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BACKGROUND The decision on whether to operate on a sick elderly person with an intra-abdominal emergency is one of the most difficult in general surgery. A predictive risk-score would be of great value in this situation. METHODS A Medline search was performed to identify those predictive risk-scores relevant to sick elderly patients in whom emergency… (More)
In 3 cases of simultaneous bilateral anterior dislocation of the shoulders, considering the forces which predispose to anterior dislocations, it is postulated that in each case forced abduction and external rotation or abduction with hyperextension causes these injuries to occur.
BACKGROUND Thyroidectomy is a commonly performed operation for the treatment of thyroid disease. Inadvertent removal of parathyroid glands is a recognised complication of this operation and may have consequences on the longterm regulation of calcium homeostasis post-operatively. We aimed to establish the incidence of parathyroid gland excision during… (More)
INTRODUCTION Rapid-access carotid endarterectomy (RACE) is an evidence-based treatment for symptomatic carotid stenosis. Our vascular centre aims to provide this service within 48 h of symptoms in appropriate patients. This study audits safety and efficacy of the first year of RACE. SUBJECTS AND METHODS A clear trust protocol was publicised for the RACE… (More)
INTRODUCTION Herniography has been shown to be useful in the detection of occult groin hernias in patients with a history of groin pain. We performed a retrospective review to assess our experience of this investigation. METHODS The notes of 170 patients who underwent herniography between 1995 and 2004 were reviewed. The results of herniography and… (More)