Annals of the Royal College of Surgeons of England最新文献_第9页

Penile tourniquet: the Wharton tourniquet. 阴茎止血带：沃顿止血带。

IF 1.1 4区医学

Annals of the Royal College of Surgeons of England Pub Date : 2024-07-31 DOI: 10.1308/rcsann.2024.0045

S Nour, G H Lafford, S M Wharton

引用次数: 0

Process and outcome differences in the care of patients undergoing elective and emergency right hemicolectomy. 择期和急诊右半结肠切除术患者的护理过程和结果差异。

IF 1.1 4区医学

Annals of the Royal College of Surgeons of England Pub Date : 2024-07-31 DOI: 10.1308/rcsann.2024.0056

J Banks, A Rashid, T R Wilson, C P Challand, M J Lee

{"title":"Process and outcome differences in the care of patients undergoing elective and emergency right hemicolectomy.","authors":"J Banks, A Rashid, T R Wilson, C P Challand, M J Lee","doi":"10.1308/rcsann.2024.0056","DOIUrl":"https://doi.org/10.1308/rcsann.2024.0056","url":null,"abstract":"Introduction: Up to 30% of patients with colorectal cancer present as an emergency and have worse outcomes than elective patients. Compared with left-sided cancers, malignancies arising in the right colon are significantly under-researched. We sought to compare cancer care quality and clinical outcomes between emergency and elective presentations of right-sided colon cancer (RCC).Methods: This multicentre, retrospective study included all patients who underwent operative management for a RCC, from 1 April 2017 to 31 March 2022. Data were collected from electronic patient records, and host and tumour factors as well as outcomes between emergency and elective cohorts were compared.Results: Overall, 806 patients (median age 72 years) were included. Some 175 patients (22%) presented as an emergency: 140 in obstruction and 35 with tumour perforation, compared with 1 patient with tumour perforation in the elective group (p < 0.001). The emergency group had higher rates of postoperative complications (59.1% vs 20.0%, p < 0.001), increased 90-day mortality (13.7% vs 1.3%, p < 0.001) and a longer hospital stay (5 vs 10 days, p < 0.001). From the emergency cohort only 29.2% of eligible patients received adjuvant chemotherapy and in multivariate regression analysis emergency presentation was associated with a decreased likelihood of receiving adjuvant chemotherapy (odds ratio 0.26 [0.14-0.47], p < 0.001).Conclusions: Both short- and long-term outcomes after emergency presentation of RCC are poor, with inadequate access to subsequent chemotherapy. Strategies addressing emergency presentations of left-sided tumours have moved towards temporisation and elective surgery. Delaying major resectional surgery for optimisation may improve outcomes and access to adjuvant therapies for RCC.","PeriodicalId":8088,"journal":{"name":"Annals of the Royal College of Surgeons of England","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2024-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141854594","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

The 'hashtag' K-wires configuration for the management of severe comminuted patellar fracture: the combination of tension band technique and cerclage wiring. 用于治疗严重粉碎性髌骨骨折的 "hashtag "K线配置：张力带技术与Cerclage接线的结合。

IF 1.1 4区医学

Annals of the Royal College of Surgeons of England Pub Date : 2024-07-31 DOI: 10.1308/rcsann.2024.0044

N E Koukoulias, A V Vasiliadis, S Savvidou, T Dimitriadis

引用次数: 0

A simple technique for checking nipple height in breast reduction and mastopexy. 乳房缩小术和乳房整形术中检查乳头高度的简单技术。

IF 1.1 4区医学

Annals of the Royal College of Surgeons of England Pub Date : 2024-07-31 DOI: 10.1308/rcsann.2024.0042

Ye Ru Chin, David Oliver

引用次数: 0

Modified patella tendon plication in ambulant children with cerebral palsy. 在行动不便的脑瘫儿童中采用改良髌腱植入术。

IF 1.1 4区医学

Annals of the Royal College of Surgeons of England Pub Date : 2024-07-31 DOI: 10.1308/rcsann.2024.0052

