Annals of the Royal College of Surgeons of England最新文献_第8页

Total hip arthroplasty in patient with hip fracture and congenital pubic diastasis. 髋部骨折合并先天性耻骨分离患者的全髋关节置换术。

IF 1.1 4区医学

Annals of the Royal College of Surgeons of England Pub Date : 2025-06-17 DOI: 10.1308/rcsann.2025.0037

K Saravanan, K Malik-Tabassum, A Rajpura, A K Gambhir

引用次数: 0

An unusual presentation of a depressed clavicle fracture in a child leading to venous congestion. 儿童锁骨凹陷性骨折导致静脉充血的不寻常表现。

IF 1.1 4区医学

Annals of the Royal College of Surgeons of England Pub Date : 2025-06-17 DOI: 10.1308/rcsann.2025.0024

A C Pillai, J T Shajan, A Varma, A A Ishaq, M Z Farook

引用次数: 0

Reporting issues with systematic reviews and meta-analyses. 报告系统评价和荟萃分析的问题。

IF 1.1 4区医学

Annals of the Royal College of Surgeons of England Pub Date : 2025-06-17 DOI: 10.1308/rcsann.2025.0034

V Sahni

引用次数: 0

Impact of COVID-19 on management and outcomes of NHS patients with recurrent respiratory papillomatosis: evidence from a UK registry. COVID-19对NHS复发性呼吸道乳头状瘤病患者管理和结局的影响：来自英国登记处的证据

IF 1.1 4区医学

Annals of the Royal College of Surgeons of England Pub Date : 2025-06-17 DOI: 10.1308/rcsann.2025.0030

A Donne, K Keltie, P Cognigni, J Burn, S Powell, H Patrick, A Sims

{"title":"Impact of COVID-19 on management and outcomes of NHS patients with recurrent respiratory papillomatosis: evidence from a UK registry.","authors":"A Donne, K Keltie, P Cognigni, J Burn, S Powell, H Patrick, A Sims","doi":"10.1308/rcsann.2025.0030","DOIUrl":"https://doi.org/10.1308/rcsann.2025.0030","url":null,"abstract":"Introduction: Patients with recurrent respiratory papillomatosis (RRP) require frequent surgical removal of benign growths in the airway to maintain patency. This study aimed to investigate the impact of the COVID-19 pandemic on these patients, by monitoring their care and outcomes before and after the pandemic.Methods: Participants were children or adults diagnosed with RRP, receiving treatment within an acute National Health Service hospital in the United Kingdom, registered with the Airway Intervention Registry. Data were captured between 1 April 2018 and 31 March 2022 (2 years pre- and post-COVID-19). Records for a subgroup of patients treated in England were linked to routine administrative data (Hospital Episode Statistics) for additional follow-up. Frequency of hospital visits, method of admission, type of surgical intervention, complications, disease severity (Derkay score) and voice quality were monitored.Results: There was a reduction in RRP surgery frequency post COVID-19. The reporting clinician noted an intervention delay caused by COVID-19 in 11.8% of cases, and in half of those the treating clinician noted that the delay had resulted in worse symptoms. Despite this, disease severity remained relatively stable in both children and adults, as demonstrated by the Derkay and voice quality scores.Conclusions: Patients with RRP experienced a reduction in surgical intervention post COVID-19. Although disease severity appeared overall stable within the study period, the long-term impact of changing surgical management of RRP patients in terms of voice quality and quality of life remain uncertain.","PeriodicalId":8088,"journal":{"name":"Annals of the Royal College of Surgeons of England","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2025-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144315816","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

Arthrodesis of the distal interphalangeal joint: an accurate method of screw length measurement. 远端指间关节的关节融合术：一种精确测量螺钉长度的方法。

IF 1.1 4区医学

Annals of the Royal College of Surgeons of England Pub Date : 2025-06-17 DOI: 10.1308/rcsann.2025.0039

