Annals of the Royal College of Surgeons of England最新文献_第2页

Deer velvet powder-induced antral stricture mimicking infantile hypertrophic pyloric stenosis in a 3-month-old infant: a case report. 鹿茸粉诱发的类似婴儿肥厚性幽门狭窄的胃窦狭窄一例报告。

IF 1.1 4区医学

Annals of the Royal College of Surgeons of England Pub Date : 2025-04-24 DOI: 10.1308/rcsann.2025.0026

C E Azmat, U Mahmood, N Talat, M B Mirza, W U Rehman, R Khalid

引用次数: 0

The impact of COVID-19 on inflammatory bowel disease surgery: a systematic review. COVID-19对炎症性肠病手术的影响：系统综述

IF 1.1 4区医学

Annals of the Royal College of Surgeons of England Pub Date : 2025-04-24 DOI: 10.1308/rcsann.2025.0016

J Couch, C Li, K Thomas, T Card, D Humes

{"title":"The impact of COVID-19 on inflammatory bowel disease surgery: a systematic review.","authors":"J Couch, C Li, K Thomas, T Card, D Humes","doi":"10.1308/rcsann.2025.0016","DOIUrl":"https://doi.org/10.1308/rcsann.2025.0016","url":null,"abstract":"Introduction: The COVID-19 pandemic caused a significant disruption to the delivery of surgical services. Guidance prioritising life-saving and cancer surgery was issued. Inflammatory bowel disease (IBD) often requires considered, timely surgery, which may have not been feasible under the conditions imposed by the pandemic. This systematic review aims to quantify the impact of COVID-19 on IBD surgery and assess the safety of performing such surgery.Methods: A systematic review of MEDLINE, Embase and Web of Science was performed. Studies that included a prepandemic and a pandemic cohort for comparison and reported on numbers of IBD surgeries or postoperative outcomes following IBD surgery were included. Heterogeneity of included studies precluded any meta-analyses.Findings: In total, 1,220 titles were screened and 13 were included in the final review. All were cohort studies other than one case-control study. A total of 1,673,282 and 1,445,971 patients were included in the prepandemic and pandemic cohorts, respectively. Rates of elective surgery during the pandemic varied from a 66% reduction to a 9.66% increase and emergency surgery varied from no difference to an 18% reduction. Urgent surgery in IBD inpatients appears to be unaffected. Postoperative outcomes were not shown to be negatively impacted by resource limitations.Conclusions: The COVID-19 pandemic affected IBD surgical services considerably; however, those who did undergo surgery during this period do not appear to have been at an increased risk of adverse outcomes. Further work is required to describe the long-term impacts of these cancellations on IBD services and patient morbidity.","PeriodicalId":8088,"journal":{"name":"Annals of the Royal College of Surgeons of England","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2025-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143960314","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Skull base reconstruction with nasoseptal flap in oncologic cases: can narrow-band imaging help? How we do it. 鼻中隔瓣颅底重建在肿瘤病例中的应用：窄带成像有帮助吗？我们是怎么做的。

IF 1.1 4区医学

Annals of the Royal College of Surgeons of England Pub Date : 2025-04-24 DOI: 10.1308/rcsann.2025.0017

M Stavrakas, Y Kanaan, R Al-Ashqar, H Khalil, S Muquit

引用次数: 0

A simple trick for supinated hand positioning during hand surgery. 手部手术中旋后手定位的一个简单技巧。

IF 1.1 4区医学

Annals of the Royal College of Surgeons of England Pub Date : 2025-04-08 DOI: 10.1308/rcsann.2024.0118

M A Imam, C Hutton

引用次数: 0

Massive simple hepatic cyst triggered sudden cardiac arrest in a middle-aged, female patient due to compression of the right heart. 一例中年女性患者因右心受压，导致大面积单纯性肝囊肿引发心脏骤停。

IF 1.1 4区医学

Annals of the Royal College of Surgeons of England Pub Date : 2025-04-08 DOI: 10.1308/rcsann.2024.0108

F Dimek, M Williams, K Nelson, J J French

引用次数: 0

The 'hub' model for colorectal surgery: a viable paradigm shift? 结直肠手术的“中心”模式：可行的模式转变？

IF 1.1 4区医学

Annals of the Royal College of Surgeons of England Pub Date : 2025-04-08 DOI: 10.1308/rcsann.2024.0003

P Janardhanan, A Khalid, M H Anwaar, R Williams, E Timms, S Ward, S Karandikar, M Dattani

{"title":"The 'hub' model for colorectal surgery: a viable paradigm shift?","authors":"P Janardhanan, A Khalid, M H Anwaar, R Williams, E Timms, S Ward, S Karandikar, M Dattani","doi":"10.1308/rcsann.2024.0003","DOIUrl":"https://doi.org/10.1308/rcsann.2024.0003","url":null,"abstract":"Introduction: Nationally, in the aftermath of the first COVID-19 lockdown, the waiting list for elective surgery is approximately 7 million. To ameliorate an evolving crisis and improve system resilience, the Royal College of Surgeons of England proposed a 'New Deal for Surgery', promoting COVID-light sites and elective hubs. We evaluate the short-term outcomes, safety and sustainability of the hub model at a large National Health Service trust.Methods: All major elective colorectal operations performed at the hub between 8 March 2021 and 8 March 2022 were included for analysis. Pertinent data on patient demographics, operative performance and postoperative outcomes were analysed using SPSS 27.Results: In total, 401 cases were analysed. There was one same-day cancellation because of the unavailability of beds (0.2%). Median distance displacement for patients for their primary surgery was +3.2 miles. Twenty-one patients (5.2%) required postoperative blood transfusion. One patient had nosocomial COVID-19 (0.2%), severe complications of Clavien-Dindo grade ≥3 were observed in 33 patient (8.2%) and transfer-out for higher level care occurred in 34 cases (8.5%). Forty-six 30-day readmissions (11.5%) and two deaths (0.4%) were noted. Median length of stay was 6 days.Conclusions: The volume of major colorectal surgery at the hub, with acceptable incidence of major complication, transfer-out and minimal patient displacement, attests to the efficacy and safety of the new model.","PeriodicalId":8088,"journal":{"name":"Annals of the Royal College of Surgeons of England","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2025-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143802377","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A systematic review of patient and clinician experiences of bariatric tourism. 减肥旅游的病人和临床经验的系统回顾。

