Annals of The Royal College of Surgeons of England

01.09.2026 · 1 Zitationen

Comparison of laparoscopic and robotic right hemicolectomy: insights from a single centre

Introduction Right hemicolectomy has evolved from open to minimally invasive approaches. Laparoscopic right hemicolectomy (LRH) is widely adopted, yet challenges persist, particularly in complex dissections. Robotic right hemicolectomy (RRH) offers enhanced precision and ergonomi …

01.09.2026

Ischial tuberosity avulsion fractures: limited evidence supporting displacement cut-offs for surgery

01.09.2026

CORESS Feedback: Cases from the Confidential Reporting System for Surgery

CORESS is an independent charity. Past CORESS cases can now be identified using a searchable CORESS case database, available via our website ( coress.org.uk ). We are grateful to those who have provided the material for these vignettes, some of which come from NHS England and Get …

01.09.2026

Expanding use of the Foley catheter in maxillofacial surgery

01.09.2026 · 1 Zitationen

Use of four-dimensional computed tomography to aid parathyroid localisation in primary hyperparathyroidism in British surgical practice

Introduction Four-dimensional computed tomography (4DCT) has emerged as an effective imaging modality to aid parathyroid localisation before surgery. Following a service change in 2018, we evaluated the accuracy of 4DCT to lateralise culprit parathyroid glands causing primary hyp …

01.09.2026 · 3 Zitationen

Intraoperative parathyroid hormone assay benefits surgery for primary hyperparathyroidism when preoperative localisation is negative or not performed

Introduction Parathyroid localisation is now routine before first-time surgery for patients with primary hyperparathyroidism (PHPT). The aim of this study was to investigate the contribution of intraoperative parathyroid hormone (PTH) (ioPTH) in patients in whom localisation was …

01.09.2026

Gastrotomy incision to Bogotá bag suturing (GIBBS) technique for trichobezoar extraction

01.09.2026

Outcomes for congenitally corrected transposition of great arteries using various surgical techniques: a systematic review and network meta-analysis

Introduction Congenitally corrected transposition of the great arteries (ccTGA) is a rare disorder. Here, we evaluated the effectiveness of physiological, anatomical and Fontan repair techniques for ccTGA. Methods A systematic database search in PubMed, Embase and Cochrane Centra …

01.09.2026

Undergraduate medical student exposure to OMFS, a future workforce concern—a narrative review of the literature

Introduction Oral and maxillofacial surgery (OMFS) is a surgical specialty dealing with a broad spectrum of pathology affecting the head and neck. Despite a rising burden of head and neck conditions, exposure to OMFS in the undergraduate medical curriculum remains limited. This h …

01.09.2026

It begins with the right questions

01.09.2026

Partial nephrectomy for solid renal masses in polycystic kidneys: open surgical technique

Partial nephrectomy for small renal masses is well established as the preferred means of surgical treatment for kidney cancer, to preserve renal function. Although minimally invasive techniques are now standard in many countries, open surgery remains an important technique for di …

01.09.2026 · 1 Zitationen

Bone-conduction hearing implants: a potential postcode lottery

Background Bone conduction hearing implants (BCHIs) are a valuable alternative option for patients with hearing loss when conventional hearing aids are not effective or a viable option. In the UK, specialist sites offer BCHI services. We aimed to understand whether patients face …

01.09.2026

Balloon sinuplasty: does a model simulator improve ENT trainee competence?

