MyMedR

Fulltext Creative treatment of early buried bumper syndrome

Taher MM, Kosai NR, Gendeh HS

Ann R Coll Surg Engl, 2014 Nov;96(8):621-2.

PMID: 25350188 DOI: 10.1308/rcsann.2014.96.8.621b

Formalin dab for haemorrhagic radiation proctitis

Ismail MA, Qureshi MA

Ann R Coll Surg Engl, 2002 Jul;84(4):263-4.

BACKGROUND: Haemorrhagic radiation proctitis frequently presents as a problem in management. We analysed the technique of formalin dab in its management.

PATIENTS AND METHODS: Twenty patients presenting with haemorrhagic radiation proctitis and treated with formalin dab were prospectively analysed.

RESULTS: Twelve patients ceased to bleed following one session of formnalin dab. Six patients needed more than one session to effect haemostasis. Two of three patients with torrential bleeding failed to respond to formalin dab and required surgical excision of the rectum.

CONCLUSION: Formalin dab is a simple, effective and safe treatment modality in the management of chronic haemorrhagic radiation proctitis, and hence should be considered as the initial treatment modality for such a condition.

New medical school in Penang

Ann R Coll Surg Engl, 1982 Sep;64(5):335.

PMID: 19310838

Fulltext Lateral thyroid cartilage thyrotomy approach to an embedded paraglottic fishbone

Wong HT, Tham SY, Elangkumaran K, Ng W, Sia KJ

Ann R Coll Surg Engl, 2017 Mar;99(3):e1-e2.

PMID: 28071949 DOI: 10.1308/rcsann.2017.0010

Fishbones are of particular interest to otolaryngologists. Most fishbones can be removed transorally or via endoscopic guidance. Transcervical neck exploration is occasionally necessary, especially in cases of an embedded foreign body. Computed tomography is the most sensitive and specific imaging modality for identifying embedded fishbones. To our knowledge, this is the first reported case of a laryngeal foreign body embedded in the paraglottic space that was removed using an open approach via a lateral thyroid cartilage window.

Bilateral renal calculi

Sreenevasan G

Ann R Coll Surg Engl, 1974 Jul;55(1):3-12.

PMID: 4845653

Bilateral renal calculi were present in 114 (10.7%) of 1,070 cases of proved urinary calculus admitted to the Urological Department of the General Hospital, Kuala Lumpur, during the period November 1968-May 1973. The management of bilateral renal calculi is discussed with reference to the first 100 cases in this series. The introduction of renography has greatly facilitated the decision as to which kidney should be operated on first. The management of patients with and without uraemia is discussed and the use of the modified V and V-Y incisions for the removal of staghorn calculi is described. Complications and results are briefly reviewed.

A gift from malaysia

Ann R Coll Surg Engl, 1968 Jun;42(6):394-5.

PMID: 19310545

Fulltext Rare presentation of idiopathic duodenoduodenal intussusception

Loo GH, Mohamad Abu Zeid WM, Lim SL, Ismail AM

Ann R Coll Surg Engl, 2017 Jul;99(6):e188-e190.

PMID: 28660832 DOI: 10.1308/rcsann.2017.0104

Enteroenteric intussusception is a condition in which the full-thickness bowel wall becomes telescoped into the lumen of distal bowel. Intussusception in adult occurs infrequently and varies from childhood intussusception, particularly in its presentation, aetiology and treatment. Duodenoduodenal intussusception is rare because the duodenum is fixed in the retroperitoneal position. It usually occurs secondary to tumour, lipoma, Brunner's gland hamartomatous polyp or adenoma. The diagnosis in adults is usually made at laparotomy, where presentation is with intestinal obstruction. In non-emergency presentation, it may be difficult to arrive at an accurate diagnosis as symptoms may be vague, self-limiting intermittent abdominal pain. Clinical examinations and investigations may not be conclusive and another working diagnosis such as irritable bowel syndrome would be made. We describe a case where a patient initially presented with symptoms mimicking pancreatitis but his symptoms persisted over the course of 2 weeks. When a laparotomy was performed, duodenoduodenal intussusception was discovered and confirmed with histopathology. In this case, a discernible leading point could not be identified.

Fulltext COVID-19 face mask valve for nasal and laryngeal endoscopy

Gendeh HS, Husain S

Ann R Coll Surg Engl, 2021 Jul;103(7):536-537.

PMID: 33913780 DOI: 10.1308/rcsann.2021.0009

Fulltext Renal cell carcinoma with duplication of inferior vena cava

Yusof MR, Fahmey O, Lee C, Azli MS, Arunasalam AP, Khairul-Asri MG

Ann R Coll Surg Engl, 2022 Mar;104(3):e64-e66.