A M Khan, Y Alkhalfan, A Afsharpad, M Kokkinakis

引用次数: 0

The open access juggernaut and another bastion falls. 开放存取的巨轮和另一个堡垒倒下了。

IF 1.1 4区医学

Annals of the Royal College of Surgeons of England Pub Date : 2024-07-31 DOI: 10.1308/rcsann.2024.0055

D Batura

引用次数: 0

Intra-abdominal rhabdomyosarcoma in a paediatric patient presenting as acute appendicitis. 一名表现为急性阑尾炎的儿童腹腔内横纹肌肉瘤。

IF 1.1 4区医学

Annals of the Royal College of Surgeons of England Pub Date : 2024-07-31 DOI: 10.1308/rcsann.2024.0065

M C Moolamannil, H Khan, S Karim

引用次数: 0

Revisional bariatric surgery following sleeve gastrectomy: a meta-analysis comparing Roux-en-Y gastric bypass and one anastomosis gastric bypass. 袖带胃切除术后的再减肥手术：Roux-en-Y 胃旁路术与单吻合胃旁路术的荟萃分析比较。

IF 1.1 4区医学

Annals of the Royal College of Surgeons of England Pub Date : 2024-07-31 DOI: 10.1308/rcsann.2024.0054

G Santoro, J Alfred, A Rehman, N Sheriff, H Naing, A Tandon

{"title":"Revisional bariatric surgery following sleeve gastrectomy: a meta-analysis comparing Roux-en-Y gastric bypass and one anastomosis gastric bypass.","authors":"G Santoro, J Alfred, A Rehman, N Sheriff, H Naing, A Tandon","doi":"10.1308/rcsann.2024.0054","DOIUrl":"https://doi.org/10.1308/rcsann.2024.0054","url":null,"abstract":"Introduction: The number of bariatric operations is increasing each year. Sleeve gastrectomy is the most popular procedure; however, it often requires revision surgery because of insufficient weight loss, weight regain or gastro-oesophageal reflux disease (GORD). The most popular revisional procedures are Roux-en-Y gastric bypass (RYGB) and one anastomosis gastric bypass (OAGB). The primary outcome of this meta-analysis was weight loss after revisional surgery following laparoscopic sleeve gastrectomy and the secondary outcomes were gastro-oesophageal reflux, BMI difference, operative time, bleeding and anastomotic leak.Methods: A systematic electronic search was undertaken using PubMed, MEDLINE, Ovid, Cochrane Library and Google Scholar following PRISMA guidelines. The initial search identified 2,546 articles. After screening, seven papers met the inclusion criteria: six retrospective studies and one randomised controlled trial.Results: In total, 802 patients met the inclusion criteria: 390 had an OAGB and a further 412 had an RYBG. All patients previously had a sleeve gastrectomy for weight loss. The length of follow-up was 12 months for our primary outcome. We found no statistically significant difference in excess weight loss (%EWL) between OAGB and RYGB (p = 0.11). The incidence of postoperative reflux was statistically significantly higher in the OAGB group (16% vs 10.1%, p < 0.003). Operative time was statistically significantly lower in the OAGB group (p = 0.04).Conclusions: This meta-analysis showed no statistically significant difference between the two revision bariatric surgery procedures for %EWL. RYGB was superior to OAGB in reducing the incidence of symptomatic GORD, whereas OAGB had a significant shorter operative time.","PeriodicalId":8088,"journal":{"name":"Annals of the Royal College of Surgeons of England","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2024-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141854596","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

Identifying functional cortical plasticity after spinal tumour resection using navigated transcranial magnetic stimulation. 利用导航经颅磁刺激识别脊柱肿瘤切除术后的皮质功能可塑性。

IF 1.1 4区医学

Annals of the Royal College of Surgeons of England Pub Date : 2024-07-04 DOI: 10.1308/rcsann.2024.0040

L Onyiriuka, J M Aliaga-Arias, S Patel, A Khan, K Ashkan, R Gullan, R Bhangoo, A Ahmed, G Grahovac, F Vergani, A Kailaya-Vasan, J P Lavrador

