Intramuscular hibernoma in an adult: A case report
Background: Hibernomas are rare benign soft tissue tumours from vestiges of brown fat. Differentials include liposarcomas, simple lipomas and residual brown fat. A 51 year old gentleman presented with a 6 month history of pain/swelling in the left flank, increasingly noticeable following intentional weight loss. On examination, a 13cm mobile firm mass in the left flank was palpable, with no overlying skin changes or lymphadenopathy. (Source: International Journal of Surgery)
Source: International Journal of Surgery - July 1, 2018 Category: Surgery Authors: V. Caddick, D. Sarma, F. Curran Source Type: research
Obturator hernia and recurrent small bowel obstruction: A case report
This article reports a case on a 90 years old lady who presented with four episodes of subacute small bowel obstruction within a period of 9 months secondary to CT confirmed incarcerated right sided obturator hernia. She has been managed with different approaches during each of these episodes. During her first presentation, she was treated with laparoscopic repair with mesh. She represented 5 months later and underwent laparotomy which found small piece of mesh adherent to small bowel with no necrosis. (Source: International Journal of Surgery)
Source: International Journal of Surgery - July 1, 2018 Category: Surgery Authors: S.S.S. Badrol Source Type: research
An unusual presentation of appendix mucocele
An appendix mucocele is a dilated, mucus-filled appendix. It is rare - comprising 0.2-0.7% of all appendicectomies - but important to recognise, as its diagnosis has implications for management. The possibility of a malignant underlying disease process must be considered when planning the surgical approach. This includes use of an adequate incision, thorough inspection of caecum and peritoneum, and removal of the specimen without rupture to minimise risk of peritoneal seeding. (Source: International Journal of Surgery)
Source: International Journal of Surgery - July 1, 2018 Category: Surgery Authors: F. Patel, M. Tomlinson Source Type: research
Choledochoduodenal fistula presenting with upper gastrointestinal bleeding in a patient with a history of laparoscopic cholecystectomy – A case report
We report a case of a choledochoduodenal fistula that was diagnosed at endoscopy performed for upper gastrointestinal bleeding. A 71-year-old female with a history of laparoscopic cholecystectomy 10 years earlier was admitted following a fall. A recent CT scan had diagnosed new biliary dilatation, for which she was awaiting endoscopic retrograde cholangio-pancreatography (ERCP) and biliary stenting. (Source: International Journal of Surgery)
Source: International Journal of Surgery - July 1, 2018 Category: Surgery Authors: B. Mirshekar-Syahkal, A. De Silva Source Type: research
Sick to the stomach - A case of open surgical decompression of coeliac and superior mesenteric arteries by division of the median arcuate ligament
Introduction: Median Arcuate Ligament (MAL) Syndrome is a rare vascular phenomenon typified by the paradigm of weight loss, post-prandial pain, and bowel dysfunction. A diagnosis of exclusion, with an incidence of 2 per 100,000 patients1, it reflects anatomical variation of the MAL and/or coeliac arteries. (Source: International Journal of Surgery)
Source: International Journal of Surgery - July 1, 2018 Category: Surgery Authors: M. Montague, R. Elkady, S. Sultan Source Type: research
An unusual cause of atrial fibrillation in an adult: Coronary cameral fistula. Multimodality investigation and surgical management
We report the case of a 59-year old gentleman with new onset atrial fibrillation and worsening exercise tolerance who was subsequently diagnosed with a coronary-cameral fistula. As well as providing an overview of the case, we review the different imaging modalities utilised and the method of surgical repair. (Source: International Journal of Surgery)
Source: International Journal of Surgery - July 1, 2018 Category: Surgery Authors: S. Sinha, F. Ciulli, M. Caputo Source Type: research
Compliance of randomised controlled trials in general surgical journals with the CONSORT 2010 statement: A retrospective cohort study and review of the literature
Aim: We investigated the compliance of surgical randomised controlled trials (RCTs) in the five highest impact factor General Surgical journals to identify where trial reporting could be improved. (Source: International Journal of Surgery)
Source: International Journal of Surgery - July 1, 2018 Category: Surgery Authors: C. Limb, A. White, A. Fielding, A. Lunt, M. Borrelli, Z. Alsafi, M. Schembri, A. Fowler, R. Agha Tags: Collaborative Research and Audit Protocols Source Type: research
Using GMC/ RCSEng guidelines to introduce and develop an effective surgical handover list to improve patient safety
