Retrospective analysis of medium-term outcomes following anterior lumbar interbody fusion surgery performed in a tertiary spinal surgical centre
CONCLUSIONS: Our 90-day complication rate of 10% lies within the 2.6% acute complication and 40% overall complications rates described in previous literature. The risk of vascular/visceral injury is significant (3%) and we recommend that ALIF be performed as a dual surgeon procedure with a vascular-trained access surgeon accompanying the spinal surgeon. ALIF is a valid revision surgical option for failed posterior approaches leading to complications such as pseudoarthrosis. In our sample, 89% of patients were managed with posterior fixation to augment the anterior fusion as, biomechanically, this is a proven construct.PMID...
Source: Annals of the Royal College of Surgeons of England - March 13, 2024 Category: Surgery Authors: T Srirangarajan K Eseonu B Fakouri P Liantis P Panteliadis J Lucas T Ember M Harris M Tyrrell B Sandford J R Panchmatia Source Type: research
Validation of the emergency surgery score (ESS) in a UK patient population and comparison with NELA scoring: a retrospective multicentre cohort study
CONCLUSIONS: In the UK population, ESS and NELA both predict 30-day mortality and ICU admission with no statistically significant difference but with higher c-statistics for NELA score. Both scores have certain advantages, with ESS being validated for a wider range of outcomes.PMID:38478020 | DOI:10.1308/rcsann.2023.0105 (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - March 13, 2024 Category: Surgery Authors: D Clinch A Dorken-Gallastegi D Argandykov A Gebran J A Proano Zamudio C S Wong N Clinch L Haddow K Simpson E Imbert Rje Skipworth S J Moug Hma Kaafarani D Damaskos Source Type: research
Technique for traversing both plate and nail-locking screw holes in nail-plate composite fixation
Ann R Coll Surg Engl. 2024 Mar 13. doi: 10.1308/rcsann.2022.0064. Online ahead of print.NO ABSTRACTPMID:38478016 | DOI:10.1308/rcsann.2022.0064 (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - March 13, 2024 Category: Surgery Authors: C Uzoigwe T Symes Source Type: research
The effect of antiplatelet therapy and oral anticoagulants on the accuracy of faecal immunochemical testing
CONCLUSIONS: FIT accuracy for CRC detection remained unaffected despite more patients testing positive in the exposed group. FIT should be considered a supplementary tool for triage. Antiplatelet and anticoagulant drugs do not need to be discontinued before collection of FIT.PMID:38478034 | DOI:10.1308/rcsann.2024.0015 (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - March 13, 2024 Category: Surgery Authors: F Wu A A Khan M Klimovskij R Harshen Source Type: research
Intraluminal negative pressure wound therapy and rectal anastomotic leak management: regular vac sponge and a nasogastric tube
Ann R Coll Surg Engl. 2024 Mar 13. doi: 10.1308/rcsann.2024.0022. Online ahead of print.NO ABSTRACTPMID:38478057 | DOI:10.1308/rcsann.2024.0022 (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - March 13, 2024 Category: Surgery Authors: F Soliman T Zwiep Source Type: research
Postoperative parathyroid hormone (PTH) is equivalent to perioperative PTH drop in predicting postsurgical hypoparathyroidism
CONCLUSIONS: Day 1 PTH is equivalent to (if not better than) drop in PTH in predicting short- and long-term PoSH. Preoperative PTH measurements may not be needed in the detection and/or management of PoSH after thyroid surgery.PMID:38478048 | DOI:10.1308/rcsann.2024.0001 (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - March 13, 2024 Category: Surgery Authors: M Hashem C B Lim S P Balasubramanian Source Type: research
A survey of patient acceptability of the use of artificial intelligence in the diagnosis of paediatric fractures: an observational study
CONCLUSIONS: Carer perceptions towards the use of AI in this setting are positive. However, they are not yet ready to relinquish human decision making to automated systems.PMID:38478040 | DOI:10.1308/rcsann.2024.0008 (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - March 13, 2024 Category: Surgery Authors: Fhg Roberts Trw Roberts Y Gelfer C Hing Source Type: research
Retrospective analysis of medium-term outcomes following anterior lumbar interbody fusion surgery performed in a tertiary spinal surgical centre
CONCLUSIONS: Our 90-day complication rate of 10% lies within the 2.6% acute complication and 40% overall complications rates described in previous literature. The risk of vascular/visceral injury is significant (3%) and we recommend that ALIF be performed as a dual surgeon procedure with a vascular-trained access surgeon accompanying the spinal surgeon. ALIF is a valid revision surgical option for failed posterior approaches leading to complications such as pseudoarthrosis. In our sample, 89% of patients were managed with posterior fixation to augment the anterior fusion as, biomechanically, this is a proven construct.PMID...