Introduction Balloon sinuplasty is an established technique for treating chronic rhinosinusitis and its role in managing complicated acute rhinosinusitis (ARS) is emerging. Complicated ARS is a potentially life-threatening condition and balloon sinuplasty is not currently a compe …

01.09.2026

The impact and utilisation of patient-initiated follow-ups (PIFU) in the elective upper-limb clinic at secondary care

Background Musculoskeletal (MSK) conditions affect over 20 million people in the UK. Follow-up appointments account for nearly two-thirds of all outpatient activity. Patient-initiated follow-up (PIFU) allows patients to request follow-up appointments based on clinical need, aimin …

01.09.2026

Not all small bowel pneumatosis is ischaemia: a case-based systematic review of non-ischaemic causes

Background Pneumatosis intestinalis (PI) involving the small bowel is often interpreted as a radiological surrogate for ischaemia, prompting urgent surgical intervention. However, non-ischaemic causes—particularly in the postoperative setting—are under-recognised. This case-based …

01.09.2026

The non-slip suture: tissue approximation in high-tension wounds using a stepwise instrument-based suture method

01.09.2026

Penetrating neck trauma and the rising rates of deliberate self-harm: a single trauma centre experience

Introduction Self-inflicted harm is a complex behavioural phenomenon and a manifestation of a variety of underlying factors. Penetrating trauma is increasingly common, with rising knife crimes, gun violence and terrorism-related ballistics in the civilian arena. The study aims to …

01.09.2026

A brush with danger: operative management of a through and through urethral and rectal injury following paintbrush insertion into the urethra

Iatrogenic injury from urethral foreign body insertion is rare but a recognised urological emergency. We present a case of a 61-year-old man who presented to the emergency department having inserted a 15cm-long paintbrush into his urethra, resulting in two ‘exit’ wounds in his ur …

27.08.2026

Evaluating large language models in patient education: a comparative analysis addressing frequently asked questions in peri-acetabular osteotomy

27.08.2026

Implementing day-case parathyroidectomy in a large multi-site UK trust: a prospective case series

27.08.2026

Rethinking postoperative wound care: PRINEO may reduce surgical-site infection by eliminating dressing changes. A response to Hwang et al

19.08.2026

Comparative outcomes of genicular nerve block and radiofrequency ablation in knee osteoarthritis

19.08.2026

TOEPVA: a systematic review and meta-analysis of safety, efficacy and feasibility

17.08.2026

Injection sclerotherapy for haemorrhoids using an injection needle via an endoscope

06.08.2026

Potential underutilisation of weight loss medications in obese patients with knee osteoarthritis

Introduction Obesity is a major risk factor for knee osteoarthritis (OA), contributing to earlier symptomatic onset, increased pain severity and greater lifetime disability. Despite guidance that weight alone should not limit access to total knee arthroplasty (TKA), body mass ind …

06.08.2026

A retrospective cohort study of surgery for adrenocortical carcinoma in a tertiary endocrine surgery unit

06.08.2026

A service evaluation of surgical interventions for external rectal prolapse in Wales

Introduction This service evaluation aims to characterise variation in practice over time and outcomes of external rectal prolapse (ERP) surgery across Wales. Methods Patients undergoing ERP surgery between 1 January 2016 and 31 December 2020 were identified retrospectively acros …

06.08.2026

A simple, rapid technique for preparing and applying a Zimmer finger splint

05.08.2026

Beyond the chest wall: anterior rib malformation causing hepatic compression in an adolescent

Anterior chest wall deformities are rare in paediatric patients and may occasionally present with atypical clinical and radiological findings. We report the case of an adolescent presenting with intermittent chest pain, in whom imaging revealed an unusual anterior costal malforma …

05.08.2026

Fit to fly? Evaluating airline guidance for passengers with orthopaedic immobilisation

27.07.2026

The changing patterns of injury mechanisms and mortality at a major trauma centre in the UK, 2012–2022: the increase in falls from less than two metres requires effective multidisciplinary collaboration and prevention

Introduction As the major trauma demographic has changed in recent years, with low-energy mechanisms becoming increasingly prevalent, it is important to continue to evaluate the mechanisms of injury and their outcomes. Methods A retrospective study was conducted in a major tertia …

23.07.2026

Laparoscopic anti-reflux surgery in connective tissue disorders: a review of clinical outcomes