{"title":"Identifying functional cortical plasticity after spinal tumour resection using navigated transcranial magnetic stimulation.","authors":"L Onyiriuka, J M Aliaga-Arias, S Patel, A Khan, K Ashkan, R Gullan, R Bhangoo, A Ahmed, G Grahovac, F Vergani, A Kailaya-Vasan, J P Lavrador","doi":"10.1308/rcsann.2024.0040","DOIUrl":"https://doi.org/10.1308/rcsann.2024.0040","url":null,"abstract":"Our aim was to investigate the effectiveness of navigated transcranial magnetic stimulation (nTMS) brain mapping to characterise preoperative motor impairment caused by an intradural extramedullary (IDEM) tumour and postoperative cortical functional reorganisation. Preoperative and 1-year follow-up clinical, radiological and nTMS data from a case of thoracic spinal meningioma that underwent surgical resection of the lesion were collected and compared. A 67-year-old patient presented with severe progressive thoracic myelopathy (hypertonic paraparesis, clonus, insensate urinary retention) secondary to an IDEM tumour. Initial nTMS assessment showed bilateral upper limb representation with no positive responses for both lower limbs. He underwent successful surgical resection for his IDEM (meningioma WHO grade 1). At 1-year follow-up, the patient's gait was improved and his bladder function normalised. nTMS documented positive responses for both upper and lower limbs and a decrease in the area (right side: 1.01 vs 0.39cm2; left side: 1.92 vs 0.81cm2) and volume (right side: 344.2 vs 42.4uVcm2; left side: 467.1 vs 119uVcm2) of cortical activation for both upper limbs, suggesting a functional reorganisation of the motor areas after tumour resection. nTMS motor mapping and derived metrics can characterise preoperative motor deficit and cortical plasticity during follow-up after IDEM resection.","PeriodicalId":8088,"journal":{"name":"Annals of the Royal College of Surgeons of England","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2024-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141496880","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

Postoperative parathyroid hormone (PTH) is equivalent to perioperative PTH drop in predicting postsurgical hypoparathyroidism. 在预测手术后甲状旁腺功能减退症方面，术后甲状旁腺激素（PTH）与围手术期的PTH降幅相当。

IF 1.1 4区医学

Annals of the Royal College of Surgeons of England Pub Date : 2024-07-01 Epub Date: 2024-03-13 DOI: 10.1308/rcsann.2024.0001

M Hashem, C B Lim, S P Balasubramanian

{"title":"Postoperative parathyroid hormone (PTH) is equivalent to perioperative PTH drop in predicting postsurgical hypoparathyroidism.","authors":"M Hashem, C B Lim, S P Balasubramanian","doi":"10.1308/rcsann.2024.0001","DOIUrl":"10.1308/rcsann.2024.0001","url":null,"abstract":"Introduction: Postoperative surgical hypoparathyroidism (PoSH) following thyroid surgery is an established complication. Several predictive factors have been identified including perioperative parathyroid hormone (PTH) levels. The aim of the study is to compare the drop in perioperative PTH to postoperative day 1 PTH in predicting hypocalcaemia and hypoparathyroidism.Methods: Records of consecutive patients who had either total or completion thyroidectomy with or without central neck dissection in a 3-year period in a single thyroid surgery unit were accessed to retrieve data on demographics, pathology, surgery, perioperative biochemistry and management.Results: Of 295 included patients, there were 227 (76.9%) females. Forty-five (15.3%) had completion thyroidectomy, and the rest had total thyroidectomy. Seventy-eight (26.4%) had concomitant central neck dissection. Sixty-four (21.7%) had hypocalcaemia on the day after surgery. Hypoparathyroidism persisted in 10.5% of patients at 6 months. Both day 1 PTH and a drop in PTH predicted day 1 hypocalcaemia (p < 0.001) and 6-month hypoparathyroidism (p < 0.001). The area under the receiver operating characteristic (ROC) curves for day 1 PTH and drop in PTH for the prediction of day 1 hypocalcaemia (0.729 vs 0.726, respectively) and for 6-month hypoparathyroidism (0.964 vs 0.958, respectively) were similar, albeit slightly better for day 1 PTH.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.","PeriodicalId":8088,"journal":{"name":"Annals of the Royal College of Surgeons of England","volume":" ","pages":"547-552"},"PeriodicalIF":1.1,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11214856/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140118565","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0