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The −493 G/T microsomal triglyceride transfer protein polymorphism but not the −400 A/T polymorphism alters chylomicron composition in diabetesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Content Type Journal ArticleCategory Oral PresentationsDOI 10.1007/BF03170266Authors C. Phillips, Royal College of Surgeons, The Adelaide and Meath Hospital Department of Diabetes, Trinity College, Department of Biochemistry Dublin IrelandM. Bell, Royal College of Surgeons, The Adelaide and Meath Hospital Department of Diabetes, Trinity College, Department of Biochemistry Dublin IrelandD. Owens, Royal College of Surgeons, The Adelaide and Meath Hospital Department of Diabetes, Trinity College, Department of Biochemistry Dublin IrelandP. Collins, Royal College of Surgeons, The Adelaide and Meath Hospital Department of D...
Source: Irish Journal of Medical Science - November 17, 2009 Category: Journals (General) Tags: Irish Journal of Medical Science Source Type: journals

Cosmetic surgery 'needs regulation'Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Several newspapers have reported the dangers associated with cosmetic surgery, including a lack of regulation in some areas of the industry. The reports also feature warnings from Nigel Mercer, the president of the British Association of Aesthetic Plastic Surgeons, who voiced his views as part of a series of medical articles on cosmetic surgery. Mr Mercer called for tighter regulation and testing of drugs, procedures and implants to offer more protection to patients. The Times reported that the number of cosmetic surgical operations conducted by “audited members of the profession” has more than tripled to 34,000 since ...
Source: NHS News Feed - November 16, 2009 Category: Consumer Health News Tags: Medical practice Source Type: news

Consensus guidelines for the prescription and administration of oral bowel-cleansing agents publishedEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Source: Royal College of Radiologists Area: News The British Society of Gastroenterology, the British Society of Gastrointestinal and Abdominal Radiology, the Renal Association, the Royal College of Radiologists, and the Royal College of Surgeons have issued consensus guidelines for the prescription and administration of oral bowel-cleansing agents. The guidelines discuss the following: . absolute contra-indications to the use of oral bowel cleansing preparations . the choice of oral bowel cleansing agent . the administration of oral bowel cleansing agent . relative contra-indications, and c...
Source: NeLM - Surgery - November 11, 2009 Category: Surgery Source Type: organizations

Introduction to ENT Course in association with the Royal College of Surgeons of EnglandEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: NLH - ENT and Audiology - Events)
Source: NLH - ENT and Audiology - Events - November 6, 2009 Category: ENT & OMF Source Type: events

The process of orthognathic care in an NHS region.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSIONS This study is evidence of a generally acceptable standard in the process of care, which was found to followinternational and national practices. However, at the time of the study there was no regional protocol for patient records orpatient review, highlighting the need for the establishment of a regional database. PMID: 19887023 [PubMed - as supplied by publisher] (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - November 2, 2009 Category: Surgery Authors: Parbatani R, Williams A, Ireland A, Sandy J Tags: Ann R Coll Surg Engl Source Type: journals

Obesity and recovery from low back pain: a prospective study to investigate the effect of body mass index on recovery from low back pain.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSIONS This study demonstrates that BMI does not influence the overall recovery from low back pain in patients undergoingphysiotherapy treatment. PMID: 19887022 [PubMed - as supplied by publisher] (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - November 2, 2009 Category: Surgery Authors: Mangwani J, Giles C, Mullins M, Salih T, Natali C Tags: Ann R Coll Surg Engl Source Type: journals

Conservatively treated massive prolapsed discs: a 7-year follow-up.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSIONS A massive disc herniation can pursue a favourable clinical course. If early progress is shown, the long-termprognosis is very good and even massive disc herniations can be treated conservatively. PMID: 19887021 [PubMed - as supplied by publisher] (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - November 2, 2009 Category: Surgery Authors: Benson R, Tavares S, Robertson S, Sharp R, Marshall R Tags: Ann R Coll Surg Engl Source Type: journals

