Is pelvic ultrasound useful in the clinical assessment and management of women with right iliac fossa pain? A single-centre retrospective study
CONCLUSIONS: In patients who underwent operative management, a negative finding or finding not requiring surgical management was associated with no preoperative imaging. This supports the use of ultrasound scans as an adjunct in a multimodal approach to the assessment of women presenting with RIF pain.PMID:38578035 | DOI:10.1308/rcsann.2023.0098 (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - April 5, 2024 Category: Surgery Authors: H R Standing K F Boag E C Hamstead S R Vaughan-Williams M T Hughes Abp Peckham-Cooper Source Type: research

A systematic review of the prevalence of burnout in orthopaedic surgeons
CONCLUSIONS: Nearly one in two orthopaedic surgeons are burnt out. There is a paucity of data on the short and long-term impact of COVID-19 on burnout. Burnout has deep organisational, personal and clinical implications. Targeted organisational interventions are required to prevent burnout from irrevocably damaging the future of orthopaedic surgery.PMID:38563052 | DOI:10.1308/rcsann.2024.0009 (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - April 2, 2024 Category: Surgery Authors: K Chahal K Matwala Source Type: research

The 'Wirral Wedge': an aid to position arm safely in upper limb surgery
Ann R Coll Surg Engl. 2024 Apr 2. doi: 10.1308/rcsann.2023.0103. Online ahead of print.NO ABSTRACTPMID:38563059 | DOI:10.1308/rcsann.2023.0103 (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - April 2, 2024 Category: Surgery Authors: J Russell J Holt R Chandrasekar Source Type: research

Association of day-case rates with post COVID-19 recovery of elective laparoscopic cholecystectomy activity across England
CONCLUSIONS: Recovery of elective laparoscopic cholecystectomy activity has been better in South West England than in other regions. Increasing day-case rates may be important if ICBs in other regions are to increase activity levels up to and beyond prepandemic levels.PMID:38563060 | DOI:10.1308/rcsann.2023.0111 (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - April 2, 2024 Category: Surgery Authors: F M Ayyaz J Joyner M Cheetham Twr Briggs W K Gray Source Type: research

Factors associated with increased radiation exposure in the fixation of proximal femoral fractures
CONCLUSIONS: Increased radiation in proximal femur fractures is seen in the fixation of complex fractures, some subtypes, with certain types of implants used and if an additional implant was required. Surgeon seniority did not result in less radiation exposure, which is in contrast to other published studies.PMID:38563063 | DOI:10.1308/rcsann.2023.0092 (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - April 2, 2024 Category: Surgery Authors: A Elbahi O Thomas M Dungey C Randall D K Menon Source Type: research

A systematic review and meta-analysis of the use of packing in the management of perianal abscesses
CONCLUSIONS: Analysis of the outcomes suggests there is no significant difference with regards to rates of abscess recurrence or fistula formation between the packed and unpacked groups; however, appropriately powered RCTs are required in this area to provide more primary evidence to inform best practice and clinical management.PMID:38563064 | DOI:10.1308/rcsann.2023.0108 (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - April 2, 2024 Category: Surgery Authors: D L Crook Ome Padfield Source Type: research

A diagnosis of syphilis following a radical circumcision for suspected penile cancer
We present a case of a 70-year-old gentleman who was referred to our tertiary 2-week-wait penile cancer clinic with a penile mass that was ulcerated, painful and discharging. This was suspicious for penile cancer and a radical circumcision was performed to remove the diseased foreskin en bloc with the lesion that was arising from the inner foreskin. Histopathology did not reveal cancer; however, we identified spirochaetes in keeping with syphilis. This was confirmed on serology. The patient was referred to the genitourinary medicine team and treated with antibiotics. This case demonstrates a rare presentation of genital sy...
Source: Annals of the Royal College of Surgeons of England - April 2, 2024 Category: Surgery Authors: K H Pang A Haider A Freeman P Hadway C Bunker A Muneer H M Alnajjar Source Type: research

