A new variant of gallbladder duplication mimicking a choledochal cyst: stepwise management of an unexpected surgical finding
We present a case of previously unclassified duplicated gallbladder which posed a surgical challenge intraoperatively by mimicking a choledochal cyst. An intraoperative cholangiogram was performed followed by a simple cholecystectomy. No further dissection was performed to avoid bile duct injury and complication from the unconventional anatomy. Postoperative imaging and histology, followed by the second operation confirmed findings consistent with the duplicated gallbladder. Through this case, we have demonstrated the principles of safe cholecystectomy and the importance of a staged approach in an unanticipated encounter o...
Source: Annals of the Royal College of Surgeons of England - February 16, 2024 Category: Surgery Authors: M Kim S Lam M A Thirunavaya Kalathil A Paterson D J Bowden S-S Liau Source Type: research
Surgery for phaeochromocytomas and paragangliomas: Current practice in the United Kingdom
CONCLUSIONS: There is significant variation in the workload and perioperative management of PPGLs in the UK. This is potentially detrimental to patient outcomes and a consensus document might be beneficial to harmonise practice across the UK.PMID:38362758 | DOI:10.1308/rcsann.2023.0054 (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - February 16, 2024 Category: Surgery Authors: A Bojoga S P Balasubramanian R Mihai Source Type: research
Laparoscopic versus open appendicectomy performed by adult general surgeons in pre-teenage years children: a single-centre experience
CONCLUSION: LA can be safely delivered by adult general surgeons to younger paediatric populations outside the setting of paediatric specialist practice, with statistically significant improvements in postoperative outcomes noted when compared with OA. These findings are of importance in the current healthcare context where adult general surgeons continue to perform the majority of paediatric appendicectomies.PMID:38362753 | DOI:10.1308/rcsann.2023.0044 (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - February 16, 2024 Category: Surgery Authors: E Hannan Emy Lim G Feeney L O'Brien J C Coffey C Peirce Source Type: research
A national survey of practice for the emergency fixation of testis
CONCLUSION: This study is the largest survey of methods for emergency scrotal exploration and describes current UK practice. The majority of surgeons prefer sutured fixation in cases of torsion and/or bell-clapper anomalies, and sutureless methods in the absence of it.PMID:38362750 | DOI:10.1308/rcsann.2023.0101 (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - February 16, 2024 Category: Surgery Source Type: research
Long-term mental and physical quality of life outcomes following ileal pouch anal anastomosis surgery
CONCLUSION: Our findings recognise the complex interplay between physical and psychological wellbeing after pouch surgery and advise psychological counselling where appropriate.PMID:38362797 | DOI:10.1308/rcsann.2023.0075 (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - February 16, 2024 Category: Surgery Authors: M Abdalkoddus J Franklyn S Balasubramanya F Parker Z Zhao W Douie S Smolarek Source Type: research
A systematic review of oncosurgical and quality of life outcomes following pelvic exenteration for locally advanced and recurrent rectal cancer
CONCLUSIONS: This review demonstrates that PE is safe, with a good prospect of R0 resection and acceptable mortality rates in selected patients. Morbidity rates remain high, highlighting the importance of shared decision making with patients. Longer-term oncological outcomes as well as QoL and functional outcomes need to be addressed in future studies. Development of a core outcomes set would facilitate better reporting in this complex and challenging patient group.PMID:38362800 | DOI:10.1308/rcsann.2023.0031 (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - February 16, 2024 Category: Surgery Authors: J Maudsley R E Clifford O Aziz P A Sutton Source Type: research
Healing patient, harming planet? A drive towards sustainable surgery: review of waste production and recyclability of surgical instrument packaging
CONCLUSION: This audit demonstrates the different categories and vast amount of packaging waste from a common operation. Manufacturers should place clear recyclability labels on packaging, and switch to recyclable materials and a digital information booklet where possible. Local waste audit and analysis can be simple first steps towards making surgery more sustainable.PMID:38362809 | DOI:10.1308/rcsann.2023.0045 (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - February 16, 2024 Category: Surgery Authors: Y K Lee A Hariri R Ghedia T Tikka D Kim Source Type: research
The novel use of a vacuum-assisted closure dressing in the management of Fournier's gangrene
