Annals of the Royal College of Surgeons of England This is an RSS file. You can use it to subscribe to this data in your favourite RSS reader or to display this data on your own website or blog.

A national survey of practice for the emergency fixation of testis
CONCLUSION: This study is the largest survey of methods for emergency scrotal exploration and describes current UK practice. The majority of surgeons prefer sutured fixation in cases of torsion and/or bell-clapper anomalies, and sutureless methods in the absence of it.PMID:38362750 | DOI:10.1308/rcsann.2023.0101 (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - February 16, 2024 Category: Surgery Source Type: research

Laparoscopic versus open appendicectomy performed by adult general surgeons in pre-teenage years children: a single-centre experience
CONCLUSION: LA can be safely delivered by adult general surgeons to younger paediatric populations outside the setting of paediatric specialist practice, with statistically significant improvements in postoperative outcomes noted when compared with OA. These findings are of importance in the current healthcare context where adult general surgeons continue to perform the majority of paediatric appendicectomies.PMID:38362753 | DOI:10.1308/rcsann.2023.0044 (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - February 16, 2024 Category: Surgery Authors: E Hannan Emy Lim G Feeney L O'Brien J C Coffey C Peirce Source Type: research

Surgery for phaeochromocytomas and paragangliomas: Current practice in the United Kingdom
CONCLUSIONS: There is significant variation in the workload and perioperative management of PPGLs in the UK. This is potentially detrimental to patient outcomes and a consensus document might be beneficial to harmonise practice across the UK.PMID:38362758 | DOI:10.1308/rcsann.2023.0054 (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - February 16, 2024 Category: Surgery Authors: A Bojoga S P Balasubramanian R Mihai Source Type: research

Long-term mental and physical quality of life outcomes following ileal pouch anal anastomosis surgery
CONCLUSION: Our findings recognise the complex interplay between physical and psychological wellbeing after pouch surgery and advise psychological counselling where appropriate.PMID:38362797 | DOI:10.1308/rcsann.2023.0075 (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - February 16, 2024 Category: Surgery Authors: M Abdalkoddus J Franklyn S Balasubramanya F Parker Z Zhao W Douie S Smolarek Source Type: research

A systematic review of oncosurgical and quality of life outcomes following pelvic exenteration for locally advanced and recurrent rectal cancer
CONCLUSIONS: This review demonstrates that PE is safe, with a good prospect of R0 resection and acceptable mortality rates in selected patients. Morbidity rates remain high, highlighting the importance of shared decision making with patients. Longer-term oncological outcomes as well as QoL and functional outcomes need to be addressed in future studies. Development of a core outcomes set would facilitate better reporting in this complex and challenging patient group.PMID:38362800 | DOI:10.1308/rcsann.2023.0031 (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - February 16, 2024 Category: Surgery Authors: J Maudsley R E Clifford O Aziz P A Sutton Source Type: research

Healing patient, harming planet? A drive towards sustainable surgery: review of waste production and recyclability of surgical instrument packaging
CONCLUSION: This audit demonstrates the different categories and vast amount of packaging waste from a common operation. Manufacturers should place clear recyclability labels on packaging, and switch to recyclable materials and a digital information booklet where possible. Local waste audit and analysis can be simple first steps towards making surgery more sustainable.PMID:38362809 | DOI:10.1308/rcsann.2023.0045 (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - February 16, 2024 Category: Surgery Authors: Y K Lee A Hariri R Ghedia T Tikka D Kim Source Type: research

The novel use of a vacuum-assisted closure dressing in the management of Fournier's gangrene
Ann R Coll Surg Engl. 2024 Feb 16. doi: 10.1308/rcsann.2023.0102. Online ahead of print.NO ABSTRACTPMID:38362891 | DOI:10.1308/rcsann.2023.0102 (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - February 16, 2024 Category: Surgery Authors: L Condell N Doolan M McMonagle Source Type: research

Cystoscopic application of PuraStat ® in the treatment of radiation-induced haemorrhagic cystitis
Ann R Coll Surg Engl. 2024 Feb 16. doi: 10.1308/rcsann.2023.0034. Online ahead of print.ABSTRACTThe use of radiotherapy has increased in recent years, especially for pelvic neoplasms, and this can result in long-term complications such as recurrent haemorrhagic radiation cystitis (RHC). A 73-year-old male patient presented to a hospital emergency department multiple times with visible haematuria and clots leading to urinary clot retention; he was finally diagnosed with RHC. During the last presentation, the bladder was irrigated continuously with saline using a three-way catheter. During hospitalisation, a cystourethroscop...
Source: Annals of the Royal College of Surgeons of England - February 16, 2024 Category: Surgery Authors: H Darwazeh L Hemsworth L Smith P C Ilie Source Type: research

Undergraduate deficits in plastic surgery exposure and awareness of the specialty: a systematic review
CONCLUSIONS: Although the literature is currently limited, studies are needed to effectively assess the outcomes of plastic surgery teaching methods in undergraduate training. Moreover, there is a need for consensus around the provision of undergraduate teaching in plastic surgery. This should be reflected in the latest undergraduate curricula in medical education.PMID:38362746 | DOI:10.1308/rcsann.2023.0099 (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - February 16, 2024 Category: Surgery Authors: H Bhachoo S C Glossop L R Mattey C Pearson L Hoade N Cereceda-Monteoliva L Scourfield A T Poacher Source Type: research

A new variant of gallbladder duplication mimicking a choledochal cyst: stepwise management of an unexpected surgical finding
We present a case of previously unclassified duplicated gallbladder which posed a surgical challenge intraoperatively by mimicking a choledochal cyst. An intraoperative cholangiogram was performed followed by a simple cholecystectomy. No further dissection was performed to avoid bile duct injury and complication from the unconventional anatomy. Postoperative imaging and histology, followed by the second operation confirmed findings consistent with the duplicated gallbladder. Through this case, we have demonstrated the principles of safe cholecystectomy and the importance of a staged approach in an unanticipated encounter o...
Source: Annals of the Royal College of Surgeons of England - February 16, 2024 Category: Surgery Authors: M Kim S Lam M A Thirunavaya Kalathil A Paterson D J Bowden S-S Liau Source Type: research