Introduction Connective tissue disorders (CTDs) frequently cause severe oesophageal dysmotility and medically refractory gastro-oesophageal reflux disease (GERD). Laparoscopic anti-reflux surgery may offer symptom relief, but concerns remain regarding postoperative dysphagia in p …

23.07.2026

Graft and patient outcomes after abdominal normothermic regional perfusion in liver transplantation

Introduction Donation after circulatory death (DCD) liver transplantation is currently limited by inferior outcomes compared with donation after brain death (DBD), predominantly due to ischaemia–reperfusion injury and biliary complications. Abdominal normothermic regional perfusi …

23.07.2026

Barn theatres and conventional theatres: a non-inferiority analysis of hip fracture arthroplasty outcomes

23.07.2026

Perspectives on digital recovery platforms in perioperative care: insights from patients and clinicians

Introduction Digital health technologies, including wearable activity monitors (WAMs), have the potential to transform perioperative care by improving patient engagement and enhancing clinical decision making. However, there is limited qualitative research exploring how patients …

23.07.2026

Quantifying the current impact of listing ACL reconstructions as low priority on subsequent meniscal pathology

Introduction Anterior cruciate ligament (ACL) ruptures can cause knee instability, potentially leading to meniscal and chondral injury if left untreated. Recent guidance suggests listing ACL reconstruction as lower priority without meniscal pathology. This study examines the risk …

23.07.2026

Interpreting troponin elevation after surgery: diagnostic challenges and a pragmatic approach

21.07.2026

Penile cutting-edge technology: using common theatre equipment to safely remove stuck penile constriction rings

21.07.2026

Cemented vs uncemented hip replacement: implications for operating theatre productivity

21.07.2026

Re: ‘A simple trick for supinated hand positioning during hand surgery’

02.07.2026

A prospective randomised controlled trial comparing open and laparoscopic pyloromyotomy for infantile hypertrophic pyloric stenosis in a low–middle-income country setting

Introduction Infantile hypertrophic pyloric stenosis (IHPS) is a common cause of non-bilious projectile vomiting in early infancy. Although open pyloromyotomy (OPM) remains the standard in many low–middle-income countries (LMICs), laparoscopic pyloromyotomy (LPM) is increasingly …

02.07.2026

Trends and causes of litigation in paediatric surgery within the National Health Service (NHS) England: a 19-year analysis

02.07.2026

Modified meatal-based tube-flipping technique for distal and mid-shaft hypospadias: clinical outcomes in a large cohort

02.07.2026

Designing sustainable robotic surgery for NHS scale-up: direct electricity measurement and an implementation-ready energy mitigation bundle in colorectal cancer resections

Introduction Robotic-assisted surgery is expanding across specialties due to advantages including instrument dexterity, depth perception and improved ergonomics. NHS England projections indicate rapid scale-up of robotic surgery to ∼500,000 robot-supported operations annually by …

02.07.2026

Can a generic fracture fixation assessment tool be used to assess quality of distal radius fracture fixation, and predict fixation failure?

02.07.2026

Laparoscopic-assisted ERCP is a safe procedure with good outcomes: experience from a single high-volume upper GI unit

Introduction Patients who have undergone Roux-en-Y gastric bypass (RYGB) no longer have anatomy that is amenable to trans-oral endoscopic retrograde cholangio-pancreatogram (ERCP). Laparoscopic-assisted ERCP (LA-ERCP), which combines laparoscopic and endoscopic techniques to acce …

02.07.2026

The incidence of complex regional pain syndrome following total knee arthroplasty: a prospective multicentre observational study of 1,026 patients with no cases identified according to the Budapest criteria

Aim Our aim was to determine the incidence of complex regional pain syndrome (CRPS) according to the Budapest diagnostic criteria of the International Association for the Study of Pain (IASP) in patients following primary total knee replacement (TKR) surgery for osteoarthritis. M …

02.06.2026

Health tourism in limb reconstruction – a recognised burden on the NHS

Introduction There has been an increase in patients travelling from the UK abroad for limb-lengthening surgery. Often patients return to the UK for rehabilitation. Complications are challenging and can require major surgery to correct. The aim of this study is to identify patient …

