{"title":"Surgeon Profile Series: Professor Meghana Pandit","authors":"Z. Small","doi":"10.37707/jnds.v4i2.265","DOIUrl":"https://doi.org/10.37707/jnds.v4i2.265","url":null,"abstract":"","PeriodicalId":184356,"journal":{"name":"Journal of the Nuffield Department of Surgical Sciences","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117008014","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Surgery in Oxford: A History","authors":"D. Cranston","doi":"10.37707/jnds.v4i2.260","DOIUrl":"https://doi.org/10.37707/jnds.v4i2.260","url":null,"abstract":"","PeriodicalId":184356,"journal":{"name":"Journal of the Nuffield Department of Surgical Sciences","volume":"14 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130175975","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
This report discusses the case of patient KT, who suffered from acute necrotising pancreatitis following endoscopic retrograde cholangiopancreatography (ERCP) for treatment of common bile duct (CBD) calculi. After a summary of KT’s complex medical history, the epidemiology and pathophysiology of post-ERCP pancreatitis (PEP) are discussed. Finally, recent research on treatment of severe necrotising pancreatitis is reviewed, focussing on strategies to reduce morbidity and mortality from this devastating complication of a common procedure like ERCP.
{"title":"Post-ERCP acute infected necrotising pancreatitis in a patient with Cushing’s disease","authors":"P. Alberti","doi":"10.37707/jnds.v4i2.235","DOIUrl":"https://doi.org/10.37707/jnds.v4i2.235","url":null,"abstract":"This report discusses the case of patient KT, who suffered from acute necrotising pancreatitis following endoscopic retrograde cholangiopancreatography (ERCP) for treatment of common bile duct (CBD) calculi. After a summary of KT’s complex medical history, the epidemiology and pathophysiology of post-ERCP pancreatitis (PEP) are discussed. Finally, recent research on treatment of severe necrotising pancreatitis is reviewed, focussing on strategies to reduce morbidity and mortality from this devastating complication of a common procedure like ERCP.","PeriodicalId":184356,"journal":{"name":"Journal of the Nuffield Department of Surgical Sciences","volume":"83 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130429227","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Kidney transplants are the most common form of transplant surgery performed in the UK - both in adults and in children. In 2019-20, 3190 adult1 and 112 paediatric2 kidney transplants were carried out in the UK. Importantly, in paediatric renal transplantation, the recipient often outlives their graft and therefore require multiple transplantations throughout their lifetime. This report focuses on patient ZG, a 32-year-old female undergoing her third renal transplantation. Patient ZG had her first transplant, aged 16 months, following a diagnosis of bilateral dysplastic kidneys, a subsequent transplantation 18 years later and a third transplant in 2021.
{"title":"Paediatric Renal Failure- A Lifelong Battle Requiring Multiple Transplantations","authors":"Luiza Farache Trajano","doi":"10.37707/jnds.v4i2.188","DOIUrl":"https://doi.org/10.37707/jnds.v4i2.188","url":null,"abstract":"\u0000\u0000\u0000Kidney transplants are the most common form of transplant surgery performed in the UK - both in adults and in children. In 2019-20, 3190 adult1 and 112 paediatric2 kidney transplants were carried out in the UK. Importantly, in paediatric renal transplantation, the recipient often outlives their graft and therefore require multiple transplantations throughout their lifetime. This report focuses on patient ZG, a 32-year-old female undergoing her third renal transplantation. Patient ZG had her first transplant, aged 16 months, following a diagnosis of bilateral dysplastic kidneys, a subsequent transplantation 18 years later and a third transplant in 2021.\u0000\u0000\u0000","PeriodicalId":184356,"journal":{"name":"Journal of the Nuffield Department of Surgical Sciences","volume":"77 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114483037","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Carotid artery web is a focal form of fibromuscular dysplasia characterised by an abnormal shelf-like projection of fibrous tissue into the lumen of the carotid artery. It is a rare but important cause of recurrent ischemic stroke particularly in younger patients with few traditional risk factors. Despite that it may cause up to 37% of cryptogenic strokes, an optimal evidenced-based management strategy has not been developed. This case report provides us with the opportunity to highlight this under-recognised cause of recurrent stroke and synthesize the current evidence for its diagnosis and management.
{"title":"Carotid Artery Web: A rare cause of recurrent ischemic stroke","authors":"K. Dangas","doi":"10.37707/jnds.v4i2.232","DOIUrl":"https://doi.org/10.37707/jnds.v4i2.232","url":null,"abstract":"Carotid artery web is a focal form of fibromuscular dysplasia characterised by an abnormal shelf-like projection of fibrous tissue into the lumen of the carotid artery. It is a rare but important cause of recurrent ischemic stroke particularly in younger patients with few traditional risk factors. Despite that it may cause up to 37% of cryptogenic strokes, an optimal evidenced-based management strategy has not been developed. This case report provides us with the opportunity to highlight this under-recognised cause of recurrent stroke and synthesize the current evidence for its diagnosis and management.","PeriodicalId":184356,"journal":{"name":"Journal of the Nuffield Department of Surgical Sciences","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125430760","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
This editorial on global surgery provides an overview of this rapidly developing field, its origins, and its links to the discourse on universal health coverage.
