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Journals and Conferences
BACKGROUND Protocolized fluid administration using oesophageal Doppler monitoring may improve the postoperative outcome in patients undergoing surgery. METHODS A total of 108 patients undergoing elective colorectal resection were recruited into a double-blind prospective randomized controlled trial. An oesophageal Doppler probe was placed in all patients.… (More)
OBJECTIVE Surgery induces a catabolic response with stress hormone release and insulin resistance. The aim of this study was to assess the effect of pre-operative carbohydrate administration on grip strength, gastrointestinal function and hospital stay following elective colorectal surgery. METHODS Thirty-six patients undergoing elective colonic resection… (More)
We aimed to assess the clinical outcomes and costs associated with laparoscopic resection within an elective colorectal practice. Over a 12-month period data were prospectively collected on patients undergoing elective colorectal resection under the care of a single consultant surgeon. Thirty patients undergoing laparoscopic colorectal resection were… (More)
Abstract Objectives The aim of this study was to compare the effectiveness of Direct access colonoscopy (DAC) vs outpatient appointments for two-week rule colorectal cancer referrals and to evaluate the satisfaction of patients referred through these routes. Patients and methods Data were collected prospectively from January 2003 to December 2003 on… (More)
Few studies of arsonists have focused specifically on females, many of whom have historically avoided prosecution. This study examines demographic details, psychopathology and personality characteristics of female arsonists and violent offenders in custody and compares them with an age matched group of comparison females. A significantly greater number of… (More)
AIM Rubber band ligation is a common office procedure for the treatment of symptomatic haemorrhoids. It can be associated with pain and vasovagal symptoms. The effect of local anaesthetic use during banding was studied. METHOD A single-blinded randomized controlled trial was carried out in the colorectal outpatient clinic. Patients presenting with… (More)
We report a case of pyoderma gangrenosum occurring at the site of a laparoscopic port insertion following laparoscopic inguinal hernia repair.
We present the first-reported case of a complete colonic mucosal dehiscence after an emergency abdominal aortic aneurysm repair.
Clostridium difficile infection was cited in one of every 250 death certificates completed in the United Kingdom in 2005, and it has become the leading cause of death from healthcare associated infections in much of the industrialised world. More than 50 000 cases of C difficile infection were reported in England in 2007 —a 50-fold increase since 1990.… (More)