The incidence of epidural abscess following epidural analgesia in open abdominal aortic aneurysm repair.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSIONS The incidence of epidural abscess following epidural analgesia in patients undergoing open AAA repair withinour department was 0.48%. Although a rare complication, epidural abscess can cause significant morbidity. Epidural abscessesrarely develop before the third postoperative day. PMID: 19887020 [PubMed - as supplied by publisher] (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - November 2, 2009 Category: Surgery Authors: Wallace D, Bright E, London N Tags: Ann R Coll Surg Engl Source Type: journals

The early history of endoscopic correction of vesicoureteric reflux: the Dublin contributionEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Content Type Journal ArticleCategory Letter to the EditorsDOI 10.1007/s11845-009-0375-8Authors E. J. Guiney, Royal College of Surgeons in Ireland Department of Anatomy 123 St. Stephen’s Green Dublin 2 IrelandR. J. Fitzgerald, Royal College of Surgeons in Ireland Department of Anatomy 123 St. Stephen’s Green Dublin 2 Ireland Journal Irish Journal of Medical ScienceOnline ISSN 1863-4362Print ISSN 0021-1265 (Source: Irish Journal of Medical Science)
Source: Irish Journal of Medical Science - October 27, 2009 Category: Journals (General) Tags: Irish Journal of Medical Science Source Type: journals

The role of apoptotic cell death in cardiovascular diseaseEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract Background Programmed cell death, or apoptesis, is a distinct, managed form of cell death. It is fundamentally different from necrosis. It is a genetically controlled, energy-dependent method of cellular deletion without inflammation. In the cardiovascular system, apoptosis occurs as a primary and secondary event in disease pathogenesis. This review addresses our current understanding of the initiation, propagation and significance of apoptosis in the cardiovascular system, as well as assessing therapeutic potentials arising therefrom. Methods A Medline search was performed and re...
Source: Irish Journal of Medical Science - October 22, 2009 Category: Journals (General) Tags: Irish Journal of Medical Science Source Type: journals

Genes, giants and pickling jarsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Biomedical collections, including the paintings and objects in the Hunterian Museum, can provide a rich source of inspiration for fiction-writers. Novelist and former scientist Ann Lingard will talk about the fun and the challenges of researching the science behind her latest novel, The Embalmer’s Book of Recipes – research that ranged from the work of the anatomists Frederik Ruysch and the Hunter brothers, to genetic diagnosis and the patterns of quasicrystals. Venue: Hunterian Museum at the Royal College of Surgeons Start date: Tue, 27 Oct 2009 13:00:00 +0000 End date: Tue, 27 Oct 2009 14:00:00 +0000 (Source:...
Source: Nature Network London - Upcoming Events - October 14, 2009 Category: Science Source Type: events

Working time directive costs lives, says studyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Cuts in doctors’ working hours to meet EU rules could be costing lives, a study by the Royal College of Surgeons has claimed. (Source: Nursing Times Breaking News)
Source: Nursing Times Breaking News - October 12, 2009 Category: Nursing Source Type: news

Working time directive costs lives - RCS studyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Cuts in doctors’ working hours to meet EU rules could be costing lives, a study by the Royal College of Surgeons has claimed. (Source: HSJ)
Source: HSJ - October 12, 2009 Category: UK Health Source Type: info

Patients 'at risk' from 48-hour working week for doctorsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The Royal College of Surgeons says the EU Working Time Directive is interfering with patient care in the NHS. (Source: the Mail online | Health)
Source: the Mail online | Health - October 12, 2009 Category: Consumer Health News Source Type: news

EU rules on doctors' hours 'killing patients'Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CUTTING doctors' working hours in line with EU rules is costing lives, according to evidence from the Royal College of Surgeons. (Source: Scotsman.com News - Health)
Source: Scotsman.com News - Health - October 10, 2009 Category: Consumer Health News Source Type: news

