The diagnosis and management of acquired urethral stricture disease
Publication date: Available online 26 February 2020Source: Surgery (Oxford)Author(s): Nick Watkin, Pareeta Patel (Source: Surgery (Oxford))
Source: Surgery (Oxford) - February 27, 2020 Category: Surgery Source Type: research
Pathophysiology of urinary incontinence
Publication date: Available online 24 February 2020Source: Surgery (Oxford)Author(s): Michel Wyndaele, Hashim Hashim (Source: Surgery (Oxford))
Source: Surgery (Oxford) - February 25, 2020 Category: Surgery Source Type: research
Foundation Year 3: the growing trend. What effect is it having on surgical recruitment and how can we ensure a future generation of surgeons?
This article discusses the benefits and drawbacks of an F3 Year and the effect on surgical recruitment. Future changes are also discussed including the Improving Surgical Training (IST) pilot and pledges from the House of Commons to increase the number of doctors but with an emphasis on General Practice.To ensure a future generation of surgeons interest in surgical specialties must be encouraged from Medical School level. Furthermore, in order to keep surgeons in the profession we need to listen to trainees and address short comings in training. The number of female trainees leaving Higher Surgical Training is particularly...
Source: Surgery (Oxford) - February 23, 2020 Category: Surgery Source Type: research
Principles of gastrointestinal endoscopy
This article provides an overview of the most common diagnostic endoscopic procedures, and gives an introduction to the equipment, facilities and interventions that define endoscopy unit activity today. Indications and risks of each of the individual procedures are discussed. Regulation is an increasingly important facet of NHS operation, and the organization of the monitoring of quality and safety of endoscopy procedures and training is also covered in the article. (Source: Surgery (Oxford))
Source: Surgery (Oxford) - February 23, 2020 Category: Surgery Source Type: research
MCQ and Single Best Answer
Publication date: Available online 20 February 2020Source: Surgery (Oxford)Author(s): Adrian Ben Cresswell (Source: Surgery (Oxford))
Source: Surgery (Oxford) - February 21, 2020 Category: Surgery Source Type: research
Surgical site infections: would stricter adherence to published clinical guidelines result in significant reduction in rates?
This article will examine those recommendations and consider if implementation of universal guidelines can successfully reduce rates of surgical site infection. Barriers to implementation of guidelines will also be contemplated, as if these factors are not addressed any future interventions will also likely by futile. (Source: Surgery (Oxford))
Source: Surgery (Oxford) - February 21, 2020 Category: Surgery Source Type: research
Classification and management of acute wounds and open fractures
Publication date: Available online 18 February 2020Source: Surgery (Oxford)Author(s): Kirsty E Milne, Jowan G. Penn-BarwellAbstractOpen fractures and traumatic wounds represent a surgical challenge due to the risk of infection. At the extreme this is life and limb threating, but more commonly, it limits the options for reconstructions which can have functional implications for a patient. The treatment of these wounds requires removal of contamination and non-viable tissue in order to minimize further tissue damage. A wound bed of healthy tissue is essential for microbial eradication. In high energy and complex wounds assoc...
Source: Surgery (Oxford) - February 20, 2020 Category: Surgery Source Type: research
Electrosurgery and energized dissection
This article outlines the biophysics of electrosurgery and tissue energy sources, including the basic concepts of both modalities. It explores the biophysics of electrodiathermy, including current density, waveforms and electrosurgical circuits. The principles of monopolar and bipolar diathermy are described with reference to the safety issues pertinent to implantable cardiac devices and other implants. Safe application of electrodiathermy in endoscopic and laparoscopic surgery is discussed, exploring potential risks such as direct and capacitance coupling. The principles behind tissue energizers, specifically advanced bip...
Source: Surgery (Oxford) - February 20, 2020 Category: Surgery Source Type: research
Management of common surgical complications
This article explores the prevention and management of common surgical complications which a junior surgical trainee is likely to face. (Source: Surgery (Oxford))
Source: Surgery (Oxford) - February 20, 2020 Category: Surgery 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 (Oxford))
Source: Surgery (Oxford) - February 20, 2020 Category: Surgery Source Type: research
Principles of laparoscopic surgery
Publication date: Available online 19 February 2020Source: Surgery (Oxford)Author(s): Christopher Limb, Timothy RockallAbstractLaparoscopic surgery is currently established as the primary modality for many procedures. In 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 d...
Source: Surgery (Oxford) - February 20, 2020 Category: Surgery Source Type: research
Current concepts in tourniquet uses
Publication date: Available online 17 February 2020Source: Surgery (Oxford)Author(s): Tristan E. McMillan, Timothy Gardner, Alan J. JohnstoneAbstractTourniquets 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...
Source: Surgery (Oxford) - February 18, 2020 Category: Surgery 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 optimize postoperative recovery and to reduce complications. The role of vitamin supplementation and the controversial element of glucocorticoids is also discussed. (Source: Surgery (Oxford))
Source: Surgery (Oxford) - February 18, 2020 Category: Surgery Source Type: research
Contents
Publication date: February 2020Source: Surgery (Oxford), Volume 38, Issue 2Author(s): (Source: Surgery (Oxford))
Source: Surgery (Oxford) - February 14, 2020 Category: Surgery Source Type: research
Editorial Board
Publication date: February 2020Source: Surgery (Oxford), Volume 38, Issue 2Author(s): (Source: Surgery (Oxford))
Source: Surgery (Oxford) - February 14, 2020 Category: Surgery Source Type: research