L Ibrahim, T Ammari, N Sheppard

引用次数: 0

On the vis inertiæ within burnout research. 论倦怠研究中的视觉惯性。

IF 1.1 4区医学

Annals of the Royal College of Surgeons of England Pub Date : 2025-06-17 DOI: 10.1308/rcsann.2025.0032

R Brisson

引用次数: 0

The carbon footprint of group and save in elective and emergency surgery. 择期和急诊手术组和组的碳足迹。

IF 1.1 4区医学

Annals of the Royal College of Surgeons of England Pub Date : 2025-06-13 DOI: 10.1308/rcsann.2024.0073

A V Robinson, O Moses, J A Bass, V Pegna

{"title":"The carbon footprint of group and save in elective and emergency surgery.","authors":"A V Robinson, O Moses, J A Bass, V Pegna","doi":"10.1308/rcsann.2024.0073","DOIUrl":"10.1308/rcsann.2024.0073","url":null,"abstract":"Introduction: Climate change is a significant threat to human health, and surgical care is a major contributor to the carbon footprint of hospital medicine. There is wide variation in perioperative group and save (G&S) blood testing that lacks an evidence base. Eliminating low-value clinical investigations in surgical pathways such as the G&S could lead to significant carbon and cost savings.Methods: All operations within the trust over a 6-month period and all packed red cell requests made within the same timeframe were analysed retrospectively. Patients were categorised by operation and cross-referenced with transfusion data to determine the transfusion rate of each procedure. The carbon footprint (g CO2e) of a single G&S was calculated using a bottom-up approach.Results: Overall, 15,293 operations and 637 red cell requests were included for analysis. Most transfusions across all operation types occurred after the operation day, and only 36 elective cases required intraoperative transfusions. The carbon footprint of the G&S was calculated at 0.43kg CO2e for an inpatient sample, and 7kg CO2e for an outpatient sample. Eliminating the second G&S in elective cases with a transfusion rate <1% could save 9 tonnes of CO2e per year, the equivalent of 24,000 miles in a passenger vehicle.Conclusions: Transfusion requirements vary significantly for different operation types. Guidelines surrounding perioperative G&S testing should reflect this, which could save avoidable carbon emissions, cost and resources.","PeriodicalId":8088,"journal":{"name":"Annals of the Royal College of Surgeons of England","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2025-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144282143","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

Water-soluble contrast agent use in adhesional small bowel obstruction: a survey of surgical practices and clinical trial considerations. 水溶性造影剂在粘连性小肠阻塞中的应用：外科实践和临床试验考虑的调查。

IF 1.1 4区医学

Annals of the Royal College of Surgeons of England Pub Date : 2025-06-11 DOI: 10.1308/rcsann.2024.0121

K Aimar, J Walshaw, A Peckham-Cooper, N Smart, L Magill, M J Lee

{"title":"Water-soluble contrast agent use in adhesional small bowel obstruction: a survey of surgical practices and clinical trial considerations.","authors":"K Aimar, J Walshaw, A Peckham-Cooper, N Smart, L Magill, M J Lee","doi":"10.1308/rcsann.2024.0121","DOIUrl":"https://doi.org/10.1308/rcsann.2024.0121","url":null,"abstract":"Background: The role of water-soluble contrast agent (WSCA) as a therapeutic tool in the nonoperative management of adhesional small bowel obstruction (ASBO) remains indeterminate. This survey aimed to understand current surgical practices in WSCA use in the conservative approach to ASBO, and to evaluate key design and feasibility factors to inform a future controlled trial of WSCA in ASBO.Methods: This study is reported in line with CROSS guidance. The survey consisted of 16 questions organised into three sections: respondent characteristics, current decision-making and WSCA use, and opinions on future trial. Pilot testing was conducted before online distribution to surgeons in the UK delivering Emergency General Surgery. Descriptive analysis was performed.Results: Of 73 total respondents, 52 (71.2%) were consultants. When treating ASBO conservatively, 80.8% (59/73) reported using WSCA in more than half of cases, but there was wide variation in timings, use and repeat challenges. Between 71.2% and 89.0% of respondents affirmed their willingness to adhere to specific trial protocols. Regarding feasibility, 76.7% (56/73) of respondents agreed or strongly agreed that they would be willing to recruit to a trial and 75.3% (55/73) agreed or strongly agreed that their unit would be able to deliver a trial.Conclusions: The survey revealed widespread acceptance of WSCA as a therapeutic tool in ASBO among emergency general surgeons. Although practices around its administration varied, there was a clear readiness to adopt standardised protocols. The majority of respondents expressed support for a controlled trial comparing WSCA against a placebo.","PeriodicalId":8088,"journal":{"name":"Annals of the Royal College of Surgeons of England","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2025-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144265160","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

