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Readers' Pages

The Royal College of Surgeons of England gives you the chance to respond online to original articles and research published in the Annals and the Bulletin, or submit a letter to the editor.

Read entries from the list below and submit your own response – where appropriate, these may also be published in future issues of the College journals.

Title Issue
Minimally invasive direct coronary artery bypass versus off-pump coronary surgery through sternotomy
Oct 13
Right upper quadrant pain and raised alkaline phosphatase is not always a hepatobiliary problem
Jan 14
Assessment of recurrent laryngeal nerve function during thyroid surgery
Mar 14
Medical Manslaughter - A recent history
Apr 14
The Short Intra-medullary nails for hip fractures should be included as an indicative procedure for Orthopaedic trainees.
Apr 14
Part 2: Dress code
Mar 14
An ENT emergency crash course for the Hospital at Night team
Jan 11
Routine on-table cholangiography during cholecystectomy: a systemic review
Sep 12
A case-control study of risk factors for wound infection in a colorectal unit
Jan 14
A novel way to secure a chest drain
Dec 13
Learning needn't be aardvark
Oct 13
Hepatobiliary Cystadenomas
Oct 13
The diagnostic value of white cell count, C-reactive protein and bilirubin in acute appendicitis and its complications
Jan 10
Minimally invasive endoscopic therapy for the management of Boerhaave's syndrome
Nov 13
Twist-over: stainless steel suture technique for skin graft applications
Sep 13

Jan 10
Transanal haemorrhoidal dearterialisation with mucopexy versus stapler haemorrhoidopexy: a randomised trial with long-term follow-up.
May 13
Variations in selective nerve root block technique
Oct 13
To stent or not to stent? Long term results with endonasal dacrocystorhinostomy
Apr 13
Retained surgical sponges, needles, and instruments
Mar 13
Variations in selective nerve root block technique
Oct 13
Streptococcal toxic shock syndrome following total thyroidectomy
Oct 13
The LAS/T Tribe
The Mini-CEX is Not Valid or Reliable in Assessing the Clinical Competence of Higher Surgical Trainees
Sep 13
SURGERY AND THE JEWISH SHABBAT; TAKING THE INITIATIVE
An Assessment of the Reliability and Validity of Shortlisting in General Surgery Training Selection
Apr 13
Improving services for patients with groin hernias
Jul 13
Long-term results of endonasal dacryocystorhinostomy with and without stenting.
Apr 13
Introducing specialty diplomas for all surgical specialities.
Amendment in an article
Cardiopulmonary Exercise Testing as a Predictor of Complications in Oesophagogastric Cancer Surgery
Mar 13
Comment on: An unusual case of desmoid tumour presenting as haemorrhagic shock
Far Away From Queen’s Square: Snapshot of a Remote Neurosurgical Unit
A quick guide to survey research
Jan 13
A patient who inadvertently watched his own surgery
The diagnostic value of fine needle aspiration in parotid lumps
The diagnostic value of fine needle aspiration in parotid lumps
Jan 13
Going for Gold: British Medical Olympians 1908-2008
Apr 13
Going for Gold: British Medical Olympians 1908-2008
Apr 13
Topical steroids for chronic wounds displaying abnormal inflammation
May 13
Faecaloma in ano
Mar 12
Modified prone position to dissect the popliteal fossa
Mar 13
Withdraw submission #3893
Congenital lung malformations: an ongoing controversy
Mar 13
Assessing the accuracy of clinical coding in orthopaedic day surgery patients
Jan 13

Performance and quality indicators: The importance of accurate coding.
Feb 12
Performance and quality indicators: The importance of accurate coding.
Jan 10
Intercollegiate Surgical Curriculum Programme: An evaluation. Suppl 2013;95:92-94
Intercollegiate Surgical Curriculum Programme: An evaluation. Suppl 2013;95:92-94
A novel technique for the treatment of infected metalwork in orthopaedic patients using skin closure over irrigated negative pressure wound therapy dressings
Mar 13
Sernbo score predicts survival after intracapsular hip fracture in the elderly
Jan 13
Surgical training: Is there more than EWTD to blame for the reduced operative time available to junior trainees?