01.06.2026

Innovation to construct an effective abdominal retractor for complicated HPB surgeries: during the Sudan armed conflict

01.06.2026

Response to recent technical tip describing screw length measurement technique

01.06.2026

Improving on-call efficiency: impact of the orthopaedic grab-bag in major trauma centres and trauma units

01.06.2026

Response to trust, truth and transparency: analysing the references underpinning AI-generated surgical information

01.06.2026

A multicentre audit of costs, plastic waste and CO 2 -equivalent emissions of single-use items in flexible nasal endoscopy in UK ENT practice

01.06.2026

Gender-based trends in oral and maxillofacial surgery

22.05.2026

A novel Beath Pin-assisted technique for transosseous extensor mechanism repair

21.05.2026

Using Ametop gel as urethral anaesthetic for short urological procedures in women

21.05.2026

Severe splenic injury following elective colonoscopy: case illustrations and practice-informed insights from published experience

21.05.2026

When is it best to remove a catheter: risk factors for catheter-related emergency room visits and failure of ex-catheterisation

Objectives We aimed to evaluate the nature and timing of catheter-related complications, identify factors influencing trial without catheter (TWOC) outcomes and determine a preferred interval to TWOC. Methods Data from 672 patients referred for TWOC over 16 months included patien …

21.05.2026 · 1 Zitationen

Litigation in urology within NHS England: a contemporary analysis of costs and causes

Introduction Urology is a moderate to high-risk specialty associated with complex procedures. Medicolegal claims provide valuable insight into recurring clinical vulnerabilities. This study aims to provide an updated national evaluation of litigation in adult urology in National …

19.05.2026 · 1 Zitationen

The role of the dedicated emergency general surgeon: a survey

Introduction Emergency general surgery (EGS) is an essential part of general surgery. However, the service configuration for EGS in the United Kingdom (UK) and Ireland varies significantly. This study aims to clarify current and desired future roles of EGS surgeons in the UK and …

19.05.2026

The musculoskeletal health of hip surgeons: a national study

19.05.2026 · 1 Zitationen

Omitting the sentinel lymph node biopsy: a region’s perspective following recommendations from the SOUND trial

Introduction Sentinel lymph node biopsy (SLNB) remains the standard of care for axillary staging in early breast cancer (BC). However, its associated morbidity has prompted interest in de-escalating axillary surgery. The SOUND and INSEMA trials demonstrated that patients with sma …

19.05.2026

Obliteration of a left frontal sinus defect with a bicoronal approach and pericranial flap and 3D implant insertion

This article presents a case involving close collaboration between ear nose and throat (ENT), maxillofacial surgeons and anaesthetics in the management of a young patient with a frontal sinus defect. The repair technique incorporated a bicoronal approach, pericranial flap and a 3 …

19.05.2026

The NHS carbon footprint of paediatric tonsillectomies

Background Single-use waste is prevalent in many surgical procedures; it is also a contributor to carbon emissions released during surgery. With high-frequency procedures such as coblation tonsillectomy and adenotonsillectomy it is important that we promote and implement sustaina …

19.05.2026

Gastric volvulus associated with congenital diaphragmatic hernia

Gastric volvulus may present as a surgical emergency due to the risk of rapid deterioration, gastric necrosis and perforation. Undiagnosed congenital diaphragmatic hernia (CDH) is a rare, but established association. We recount four cases in paediatric practice and provide releva …

06.05.2026

Incisional hernia repair in the UK: a multicentre evaluation of guideline adherence and opportunities for service improvement

16.04.2026 · 1 Zitationen

Transabdominal preperitoneal (TAPP) versus totally extraperitoneal (TEP) repair for inguinal hernia: a systematic review and meta-analysis

16.04.2026

Bone preparation using a closed-circuit suction system prior to implantation in total knee arthroplasty

