cancer and have higher risks than younger cohorts, and this needs to be carefully discussed when jointly making the decision whether or not to operate. PMID: 27055410 [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 8, 2016 Category: Surgery Authors: Bethune R, Sbaih M, Brosnan C, Arulampalam T Tags: Ann R Coll Surg Engl Source Type: research

Does chlorhexidine and povidone-iodine preoperative antisepsis reduce surgical site infection in cranial neurosurgery?
Abstract Introduction Surgical site infection (SSI) is a significant cause of postoperative morbidity and mortality. Effective preoperative antisepsis is a recognised prophylactic, with commonly used agents including chlorhexidine (CHG) and povidone-iodine (PVI). However, there is emerging evidence to suggest an additional benefit when they are used in combination. Methods We analysed data from our prospective SSI database on patients undergoing clean cranial neurosurgery between October 2011 and April 2014. We compared the case-mix adjusted odds of developing a SSI in patients undergoing skin preparation with CGH...
Source: Annals of the Royal College of Surgeons of England - April 8, 2016 Category: Surgery Authors: Davies BM, Patel HC Tags: Ann R Coll Surg Engl Source Type: research

Covering external fixator pins with plastic tubing to protect the neighbouring digit.
PMID: 27055412 [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 8, 2016 Category: Surgery Authors: Fazekas J, Hazlerigg A, Riley N, McNab I Tags: Ann R Coll Surg Engl Source Type: research

Brunner's gland hamartoma: a cause of the double-duct sign.
Conclusions This was a rare case in which BGH gave rise to biliary obstruction against a background of weight loss. Due to a high index of suspicion (weight loss and evidence of dilatation of the common bile duct and pancreatic duct), this procedure was justified because the consequences of a missed periampullary cancer far outweighed surgical risks. PMID: 27055413 [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 8, 2016 Category: Surgery Authors: Kostalas M, Jackson P, Karanjia N Tags: Ann R Coll Surg Engl Source Type: research

Challenges in publication ethics.
Abstract 'Some editors are failed writers, but so are most writers.' TS Eliot (1888-1965) Have you ever wondered what medical journal editors do? Most editors in the medical field are unpaid and the work is part of the wider culture of service provided by so many in the medical profession. Together with the editorial board and the publisher, an editor will decide the direction of the journal. For instance, decisions are made about what sort of material should be published. One of the most common tasks, however, is the daily screening of manuscripts submitted for publication, many of which are rejected without peer...
Source: Annals of the Royal College of Surgeons of England - March 18, 2016 Category: Surgery Authors: Barbour V, Astaneh B, Irfan M Tags: Ann R Coll Surg Engl Source Type: research

Meta-analysis of the diagnostic accuracy of laparoscopic ultrasonography and intraoperative cholangiography in detection of common bile duct stones.
Abstract Introduction During laparoscopic cholecystectomy, intraoperative cholangiography (IOC) is currently regarded as the gold standard in the detection of choledocholithiasis. Laparoscopic ultrasonography (LUS) is an attractive alternative with several potential advantages. Methods A systematic review was undertaken of the published literature comparing LUS with IOC in the assessment of common bile duct (CBD) stones. Results Twenty-one comparative studies were analysed. There were 4,566 patients in the IOC group and 5,044 in the LUS group. The combined sensitivity and specificity of IOC in the detection of CBD...
Source: Annals of the Royal College of Surgeons of England - March 18, 2016 Category: Surgery Authors: Jamal KN, Smith H, Ratnasingham K, Siddiqui MR, McLachlan G, Belgaumkar AP Tags: Ann R Coll Surg Engl Source Type: research

Intraoperative localisation of schottle's point without fluoroscopy during medial patellofemoral ligament reconstruction.
PMID: 26985814 [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 - March 18, 2016 Category: Surgery Authors: Rammohan R, Kotwal RS, Chandratreya A Tags: Ann R Coll Surg Engl Source Type: research