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Journal of the Royal College of Surgeons of Edinburgh最新文献

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Swimmer's view: a diagnostic adjunct for oesophageal foreign bodies. 游泳者透视:食道异物的诊断辅助工具。
Journal of the Royal College of Surgeons of Edinburgh Pub Date : 2002-08-01
J Kanagalingam, C Georgalas, A Zainal, G Mochloulis
{"title":"Swimmer's view: a diagnostic adjunct for oesophageal foreign bodies.","authors":"J Kanagalingam,&nbsp;C Georgalas,&nbsp;A Zainal,&nbsp;G Mochloulis","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>We describe the use of a common radiographic view of the lower cervical skeleton, 'Swimmer's View', to aid the diagnosis of foreign bodies in the upper oesophagus, which may be obscured by the clavicles. We further recommend this view when there is uncertainty over the nature of an impacted food bolus in this location, and luminal air is the only visible sign on a plain soft-tissue cervical radiograph.</p>","PeriodicalId":76058,"journal":{"name":"Journal of the Royal College of Surgeons of Edinburgh","volume":"47 4","pages":"641-2"},"PeriodicalIF":0.0,"publicationDate":"2002-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22052964","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Training teachers--changing practice? 培训教师——改变实践?
Journal of the Royal College of Surgeons of Edinburgh Pub Date : 2002-08-01
V Hunt, C Bulstrode, P Baldwin, H Bulstrode, C Mansfield
{"title":"Training teachers--changing practice?","authors":"V Hunt,&nbsp;C Bulstrode,&nbsp;P Baldwin,&nbsp;H Bulstrode,&nbsp;C Mansfield","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A three-day course was designed to improve the skills of those who provide clinical training to medical students. This long-term follow up of past participants shows a sustained improvement to their skills, especially in terms of involving students in their own learning, and giving them positive feedback.</p>","PeriodicalId":76058,"journal":{"name":"Journal of the Royal College of Surgeons of Edinburgh","volume":"47 4","pages":"619-22"},"PeriodicalIF":0.0,"publicationDate":"2002-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22052382","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The secret (GTN) of successful ERCP cannulation: a prospective randomised controlled study. 成功的ERCP插管的秘密(GTN):一项前瞻性随机对照研究。
Journal of the Royal College of Surgeons of Edinburgh Pub Date : 2002-08-01
A Ghori, M Hallisey, C Nwokolo, D Loft, I Fraser
{"title":"The secret (GTN) of successful ERCP cannulation: a prospective randomised controlled study.","authors":"A Ghori,&nbsp;M Hallisey,&nbsp;C Nwokolo,&nbsp;D Loft,&nbsp;I Fraser","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>A key step for success at endoscopic retrograde cholangio-pancreatography (ERCP) is cannulation of the sphincter of Oddi. This prospective randomised controlled study was conducted to assess the effect of glyceryl trinitrate (GTN) on ease of cannulation.</p><p><strong>Method: </strong>Two hundred and fifty four patients undergoing ERCP were randomised into two groups, 126 controls and 128 pre-treated with GTN.</p><p><strong>Result: </strong>There were 29 cannulation failures in the whole group (overall failure rate of 11.4%). Failure was significantly less common in the GTN group, 7.03% (9/128) as compared with 15.8% (20/126) in the control group (p=0.0002). Deep cannulation was desired but not achieved in 45/200 patients (22.5%) Of these, 18.4% (19/103) were in the GTN group versus 26.8% (26/97) in the control group. This pattern of difference applied to both trained and trainee endoscopists. No significant side effects of GTN were noticed.</p><p><strong>Conclusion: </strong>GTN appears to be safe and effective in improving ERCP success rate. We recommend its routine use.</p>","PeriodicalId":76058,"journal":{"name":"Journal of the Royal College of Surgeons of Edinburgh","volume":"47 4","pages":"634-7"},"PeriodicalIF":0.0,"publicationDate":"2002-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22052962","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Coronary artery surgery at the dawn of the 21st century. 21世纪初的冠状动脉手术。
Journal of the Royal College of Surgeons of Edinburgh Pub Date : 2002-08-01
D J Wheatley
{"title":"Coronary artery surgery at the dawn of the 21st century.","authors":"D J Wheatley","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Since the 1970's coronary bypass surgery has evolved to become one of the commonest and most successful of all operative procedures. The symptomatic and survival benefit of this surgery is well recognised. However, developments in cardiological interventions, coupled with demographic and lifestyle changes, are altering the patient profile and referral pattern. Coronary surgery at the beginning of the new century frequently involves higher risk patients and more complex surgery as a result of changes in disease presentation and the success of competing cardiological interventional techniques for less extensive disease. Technological advances in endovascular devices are making significant inroads into traditional coronary surgical practice. Surgeons have responded by developing new strategies to maximise effectiveness of coronary surgery and minimise the injury associated with cardiopulmonary bypass. At the same time regulatory and media scrutiny is focussing attention on the cardiac surgeon, further adding to the stresses and complexity of cardiac surgical practice</p>","PeriodicalId":76058,"journal":{"name":"Journal of the Royal College of Surgeons of Edinburgh","volume":"47 4","pages":"608-12"},"PeriodicalIF":0.0,"publicationDate":"2002-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22052380","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Amelanotic subungual melanoma mimicking pyogenic granuloma in the hand. 掌下无黑色素瘤，类似手部化脓性肉芽肿。
Journal of the Royal College of Surgeons of Edinburgh Pub Date : 2002-08-01
P Harrington, A O'Kelly, I A Trail, A J Freemont