16.04.2026

Demographics of malignant melanoma in Trinidad and Tobago

16.04.2026

Frequent failure of percutaneous bone conduction implants in a low-resource setting

There are few data on outcomes of bone conduction implant outcomes in low-resource settings, where a potentially higher risk of infection means that percutaneous implants may have different outcomes. Of the first five consecutive percutaneous bone implants performed in our hospit …

16.04.2026

Treating life-threatening airway compromise due to concurrent COPD and tracheomalacia using translaryngeal shared-airway microsurgery

16.04.2026

Long-term functional outcomes following non-surgical management of completely displaced midshaft clavicle fractures in adolescents (12–16 years): a retrospective cohort study with 11-year follow-up

16.04.2026

Outcomes of self-trial without catheter pathway following elective urological surgery

16.04.2026

Outcomes of bailout tube duodenostomy in management of hostile nonsalvageable perforated duodenal ulcer: a systematic review and meta-analysis

Introduction This study aimed to evaluate outcomes of tube duodenostomy in the management of hostile nonsalvageable perforated duodenal ulcer. Methods PRISMA statement standards were followed to conduct a systematic review with proportion meta-analysis. All studies with a minimum …

16.04.2026

Kaposiform haemangioendothelioma causing complete jejunal obstruction in a neonate: an unexpected intraoperative finding

16.04.2026

Surgical versus endoscopic management of Boerhaave’s syndrome: a systematic review and meta-analysis

16.04.2026 · 1 Zitationen

Congenital absences of the iliac artery: a systematic review of clinical presentations and anatomical patterns, with case illustration

09.04.2026

Intranetwork variation in neoadjuvant therapy delivery for borderline resectable and locally advanced pancreatic cancer: a UK multicentre cohort study

09.04.2026

An exploration of factors affecting timely referral of patients with chronic limb-threatening ischaemia

Introduction Chronic limb-threatening ischaemia (CLTI) is the end-stage of peripheral arterial disease, associated with significant risks of limb loss and mortality, which increase with delay to treatment. There is little understanding of how pathways from the community to vascul …

18.03.2026

Real-world validation of the cancer dysphagia score for primary care triage of suspected upper gastrointestinal cancer referrals

Introduction The National Institute for Health and Care Excellence guideline NG12 recommends urgent suspected cancer referrals for adults presenting with dysphagia. Diagnostic yield from upper gastrointestinal endoscopy in this cohort is around 1%. The Cancer Dysphagia Score (CDS …

18.03.2026

Commentary on: Immersive robotic colorectal training in the United Kingdom is safe and efficient

18.03.2026 · 1 Zitationen

Trust, truth and transparency: analysing the references underpinning AI-generated surgical information

Introduction Artificial intelligence (AI) chatbots, powered by large language models, are used increasingly for disseminating surgical information, but concerns about accuracy, hallucinations and source reliability persist. This study evaluates the sources of information upon whi …

05.03.2026

Early-onset colorectal cancer in a single health board: do we need to do more?

Introduction The incidence of early-onset colorectal cancer (EoCRC) is rising globally and remains a growing healthcare concern. Despite national guidelines recommending universal referral for genetic testing, adherence remains low in many countries. This study evaluates the clin …

05.03.2026

Re: Initial experience of benign upper gastrointestinal robotic-assisted surgery: first 200 cases and early postoperative outcomes

05.03.2026

Enhancing stoma reversal outcomes: a novel technique using warm isotonic saline for distal limb intubation

05.03.2026

Commentary on: Multimodal therapy and precision-imaging extends the limits of treatment for a patient with initially unresectable synchronous colorectal liver metastases

05.03.2026

Re: Sustainability in breast surgery: a narrative review

05.03.2026

Gastric bezoar with associated gastrocolic fistula in a patient with learning disabilities

Bezoars are foreign bodies formed by indigestible material that can form in the gastrointestinal tract, most often in the stomach. Gastric bezoars can be managed by endoscopic or surgical approaches. An elderly woman with a background of learning disabilities, known to be consumi …