First Irish delivery following sequential, two-stage embryo and blastocyst transferEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions While combined day-3 and day-5 ET has been available elsewhere for several years, this is the first description of its successful application in Ireland and confirms the effectiveness of coordinated two-stage transfer in a single IVF treatment cycle. Content Type Journal ArticleCategory Case ReportDOI 10.1007/s11845-009-0430-5Authors L. H. Hayrinen, Royal College of Surgeons in Ireland Department of Obstetrics and Gynaecology, School of Medicine Dublin IrelandE. S. Sills, The Sims Institute/Sims International Fertility Clinic Rosemount Hall, Dundrum Road, Dundrum Dublin 14 IrelandA. O. Foga...
Source: Irish Journal of Medical Science - October 8, 2009 Category: Journals (General) Tags: Irish Journal of Medical Science Source Type: journals

Comment on: Procedure-specific consent forms.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19833023 [PubMed - in process] (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - September 30, 2009 Category: Surgery Authors: McIlwain JC Tags: Ann R Coll Surg Engl Source Type: journals

Authors' Response: Procedure-specific consent forms in surgery: more than 'sign on the dotted line'.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
ge of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - September 30, 2009 Category: Surgery Authors: Authors' Response: Procedure-specific consent forms in surgery: more than 'sign on the dotted line'. Tags: Ann R Coll Surg Engl Source Type: journals

Comment on: Hypocalcaemia following total thyroidectomy.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19833021 [PubMed - in process] (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - September 30, 2009 Category: Surgery Authors: Parameswaran R Tags: Ann R Coll Surg Engl Source Type: journals

Comment on: Needlestick injury management - what's the solution?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19833020 [PubMed - in process] (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - September 30, 2009 Category: Surgery Authors: McCann PA Tags: Ann R Coll Surg Engl Source Type: journals

An interesting and unusual case of incontinence.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19833019 [PubMed - in process] (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - September 30, 2009 Category: Surgery Authors: Perry JM, Allardice JT Tags: Ann R Coll Surg Engl Source Type: journals

Comment on: Doctors' attitude towards the use of chaperones for intimate examinations.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19833018 [PubMed - in process] (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - September 30, 2009 Category: Surgery Authors: Khoo A, Wiseman O Tags: Ann R Coll Surg Engl Source Type: journals

Technical Section: Technical notes & tips.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Technical Section: Technical notes & tips. Ann R Coll Surg Engl. 2009 Oct;91(7):617-25 Authors: Campbell B PMID: 19833017 [PubMed - in process] (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - September 30, 2009 Category: Surgery Authors: Campbell B Tags: Ann R Coll Surg Engl Source Type: journals

CORESS Feedback.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Authors: PMID: 19833016 [PubMed - in process] (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - September 30, 2009 Category: Surgery Tags: Ann R Coll Surg Engl Source Type: journals

New online only case reports.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Authors: PMID: 19833015 [PubMed - in process] (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - September 30, 2009 Category: Surgery Tags: Ann R Coll Surg Engl Source Type: journals

Penetrating missile injuries during the Iraqi insurgency.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSIONS: The current insurgency in Iraq illustrates the likely evolution of modern, low-intensity, urban conflict. Improvised explosive devices employed against both military and civilian targets have become a major cause of injury. With the current global threat from terrorist bombings, both military and civilian surgeons should be aware of the spectrum and emergent management of the injuries caused by these weapons. PMID: 19833014 [PubMed - in process] (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - September 30, 2009 Category: Surgery Authors: Ramasamy A, Harrisson SE, Stewart MP, Midwinter M Tags: Ann R Coll Surg Engl Source Type: journals

Optimal treatment for hepatocellular carcinoma in the cirrhotic liver.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19833013 [PubMed - in process] (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - September 30, 2009 Category: Surgery Authors: Dehn T, White SA, Manas DM, Farid SG, Prasad KR Tags: Ann R Coll Surg Engl Source Type: journals