Hospital Episode Statistics data analysis of postoperative venous thromboembolus in patients undergoing urological surgery: a review of 126,891 cases
Jan 13
Adherence of trials of operative intervention for non-pharmacological treatments: Time to ‘hard-wire’ compliance?
Omitting axillary lymph node clearance in patients with positive sentinel lymph node biopsy could potentiate under treatment
Leeches
A Trainee's Perspective on Improving Orthopaedic Training
‘The Lost Tribe’ – more lost than ever since MMC
Awaiting assignment
What is theatre efficiency?
Quest for the Surgical Holy Grail - The Perfect Handover
Modernising communication between surgical team

Questionable safety of thyroid surgery with same day discharge.
Nov 12
Plantar fasciitis
Nov 12
A novel application of Common Sense
The novel application of Common Sense
Beware the locum doctor
Plantar fasciitis
Nov 12
Over and Bad regualtion of the health care professions
Time spent in theatre predicts training opportunities and progression for core surgical trainees
Nov 12
Safe percutaneous suprapubic catheterisation
Nov 12
A novel technique to maintain a closed reduction of metacarpal fractures
Nov 12
Unoperated severe aortic stenosis:decision making in an adult UK based population
Regarding my article
Right side diaphragmatic hernia complicating with choledocholithiasis in an adult without history of trauma
Keys to successful progression directly from CT2 to ST3 in general surgery: a trainee’s perspective
Oct 12
Keys to successful progression directly from CT2 to ST3 in general surgery: a trainee’s perspective’ published in the trainees’ forum section of the bulletin, October 2012.
Keys to successful progression directly from CT2 to ST3 in general surgery: a trainee’s perspective’ published in the trainees
Oct 12
Endocrine surgeons and general surgical on-call
Unoperated severe aortic stenosis:decision making in an adult UK based population
Sep 12
Routine on-table cholangiography during cholecystectomy: a systematic review.
Sep 12
PLG campaign to protect the job title "surgeon"
Sep 12
Patch variability following carotid endarterectomy@ a survey of Great Britain and Ireland
Sep 12
Post-EWTR: is the UK still a centre of excellence for surgical training?
Sep 12
East meets West. Teaching on an ATLS Course in Singapore
Evaluation of internet derived patient information
Jul 12
Case-based review:conservative management ofappendicitis-are wedelaying the inevitable?
May 12
Trusts cut down on operations of ‘limited clinical value’
Jul 12
The Handover Gap
Can we improve the quality of surgical training without increasing cost: a core trainees perspective"
Modified mattress suture
Jul 12
A pure dermal sling for implant reconstruction after mastectomy in the generous breast
Jul 12
Why publish when you can just cut a straight line?
Local Anaesthetics
Mar 12
Gallbladder selection for histopathological analysis based on a simple method: a prospective comparative study.
Apr 12
Investigation prior to thyroglossal duct cyst excision
Apr 12
Technical Note May 2012: The genitofemoral nerve block: a method for hemiscrotal anaesthesia at the bedside
Case-based review:conservative management of appendicitis-are we delaying the inevitable?
May 12
Early symptoms of bone and soft tissue sarcomas: could they be diagnosed earlier?
May 12
Caliper measurement to improve clinical assessment of palpable neck lumps.
May 12
The use of pre-operative computed tomography in the assessment of the acute abdomen
Mar 12
Is there a need for early post-operative x-rays in primary total knee replacements? Experience of a centre in the UK.
Apr 12
Retrievable inferior vena cava filter use in major trauma
Mar 12
Peri-operative antithrombotic therapy: bridging the gap.
Apr 12
Tracing the roots of Advanced Trauma Life Support® in the US
Feb 12
A quick and effective method of limb preparation with health, safety and efficiency benefits
Mar 12
Arterial injuries at the elbowcarry a high risk of muscle necrosis and warrant urgent revascularisation
Mar 12
Regional variations in surgical examination performance across the UK: is there a postcode lottery in training?
Jan 11
The effect of alcohol on surgical skills
Mar 12
Performance and Quality Indicators: the importance of accurate coding
Feb 12
Not Just A Vampire Repellent: The Adverse Effects of Garlic Supplements in Surgery
Cultural awareness may save money in the NHS
Hip fractures: public perceptions – Are we jumping the gun?
