Surg J R Coll Surg E
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Surg J R Coll Surg E · Feb 2007
Transhiatal oesophagectomy: A simple technique to carry out gastric or colonic conduit pull-up.
Following transhiatal oesophagectomy, delivery of the conduit into the posterior mediastinum and neck can potentially result in its devascularisation. A simple technique is described to protect the conduit during this phase of the operation. This procedure has now been performed in 56 consecutive cases (54 gastric and two colonic conduits). ⋯ The anastomotic leak rate was 8/56 (14%), and 12 (21%) patients required oesophageal dilatation for a stricture. There were no cases of ischaemia of the conduit. This technique provides a means of safe delivery of the oesophageal replacement into the neck following transhiatal oesophagectomy.
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Surg J R Coll Surg E · Dec 2006
Multicenter StudyOutcome of inguinal hernia repair at two rural hospitals in northern Scotland.
Audit of inguinal hernia repair is important in view of the magnitude of the problem and the fact that it is a common operation often performed by surgical trainees. Due to the disparity of the results of various workers with regard to the rate of complications, individual surgeons have been advised to audit their patients' outcomes. ⋯ The incidence of recurrence of hernia after open mesh repair of inguinal hernias is very low. Excellent outcomes can be obtained for inguinal hernia even at remote and rural hospitals in the hands of both experienced and trainee surgeons
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Spinal injury often affects young adults and results in debilitating neurological status, which in turn places a significant burden on society. This review article describes the current practice and controversies surrounding the management of spinal injury. General principles of pre-hospital management, resuscitation, medical treatment, surgical intervention and future advancement are reviewed.
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Surg J R Coll Surg E · Aug 2006
Comment Letter Historical ArticleRe: Baskett T.F. Edinburgh connections in a painful world. Surgeon 2005; 3(2): 99-107.
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Surg J R Coll Surg E · Jun 2006
Randomized Controlled TrialLessons learned from a randomised controlled study of perioperative beta blockade in high risk patients undergoing emergency surgery.
Perioperative beta blockade has been shown to reduce mortality after major elective surgery. The aim of this study was to determine whether it could reduce the rate of death and morbidity from cardiac complications in high risk patients undergoing emergency surgery. ⋯ This study of emergency surgery proved more difficult than similar trials in elective surgery. The final study groups were small and there were no significant differences in outcomes. A much larger study is required for a definitive answer.