Laparoscopic colorectal surgery: summary of the current evidence.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSIONS: Laparoscopic colorectal surgery proved to be safe, cost-effective and with improved short-term outcomes. However, further studies are needed to assess the role of laparoscopic rectal cancer surgery and the value of enhanced recovery protocols in patients undergoing laparoscopic colorectal resections. PMID: 19833012 [PubMed - in process] (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - September 30, 2009 Category: Surgery Authors: Aly EH Tags: Ann R Coll Surg Engl Source Type: journals

Squamous cell carcinoma presenting as peri-implantitis: a case report.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We describe the case of a 62-year-old woman who presented with a white patch in the oral cavity, diagnosed to be a squamous cell carcinoma. She underwent extensive surgery including microvascular reconstruction, followed by implant rehabilitation. Unfortunately, she suffered from multiple episodes of peri-implantitis and later on went on to develop oral squamous cell carcinoma around two of the dental implants. Here, we highlight the importance of regular follow-up and maintaining a high index of suspicion in high-risk patients. PMID: 19833011 [PubMed - in process] (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - September 30, 2009 Category: Surgery Authors: Gulati A, Puthussery FJ, Downie IP, Flood TR Tags: Ann R Coll Surg Engl Source Type: journals

Superior mesenteric artery syndrome in association with an abdominal aortic aneurysm.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We report the case of a male patient presenting with an AAA and recurrent upper gastrointestinal symptoms. SMA syndrome was diagnosed with imaging and was then successfully treated by aneurysm repair. This is the smallest AAA associated with SMA syndrome in the literature. We propose an anatomical mechanism for SMA syndrome in this case. PMID: 19833010 [PubMed - in process] (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - September 30, 2009 Category: Surgery Authors: Pal A, Cameron AE Tags: Ann R Coll Surg Engl Source Type: journals

Slipped upper femoral epiphysis - a case of a 'dodgem hip'.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
A 15-year-old male patient of slim habitus presented three times over 3 days to the emergency department. Four weeks prior to the first attendance, he apparently injured his left knee in a sudden jolt whilst going on a 'bumper car' (dodgems) at a funfair. Since this incident, he had walked with a limp due to the pain in his left knee. He had sustained a slipped upper femoral epiphysis (SUFE) through this unusual mechanism of injury. PMID: 19833009 [PubMed - in process] (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - September 30, 2009 Category: Surgery Authors: Thavarajah D, Maroju RS, Narayanaswamy L Tags: Ann R Coll Surg Engl Source Type: journals

Gamma probe radioguided parathyroid forearm surgery in recurrent hyperparathyroidism.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
A case is described of a successful radioguided forearm graft parathyroidectomy. This is the first report of both pre-operative diagnostic and successful intra-operative localisation during a single procedure, of autologous transplanted parathyroid tissue. PMID: 19833008 [PubMed - in process] (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - September 30, 2009 Category: Surgery Authors: Cutress RI, Manwaring-White C, Dixon K, Dhir A, Skene AI Tags: Ann R Coll Surg Engl Source Type: journals

The barrel and cuff technique for a bloodless field.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The barrel and cuff technique for a bloodless field. Ann R Coll Surg Engl. 2009 Oct;91(7):625 Authors: Mitchell T, Hignett S, Chandrasekar R PMID: 19842258 [PubMed - in process] (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - September 30, 2009 Category: Surgery Authors: Mitchell T, Hignett S, Chandrasekar R Tags: Ann R Coll Surg Engl Source Type: journals

A modified switching stick technique to facilitate portal access in elbow arthroscopy.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
A modified switching stick technique to facilitate portal access in elbow arthroscopy. Ann R Coll Surg Engl. 2009 Oct;91(7):624 Authors: Duggan PJ, Theivendran K, Shah MM PMID: 19842257 [PubMed - in process] (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - September 30, 2009 Category: Surgery Authors: Duggan PJ, Theivendran K, Shah MM Tags: Ann R Coll Surg Engl Source Type: journals