The impact of surgeon-based ultrasonography for parathyroid disease on a British endocrine surgical practice
Jan 12
Maximising Trauma Operating and Training at Weekends
Nov 11
Cardiopulmonary exercise testing provides a predictive tool for early and late outcomes in abdominal aortic aneurysm patients
Sep 11
Entonox inhalation to reduce pain in common diagnostic and therapeutic outpatient urological procedures: a review of the evidence
Dec 11
An unusual case of isolated vasculitic appendicitis
A scar of prophylactic origin

Oct 11
Clinical outcome of laparoscopic and open colectomy for right colonic carcinoma
Nov 11
Clinical outcome of laparoscopic and open colectomy for right colonic carcinoma
Nov 11
Simple technique for closure of skin lacerations under tension.
Nov 11
Trocar injury of abdominal wall vessels: a simple method to stop the haemorrhage
Oct 11
FGDP (UK) and RCS flags overseas (Ann R Coll Surg Engl (suppl) 2011; 93:361)
Redundant publications
Simple technique for closure of skin lacerations under tension.
Nov 11
Simple technique for closure of skin lacerations under tension
Nov 11
The effect of sterile versus non sterile tourniquets on microbiological colonisation in lower limb surgery
Nov 11
Improving the success of nipple reconstruction
Nov 11
ISCP smartphone application
Increased use of pre-operative imaging and laparoscopy has no impact on clinical outcomes in patients undergoing appendicectomy
Nov 11
Management of boys with abnormal appearance of meatus at circumcision for balanitis xerotica obliterans
Sep 11
The role of carbohydrate drinks in pre-operative nutrition for elective colorectal surgery
Oct 11
Emergency catheter insertion with a tight urethral stricture and empty bladder
Sep 11
The role of carbohydrate drinks in pre-operative nutrition for elective colorectal surgery.
Oct 11
Assessment of Paediatric Life Support Skills in British ENT Higher Surgical Trainees
Fingerless gloves for and trauma cases
Oct 11
Functional Outcome of staged bilateral knee replacements
Oct 11
A Case of Reflective Evidence Based Surgery.
TRAINER EXPERIENCE IN GENERAL SURGERY: CAN WE MAXIMISE TRAINING OPPORTUNITIES FOR TRAINEES?
URINARY CATHETERS IN CAROTID ENDARTERECTOMY – A STIMULUS FOR AGGRESSION?
Letter to the editor; ' Ankle arthroscopy in children' by Vasukutty NV et al.
A Word of Caution: Training post-EWTR
Peritonsillar abscess after tonsillectomy: a review of the literature
Jul 11
The evolving evidence for enhanced recovery in colorectal surgery; analysing the meta analysis.
A single institution experience with skin sparing mastectomy and immediate breast reconstruction
Jul 11
Demonstrating anatomy in the post MMC era
Suspected testicular torsion - urological or general surgical emergency?
Nov 10
RE:Simple thorascopic surgical management of Catamenial pneumothorax.
Muscular and mental fatigue in surgeons
The improvement of surgery by taking a lesson from cardiac surgeons - why the wait?
Presumed consent for organ donation
May 11
Foundation Trainee Surgical Skills Training
Hospital mortality under surgical care
Apr 11
Hip resurfacing revision rates: radiological audit of risk factors
May 11
Consent
May 11
Fingerless gloves for hand trauma cases
Mar 11
Obstetric fistula in Africa: a continuing surgical challenge
Apr 11
Simplified minimally invasive invasive parathyroidectomy: a series of 100 cases and areview of the literature.
May 11
The value of hyperbilirubinaemia in the diagnosis of acute appendicitis.
Apr 11
refelections on training in the uk after a working visit to italy
The digital age: a new trick
Apr 11
Relative risk
May 11
Parotid cancer treatment with surgery followed by radiotherapy in Oxford over 15 years
Clopidogrel: is a surgical delay necessary in fractured neck of femur?
May 11
PAPERS THAT HAVE CHANGED THE FACE OF MODERN SURGERY
May 11
New technique of optimal size skin incision for laparoscopic port insertion
Apr 11
Surgical Safety
The importance of pre-operative axillary ultrasound and intra-operative sentinel lymph node frozen section analysis in patients with early breast cancer – a 3-year study
Mar 11
Thy3 cytology: what to do next?
Apr 11
COMPLEX SURGICAL PROCEDURES: HOW MUCH ARE THEY COSTING YOUR HOSPITAL?
