Trauma laparotomy and damage control surgery
This article discusses the different mechanisms of injury, early assessment and investigations. It goes on to highlight the features of a trauma laparotomy, its preparation, management and the systematic approach for damage control surgery. (Source: Surgery (Medicine Publishing))
Source: Surgery (Medicine Publishing) - July 5, 2022 Category: Surgery Authors: William Maclean, Bruce Levy, Timothy Rockall Tags: Emergency surgery Source Type: research
Endoscopic management of bariatric complications
Bariatric metabolic surgery is a common elective general surgical procedure. Sleeve gastrectomy and Roux-en-Y gastric bypass are the two most common surgeries performed. They are considered safe with low morbidity and mortality. Leaks and bleeding are early complications after surgery. Endoscopy plays an important role in the diagnostic and therapeutic management of these complications. Advances in endoscopic interventions have increased the available options. It is important that healthcare professionals in non-specialized bariatric units who encounter these complications liaise with specialized units for advice and manag...
Source: Surgery (Medicine Publishing) - July 5, 2022 Category: Surgery Authors: Joseph Ayathamattam, Saleem Ahmed, Richard Newton Tags: Emergency surgery Source Type: research
Complications of blood transfusions
This article outlines potential complications which can be broadly divided into immediate or delayed. (Source: Surgery (Medicine Publishing))
Source: Surgery (Medicine Publishing) - July 5, 2022 Category: Surgery Authors: Alistair Smith, Sara Boyce Tags: Basic science Source Type: research
Contents
(Source: Surgery (Medicine Publishing))
Source: Surgery (Medicine Publishing) - July 1, 2022 Category: Surgery Source Type: research
Editorial Board
(Source: Surgery (Medicine Publishing))
Source: Surgery (Medicine Publishing) - July 1, 2022 Category: Surgery Source Type: research
Swelling of the legs and feet
There are many different causes of leg and foot swelling, some are benign and transient, others can be debilitating and progressive. Correct diagnosis and early treatment is crucial as conservative measures are most effective before the condition is allowed to progress. Current waiting times in the UK National Health Service (NHS) after the Covid-19 pandemic are leading to delays in care for people with chronic leg swelling. Delayed or inadequate treatment for these patients can lead to irreversible tissue damage, an episode of cellulitis, and progression to leg ulceration. (Source: Surgery (Medicine Publishing))
Source: Surgery (Medicine Publishing) - June 30, 2022 Category: Surgery Authors: Jade Whing, Adam Q. Howard Tags: Vascular surgery – II Source Type: research
Assessment of lower urinary tract symptoms
Lower urinary tract symptoms (LUTS) encompass a range of symptoms commonly experienced by both men and women, and encountered by a wide range of healthcare practitioners (HCPs). This review summarizes the basic terminology and assessment that HCPs should be aware of, regardless of their professional discipline. Apart from emphasizing the need for standardization in terminology, there is a need to avoid misleading terms that suggest a causative mechanism until the mechanism has been identified by investigation. (Source: Surgery (Medicine Publishing))
Source: Surgery (Medicine Publishing) - June 28, 2022 Category: Surgery Authors: Jay Khastgir Tags: Renal and urological surgery -- I Source Type: research
Test yourself: MCQ and single best answer
For questions 1 –4, select the statements which are true and which are false. The correct answers are given below. (Source: Surgery (Medicine Publishing))
Source: Surgery (Medicine Publishing) - June 22, 2022 Category: Surgery Authors: Adrian Ben Cresswell Tags: Test Yourself Source Type: research
Venous thrombosis
occurs commonly in the deep veins of the lower limb (DVT) and can result in pulmonary embolus (PE). Venous thromboembolism is the most common cause of death in hospitalized patients. It also represents a significant cost burden. The most common chronic complication of DVT is the Post Thrombotic Syndrome (PTS). Manifestations of PTS can range from mild to severely debilitating. Patients report pain, swelling, and fatigue that is aggravated by walking or standing and improves with rest and elevation. (Source: Surgery (Medicine Publishing))
Source: Surgery (Medicine Publishing) - June 20, 2022 Category: Surgery Authors: Stephen Black, Ehsanul Choudhury Tags: Vascular surgery – II Source Type: research
Varicose veins
are common and have a negative impact on people's quality of life. Treatment has been shown to improve the quality of life in those affected and is endorsed by international clinical practice guidelines. In the UK, traditional techniques of saphenofemoral and saphenopopliteal junctional ligation with or without stripping have been largely superseded by minimally invasive day surgery techniques under local anaesthesia. The most performed procedures include radiofrequency ablation and endovenous laser ablation, both of which may be associated with procedural discomfort and complications relating to the use of thermal energy...