这篇关于全球外科学的社论概述了这一迅速发展的领域、它的起源以及它与全民健康覆盖论述的联系。
{"title":"Global Surgery, Universal Health Coverage & the Spirit of Ubuntu","authors":"S. Nagraj","doi":"10.37707/jnds.v4i2.255","DOIUrl":"https://doi.org/10.37707/jnds.v4i2.255","url":null,"abstract":"This editorial on global surgery provides an overview of this rapidly developing field, its origins, and its links to the discourse on universal health coverage. ","PeriodicalId":184356,"journal":{"name":"Journal of the Nuffield Department of Surgical Sciences","volume":"65 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134634470","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Obituary: Professor Sir Peter Morris","authors":"D. Cranston","doi":"10.37707/jnds.v4i2.261","DOIUrl":"https://doi.org/10.37707/jnds.v4i2.261","url":null,"abstract":"","PeriodicalId":184356,"journal":{"name":"Journal of the Nuffield Department of Surgical Sciences","volume":"71 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126250470","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
An aneurysm is defined as a focal dilatation of all three walls of an artery wall. This can occur at any point in the arterial tree but most commonly presents as an abdominal aortic aneurysm (AAA), with a diameter of 50% greater than its normal size. The prevalence of AAAs is estimated to be between 1.2-7.6% in over 50 year olds in the UK, and it is sevenfold higher for men compared with women1. There is approximately a 1% mortality from ruptured AAAs, and as such current NHS guidelines recommend that all men over 65 are screened annually, a precedent supported by the Multicentre Aneurysm Screening Study (MASS)2. AAAs reaching 5.5cm in diameter require elective surgical repair, which can take the form of endovascular aneurysm repair (EVAR) or open surgical repair.
{"title":"Evaluating the decision to use Fenestrated EVAR for the elective treatment of a complex AAA","authors":"Georgina Loncarevic Whitaker","doi":"10.37707/jnds.v4i2.133","DOIUrl":"https://doi.org/10.37707/jnds.v4i2.133","url":null,"abstract":"\u0000\u0000\u0000An aneurysm is defined as a focal dilatation of all three walls of an artery wall. This can occur at any point in the arterial tree but most commonly presents as an abdominal aortic aneurysm (AAA), with a diameter of 50% greater than its normal size. The prevalence of AAAs is estimated to be between 1.2-7.6% in over 50 year olds in the UK, and it is sevenfold higher for men compared with women1. There is approximately a 1% mortality from ruptured AAAs, and as such current NHS guidelines recommend that all men over 65 are screened annually, a precedent supported by the Multicentre Aneurysm Screening Study (MASS)2. AAAs reaching 5.5cm in diameter require elective surgical repair, which can take the form of endovascular aneurysm repair (EVAR) or open surgical repair.\u0000\u0000\u0000","PeriodicalId":184356,"journal":{"name":"Journal of the Nuffield Department of Surgical Sciences","volume":"42 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121653150","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ileosigmoid knot (ISK) is a rare entity more commonly encountered along the volvulus belt. An important differential is sigmoid volvulus which is amenable to endoscopic reduction where ISK rapidly progresses to gangrenous bowel. A classification system, treatment algorithm and prognostic factors have been determined by the Turkish to assist with management of this rare occurrence. Below we describe a case in an academic hospital in South Africa.
{"title":"Compound volvulus: An unexpected surgical finding","authors":"Naadiyah Laher","doi":"10.37707/jnds.v3i1.172","DOIUrl":"https://doi.org/10.37707/jnds.v3i1.172","url":null,"abstract":"Ileosigmoid knot (ISK) is a rare entity more commonly encountered along the volvulus belt. An important differential is sigmoid volvulus which is amenable to endoscopic reduction where ISK rapidly progresses to gangrenous bowel. A classification system, treatment algorithm and prognostic factors have been determined by the Turkish to assist with management of this rare occurrence. Below we describe a case in an academic hospital in South Africa.","PeriodicalId":184356,"journal":{"name":"Journal of the Nuffield Department of Surgical Sciences","volume":"100 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121982054","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Gastric cancer is one of the commonest malignancies worldwide and is the fourth leading cause of cancer-related death. Commonly presenting at an advanced stage, the prognosis of gastric cancer is dismally poor, with an overall five-year survival of around 15%. Here, I present one typical case, Mr AB, who was diagnosed with stage T3N1M0 gastric adenocarcinoma and underwent total gastrectomy with D2 lymphadenectomy and perioperative chemotherapy. This report will go on to examine the evidence base surrounding the management of non-early resectable gastric cancer relevant to Mr AB’s case, in particular D1 versus D2 lymphadenectomy and neoadjuvant chemo-radiotherapy.
{"title":"Management of Resectable Gastric Cancer","authors":"I. Cowdell, E. Culver","doi":"10.37707/jnds.v3i1.159","DOIUrl":"https://doi.org/10.37707/jnds.v3i1.159","url":null,"abstract":"Gastric cancer is one of the commonest malignancies worldwide and is the fourth leading cause of cancer-related death. Commonly presenting at an advanced stage, the prognosis of gastric cancer is dismally poor, with an overall five-year survival of around 15%. Here, I present one typical case, Mr AB, who was diagnosed with stage T3N1M0 gastric adenocarcinoma and underwent total gastrectomy with D2 lymphadenectomy and perioperative chemotherapy. This report will go on to examine the evidence base surrounding the management of non-early resectable gastric cancer relevant to Mr AB’s case, in particular D1 versus D2 lymphadenectomy and neoadjuvant chemo-radiotherapy.","PeriodicalId":184356,"journal":{"name":"Journal of the Nuffield Department of Surgical Sciences","volume":"39 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123418481","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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