Test yourself: MCQ and single best answer
The MCQ and single best answer section in Surgery is designed to test your knowledge of selected topics in this issue of the journal. (Source: Surgery (Medicine Publishing))
Source: Surgery (Medicine Publishing) - November 23, 2022 Category: Surgery Authors: Adrian Ben Cresswell Tags: TEST YOURSELF Source Type: research
Intestinal stomas
The formation of an intestinal stoma (usually ileostomy or colostomy) is an integral part of the surgical management of several pathologies of the gastrointestinal tract – in both emergency and elective patients. The basic underlying principle is that faecal flow is diverted from the site of the pathology by bringing the end or a loop of bowel through the anterior abdominal wall. A stoma may be created in a temporary or permanent role to reduce morbidity and morta lity associated with several conditions of the gastrointestinal tract including perforation, inflammatory bowel disease, bowel obstruction and elective cancer ...
Source: Surgery (Medicine Publishing) - November 22, 2022 Category: Surgery Authors: James Pine, Lynn Stevenson, Jason On Tags: Intestinal Surgery – I 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) - November 22, 2022 Category: Surgery Authors: Adrian Ben Cresswell Tags: TEST YOURSELF Source Type: research
Preoperative cardiopulmonary exercise testing: physiological basis and investigation
The number of cardiopulmonary exercise testing (CPET) centres has doubled in the UK since 2011. Approximately 30,000 tests are performed every year in the UK now. It is a useful tool helping preoperative risk stratification. Patients with poor exercise tolerance are more likely to suffer perioperative complications and death. Interpretation of a large amount of data generated during the test requires a good understanding of basic exercise physiology and its clinical application. Incorporation of CPET data in a global preoperative assessment provides a personalized risk estimate for a patient. (Source: Surgery (Medicine Publishing))
Source: Surgery (Medicine Publishing) - November 21, 2022 Category: Surgery Authors: Anurag Vats Tags: Basic Science Source Type: research
Safe sedation practice for surgeons
This article uses this guidance as a framework to discuss the generic principles and practice of sedation and should not be seen as a substitute for more formal training. (Source: Surgery (Medicine Publishing))
Source: Surgery (Medicine Publishing) - November 17, 2022 Category: Surgery Authors: Jon Walton Tags: Perioperative management - II Source Type: research
Management of patients with musculoskeletal disease and burns
Musculoskeletal disorders include a wide range of disorders which affect the locomotor system, i.e. muscles, bones, joints, and associated connective tissues like tendons and ligaments, which are listed in Chapter XIII of the International Classification of Diseases (ICD-10). While the primary pathology affects locomotor system, a number of these disorders are associated with systemic complications, resulting in increased morbidity and mortality in the perioperative period.Burns are an acute emergency and require anaesthetic or critical care input for assessment of injuries, early surgical intervention or organ support. (S...
Source: Surgery (Medicine Publishing) - November 14, 2022 Category: Surgery Authors: Rakesh Bhandary Tags: Perioperative management – II Source Type: research
Day case surgery
, where the patient is admitted, undergoes intervention and is discharged on the same day, is an important aspect of service provision in the NHS. This chapter addresses the recommendations and logistics of provision of day case surgery in present day NHS. (Source: Surgery (Medicine Publishing))
Source: Surgery (Medicine Publishing) - November 14, 2022 Category: Surgery Authors: Khalid Zahir, Rakesh Bhandary Tags: Perioperative Management – II Source Type: research
Neurological conditions in the perioperative period
The wide spectrum of neurological disorders and their effects on the function of the central and peripheral nervous system can cause an extensive array of symptoms and significant morbidity and mortality. Morbidity and mortality are often amplified in the perioperative period with an elevated risk of anaesthetic complications and adverse events. However, the number of patients with neurological disease requiring surgery is unlikely to diminish, and therefore this anaesthetic risk needs to be met and managed effectively. (Source: Surgery (Medicine Publishing))
Source: Surgery (Medicine Publishing) - November 13, 2022 Category: Surgery Authors: Natalie Jones, Christopher Johnson Tags: Perioperative management - II Source Type: research
The patient with renal disease
The incidence of chronic renal failure is increasing throughout the world. The perioperative management of patients with chronic kidney disease (CKD) is complicated by both the underlying renal dysfunction, with associated disturbances of fluid and electrolyte homeostasis and altered drug clearance, and the presence of associated comorbid conditions. Preoperative assessment for these complex patients requires multidisciplinary approach from anaesthetic, surgical and nephrology teams. Preservation of normal physiology along with prevention of further kidney injury are central to the management of patients with CKD. (Source:...
Source: Surgery (Medicine Publishing) - November 13, 2022 Category: Surgery Authors: Kapil Arora, Ian Nesbitt Tags: Perioperative Management – II Source Type: research
Congenital anterior abdominal wall defects
This article provides an overview of the key aspects of antenatal, perinatal and postnatal management, highlighting areas of controversy where further study is required. (Source: Surgery (Medicine Publishing))
Source: Surgery (Medicine Publishing) - November 2, 2022 Category: Surgery Authors: Arun Kelay, Natalie Durkin, Mark Davenport Tags: Paediatric surgery – II Source Type: research
Contents
(Source: Surgery (Medicine Publishing))
Source: Surgery (Medicine Publishing) - November 1, 2022 Category: Surgery Source Type: research
Editorial Board
(Source: Surgery (Medicine Publishing))
Source: Surgery (Medicine Publishing) - November 1, 2022 Category: Surgery Source Type: research
Transition from fetus to neonate
This article provides an overview of the key physiological changes that take place as the fetus transitions to neonatal life. It provides and an overview of fetal transition with a focus on respiratory and cardiovascular changes. (Source: Surgery (Medicine Publishing))
Source: Surgery (Medicine Publishing) - October 31, 2022 Category: Surgery Authors: Amit Gupta, Anshuman Paria Tags: Basic science Source Type: research
Infantile hypertrophic pyloric stenosis
(IHPS) is one of the most commonly encountered paediatric surgical conditions. It is estimated to affect between 1 and 4 infants per 1,000 births, representing the most common cause of surgical intervention in the first 6 months of life. The exact aetiology remains unclear. It is known to be more common in males (4:1), especially those that are first-born. Abdominal examination can sometimes detect visible stomach peristalsis in the left upper quadrant and the pathognomic sign of an “olive shaped” epigastric ma ss may be present. (Source: Surgery (Medicine Publishing))
Source: Surgery (Medicine Publishing) - October 31, 2022 Category: Surgery Authors: David Fawkner-Corbett, Merrill McHoney Tags: Paediatric surgery-ii Source Type: research
2Test 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) - October 30, 2022 Category: Surgery Authors: Adrian Ben Cresswell Tags: TEST YOURSELF Source Type: research