Accurate injection of small joints--a useful technique.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Accurate injection of small joints--a useful technique. Ann R Coll Surg Engl. 2009 Oct;91(7):623-4 Authors: Robati S, Ardolino A, Walsh SP PMID: 19842256 [PubMed - in process] (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - September 30, 2009 Category: Surgery Authors: Robati S, Ardolino A, Walsh SP Tags: Ann R Coll Surg Engl Source Type: journals

The use of non-adhesive skin traction to prevent distal migration of a cylinder cast.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The use of non-adhesive skin traction to prevent distal migration of a cylinder cast. Ann R Coll Surg Engl. 2009 Oct;91(7):621-3 Authors: Patel S, Colaco H, Lee MH PMID: 19842255 [PubMed - in process] (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - September 30, 2009 Category: Surgery Authors: Patel S, Colaco H, Lee MH Tags: Ann R Coll Surg Engl Source Type: journals

The cut-down 1-ml syringe--an excellent improvised drill sleeve.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The cut-down 1-ml syringe--an excellent improvised drill sleeve. Ann R Coll Surg Engl. 2009 Oct;91(7):621 Authors: Rodger M, Davis J PMID: 19842254 [PubMed - in process] (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - September 30, 2009 Category: Surgery Authors: Rodger M, Davis J Tags: Ann R Coll Surg Engl Source Type: journals

A handy hint in using an image intensifier during wrist and hand surgery.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
A handy hint in using an image intensifier during wrist and hand surgery. Ann R Coll Surg Engl. 2009 Oct;91(7):620-1 Authors: Redfern D, Sloan A, Wilkins S PMID: 19842253 [PubMed - in process] (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - September 30, 2009 Category: Surgery Authors: Redfern D, Sloan A, Wilkins S Tags: Ann R Coll Surg Engl Source Type: journals

Enterocutaneous fistula stent.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19842252 [PubMed - in process] (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - September 30, 2009 Category: Surgery Authors: Alexander RJ, Nash GF Tags: Ann R Coll Surg Engl Source Type: journals

Rapid splintage of acute long-bone fractures.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19842251 [PubMed - in process] (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - September 30, 2009 Category: Surgery Authors: Putnis S Tags: Ann R Coll Surg Engl Source Type: journals

A useful reconstruction arrangement following Whipple's resection for patients with familial adenomatous polyposis.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19842250 [PubMed - in process] (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - September 30, 2009 Category: Surgery Authors: Liau SS, Jah A, Huguet E, Jamieson N, Praseedom R Tags: Ann R Coll Surg Engl Source Type: journals

Cost-effective laparoscopic cholecystectomy.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSIONS This study has demonstrated that considerable savings occur with a policy of minimal use of disposable equipmentfor LC. Using a disposable set, the instrument costs per procedure is 6.4 times greater than the cost of using re-usableLC sets. It behoves surgeons to be cost-effective and to reduce unnecessary expenditure and wastage. There is no evidence tosupport use of once-only laparoscopic instruments on grounds of patient safety, ease of use or transmission of infection. If thesavings identified in this study of two surgeons' work (savings of pound484,861.84 in a 7-year period) was extended not onlyacross the...
Source: Annals of the Royal College of Surgeons of England - September 24, 2009 Category: Surgery Authors: Slater M, Booth M, Dehn T Tags: Ann R Coll Surg Engl Source Type: journals

Ritual circumcision: no longer a problem for health services in the British Isles.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSIONS PCT funding withdrawal for ritual circumcision had an impact on our unit's procedural case volume. This representeda cost saving to the trust, despite a higher rate of admissions for postoperative complications. There is an inequality inhealthcare provision throughout the British Isles for ritual circumcision, and we feel it is vital to offer support and training tomedical and non-medical practitioners who are being asked to perform a greater number of circumcisions in the community. PMID: 19785945 [PubMed - as supplied by publisher] (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - September 24, 2009 Category: Surgery Authors: Atkin G, Butler C, Broadhurst J, Khan A, Nataraj R, Madden N, Haddad M, Clarke S Tags: Ann R Coll Surg Engl Source Type: journals

