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Retroperitoneal haematoma in a postoperative ALIF patient taking rivaroxaban for atrial fibrillation.
(Springer, 2016-11-02)Novel oral anticoagulants (NOACs) are being increasingly used in the secondary prevention of thromboembolic stroke in patients with atrial fibrillation. Patients taking NOACs are difficult to manage perioperatively, and ... -
Books: ABC of Clinical Reasoning: Sound and Rational Decision Making.
(Royal College of General Practitioners, 2017-03) -
Iodine deficiency amongst pregnant women in South-West England.
(Wiley, 2016-11-02)Iodine deficiency in pregnancy may impair foetal neurological development. The UK population is generally thought to be iodine sufficient; however recent studies have questioned this assumption. Our study aimed to explore ... -
Psoriasis management: patient feedback and healthcare limitations
(SciTechnol, 2016-07-14)Background: Psoriasis is a lifelong, incurable, disfiguring skin disease. It has been associated with metabolic and psychological comorbidities and up to one third of patients developed psoriatic arthritis. The management ... -
The Case for Oxygen in Global Surgical Care.
(Springer, 2016-03-03) -
Incomplete cauda equina syndrome secondary to haemorrhage within a Tarlov cyst.
(BMJ, 2017-08-07)Sacral perineural (Tarlov) cysts are benign, cerebrospinal fluid containing lesions of the spinal nerve root sheath. They are usually asymptomatic; however, a small proportion have the potential to cause compression of ... -
Incisional hernia repair with retrorectus synthetic mesh and abdominoplasty- a video vignette.
(Wiley, 2017-01-21)Incisional hernia is a common complication following both stoma trephine [1] and laparotomy for colorectal resection [2]. Resultant pain, obstruction or impaired mobility are all indications for surgical repair, which is ... -
Pelvic Floor Reconstruction with Bilateral Gracilis Flaps Following Extralevator Abdominoperineal Excision: A video Vignette.
(WIley, 2017-10-20)The patient in this video was diagnosed with a locally invasive rectal carcinoma and had received neoadjuvant chemoradiotherapy prior to surgery. The defect seen on the right results from the abdominoperineal excision, ... -
Factors determining penetrance in familial atypical haemolytic uraemic syndrome
(BMJ, 2014-11-01)BACKGROUND: Inherited abnormalities of complement are found in approximately 60% of patients with atypical haemolytic uraemic syndrome (aHUS). Such abnormalities are not fully penetrant. In this study, we have estimated ... -
Are we seeing the effects of public awareness campaigns? A 10-year analysis of Breslow thickness at presentation of malignant melanoma in the South West of England
(Elsevier, 2014-03-01)INTRODUCTION: The last 20 years has seen a marked improvement in skin cancer awareness campaigns. We sought to establish whether this has affected the presenting Breslow thickness of malignant melanoma in the South West. ...