Mar 11
CORESS FEEDBACK: Appendicular mishap resolved (Ref 93)
Mar 11
'Clinical scaphoid fracture': is it time to abolish this phrase?
Mar 11
Technical tip: Plastering the thumb
Apr 11
Review of Smartphone app - Clinical Orthoedic Exam
Technical Tips: New technique of optimal size skin incision for laparoscopic port insertion.
Apr 11
Straight to colonoscopy: the ideal patient pathway for the 2-week suspected cancer referrals?
Mar 11
Stressing the need for rapid referral of complex open fractures to a specialist centre
Minimising the risk of extensor pollicis longus rupture following volar plate fixation of distal radius fractures: a cadaveric study.
Jan 11
Intraoperative red blood cell salvage and autologous transfusion during open radical retropubic prostatectomy: a cost benefit analysis
Mar 11
Letter to the editor on the discovery of alcaptonuria by Archibald E. Garrod, Fellow if the Royal College of Surgeons in 1884
Surgical treatment of ingrown toenails in children: what is best practice?
Feb 11
‘Clinical Scaphoid Fracture’: is it time to abolish this phrase?
Mar 11
minimising the risk of extensor pollicis longus rupture following volar plate fixation of distal radius fracture:a cadaveric study
Jan 11
Anatomy teaching: the cruellest cut - a progress report.
Jan 11
Bringing back to light, Transillumination.
The correlation between ultrasonography and histology in the search for gallstones
Jan 11
The benefits of on-site cytology with ultrasound-guided fine needle aspiration in a one-stop neck lump clinic
Nov 10
Copying corespondence letters between clinicians to the patient: The way forward?
Response to:Bare below elbows: does this policy affect hand washing efficacy and reduce bacterial colonisation?
Laparoscopic splenectomy: a personal series of 140 consecutive cases
Jul 10
Absorbable or non-absorbable sutures? A prospective, randomised evaluation of aesthetic outcomes in patients undergoing elective day-case hand and wrist surgery
Nov 10
Postoperative haemorrhage following transurethral resection of the prostate (TURP) and photoselective vaporisation of the prostate (PVP)
Oct 10
Minimising the risk of extensor pollicis longus rupture following volar plate fixation of distal radius fractures: a cadaveric study.
Surgical Anatomy
How does the media impact of cancer compare with prevalence?
Jan 11
Response to 'Is there adequate provision of venous thromboembolism (VTE) prophylaxis following hip arthroplasty?'
Suspected testicular torsion - urological or general surgical emergency
Nov 10
The ward round
Impressing the scrub nurse
May 10
WHO trauma checklist
Bariatric Surgery- friend or foe in the war against obesity?
Postoperative haemorrhage following transurethral resection of the prostate (TURP) and photoselective vaporisation of the prostate (PVP)
Oct 10
White cell count and C-reactive protein measurement in patients with possible appendicitis
Mar 09
The Impact of EWTD upon Core Surgical Trainee's Logbook Activity
An audit of the role of vitamin K in the reversal of International Normalised Ratio (INR) in patients undergoing surgery for hip fracture
Sep 10
Whole gut intubation splinting – last refuge for the surgically desperate?, W AL SARAKBI, PG BENTLEY, Ann R Coll Surg 530 Engl 2010; 92: 529–530
Whole gut intubation splinting – last refuge for the surgically desperate?
Sep 10
Congenital vascular malformation associated with multiple cranial, vertebral and upper limb skeletal abnormalities
Jul 10
Lazy Clock-Watching Doctors
Hand-held device for smoke extraction
Jan 07
Internal or external wall diameter for abdominal aortic aneurysm screening?
Jun 10
Evolving Posters
High incidence of absent nerve conduction in older patients with bilateral carpal tunnel syndrome
Jul 10
Which mesh for hernia repair?