Initial experience of laparostomy with immediate vacuum therapy in patients with severe peritonitis.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSIONS Laparostomy with immediate intraperitoneal VAC therapy is a robust and effective system to manage patientswith intra-abdominal catastrophes. There were significantly improved outcomes compared to the mortality predicted byP-POSSUM scores. Damage control surgery with laparostomy formation and intra-abdominal VAC therapy should be consideredin patients with severe peritonitis. PMID: 19785944 [PubMed - as supplied by publisher] (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - September 24, 2009 Category: Surgery Authors: Horwood J, Akbar F, Maw A Tags: Ann R Coll Surg Engl Source Type: journals

The central urology multidisciplinary team - is it time to change the referral criteria? An audit of practice in a district general hospital in London.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSIONS This audit suggests that the Central MDT plays a useful role in the decision-making process for bladder andkidney cancers, and helps determine eligibility for clinical trials in metastatic prostate cancer patients. Its value over the LocalMDT alone in the decision-making process for non-metastatic prostate cancer is questionable. PMID: 19785943 [PubMed - as supplied by publisher] (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - September 24, 2009 Category: Surgery Authors: Sooriakumaran P, Dick JA, Thompson AC, Morley R Tags: Ann R Coll Surg Engl Source Type: journals

Local anaesthetic inguinal hernia repair performed under supervision: early and long-term outcomes.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSIONS Local anaesthetic inguinal hernia repair can be performed safely by surgical trainees under consultant supervisionwith minimal short- and long-term morbidity. A large volume dilute solution of Lignocaine and Marcaine is recommendedwhen hernia repair is undertaken by trainees. PMID: 19785942 [PubMed - as supplied by publisher] (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - September 24, 2009 Category: Surgery Authors: Sanjay P, Woodward A Tags: Ann R Coll Surg Engl Source Type: journals

Systematic review of internal hernia formation following laparoscopic left nephrectomy.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This is the first identifiable description where internal herniation following laparoscopic left nephrectomy necessitatedgangrenous small intestinal resection; similar cases and prevention are discussed. PMID: 19785941 [PubMed - as supplied by publisher] (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - September 24, 2009 Category: Surgery Authors: Cox R, Dalatzui N, Hrouda D, Buchanan GN Tags: Ann R Coll Surg Engl Source Type: journals

Three-year audit and cost assessment of open abdominal aortic aneurysm repair in a district general hospital.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSIONS Morbidity and mortality in this district general hospital compare well with national studies; however, the totalcost is far in excess of the national tariff. PMID: 19785940 [PubMed - as supplied by publisher] (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - September 24, 2009 Category: Surgery Authors: Kafsi JE, Wake J, Lintott P, Northeast A, McLaren A Tags: Ann R Coll Surg Engl Source Type: journals

Waiting time to lymph node biopsy is dependent on referral method: don't write, phone!Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSIONS In this study, 43% of biopsies revealed malignancy and we advise that lymph node biopsy requests should bemanaged on a fast-track pathway, expedited by direct personal request. Following this study, we have implemented a fast-trackpathway for such patients. PMID: 19785939 [PubMed - as supplied by publisher] (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - September 24, 2009 Category: Surgery Authors: Pannick S, Clark CI Tags: Ann R Coll Surg Engl Source Type: journals

Update experience of surgery for acute limb ischaemia in a district general hospital - are we getting any better?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSIONS Despite improvements in pre- and peri-operative management, arterial embolectomy/thrombectomy remains aprocedure with a high morbidity and mortality. Further attempts to improve outcome must be directed at early diagnosis andreferral as delay from symptom onset to surgery is a major determinant of outcome. PMID: 19785938 [PubMed - as supplied by publisher] (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - September 24, 2009 Category: Surgery Authors: Morris-Stiff G, D'Souza J, Raman S, Paulvannan S, Lewis M Tags: Ann R Coll Surg Engl Source Type: journals