Aim: Currently at UHL, there is no formal handover list which is updated on a daily basis. Ward rounds are delayed, Doctors are late for theatre/clinic and patients care is comprimised. The RCS and GMC have developed a set of guidelines for effective handover and have a set criteria of what must be included on a handover list. We have set the standard at 90% compliance. (Source: International Journal of Surgery)
Source: International Journal of Surgery - July 1, 2018 Category: Surgery Authors: L. Karim, B. Adabavazeh, V. Dorrell, C. Byrne Source Type: research
The management of acute uncomplicated diverticulitis in the community; results of a single centre study and review of the literature
Aim: Antibiotic use for acute uncomplicated diverticulitis (AUD) has been questioned by evidence suggesting inflammatory processes rather than acute bacterial infection may be the trigger. The 2012 Cochrane Review found no significant difference in outcome if antibiotics were used or not. However, further trials are required to support changes to guidelines. We aimed to study the management of AUD at one general practice, focussing on antibiotic use and outcomes. (Source: International Journal of Surgery)
Source: International Journal of Surgery - July 1, 2018 Category: Surgery Authors: E. Kirkham, S. Granier Source Type: research
Combining surgical, emergency medicine and psychiatric expertise to deliver a wound management quality improvement programme for junior doctors working in psychiatry
Aim: In this quality improvement project we aim to reduce the number of psychiatric inpatients being transferred to the emergency department (ED) for simple wound management. We outline how collaboration between surgical, emergency medicine and psychiatric teams can impact service delivery significantly. (Source: International Journal of Surgery)
Source: International Journal of Surgery - July 1, 2018 Category: Surgery Authors: T. Buick, D. Hamilton, G. Weatherdon, G. McAlpine Source Type: research
Improving compliance with the 62-day colorectal cancer pathway by reducing time between suspected cancer GP referrals and endoscopy
Aim: The 62-day NHS cancer pathway promotes prompt diagnosis and treatment. At Queen Elizabeth Hospital, the main delay was from GP referral to first investigation. (Source: International Journal of Surgery)
Source: International Journal of Surgery - July 1, 2018 Category: Surgery Authors: Z. Siddiqui, R. Ahmed, H. Aya, P. Sorelli Source Type: research
Surgical doctors' adherence to the RCS and GMC medical documentation guidelines
Aim: The audit examined how closely surgical doctors at the Princess Royal University Hospital (PRUH) adhered to medical documentation guidelines stipulated in GMC: Good Medical Practice and Royal College of Surgeons (RCS): Good Surgical practice. (Source: International Journal of Surgery)
Source: International Journal of Surgery - July 1, 2018 Category: Surgery Authors: T.M. Yeoh, M. Arshad, V. Sornarajah, A. Esfandiari, R. Hafeez Source Type: research
The introduction of a 'Ward Round Checklist' to enhance daily ward rounds in a busy surgical department
Aim: The ‘Ward Round’ is integral to daily surgical practice, but with the advent of new contracts and shift patterns, teamwork is crucial to ensure seamless continuity of patient care. Statistics show that ward round checklists improve inter-patient consistency and reduce morbidity, by facilitating effi cient communication of clinical information and surgical team cohesion. (Source: International Journal of Surgery)
Source: International Journal of Surgery - July 1, 2018 Category: Surgery Authors: K. EL-Shakankery, O. Meadows Source Type: research
Preventing unnecessary blood tests in general surgery patients in a district general hospital: A closed loop audit
Aim: To assess the effectiveness of “Blood Requesting” departmental guidelines in limiting the number of unnecessary blood tests performed. Potential financial savings were also analysed. (Source: International Journal of Surgery)
Source: International Journal of Surgery - July 1, 2018 Category: Surgery Authors: D. Mai, S. East, J. Barandiaran, K. Maude, M. Peter Source Type: research
A review of trainee surgical research collaboratives (TSRCs): Does this novel model for surgical research reflect a lack of research infrastructure in the UK and should it be extended to create national databases?
Aim: TSRCs have pioneered a novel model towards surgical research. Celebrated for their creation of large data sets, international studies and publication output. The Royal College of Surgeons of England outlined plans to expand surgical research infrastructure to include trainee networks. (Source: International Journal of Surgery)
Source: International Journal of Surgery - July 1, 2018 Category: Surgery Authors: J. Aldoori, M. Harris, S. Killeen, I.A. Hunter Source Type: research