PMID: 34812656 DOI: 10.1308/rcsann.2021.0110

Renal cell carcinoma (RCC) has been shown to cause venous migration in the inferior vena cava (IVC). It is very important for preoperative imaging to be carried out, which will decide the surgical approach for the patient. Duplication of IVC is an uncommon anomaly. We report a case of RCC with duplication of IVC.

Fulltext The deceiving encounter of a spontaneously ruptured urinary bladder

Salleh H, Azli S, Khairul-Asri MG, Jagwani A

Ann R Coll Surg Engl, 2022 Mar;104(3):e67-e69.

PMID: 34812665 DOI: 10.1308/rcsann.2021.0129

Spontaneous urinary bladder rupture is a rare condition. Radiotherapy treatment for malignancy of a pelvic organ such as cervix or prostate is one cause of this condition. We report a case of a 71-year-old woman who presented with this illness 30 years after radiotherapy treatment.

Fulltext Patient-specific frontal titanium mesh fabrication using a moulding technique

Rengarajoo J, Harun RH, Royan SJ, Kohir S, Mamat MR

Ann R Coll Surg Engl, 2022 Jul;104(7):556.

PMID: 35174718 DOI: 10.1308/rcsann.2021.0299

Fulltext Scrotal centesis: a broader role beyond the confines of the scrotum

Jagwani AV, Mugialan P, Lee C, Fairuz M, Lee FY, Yusof MR, et al.

Ann R Coll Surg Engl, 2022 Jun;104(6):e164-e167.

PMID: 34846183 DOI: 10.1308/rcsann.2021.0241

An elderly man was treated for severe acute scrotum pain with centesis. We report the diagnosis, underlying causes and management, and discuss the procedure. Centesis is performed rarely, but could be undertaken more often given the added benefits.

Fulltext The impact of routine histopathological examination on cholecystectomy specimens from an Asian demographic

Chin KF, Mohammad AA, Khoo YY, Krishnasamy T

Ann R Coll Surg Engl, 2012 Apr;94(3):165-9.

PMID: 22507719 DOI: 10.1308/003588412X13171221501708

INTRODUCTION: Most gallbladder carcinoma cases are suspected pre-operatively or intra-operatively. In Malaysia histopathological examination of cholecystectomy specimens has become routine practice. The aim of this study was to assess the impact of routine histological examinations on cholecystectomy specimens from an Asian demographic, which may differ from a Caucasian demographic.

METHODS: A retrospective study was performed of all histopathology reports for cholecystectomies (laparoscopic and open) undertaken over a period of 12 years (1997-2008) in a single teaching hospital.

RESULTS: A total of 1,375 gallbladder specimens were sent for histopathological analysis, with 7 (0.5%) being reported as malignant while only three (0.2%) were found to contain primary gallbladder carcinoma. Other premalignant findings included two specimens with dysplastic changes of the mucosa and one tubulovillous adenoma with a dysplastic epithelium. From the ten malignant and premalignant specimens, seven were diagnosed pre-operatively, two were suspected intra-operatively and one was diagnosed with dysplastic changes on the histopathology report post-operatively.

CONCLUSIONS: This study supports earlier research carried out in the UK and the demographic difference does not affect the impact of the histology examination on cholecystectomy specimens in diagnosing this disease. A selective policy is recommended in Malaysia.

Fulltext A review of endovascular treatment of thoracic aorta disease

Tan G, Khoo P, Chan K

Ann R Coll Surg Engl, 2018 Oct 05;100(8):1-6.

PMID: 30286634 DOI: 10.1308/rcsann.2018.0143

INTRODUCTION: The development of thoracic endovascular aortic repair has altered the approach and reduced the risk of treating the majority of descending thoracic aortic conditions. Primarily developed for the exclusion of thoracic aortic aneurysms, it is now used in place of open repair surgery for most descending thoracic aortic diseases, and has also been used to treat aortic arch diseases in selected cases.

METHODS: A literature search was conducted of Medline and Embase databases from January 2007 to February 2017, using the key words 'aortic disease', 'thoracic aorta' and 'endovascular repair'; 205 articles were identified, of which 25 studies were selected for review based on their relevance.

FINDINGS: The key findings of the indications, techniques, outcomes, complications and comparisons with open surgical repair were extracted from the published studies and are summarised in this review. Thoracic endovascular aortic repair is the preferred choice of intervention for patients with descending thoracic aortic disease. With time, it has improved to be safer and has the potential to expand aortic treatment choices in future.

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