Source: Annals of the Royal College of Surgeons of England - March 13, 2024 Category: Surgery Authors: T Srirangarajan K Eseonu B Fakouri P Liantis P Panteliadis J Lucas T Ember M Harris M Tyrrell B Sandford J R Panchmatia Source Type: research
What works for whom, how and why in mental health education for undergraduate health profession students? A realist synthesis protocol
This study will engage with a stakeholder group who will support the refining of the programme theory.
Ethics and dissemination
Ethical approval has been sought and approved by Royal College of Surgeons, Ireland Ethical Committee (REC number: 212622783). We will aim to write up and publish the full synthesis as a journal article. We will also discuss ways of dissemination outside of academia with our PPI group. (Source: BMJ Open)
Source: BMJ Open - March 11, 2024 Category: General Medicine Authors: McCormack, Z., Kerr, A., Simpson, A., Keating, D., Strawbridge, J. Tags: Open access, Medical education and training Source Type: research
Management of acute colonic pseudo-obstruction: opportunities to improve care?
CONCLUSIONS: ACPO is often managed remotely by general surgeons. This may impact on the quality of conservative management, and timeliness of endoscopic or pharmacological intervention. Further work is needed to optimise management.PMID:38445579 | DOI:10.1308/rcsann.2024.0017 (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - March 6, 2024 Category: Surgery Authors: Z Khan C P Challand M J Lee Source Type: research
Use of jejunal serosal patch and pyloric exclusion in the management of complex duodenal injury
We describe the techniques used in one case of complex duodenal trauma.TECHNIQUE: The duodenum is approached via a standard laparotomy with Kocherisation. Primary repair of the duodenal perforations is performed using a 3/0 polydioxanone suture (PDS), followed by mobilisation of a loop of mid-jejunum against the area of duodenal trauma over the primary repair as a jejunal serosal patch. The antimesenteric jejunal serosal border is sutured to the serosa of the duodenum (serosa only) using a 3/0 PDS. Pyloric exclusion is then performed through an anterior gastrostomy, to control the volume of gastric juice entering the duode...
Source: Annals of the Royal College of Surgeons of England - March 6, 2024 Category: Surgery Authors: D Alsaadi D Low A Osman M Mcmonagle Source Type: research
Factors affecting the rates of incidental parathyroidectomy during thyroidectomy
CONCLUSIONS: We found that the complication rate during the resident training process was the same as that of experienced general surgeons. A thyroidectomy can be safely performed by senior residents during residential training.PMID:38445585 | DOI:10.1308/rcsann.2024.0019 (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - March 6, 2024 Category: Surgery Authors: H E Arslan S Zeren A C Yildirim M F Ekici O Arik M C Algin Source Type: research
Dislocation of the hip after normal sonographic screening examination: a case report and literature review
Ann R Coll Surg Engl. 2024 Mar 6. doi: 10.1308/rcsann.2023.0107. Online ahead of print.NO ABSTRACTPMID:38445588 | DOI:10.1308/rcsann.2023.0107 (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - March 6, 2024 Category: Surgery Authors: A Rehm R Clegg P Linardatou Novak R Shehata Source Type: research
Association of Upper GI Surgery of Great Britain and Ireland (AUGIS) Delphi consensus recommendations on the adoption of robotic upper GI surgery
CONCLUSIONS: These recommendations are intended to support surgeons, patients and health systems in the adoption of robotics in upper GI surgery.PMID:38445587 | DOI:10.1308/rcsann.2024.0014 (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - March 6, 2024 Category: Surgery Authors: P H Pucher N Maynard S Body K Bowling M Asif Chaudry M Forshaw S Hornby S R Markar S J Mercer S R Preston B Sgromo G I van Boxel J A Gossage Source Type: research
Ocular radiation exposure is negligible in normal volume endourological practice
CONCLUSIONS: The International Commission on Radiological Protection recently reduced the yearly eye dose limit from 150 to 20mSv. Cataractogenesis is no longer considered a typical deterministic effect, with a threshold level below which no effect occurs. Even in higher volume centres, these annual limits are unlikely to be reached. Lead glasses may be considered for surgeons and radiologists with the highest exposure but, for the majority, ocular radiation exposure is negligible.PMID:38445592 | DOI:10.1308/rcsann.2024.0004 (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - March 6, 2024 Category: Surgery Authors: J Peacock J Henderson Source Type: research