Source: Surgery (Medicine Publishing) - June 19, 2022 Category: Surgery Authors: Roshan Bootun, Sarah Onida, Tristan R.A. Lane, Alun H. Davies Tags: Vascular Surgery - II Source Type: research
Foot complications in people with diabetes
Foot complications are the most common cause of hospital admission of people with diabetes and a frequent cause of amputation. Neuropathy and peripheral arterial disease make the foot particularly vulnerable to ulceration, but infection is often the pathology precipitating presentation. Recognition of the patient at risk of ulceration may allow interventions to prevent the development of foot complications. When complications do occur, urgent treatment is required to prevent limb loss; the infected foot in a patient with diabetes is a surgical emergency. (Source: Surgery (Medicine Publishing))
Source: Surgery (Medicine Publishing) - June 19, 2022 Category: Surgery Authors: Ian Diebels, Robert J. Hinchliffe Tags: Vascular Surgery – II Source Type: research
Peripheral arterial disease
To provide an overview of the epidemiology, links to cardiovascular disease, diagnosis, and management of patients suffering from peripheral arterial disease (PAD). The most common symptom of PAD is intermittent claudication, but non-invasive measures, such as the ankle –brachial index, show that asymptomatic PAD is several times more common in the population than intermittent claudication. PAD prevalence and incidence are both sharply age-related, rising to more than 10% among patients in their 60s and 70s. (Source: Surgery (Medicine Publishing))
Source: Surgery (Medicine Publishing) - June 19, 2022 Category: Surgery Authors: Mohammed M. Chowdhury, Patrick A. Coughlin Tags: Vascular Surgery – II Source Type: research
Acute limb ischaemia
Acute limb and/or digital ischaemia (ALI, Acute Limb Ischaemia) is a global healthcare problem that is associated with high morbidity and mortality. It is caused by occlusion of a native artery, vascular bypass graft, or angioplasty-site/stent due to embolization or thrombosis, or occlusion of digital micro-vessels due to vasospasm or thrombosis. The culprit risk factor for embolic ALI is most often cardiogenic associated with atrial fibrillation. Other risk factors for ALI include smoking, hypertension, raised cholesterol and diabetes. (Source: Surgery (Medicine Publishing))
Source: Surgery (Medicine Publishing) - June 19, 2022 Category: Surgery Authors: Paris L. Cai, James M. Forsyth Tags: Vascular surgery – II Source Type: research
Mesenteric ischaemia
Acute mesenteric ischaemic (AMI) is a life-threatening vascular condition from which outcomes are poor. It results from acute thrombosis or embolization of one or more mesenteric arteries. Chronic mesenteric ischaemia (CMI) is a clinical syndrome of abdominal pain after eating related to stenosis or occlusion of one or more mesenteric vessels associated with other cardiovascular disease. Mesenteric ischaemia can also result from hypoperfusion, non-occlusive mesenteric ischaemia (NOMI), or mesenteric vein thrombosis (MVT). (Source: Surgery (Medicine Publishing))
Source: Surgery (Medicine Publishing) - June 19, 2022 Category: Surgery Authors: Jonathan Nicholls, Marcus Brooks Tags: Vascular surgery – II Source Type: research
Lower limb amputation and rehabilitation
Most lower limb amputations performed in the UK are because of complications of peripheral arterial disease (PAD) and/or diabetes. Lower limb amputations are usually classified as minor (toe and partial foot amputations) or major (when most of the limb is removed). Principles of selecting amputation level are considered and the importance of optimzation of the patient's general medical status is stressed. Most patients requiring amputations have significant comorbidities and amputation carries an appreciable risk of both early and late mortality and complications. (Source: Surgery (Medicine Publishing))
Source: Surgery (Medicine Publishing) - June 18, 2022 Category: Surgery Authors: Lauren Shelmerdine, Gerry Stansby Tags: Vascular surgery – II Source Type: research