Opening the operating theatre to oncology: treatment of locally recurrent rectal cancer with peritoneal metastasis by simultaneous hyperthermic intraperitoneal chemotherapy and intraoperative electron beam radiotherapy. 打开肿瘤手术室：腹膜内热化疗联合术中电子束放疗治疗局部复发直肠癌伴腹膜转移。

IF 1.1 4区医学

Annals of the Royal College of Surgeons of England Pub Date : 2025-06-11 DOI: 10.1308/rcsann.2024.0111

Y Salem, C T West, M West, S Jain, H Yano, J Smith, C Green, A Bateman, A Mirnezami

引用次数: 0

The influence of surgeon seniority and intestinal failure experience on identifying malnourished patients in emergency general surgery: a national survey. 外科医生年资和肠衰竭经验对急诊普外科识别营养不良患者的影响：一项全国性调查。

IF 1.1 4区医学

Annals of the Royal College of Surgeons of England Pub Date : 2025-06-11 DOI: 10.1308/rcsann.2025.0023

D L Ashmore, T R Wilson, V Halliday, M J Lee

{"title":"The influence of surgeon seniority and intestinal failure experience on identifying malnourished patients in emergency general surgery: a national survey.","authors":"D L Ashmore, T R Wilson, V Halliday, M J Lee","doi":"10.1308/rcsann.2025.0023","DOIUrl":"https://doi.org/10.1308/rcsann.2025.0023","url":null,"abstract":"Background: Variation exists in how consultant surgeons identify malnutrition in emergency general surgery (EGS) patients. These relate to differences in surgeon knowledge, understanding, ownership and hospital setting. Little is known regarding how these relate to nonconsultant surgeons, or those with experience of intestinal failure (IF).Aims: This study aimed to characterise the awareness, practice and training of general surgeons in the identification of malnutrition in the emergency setting.Methods: The survey focused on three domains: perceptions, current practices and nutrition training. Following piloting, EGS surgeons were invited to complete an online survey. Responses were gathered using Qualtrics. Descriptive analysis and associations with surgeon seniority and IF were performed in SPSSv26. Ethical approval was obtained (UREC 050436). Results are reported with reference to the CHERRIES guidelines.Results: The completion rate was 52.1% (148/284), of whom 49.7% were nonconsultant surgeons and 46.6% had experience of IF. Surgeons from all UK regions completed the survey. There was strong agreement across participants that malnutrition can affect surgical outcomes and identifying it was an important skill for surgeons. However, only 37.2% (55/148) were confident in doing so. Surgeons with IF experience were significantly more confident than those without (49.3% vs 26.6%). Training was reportedly poor, and local teaching or a short course aimed at surgeons in training was considered most helpful in the future.Conclusions: Identifying malnutrition in EGS is recognised as an important skill most surgeons feel they are lacking. Support for formal training in this area was high.","PeriodicalId":8088,"journal":{"name":"Annals of the Royal College of Surgeons of England","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2025-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144265159","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