• Publications
  • Influence
Carpal tunnel syndrome
The classic symptoms of CTS include nocturnal pain associated with tingling and numbness in the distribution of median nerve in the hand and surgery is the only treatment that provides cure in moderate to severe cases.
Chronic pain after hernia surgery –An Informed Consent Issue
Chronic severe pain occurred in nine percent of patients following primary open inguinal hernia repair, and the majority of patients were successfully treated by therapeutic injection into the point of maximal tenderness.
Neoplastic lesions of the appendix
Right hemicolectomy is indicated for: invasive adenocarcinoma; tumours close to the caecum; lesions larger than 2 cm; mucin production; invasion of the lymphatics, serosa or mesoappendix; and cellular pleomorphism with a high mitotic rate.
Doxycycline inhibition of abdominal aortic aneurysm growth: a systematic review of the literature.
The evidence for any beneficial effect of doxycycline as a treatment for AAA remains weak and further studies are required, which will ideally be multicentre, involve large subject numbers and be of high quality randomization and blinding.
Familial adenomatous polyposis
Surgical management and advances in understanding at a molecular level are discussed, as well as the problems relating to screening for FAP and the implications of the new knowledge are discussed.
High or low hepaticojejunostomy for bile duct strictures?
This study lends support to the hypothesis of an ischemic basis for biliary strictures and to the recommendation that strictures be repaired with a high hepaticojejunostomy.
Sportsman's hernia
Sportsman's hernia is a debilitating condition which presents as chronic groin pain. A tear occurs at the external oblique which may result in an occult hernia. The definition, investigation and
Open Carpal Tunnel Release – still a safe and effective operation
Standard open carpal tunnel release still provides efficacious symptomatic relief with a low risk of associated complications when performed by a general surgeon, according to analysis of symptomatic and functional improvement.
The venous anatomy of the lower oesophagus in normal subjects and in patients with varices: An image analysis study
  • R. Spence
  • Medicine
    The British journal of surgery
  • 1 October 1984
Further analysis revealed that this increase in area occupied by veins in the distal oesophagus was due to an increase in both the number and size of vessels in the lamina propria of Zone 2, which may explain the propensity for Oesophageal varices to bleed mainly from thedistal oESophagus.
Foreign Body Ingestion in Prisoners – The Belfast Experience
Although the literature states that most foreign bodies usually pass spontaneously without the need for intervention, this study demonstrates a higher intervention rate of 36% within the Northern Irish prison population in comparison with other prisoners.