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

The provision of a trauma bed in theatre recovery and its impact on trauma theatre efficiency: experience from a high-volume trauma unit
CONCLUSIONS: A ringfenced trauma bed significantly improved theatre start times and thereby theatre efficiency. This is a simple, pragmatic intervention that benefitted the MDT trauma team while also demonstrating a sustained impact. Given that National Health Service efficiency is at the forefront of national healthcare discourse, we recommend that this intervention is implemented in other trauma units to help provide a solution to this longstanding issue.PMID:38348844 | DOI:10.1308/rcsann.2023.0106 (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - February 13, 2024 Category: Surgery Authors: J Saleem O Brown C Mclean K Kurzatkowski S Radha R Mallina Source Type: research

The provision of a trauma bed in theatre recovery and its impact on trauma theatre efficiency: experience from a high-volume trauma unit
CONCLUSIONS: A ringfenced trauma bed significantly improved theatre start times and thereby theatre efficiency. This is a simple, pragmatic intervention that benefitted the MDT trauma team while also demonstrating a sustained impact. Given that National Health Service efficiency is at the forefront of national healthcare discourse, we recommend that this intervention is implemented in other trauma units to help provide a solution to this longstanding issue.PMID:38348844 | DOI:10.1308/rcsann.2023.0106 (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - February 13, 2024 Category: Surgery Authors: J Saleem O Brown C Mclean K Kurzatkowski S Radha R Mallina Source Type: research

Learning from aviation ….Clinician Resource Management
Ann R Coll Surg Engl. 2024 Feb;106(2):101. doi: 10.1308/rcsann.2024.0006.NO ABSTRACTPMID:38295840 | PMC:PMC10830338 | DOI:10.1308/rcsann.2024.0006 (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - January 31, 2024 Category: Surgery Authors: B Rogers Source Type: research

Fallibility, performance, patient safety and teamwork: embedding human factors in surgery
Ann R Coll Surg Engl. 2024 Feb;106(2):102-105. doi: 10.1308/rcsann.2024.0007.NO ABSTRACTPMID:38295841 | PMC:PMC10830336 | DOI:10.1308/rcsann.2024.0007 (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - January 31, 2024 Category: Surgery Authors: P Brennan S Jarvis Source Type: research

Injection sclerotherapy for the treatment of haemorrhoids in anticoagulated patients
CONCLUSION: Our study demonstrates that IST can be considered as a potential treatment option for patients with SH who are at a high risk of thromboembolic disease requiring anticoagulation.PMID:38174849 | DOI:10.1308/rcsann.2023.0097 (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - January 4, 2024 Category: Surgery Authors: P Batra A O'Connor J Walmsley W Baraza A Sharma Source Type: research

Injection sclerotherapy for the treatment of haemorrhoids in anticoagulated patients
CONCLUSION: Our study demonstrates that IST can be considered as a potential treatment option for patients with SH who are at a high risk of thromboembolic disease requiring anticoagulation.PMID:38174849 | DOI:10.1308/rcsann.2023.0097 (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - January 4, 2024 Category: Surgery Authors: P Batra A O'Connor J Walmsley W Baraza A Sharma Source Type: research

Injection sclerotherapy for the treatment of haemorrhoids in anticoagulated patients
CONCLUSION: Our study demonstrates that IST can be considered as a potential treatment option for patients with SH who are at a high risk of thromboembolic disease requiring anticoagulation.PMID:38174849 | DOI:10.1308/rcsann.2023.0097 (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - January 4, 2024 Category: Surgery Authors: P Batra A O'Connor J Walmsley W Baraza A Sharma Source Type: research

Injection sclerotherapy for the treatment of haemorrhoids in anticoagulated patients
CONCLUSION: Our study demonstrates that IST can be considered as a potential treatment option for patients with SH who are at a high risk of thromboembolic disease requiring anticoagulation.PMID:38174849 | DOI:10.1308/rcsann.2023.0097 (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - January 4, 2024 Category: Surgery Authors: P Batra A O'Connor J Walmsley W Baraza A Sharma Source Type: research