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

A rare case of extramedullary plasmacytoma in the breast - an incidental finding in a 100-year-old following a fall. 一例罕见的乳腺髓外浆细胞瘤——在一位跌倒后的100岁老人中偶然发现。

IF 2 4区医学

Annals of the Royal College of Surgeons of England Pub Date : 2026-07-01 Epub Date: 2025-10-01 DOI: 10.1308/rcsann.2025.0068

C C Gregory, R M Parks, N Srajagopal, E Gutteridge

引用次数: 0

Cholecysto-duodenal and cholecysto-colic fistulae identified intraoperatively during laparoscopic cholecystectomy in a surgical hub. 腹腔镜胆囊切除术术中发现胆囊十二指肠瘘和胆囊结肠瘘。

IF 2 4区医学

Annals of the Royal College of Surgeons of England Pub Date : 2026-07-01 Epub Date: 2025-07-15 DOI: 10.1308/rcsann.2025.0054

C R Smith, A Valnarov-Boulter, R Kerwat

引用次数: 0

The oral and maxillofacial surgery training pathway in India. 印度口腔颌面外科培训路径。

IF 2 4区医学

Annals of the Royal College of Surgeons of England Pub Date : 2026-07-01 Epub Date: 2025-11-26 DOI: 10.1308/rcsann.2025.0097

V Sahni

引用次数: 0

Artificial urinary sphincter surgery in the UK: are we following the guidelines? 英国的人工尿道括约肌手术：我们是否遵循指南？

IF 2 4区医学

Annals of the Royal College of Surgeons of England Pub Date : 2026-07-01 Epub Date: 2025-12-15 DOI: 10.1308/rcsann.2025.0104

N R Bhatt, R Doherty, S Biers, C Harding, N Thiruchelvam, M Belal, A Sahai, H Hashim

{"title":"Artificial urinary sphincter surgery in the UK: are we following the guidelines?","authors":"N R Bhatt, R Doherty, S Biers, C Harding, N Thiruchelvam, M Belal, A Sahai, H Hashim","doi":"10.1308/rcsann.2025.0104","DOIUrl":"10.1308/rcsann.2025.0104","url":null,"abstract":"Introduction: Artificial urinary sphincter (AUS) is a guideline-recommended treatment for male stress urinary incontinence. Despite its widespread use, it is thought that there is no standardisation in AUS practice. This study aims to report current AUS insertion practices in the UK and highlight any discrepancies.Methods: A REDCap survey was conducted under the British Association of Urological Surgeons (BAUS) Section of Female, Neurological, and Urodynamic Urology, and reported using the CHERRIES checklist. Outcomes were framed using the International Continence Society (ICS) document and recent BAUS consensus document.Results: The survey received 34 responses (response rate: 44-94%). Most respondents (80%) used video-urodynamics and patient-reported outcomes in patient workup. Loss of compliance on urodynamics was the most common contraindication, and detrusor overactivity was often treated before AUS surgery. Perioperative preparation and implantation techniques varied significantly from the ICS document, as did complication management.Conclusions: The reported variation may result from local or national influences, a lack of high-quality evidence and divergent surgical training. This variability impacts the heterogeneity of outcomes and their reporting. Future efforts should focus on adopting the new national consensus to standardise practice, improving training curricula, researching the effects of variability on surgical outcomes and enhancing the quality of evidence in this field.","PeriodicalId":8088,"journal":{"name":"Annals of the Royal College of Surgeons of England","volume":" ","pages":"457-464"},"PeriodicalIF":2.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13318461/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145755034","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

Health tourism in limb reconstruction - a recognised burden on the NHS. 肢体重建中的健康旅游——NHS的公认负担。

IF 1.7 4区医学

Annals of the Royal College of Surgeons of England Pub Date : 2026-06-02 DOI: 10.1308/rcsann.2026.0040

P Calder, T Wildegger, A Trompeter, J Wright, D Goodier, E Tissingh

{"title":"Health tourism in limb reconstruction - a recognised burden on the NHS.","authors":"P Calder, T Wildegger, A Trompeter, J Wright, D Goodier, E Tissingh","doi":"10.1308/rcsann.2026.0040","DOIUrl":"https://doi.org/10.1308/rcsann.2026.0040","url":null,"abstract":"Introduction: There has been an increase in patients travelling from the UK abroad for limb-lengthening surgery. Often patients return to the UK for rehabilitation. Complications are challenging and can require major surgery to correct. The aim of this study is to identify patients returning from abroad following limb reconstruction surgery and estimate the financial cost to the NHS.Methods: All patients referred following limb-lengthening surgery abroad since 2021 were included in the study. Seven patients were identified. Six underwent bilateral femoral cosmetic lengthening, and one lengthening of femur, tibia and foot for congenital deficiency. Total Patient Income, calculated by the total number of contacts in the Trust, subtracted from Total Patient Costs provided a net contribution.Results: All patients required physiotherapy. Two patients required major surgery for complications, a quadricepsplasty for severe knee stiffness and sequential removal of bilateral broken Femoral Precice nails with renailing for poor bone regenerate. Overall, only one patient contributed a positive income to the Trust, the remaining patients created a loss of -£36,448.Conclusions: Cosmetic limb-lengthening surgery abroad is attractive to many, but rehabilitation is required to gain the optimal outcome. Undertaken back in the UK this requires resources, increased hugely if there are associated complications that require further surgical treatment. Patient education with full understanding of the consequences of surgery and rehabilitative process remains a challenge, which can lead to poor outcomes and need for further surgery to help restore function, leading to increased cost to the NHS.","PeriodicalId":8088,"journal":{"name":"Annals of the Royal College of Surgeons of England","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2026-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148148322","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