May 10
Impressing the scrub nurse
May 10
New intra-operative technique for testing the distal tibiofibular syndesmosis
Apr 10
New intra-operative technique for testing the distal tibiofibular syndesmosis
Apr 10
Guest Editorial
May 10
A closed vacuum drainage system for the management of postoperative seromas
May 10
A helpful technique for removing resurfacing acetabular components
Mar 09
Understanding of intra-operative tourniquets amongst orthopaedic surgeons and theatre staff –a questionnaire study
Apr 10
Pancreatic Cancer in the media: The Swayze shift
Medicolegal claims following laparoscopic cholecystectomy in the UK and Ireland
May 10
Barriers to weight loss in obese patients with knee osteoarthritis
May 10
New intra-operative technique for testing the distal tibiofibular syndesmosis
Apr 10
Henoch–Schonlein purpura with ischaemic bowel
Oct 08
New intra-operative technique for testing the distal tibiofibular syndesmosis
Apr 10
Treating the boxer's fracture in Wales: a postal survey
Apr 10
The barrel and cuff technique for a blood-less field
Oct 09
'To have … or not to have'. Should computed tomography and ultrasonography be implemented as a routine work-up for patients with suspected acute appendicitis in a regional hospital?
Jan 08
Masterclass ENT
MBE
A study of microbial colonisation of orthopaedic tourniquets
Mar 09
Acetate templating for total hip arthroplasty using PACS
Mar 09
A randomised trial of conventional versus BAUS procedure-specific consent forms for transurethral resection of prostate
Apr 09
The timing of calcium measurements in helping to predict temporary and permanent hypocalcaemia in patients having completion and total thyroidectomies
Mar 09
The cost of ignoring acute cholecystectomy
Jan 09
The acute blue finger: management and outcome
Oct 08
Henoch-Schonlein purpura with ischaemic bowel
Oct 08
Complication of oesophagoscopy and anticoagulation
Aug 09
Anterior shoulder dislocation
Jan 09
Stenting for large bowel obstruction – evolution of a service in a district general hospital
Jan 09
Three fatal cases of squamous cell carcinoma arising in chronic perineal hidradenitis suppurativa
Oct 07
The clinical scaphoid fracture: early computed tomography as a practical approach
Sep 08
Use of lidocaine gel as peri-anal anaesthetic in an infant
Mar 09
Use of porcine-derived material in venous thromboembolic prophylaxis
Mar 09
Should oesophagectomies be performed by trainees? - The experience from a single teaching centre under the supervision of one surgeon
May 08
Injury to the lateral femoral cutaneous nerve during minimally invasive hip surgery: a cadaver study
Apr 08
Nail gun injuries: a simple method to facilitate exploration
Sep 08
The case for standardisation of the management of gallstones spilled and not retrieved at laparoscopic cholecystectomy
May 08
Technique of urethral catheterisation in very elderly women
Sep 07
'Sounding' the bolt: confirming the position of the locking bolts in an intramedullary nail
May 08
Diagnostic fine-needle aspiration in postoperative wound infections is more accurate at predicting causative organisms than wound swabs
Mar 07
Simple and safe technique of port closure
Mar 07
Reducing diagnostic errors in musculoskeletal trauma by reviewing non-admission orthopaedic referrals in the next-day trauma meeting
Oct 07
Reducing diagnostic errors in musculoskeletal trauma by reviewing non-admission orthopaedic referrals in the next-day trauma meeting
Jan 00
Pancreas-sparing distal duodenectomy for infra-papillary neoplasms
Mar 07
A multicentre audit of single-use surgical instruments (SUSI) for tonsillectomy and adenoidectomy
Sep 07
Pneumothorax, pneumomediastinum, pneumoperitoneum, pneumoretroperitoneum and subcutaneous emphysema following diagnostic colonoscopy
Jul 07
Is describing fractures a dying art?

Oct 07
An audit of training in laparoscopic appendicectomy in the South Thames Region
Mar 07
Use of screen bar to assist in below-knee amputation
Apr 07
Prevalence of HIV status and CD4 counts in a surgical cohort: their relationship to clinical outcome
Jan 06
A new clinical test in diagnosing quadriceps tendon rupture
Apr 07
The risk of cross-infection when marking surgical patients prior to surgery - review of two types of marking pens
Apr 07
Mammography in symptomatic women attending a rapid diagnosis breast clinic: a prospective study
May 06
Broken bones and fractures - an audit of patients' perceptions
Nov 06
Prolonged postoperative altered mental status after methylene blue infusion during parathyroidectomy: a case report and review of the literature
Mar 07
The implications of providing patient-friendly letters in the outpatient clinic
Feb 07
The extended scope physiotherapist in orthopaedic out-patients - an audit
Nov 06
Forgotten digital tourniquet: salvage of an ischaemic finger by application of medicinal leeches
Sep 06
The future of surgical training
Mar 07
Use of cortical screw to aid single piece excision of the trapezium: a simple technique
Nov 06
Day-care surgery for pilonidal sinus
Nov 06
Incarcerating incarceration - clarifying hernia description
Mar 07
Teaching and assessing surgical competence
Sep 06
Prospective analysis of scrotal pathology referrals - are referrals appropriate and accurate?
