Surgical Services: Recent submissions
Now showing items 1-20 of 784
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Giant hiatus hernia presenting as a chronic cough masking a sinister diagnosis.
(BMJ, 2020-12-10)We present a case of an 82-year-old gentleman with an 18-month history of productive cough. Urgent CT scan of the thorax revealed type 1 hiatus hernia (HH). The patient was managed conservatively with lifestyle modifications ... -
Hierarchical regression of ASA prediction model in predicting mortality prior to performing emergency laparotomy a systematic review.
(Elsevier, 2020-12-01)BACKGROUND: In light of increasing litigations around performing emergency surgery, various predictive tools are used for prediction of mortality prior to surgery. There are many predictive tools reported in literature, ... -
Patella Height as Defined by Patella-Trochlear Articulation on MRI Scan-A Systemic Review of Current Evidence.
(Thieme, 2020-12-01)The objective of this study is to investigate what are the normal values, cutoff values, and optimal method of magnetic resonance imaging (MRI) scan for patella height focusing on patella-trochlear index (PTI). Electronic ... -
Extramammary Borderline Phyllodes Tumor Presenting as an Umbilical Mass.
(SAGE, 2020-12-21)Phyllodes tumors (PTs) represent a spectrum of rare, fibroepithelial neoplasms of the breast, which can be subcategorized as benign, borderline, or malignant based on their histological appearance. Accessory breast tissue ... -
Retrospective analysis of two weeks wait referrals to the head and neck outpatient clinics: trend and outcome of five years data
(Elsevier, 2020-12-01)Introduction: The Royal Devon and Exeter Hospital is a head and neck cancer. Increasing pressures on the head and neck oncology team led us to further investigate the rise in both referrals and number of cancers. -
Getting it right first time
(Elsevier, 2020-12-01)Following a recent review of practice by a GIRFT team at our unit, the subsequent speciality feedback report, assessing data between April 2014 and March 2016, highlighted a higher than average rate of 30 and 90 day ... -
Surgical Fluid Prescribing: When Are the Last Orders
(PubMed Central, 2020-11-01)Introduction Inappropriate fluid prescriptions result in excess morbidity and mortality in surgical patients. The majority of prescriptions are done by foundation year one doctors (FY1s) despite repeated evidence of poor ... -
Urgent Arthroplasty Interventions During the COVID-19 Pandemic: Operating Risks in Low-Prevalence Areas.
(PubMed Central, 2020-12-21)Background and objective Orthopaedic services have reorganised their delivery of care in response to the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic. In this study, we aimed to share our operating ... -
Ventilation bundle compliance in two Australian intensive care units: An observational study
(Elsevier Science, 2021-07)Background: The ventilation bundle has been used in adult intensive care units to decrease harm and improve quality of care for mechanically ventilated patients. The ventilation bundle focuses on prevention of specific ... -
Suspected appendicitis and COVID-19, a change in investigation and management-a multicentre cohort study
(Springer, 2021-03)Purpose: The COVID-19 pandemic has reformed global healthcare delivery. On 25 March 2020, Intercollegiate guidelines were published in the UK to promote safe surgical provision during the COVID-19 outbreak advocating ... -
Robotic-Assisted Patellofemoral Replacement-Correlation of Preoperative Planning with Intraoperative Implant Position and Early Clinical Experience: A Minimum 2-Year Follow-up
(Thieme Medical Publishers, 2020-10-30)Patello-femoral arthroplasty (PFA) is successful in a selected group of patients and yields a good functional outcome. Robotic-assisted knee arthroplasty has been shown to provide better implant positioning and alignment. ... -
Periprosthetic joint infection in the knee - Criteria for the management of PJI
(Elsevier Science, 2020-12) -
Patellotrochlea Index in Normal Healthy Knees
(Thieme Medical Publishers, 2020-11-23)Patella alta is a common and significant abnormality responsible for many patellofemoral joint-related conditions. Many methods of patella height measurements are described; however, patellotrochear index (PTI) is the most ... -
Effects of exenatide on microvascular reactivity in patients with type 2 diabetes and coronary artery disease: A randomized controlled study
(Wiley, 2021-02)This article is available to RD&E staff via NHS OpenAthens. Click on the Publisher URL, and log in with NHS OpenAthens if prompted. -
Neoadjuvant chemotherapy plus radical cystectomy versus radical cystectomy alone in clinical T2 bladder cancer without hydronephrosis
(Wiley, 2020-11-05)Objectives: To assess the efficacy of neoadjuvant chemotherapy (NAC) before radical cystectomy (RC) in a retrospective multicentre cohort of patients with cT2N0M0 bladder cancer (BCa) without preoperative hydronephrosis. ... -
Hernia research from bench to bed side or "panta rhei in troubled times"
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The choice of treatments for varicose veins: A study in trade-offs
(Atypon, 2020-10) -
Root-cause analyses of missed opportunities for the diagnosis of colorectal cancer in patients with inflammatory bowel disease
(Wiley, 2021-01)Background: Colonoscopic surveillance in patients with inflammatory bowel disease (IBD) leads to earlier detection of colorectal cancer (CRC) and reduces CRC-associated mortality. However, it is limited by poor adherence ... -
Evaluation of Nd:YAG Laser Capsulotomy Rates in a Real-Life Population
(Dove Medical Press, 2020-10-13)Objective: The objective of this study was to assess the rate of posterior capsule opacification (PCO), under "real-life" conditions, as measured by rates of Nd:YAG laser intervention, rather than from a controlled study ... -
Staged meniscal allograft transplantation as a biologic treatment of the meniscal deficient knee: A prospective case series of 26 patients with maximum 88-month follow-up
(Elsevier Science, 2020-10)Introduction: The meniscal deficient knee often exists within the setting of associated pathology including instability, malalignment and chondral injury. The aim of this study was to establish the role of meniscal allograft ...