Response to trust, truth and transparency: analysing the references underpinning AI-generated surgical information. 对信任、真相和透明度的回应：分析人工智能生成的外科信息的参考文献。

IF 1.7 4区医学

Annals of the Royal College of Surgeons of England Pub Date : 2026-06-01 DOI: 10.1308/rcsann.2026.0043

H Daungsupawong, V Wiwanitkit

引用次数: 0

Gender-based trends in oral and maxillofacial surgery. 基于性别的口腔颌面外科趋势。

IF 1.7 4区医学

Annals of the Royal College of Surgeons of England Pub Date : 2026-06-01 DOI: 10.1308/rcsann.2026.0027

V Sahni

引用次数: 0

Improving on-call efficiency: impact of the orthopaedic grab-bag in major trauma centres and trauma units. 提高随叫随到的效率：在主要创伤中心和创伤单位的骨科抓包的影响。

IF 1.7 4区医学

Annals of the Royal College of Surgeons of England Pub Date : 2026-06-01 DOI: 10.1308/rcsann.2026.0045

R Datta, P Obaleye, S Ahmad, S Mahmoud, C Morris, K Vemulapalli, J Wong, A Vusirikala, L Li

{"title":"Improving on-call efficiency: impact of the orthopaedic grab-bag in major trauma centres and trauma units.","authors":"R Datta, P Obaleye, S Ahmad, S Mahmoud, C Morris, K Vemulapalli, J Wong, A Vusirikala, L Li","doi":"10.1308/rcsann.2026.0045","DOIUrl":"https://doi.org/10.1308/rcsann.2026.0045","url":null,"abstract":"Introduction: Outlier patients - those residing in a ward outside that of the specialty caring for them - often experience delays due to lack of specialty-specific equipment. This study evaluated whether introducing a portable Orthopaedic 'Grab Bag' containing essential equipment improved the efficiency of reviewing and treating Orthopaedic outlier patients in a major trauma centre (MTC) and a trauma unit (TU).Methods: A prospective study was conducted at both a London MTC and a TU. Equipment retrieval times for common Orthopaedic procedures (including removal of plaster backslabs, removal of staples from a wound, joint aspiration, wound suturing, application of a polysling, skin traction) were measured under two conditions: standard collection versus use of a prepacked Orthopaedic Grab Bag. The primary outcome was total equipment retrieval time.Results: At the MTC, modal retrieval time decreased from 5-10 minutes to 0-5 minutes post-implementation, with no retrievals exceeding 10 minutes (previously up to 30 minutes). The proportion completed within 5 minutes rose from 21.7% to 64.3%. At the TU, pre-intervention 50% of retrievals were completed within 5 minutes and 15.3% exceeded 10 minutes; post-intervention, all were completed within 5 minutes. The greatest improvements were seen in removal of plaster backslabs (437 seconds faster), polysling application (432 seconds faster) and staple removal from wounds (358 seconds faster).Conclusions: Implementation of an Orthopaedic Grab Bag improved equipment retrieval efficiency significantly in both MTC and TU settings. This low-cost, scalable intervention enhances the timeliness of Orthopaedic outlier care.","PeriodicalId":8088,"journal":{"name":"Annals of the Royal College of Surgeons of England","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148136522","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

Innovation to construct an effective abdominal retractor for complicated HPB surgeries: during the Sudan armed conflict. 用于复杂HPB手术的有效腹部牵开器的创新：在苏丹武装冲突期间。

IF 1.7 4区医学

Annals of the Royal College of Surgeons of England Pub Date : 2026-06-01 DOI: 10.1308/rcsann.2025.0128

W E Abdelrahim, M D Gismalla

引用次数: 0

Response to recent technical tip describing screw length measurement technique. 对最近关于螺杆长度测量技术的技术提示的回应。

IF 1.7 4区医学

Annals of the Royal College of Surgeons of England Pub Date : 2026-06-01 DOI: 10.1308/rcsann.2026.0042

L Boyce, S Pywell, R Manton, A Tan, P Goon

引用次数: 0