Jul 06
Origin of the specialists
Jul 06
What's in a name?
Jun 06
Experiential learning and the surgical trainee
Dec 06
The management of aspirin in transurethral prostatectomy: current practice in the UK
May 06
An effective and easy method of splitting damp plaster of paris casts
Sep 06
How well equipped are ENT wards for airway emergencies?
Mar 06
The positive predictive value of diagnostic ultrasound for occult herniae
Mar 06
Endoscopic sympathectomy in the treatment of facial blushing
Sep 05
Symptomatic presentation of early colorectal cancer
Mar 06
A maximally sensitive clinical decision rule to reduce the need for radiography in mandibular trauma
Jul 05
A maximally sensitive clinical decision rule to reduce the need for radiography in mandibular trauma
Jul 05
BST applications - what is the current popularity of a surgical career in the UK?
Feb 06
Is patient care affected by the recent changes in junior doctors' training?
Feb 06
A prospective audit of 300 consecutive young women with an acute presentation of right iliac fossa pain
Mar 06

Mar 06
Factors affecting morbidity, mortality and survival in patients undergoing surgery for rectal cancer in a district general hospital
Sep 05
Surgical training - can we learn from aviation?
Feb 06
The 'ABC' of examining foot radiographs
Nov 05
Use of the CRABEL Score for improving surgical case-note quality
Nov 05
Routine magnetic resonance cholangiopancreatography and intra-operative cholangiogram in the evaluation of common bile duct stones
Nov 05
The effect of the EWTD on orthopaedic specialist training
Oct 05
Preparing the country for another major terrorist event
Jan 06
The use of theatre time in elective orthopaedic surgery
May 05
A fatal shot: the death of Admiral Horatio Viscount Lord Nelson
Oct 05
Improvement in operative training since the introduction of the Calman plan
Oct 05
SCPs - Healthcare-Lite
Oct 05
Do patients with frank haematuria referred under the two-week rule have a higher incidence of bladder cancer?
Sep 05
Day-case breast cancer axillary surgery
Mar 05
High risk of lower limb neuropraxia and litigations for a better view of the perineum
Jul 05
Can performance as an undergraduate assist entry selection into surgical training programmes?
Jan 05
The value of postmortem examinations after surgery
Mar 05
Radioguided occult lesion localisation (ROLL) is available in the UK for impalpable breast lesions
Mar 05
How to approach major surgery where patients refuse blood transfusion (including Jehovah's Witnesses)
Jan 05
Reducing methicillin-resistant Staphylococcus aureus (MRSA) patient exposure by infection control measures
Mar 05
Logbook coding: How consistent are we?
Feb 05
Service and not training for the general surgical SpR on call
Oct 03
Artificial intelligence in medicine
Sep 04
Catheterisation in a large inguinoscrotal hernia
Jan 05
Consent in orthopaedic surgery
Sep 04
'One-stop' inguinal hernia surgery - day-case referral, diagnosis and treatment
Nov 04
Significance of routine digital rectal examination in adults presenting with abdominal pain
Jul 04
Compartment syndrome following pelvic surgery in the lithotomy position
May 02
Treatment centres in the NHS
May 04
Preparing digital images for publication
Mar 04
Recruitment in urology: a national survey in the UK
May 04
Patients awaiting laparoscopic cholecystectomy - can preoperative complications be predicted?
Mar 04
Accidental Epipen® injection into a digit - the value of a Google search
May 04
An audit of the out-patient follow-up of hip and knee replacements
Jan 03
Factors delaying surgical treatment of hip fractures in elderly patients
Mar 03
The use of skull X-rays in the accident and emergency department
Mar 03
The lateral accessory saphenous vein - a common cause of recurrent varicose veins
Nov 03