Test yourself: MCQ and single best answer
For questions 1 –4, select the statements which are true. The correct answers are given below. (Source: Surgery (Medicine Publishing))
Source: Surgery (Medicine Publishing) - February 12, 2023 Category: Surgery Authors: Adrian Ben Cresswell Tags: TEST YOURSELF Source Type: research
Thoracic trauma update
The management of chest trauma has adapted and advanced with developing technologies and research. The biggest fundamental change has come with the update in the ATLS guidelines which rewrite some of the basic steps in the initial approach to these acutely unwell patients. Evolving techniques used in elective thoracic surgical practice have advanced trauma care with increased utilization of chest wall fixation equipment, a move towards video-assisted thoracic surgery, and the innovation in extra-corporeal oxygenation techniques. (Source: Surgery (Medicine Publishing))
Source: Surgery (Medicine Publishing) - February 2, 2023 Category: Surgery Authors: Oliver Pumphrey, Nathan Burnside Tags: Cardiothoracic surgery – II Source Type: research
Pathology of lung tumours: WHO 2021 updates and resection status
The WHO Classification of Thoracic Tumours 2021 has continued to advance definition of thoracic tumour diagnostics with broader emphasis on the importance of molecular genetic analysis and its association with pathogenesis, progression and importantly treatment of adenocarcinoma. This review article highlights some of the major changes from the previous 2015 edition, particularly those relating to surgically resected cases. As indicated previously, another important component of a pathology report post-surgical resection is the determination of R status (residual tumour classification). (Source: Surgery (Medicine Publishing))
Source: Surgery (Medicine Publishing) - February 2, 2023 Category: Surgery Authors: Clara Lightner-Ferrer, Louise Burke Tags: Basic science Source Type: research
Contents
(Source: Surgery (Medicine Publishing))
Source: Surgery (Medicine Publishing) - February 1, 2023 Category: Surgery Source Type: research
Editorial Board
(Source: Surgery (Medicine Publishing))
Source: Surgery (Medicine Publishing) - February 1, 2023 Category: Surgery Source Type: research
Classification and management of acute wounds and open fractures
Open fractures and traumatic wounds represent a surgical challenge due to the risk of infection. At the extreme this is life and limb threatening but, more commonly, this limits options for reconstruction - which can have severe functional implications for a patient's rehabilitation. The treatment of these wounds requires removal of contamination and non-viable tissue in order to minimize further tissue damage, which has been covered by a series of guidelines developed by the British Orthopaedic Association. (Source: Surgery (Medicine Publishing))
Source: Surgery (Medicine Publishing) - January 21, 2023 Category: Surgery Authors: Kirsty Milne, Jowan G. Penn-Barwell Tags: Basic skills Source Type: research
Electrosurgery and energised dissection
This article reviews the principles of electricity with its applications in electrosurgery. The basic concepts of current, voltage, wattage, impedance and energy are described. Thermal tissue effects are discussed with relation to modes of current application. The hazards of electrosurgery, their mechanisms and preventative measures are outlined. The clinical application and evolution of electrosurgical devices, including the standard monopolar and bipolar circuits, newer ultrasonic energy devices, advanced tissue energisers is also summarized. (Source: Surgery (Medicine Publishing))
Source: Surgery (Medicine Publishing) - January 19, 2023 Category: Surgery Authors: Olalekan Adepoju, Eimear Monaghan Tags: Basic skills Source Type: research
Sutures, ligatures and knots
This article discusses factors to consider when choosing suture material, techniques for closure of a wound, and knots used to ligate a structure. With use of minimally invasive techniques now widespread, the article also discusses laparoscopic methods for performing such tasks. (Source: Surgery (Medicine Publishing))
Source: Surgery (Medicine Publishing) - January 18, 2023 Category: Surgery Authors: Rishabh Singh, William Hawkins Tags: Basic skills Source Type: research
Current concepts in tourniquet uses
Tourniquets have been around for many years, providing surgeons with a bloodless operative field and saving lives in the pre-hospital care of major limb trauma. However, their use does come with risk. It is therefore extremely important that we, as surgeons, fully understand the physiological influence they impose on patients, the complications associated with their use and, moreover, how to minimize the incidence of these complications. Most tourniquets are now electronically controlled pneumatic devices with built-in pressure sensors and timers. (Source: Surgery (Medicine Publishing))
Source: Surgery (Medicine Publishing) - January 17, 2023 Category: Surgery Authors: Tristan E. McMillan, Timothy Gardner, Alan J. Johnstone Tags: Basic Skills Source Type: research
Principles of laparoscopic surgery
Laparoscopic surgery is currently established as the primary modality for many procedures. It has been associated with a number of benefits over traditional open surgery, including reduced pain, shorter hospital stay and quicker return to work. Despite this, significant operative challenges and the potential for life-threatening complications exist. Surgeons must understand the specialist equipment that is required, along with how to troubleshoot common issues. Furthermore, an appreciation of the distinctive surgical techniques and technical challenges is critical in limiting the risk of significant complications. (Source:...