{"title":"Amelanotic subungual melanoma mimicking pyogenic granuloma in the hand.","authors":"P Harrington,&nbsp;A O'Kelly,&nbsp;I A Trail,&nbsp;A J Freemont","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Between six and eight per cent of cases of malignant melanoma lack pigmentation on macroscopic examination, making accurate early diagnosis difficult. Delays in diagnosis and misdiagnosis are common in cases of subungual melanoma. We report a patient with an amelanotic subungual malignant melanoma who presented with a lesion that closely resembled a pyogenic granuloma. Since amelanotic melanoma usually presents as a vascular or ulcerating nodule, it should be considered in the differential diagnosis of a wide range of superficial lesions that occur in the hand.</p>","PeriodicalId":76058,"journal":{"name":"Journal of the Royal College of Surgeons of Edinburgh","volume":"47 4","pages":"638-40"},"PeriodicalIF":0.0,"publicationDate":"2002-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22052963","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Percutaneous repair of ruptured Achilles tendon. 经皮跟腱断裂修复术。
Journal of the Royal College of Surgeons of Edinburgh Pub Date : 2002-08-01
D McClelland, N Maffulli
{"title":"Percutaneous repair of ruptured Achilles tendon.","authors":"D McClelland,&nbsp;N Maffulli","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Percutaneous repair of a ruptured Achilles tendon is a safe and reliable method of treating such injuries in patients with low sporting requirements. It has a lower incidence of wound complications compared with open techniques but a slightly higher incidence of re-rupture. Sural nerve injury is avoidable by careful placement of the incisions</p>","PeriodicalId":76058,"journal":{"name":"Journal of the Royal College of Surgeons of Edinburgh","volume":"47 4","pages":"613-8"},"PeriodicalIF":0.0,"publicationDate":"2002-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22052381","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Muir-Torre syndrome. Muir-Torre综合症。
Journal of the Royal College of Surgeons of Edinburgh Pub Date : 2001-06-01 DOI: 10.1007/978-3-540-29676-8_1193
J. Coldron, I. Reid
{"title":"Muir-Torre syndrome.","authors":"J. Coldron, I. Reid","doi":"10.1007/978-3-540-29676-8_1193","DOIUrl":"https://doi.org/10.1007/978-3-540-29676-8_1193","url":null,"abstract":"","PeriodicalId":76058,"journal":{"name":"Journal of the Royal College of Surgeons of Edinburgh","volume":"46 3 1","pages":"178-9"},"PeriodicalIF":0.0,"publicationDate":"2001-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"51042298","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 10
Wiskott-Aldrich syndrome: life-threatening haemorrhage from aneurysms within the liver, small bowel mesentery and kidney, requiring both surgical and radiological intervention. Wiskott-Aldrich综合征:由肝脏、小肠肠系膜和肾脏内的动脉瘤引起的危及生命的出血，需要手术和放射治疗。
Journal of the Royal College of Surgeons of Edinburgh Pub Date : 2000-10-01
W Loan, K McCune, B Kelly, R Maxwell
{"title":"Wiskott-Aldrich syndrome: life-threatening haemorrhage from aneurysms within the liver, small bowel mesentery and kidney, requiring both surgical and radiological intervention.","authors":"W Loan,&nbsp;K McCune,&nbsp;B Kelly,&nbsp;R Maxwell","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Wiskott-Aldrich syndrome (WAS) is a rare, generally X-linked recessive condition, originally described by Wiskott in 1937 as a triad of discharging ears, eczema and thrombocytopoenia. Aldrich included bloody diarrhoea in his report of 1954, with severe immunodeficiency and predisposition to malignancy being recognised subsequently. The incidence currently quoted is approximately 4 per million live male births, although there is some regional variation. We report the case of a long-term survivor who had massive haemorrhage from an intrahepatic aneurysm and, on a separate occasion, the right kidney.</p>","PeriodicalId":76058,"journal":{"name":"Journal of the Royal College of Surgeons of Edinburgh","volume":"45 5","pages":"326-8"},"PeriodicalIF":0.0,"publicationDate":"2000-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21903442","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Percutaneous obliteration of duodenal fistula. 经皮十二指肠瘘封堵术。
Journal of the Royal College of Surgeons of Edinburgh Pub Date : 2000-10-01
G E Khairy, A al-Saigh, N S Trincano, S al-Smayer, S al-Damegh
{"title":"Percutaneous obliteration of duodenal fistula.","authors":"G E Khairy,&nbsp;A al-Saigh,&nbsp;N S Trincano,&nbsp;S al-Smayer,&nbsp;S al-Damegh","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>High output external duodenal fistula is a difficult condition to treat and despite the advances in nutritional care, morbidity and mortality remain high. Although, non surgical methods (e.g. endoscopy, fistuloscopy and percutaneous injection of substances) have been reported sporadically in the treatment of enterocutaneous fistulae, gelfoam has not been tried. We present a case of duodenal fistula following blunt abdominal trauma which persisted for 14 weeks on conservative management. Percutaneous obliteration of the duodenal fistula was successfully performed using gelfoam injection through a catheter. This procedure is simple, safe and cheap and further experience may demonstrate that it is an easy and more practical tool in dealing with this problem.</p>","PeriodicalId":76058,"journal":{"name":"Journal of the Royal College of Surgeons of Edinburgh","volume":"45 5","pages":"342-4"},"PeriodicalIF":0.0,"publicationDate":"2000-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21903446","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Sepsis and the systemic inflammatory response syndrome. 脓毒症和全身炎症反应综合征。
Journal of the Royal College of Surgeons of Edinburgh Pub Date : 2000-10-01
N R Webster
{"title":"Sepsis and the systemic inflammatory response syndrome.","authors":"N R Webster","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":76058,"journal":{"name":"Journal of the Royal College of Surgeons of Edinburgh","volume":"45 5","pages":"345"},"PeriodicalIF":0.0,"publicationDate":"2000-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21903448","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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