Ann R Coll Surg Engl. 2024 Feb 16. doi: 10.1308/rcsann.2023.0102. Online ahead of print.NO ABSTRACTPMID:38362891 | DOI:10.1308/rcsann.2023.0102 (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - February 16, 2024 Category: Surgery Authors: L Condell N Doolan M McMonagle Source Type: research
The provision of a trauma bed in theatre recovery and its impact on trauma theatre efficiency: experience from a high-volume trauma unit
CONCLUSIONS: A ringfenced trauma bed significantly improved theatre start times and thereby theatre efficiency. This is a simple, pragmatic intervention that benefitted the MDT trauma team while also demonstrating a sustained impact. Given that National Health Service efficiency is at the forefront of national healthcare discourse, we recommend that this intervention is implemented in other trauma units to help provide a solution to this longstanding issue.PMID:38348844 | DOI:10.1308/rcsann.2023.0106 (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - February 13, 2024 Category: Surgery Authors: J Saleem O Brown C Mclean K Kurzatkowski S Radha R Mallina Source Type: research
The provision of a trauma bed in theatre recovery and its impact on trauma theatre efficiency: experience from a high-volume trauma unit
CONCLUSIONS: A ringfenced trauma bed significantly improved theatre start times and thereby theatre efficiency. This is a simple, pragmatic intervention that benefitted the MDT trauma team while also demonstrating a sustained impact. Given that National Health Service efficiency is at the forefront of national healthcare discourse, we recommend that this intervention is implemented in other trauma units to help provide a solution to this longstanding issue.PMID:38348844 | DOI:10.1308/rcsann.2023.0106 (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - February 13, 2024 Category: Surgery Authors: J Saleem O Brown C Mclean K Kurzatkowski S Radha R Mallina Source Type: research
The strange case of the “flesh-like” disease
Sarcoidosis is a multisystem inflammatory disorder of unknown aetiology characterized by the presence of T lymphocytes, mononuclear cells, and non-caseating granulomas in diseased tissues. The first description of the disease, in 1878, is attributed to Sir Jonathan Hutchinson (1828 –1913), surgeon and president of the Royal College of Surgeons: he described the strange case of a 58 years old policeman “with dark patches of dark purplish color on the extremities…..who…finally died of contracted kidneys” (1). (Source: International Journal of Cardiology)
Source: International Journal of Cardiology - February 1, 2024 Category: Cardiology Authors: Assuero Giorgetti, Michele Emdin Tags: Editorial Source Type: research
Learning from aviation ….Clinician Resource Management
Ann R Coll Surg Engl. 2024 Feb;106(2):101. doi: 10.1308/rcsann.2024.0006.NO ABSTRACTPMID:38295840 | PMC:PMC10830338 | DOI:10.1308/rcsann.2024.0006 (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - January 31, 2024 Category: Surgery Authors: B Rogers Source Type: research
Fallibility, performance, patient safety and teamwork: embedding human factors in surgery
Ann R Coll Surg Engl. 2024 Feb;106(2):102-105. doi: 10.1308/rcsann.2024.0007.NO ABSTRACTPMID:38295841 | PMC:PMC10830336 | DOI:10.1308/rcsann.2024.0007 (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - January 31, 2024 Category: Surgery Authors: P Brennan S Jarvis Source Type: research
Scaling up polarized RPE cell supernatant production on parylene membrane
In this study, we cultivated human embryonic stem cell-derived polarized RPE (hESC-PRPE) cells on parylene membranes at both small- and large-scale settings, collecting conditioned supernatant, denoted as PRPE-SF. We conducted a comprehensive analysis of the morphology of the cultured hESC-RPE cells and the secreted growth factors in PRPE-SF. To evaluate the in vivo efficacy of these products, the product was administered via intravitreal injections of PRPE-SF in immunodeficient Royal College of Surgeons (iRCS) rats, a model for retinal degeneration. Our study not only demonstrated the scalability of PRPE-SF production whi...
Source: Experimental Eye Research - January 19, 2024 Category: Opthalmology Authors: Dimitrios Pollalis Alejandra Gonzalez Calle Juan Carlos Martinez-Camarillo Kabir Ahluwalia Cassidy Hinman Debbie Mitra Jane Lebkowski Sun Young Lee Biju B Thomas Faizah Ahmed Victoria Chan Jason A Junge Scott Fraser Stan Louie Mark Humayun Source Type: research
Artificial intelligence chatbots as sources of patient education material for obstructive sleep apnoea: ChatGPT versus Google Bard
ConclusionEvaluation of ChatGPT and Google Bard patient education material for OSA indicates the former to offer superior information across several domains. (Source: European Archives of Oto-Rhino-Laryngology)
Source: European Archives of Oto-Rhino-Laryngology - January 18, 2024 Category: ENT & OMF Source Type: research
