Division of Surgery

Treatment for complex anal fistula, are we any wiser?

Schlichtemeier, S; Tou, Samson (2018-12)

Index Admission Emergency Laparoscopic Cholecystectomy and Common Bile Duct Exploration: Results From a Specialist Center in the United Kingdom.

Stewart, Sabrina; Malone, Nicholas; McTaggart, Eleanor; Leeder, Paul; Bhatti, Imran; Awan, Altaf (2018-12)

BACKGROUND: The incidence of common bile duct (CBD) stones is between 10% to 18% in people undergoing cholecystectomy for gallstones. Laparoscopic exploration of the CBD is now becoming routine practice in the elective ...

New Technologies for Sentinel Lymph Node Detection.

Goyal, Amit (2018-10)

The 'standard of care' method for sentinel node mapping is the combination technique using radioisotope and blue dye although some centres use radioisotope or blue dye alone. Radioisotope usage requires licensing, has ...

A 40-year-old woman ‘off legs’

Bhalla, Ashish (2013-10)

We present the case of a 40-year-old woman with progressive lower-limb weakness resulting in an inability to mobilise independently. This was associated with a degree of confusion and shortness of breath on exertion. This ...

Metallosis in a total knee arthroplasty

Shah, Rohi (2014-03)

A 70-year-old woman presented with right knee pain and a ‘grinding’ sensation 6 months after a total knee replacement for osteoarthritis. Clinical examination revealed a valgus deformity, patellofemoral crepitus and a ...

Fibrin glue is a quick and effective treatment for primary and recurrent pilonidal sinus disease.

Sian, TS; Herrod, Philip; Blackwell, James; Hardy, EJO; Lund, Jonathan (2018-11)

BACKGROUND: Pilonidal sinus disease (PSD) is a common, chronic inflammatory condition involving hair follicles within the natal cleft. It mainly affects young males and creates a significant health, social and economic ...

Arthrocentesis in the management of internal derangement of the temporomandibular joint.

Breik, Omar (2018-11)

BACKGROUND: Temporomandibular disorders (TMD) cover a wide spectrum of disorder; myalgic, arthralgic and psychogenic. The procedure of TMJ arthrocentesis has a role in managing patients with arthralgic pain and limitation ...

Proximal humerus deformity, in a four-limb amputee following meningococcal septicaemia.

Ikram, Adeel; Singhania, Kriti; Tafazal, Suhayl; Tambe, Amol (2018-10)

We present a challenging case of proximal humerus varus deformity in a four-limb amputee, caused by growth arrest from meningococcal septicaemia. The deformity resulted in a loss of function for our patient with inhibition ...

Guidelines for the safe practice of total intravenous anaesthesia (TIVA): Joint Guidelines from the Association of Anaesthetists and the Society for Intravenous Anaesthesia.

Mulvey, David (2018-10)

Guidelines are presented for safe practice in the use of intravenous drug infusions for general anaesthesia. When maintenance of general anaesthesia is by intravenous infusion, this is referred to as total intravenous ...

Current opinions regarding the management of pyogenic flexor tenosynovitis: a survey of Pulvertaft Hand Trauma Symposium attendees.

Bainbridge, Chris (2018-11)

PURPOSE: Pyogenic flexor tenosynovitis (PFT) is recognized as a severe infection of the hand with potentially disastrous outcomes. The mainstay of treatment has been emergent surgical washout. Recent evidence suggests ...

A rare case of Paget's disease affecting the cervical spine.

Klezl, Zdenek (2018-10)

We present the case of a 75-year-old man with a rapidly progressive cervical myelopathy on a background of a 3-year history of neck pain and a severely degenerative cervical spine. The patient developed progressive myelopathy ...

Screening of the cervical spine in subacromial shoulder pain: A systematic review

Salt, Emma (2018-07)

Background: Subacromial shoulder pain is a common clinical presentation with much diagnostic uncertainty. Some of this uncertainty relates to the involvement of the cervical spine as a source or contribution to subacromial ...

Using long term mortality to determine which perioperative risk factors of mortality following hip and knee replacement may be causal.

Howard, Peter (2018-10)

Observational studies have identified surgical factors that are associated with a reduced risk of mortality after joint replacement. It is not clear whether these are causal or reflect patient selection. Data on the first ...

Opportunities and priorities for breast surgical research.

Goyal, Amit (2018-10)

The 2013 Breast Cancer Campaign gap analysis established breast cancer research priorities without a specific focus on surgical research or the role of surgeons on breast cancer research. This Review aims to identify ...

Fibrin glue obliteration is safe, effective and minimally invasive as first line treatment for pilonidal sinus disease in children.

Quarmby, John (2018-09)

BACKGROUND / PURPOSE: Sacrococcygeal pilonidal sinus disease (PSD) has an incidence of 1.2-2.5/1000 in children. Onset is around puberty. Symptoms of recurrent abscess and chronic suppuration may interfere with education ...

Mid-bundle positioning of the femoral socket increases graft rupture in anatomic single bundle anterior cruciate ligament reconstruction.

Borton, Zakk (2018-09)

BACKGROUND: Anatomic anterior cruciate ligament (ACL) reconstructions are superior to non-anatomic graft placements with regard to controlling rotational laxity. Different techniques of anatomic single-bundle reconstruction ...