IF 1.1 4区医学

Annals of the Royal College of Surgeons of England Pub Date : 2025-04-08 DOI: 10.1308/rcsann.2025.0020

C Carey, S James, S Jaunoo

{"title":"A systematic review of patient and clinician experiences of bariatric tourism.","authors":"C Carey, S James, S Jaunoo","doi":"10.1308/rcsann.2025.0020","DOIUrl":"https://doi.org/10.1308/rcsann.2025.0020","url":null,"abstract":"Background: Although bariatric surgery is highly cost effective, accessing this treatment in the UK and other western nations is often challenging. Patients are therefore increasingly engaging in bariatric health tourism despite its associated risks and warnings from health institutions. A systematic review was performed to assess the reasons why patients are travelling abroad for surgery and common practices among bariatric tourism service providers.Methods: Medline and PubMed were searched for articles analysing the experiences of patients and service providers. Articles published in English between 2010 and 2023 were considered and seven were included for review after title, abstract and full text analysis.Results: Four studies assessing patients' experiences and outcomes following bariatric tourism and three examining the perspectives of bariatric service providers were reviewed. Patients across the studies were mostly from western Europe, North America and the Middle East. The most common reasons for pursuing bariatric tourism were a lack of bariatric service provision in patients' home nations, high costs of surgery in the private sector and long waiting times. Examples of practice outside the scope of most internationally recognised guidelines were identified across multiple studies, especially regarding patients' pre-operative optimisation and follow-up. The studies therefore suggest that bariatric tourism may lead to significant health risks and issues that need managing once patients return home.Conclusions: Bariatric tourism is a common practice with significant associated risks. The reasons underpinning its appeal however, reflect genuine problems with accessing bariatric services and a lack of pre-operative education and optimisation.","PeriodicalId":8088,"journal":{"name":"Annals of the Royal College of Surgeons of England","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2025-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143802327","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Fatigue fracture of a DBS extension cable: a pictorial review. DBS延伸电缆疲劳断裂的图像分析。

IF 1.1 4区医学

Annals of the Royal College of Surgeons of England Pub Date : 2025-04-08 DOI: 10.1308/rcsann.2025.0012

Q Al Banna, H Lalgudi Srinivasan, J C Knight, M Samuel, I Bodi, K Ashkan

引用次数: 0

Utilising tracking technology to reduce the financial and patient care impact of lost ear, nose and throat equipment. 利用追踪技术减少耳鼻喉设备丢失对财务和患者护理的影响。

IF 1.1 4区医学

Annals of the Royal College of Surgeons of England Pub Date : 2025-04-08 DOI: 10.1308/rcsann.2025.0015

J Bass, M Patel, K Kapoor

{"title":"Utilising tracking technology to reduce the financial and patient care impact of lost ear, nose and throat equipment.","authors":"J Bass, M Patel, K Kapoor","doi":"10.1308/rcsann.2025.0015","DOIUrl":"https://doi.org/10.1308/rcsann.2025.0015","url":null,"abstract":"Introduction: The effective treatment of a patient in a timely manner requires specialist equipment, including in ear, nose and throat (ENT) services, where orifices require careful inspection. Otoscopy, flexible nasendoscopy, peritonsillar abscess drainage and nasal cautery are all common practices and cannot be successfully completed without the necessary equipment. These tasks all require expensive equipment that can easily be misplaced in a busy hospital. A paucity of equipment can delay patient assessment and negatively impact treatment, as well as reduce clinician efficiency and effectiveness. Here, we investigate the impact of equipment loss, and discuss a cost-effective solution to the problem.Methods: We surveyed ENT departments from 15 different trusts on how equipment loss impacted their patients, staff and their department financially. We also calculated the cost of equipment lost in our department over the course of a year. We subsequently placed trackers on our equipment and calculated the cost of lost equipment after 12 months.Results: Of the 15 trusts surveyed, 13 responded. Our survey demonstrated the average cost of lost items to be more than £4,900 per department, with concurrent delays in treatment and a reduction in patient-facing time. No equipment was lost after the trackers were placed.Conclusions: The use of commercially available tracking technology can help reduce the amount of time taken to locate equipment, prevent incurring higher costs and, most importantly, improve patient safety, with an estimated return on investment of more than 3000% and an increase in direct clinical care simultaneously.","PeriodicalId":8088,"journal":{"name":"Annals of the Royal College of Surgeons of England","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2025-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143802378","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Longitudinal studies on interdisciplinary teaching models incorporating plastic surgery. 结合整形外科的跨学科教学模式的纵向研究。

IF 1.1 4区医学

Annals of the Royal College of Surgeons of England Pub Date : 2025-04-08 DOI: 10.1308/rcsann.2025.0006

N Sivathasan, B Robertson

引用次数: 0