Surgical treatment of Boerhaave syndrome in the past, present and future: updated results of a specialised surgical unit
CONCLUSIONS: Early and aggressive management of spontaneous oesophageal rupture ameliorates the postoperative recovery and prognosis. The surgical results of our unit were found comparable to the previous decade in the population of patients who were treated surgically.PMID:38563067 | DOI:10.1308/rcsann.2024.0020 (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - April 2, 2024 Category: Surgery Authors: T Triantafyllou P Lamb R Skipworth G Couper C Deans Source Type: research

Fostering innovation and sustainable thinking in surgery: an evaluation of a surgical hackathon
CONCLUSIONS: Surgical hackathons can result in significant improvements in confidence in approaching innovation, as well as raising awareness of important healthcare challenges. Future innovation events may build on this to continue to empower the future workforce to leverage technologies to tackle healthcare challenges such as sustainability.PMID:38563072 | DOI:10.1308/rcsann.2024.0010 (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - April 2, 2024 Category: Surgery Authors: Z Ahmed A Zargaran D Zargaran J Davies A Ponniah P Butler A Mosahebi Source Type: research

Role of urinary pregnancy testing in the diagnosis of men with testicular cancer
Ann R Coll Surg Engl. 2024 Apr 2. doi: 10.1308/rcsann.2023.0029. Online ahead of print.NO ABSTRACTPMID:38563075 | DOI:10.1308/rcsann.2023.0029 (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - April 2, 2024 Category: Surgery Authors: L Paramore A S Chetwood Source Type: research

Handling 'carbon footprint' in orthopaedics
CONCLUSIONS: This study sheds new light on the environmental impact of waste produced during trauma and elective orthopaedic procedures. Mitigating the environmental impact of the operating room requires a collective drive for a culture change to sustainability and social responsibility. Each clinician can have an impact upon the carbon footprint of their operating theatre.PMID:38563077 | DOI:10.1308/rcsann.2023.0052 (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - April 2, 2024 Category: Surgery Authors: S Shah H Morris S Thiagarajah A Gordon S Sharma P Haslam J Garcia F Ali Source Type: research

Emergency surgery preoperative delays: realities, economic impacts and gains of a second emergency operating theatre
CONCLUSION: Investment in emergency surgical services resulted in more efficient access to emergency theatres. There was a reduction in out-of-hours operating across all specialties and across the more at-risk groups such as those over the age of 65, who had an overall reduction in TTT. This had significant financial benefits and likely reduced the clinical risk associated with delayed TTT and out-of-hours operating.PMID:38563079 | DOI:10.1308/rcsann.2024.0021 (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - April 2, 2024 Category: Surgery Authors: Á Lucey S Beecher R McLaughlin Source Type: research

National variation in guidance for the management of pregnant women presenting with major trauma
CONCLUSIONS: The heterogeneity evident across trusts necessitates the establishment of national guidelines for the assessment of pregnant women with major trauma to standardise communication and delivery of care.PMID:38563081 | DOI:10.1308/rcsann.2024.0011 (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - April 2, 2024 Category: Surgery Authors: C Demetriou W Eardley M-C Rebeiz C B Hing Source Type: research

Vascular access surgery training in the United Kingdom is currently perceived (by trainees) to be inadequate
CONCLUSIONS: Competence in access surgery is an increasing requirement of a consultant vascular surgeon. More formalised training is required to adequately train the next generation of vascular surgeons.PMID:38563082 | DOI:10.1308/rcsann.2024.0480 (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - April 2, 2024 Category: Surgery Authors: T Richards I Ahmed R Harvey K El Sakka Source Type: research

Vascular access surgery training in the United Kingdom is currently perceived (by trainees) to be inadequate
CONCLUSIONS: Competence in access surgery is an increasing requirement of a consultant vascular surgeon. More formalised training is required to adequately train the next generation of vascular surgeons.PMID:38563594 | DOI:10.1308/rcsann.2023.0110 (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - April 2, 2024 Category: Surgery Authors: T Richards I Ahmed R Harvey K El Sakka Source Type: research