Source: Surgery (Medicine Publishing) - January 16, 2023 Category: Surgery Authors: Christopher Limb, Timothy Rockall Tags: Basic skills Source Type: research
Test yourself: MCQ and single best answer
For questions 1 –4, select the statements which are true. The correct answers are given below. (Source: Surgery (Medicine Publishing))
Source: Surgery (Medicine Publishing) - January 16, 2023 Category: Surgery Authors: Adrian Ben Cresswell Tags: TEST YOURSELF Source Type: research
Systemic response to surgery
This article outlines the components of the interlinked endocrine, metabolic, immune and haemodynamic responses and discusses the ways in which the various components of the response can be modified in order to optimise postoperative recovery and to reduce complications. (Source: Surgery (Medicine Publishing))
Source: Surgery (Medicine Publishing) - January 13, 2023 Category: Surgery Authors: Jessica de Bois, Dominic Moor, Geeta Aggarwal Tags: Basic Skills Source Type: research
Principles of gastrointestinal endoscopy
Gastrointestinal endoscopy has been developing from rudimentary beginnings for more than 100 years. Technological advances have accelerated in the last 30 years, transforming image quality, and allowing the passage of endoscopes to previously inaccessible organs. Endoscopic techniques have become more sophisticated and training has been regulated and standardized, making this powerful diagnostic tool safer and more effective. Therapeutic interventions are also more advanced, meaning that endoscopy may increasingly be used as a viable alternative to surgery. (Source: Surgery (Medicine Publishing))
Source: Surgery (Medicine Publishing) - January 11, 2023 Category: Surgery Authors: Timothy Keen, Corinne Brooks Tags: Basic skills Source Type: research
Management of common surgical complications
No surgery is ever free of the risk of a complication. As the number of surgeries increase annually, the incidence of complications is expected to rise proportionally. Surgical complications are associated with significant physiological and psychological morbidity and mortality. While there are generic complications that affect all types of surgery, each specific type of surgery in addition carries its own speciality-specific complications. General complications like pain, bleeding, atelectasis, infection and venous thromboembolism are just a few that can complicate the postoperative recovery phase. (Source: Surgery (Medicine Publishing))
Source: Surgery (Medicine Publishing) - January 11, 2023 Category: Surgery Authors: Alicia Skervin, Bruce Levy Tags: Basic Skills Source Type: research
Surgical site infections
(SSIs) are infections at the site of surgery within 30 or 90 days of the operation, depending on the procedure. They are a significant complication of both elective and emergency surgery and are the second highest cause of hospital-acquired infections. They have a huge cost to the NHS and lead to increased morbidity and mortality. Significant research has b een done to find the causes and help create solutions, culminating in international guidelines published by the World Health Organization (WHO) in 2016. (Source: Surgery (Medicine Publishing))
Source: Surgery (Medicine Publishing) - January 11, 2023 Category: Surgery Authors: James Liston, Andrew Bayles Tags: Basic skills Source Type: research