05.03.2026

A sticking point on three-way catheters: preventing inflow blockage by using high-adhesion tape

05.03.2026

Re: a quality improvement project of patient perception of AI-generated discharge summaries: a comparison with doctor-written summaries

05.03.2026

The Foley catheter in oral and maxillofacial surgery

23.02.2026

Therapeutic use of Gastrografin in the management of adhesional and non-adhesional bowel obstruction

Introduction The standardisation of Gastrografin (GG) use in small bowel obstruction (SBO) remains a challenge in emergency surgery. Methods A retrospective audit was performed to assess clinical practice using the Bologna guidelines, the National Confidential Enquiry into Patien …

23.02.2026

The hippocampus: myth, memory and magnetic resonance imaging

Introduction The hippocampi are complex, convoluted regions of archicortex in the temporal lobes of the brain critical to explicit memory function. Over time our view of the structural anatomy of this region has evolved, yet how this relates to underlying functions remains poorly …

23.02.2026

Improving tonsillectomy outcomes: a five-year experience of practice evolution at a tertiary paediatric centre

Introduction Tonsillectomy techniques have evolved significantly. Here, we show how our practice changed based on evidence from nearly 2,600 tonsillectomies over five years at a tertiary paediatric centre. Methods This is a case series with retrospective analysis of data from ele …

23.02.2026 · 1 Zitationen

Three-year follow-up of antibiotics versus surgery for acute appendicitis

Introduction Acute appendicitis is one of the most common surgical emergencies. Emerging evidence suggests uncomplicated appendicitis could be treated by antibiotics. We investigated the outcome of patients treated with antibiotics for acute appendicitis with a three-year follow- …

23.02.2026

Re: Improving pain management for children having dental extractions under general anaesthesia

23.02.2026

Ethical and legal challenges of integrating artificial intelligence into paediatric surgery

02.02.2026

Outcome of ankle fractures in children: an updated systematic review and meta-analysis

02.02.2026 · 2 Zitationen

DiffErential attainment and Factors AssoCiated with Training applications and Outcomes (DE FACTO) study: sex trends across surgical specialities

02.02.2026

Endoscopic gastric conduit plication: a novel endoscopic technique for delayed gastric conduit emptying following oesophagectomy

Gastric conduit is the preferred reconstruction following oesophagectomy. Patients can develop delayed gastric conduit emptying because of dilatation and poor drainage. We present a novel technique utilising endoscopic suturing to plicate the gastric conduit, improving drainage, …

20.01.2026

Giant Brunner’s gland hamartoma: the surgical management of complex cases

12.01.2026

World’s first surgical repair of bilateral common iliac artery agenesis

12.01.2026 · 1 Zitationen

Vascular Eagle’s syndrome: difficult diagnosis in patient with recurrent transient ischaemic attack

Eagle’s syndrome describes the elongation of the styloid process. The condition has been recognised for over 90 years and causes a wide range of symptoms depending on the level of compression. Compression of the internal carotid artery by the styloid process is referred to in the …

01.07.2026

Effectiveness of epidural anaesthesia induced by different dosages of ropivacaine combined with lidocaine in geriatric orthopaedic surgery

Objective This paper unravelled the effectiveness of epidural anaesthesia induced by different dosages of ropivacaine combined with lidocaine in geriatric orthopaedic surgery. Methods Elderly orthopaedic surgical patients who underwent epidural anaesthesia were allocated into thr …

01.07.2026

Double lumen concentric frontal sinus irrigation device

01.07.2026

A systematic review and meta-analysis comparing the safety and efficacy of open oesophagectomy and hybrid minimally invasive oesophagectomy

Introduction Surgical resection, with or without neoadjuvant therapy, remains the primary treatment for oesophageal cancer. The two main surgical approaches are open oesophagectomy (OE) and hybrid minimally invasive oesophagectomy (HMIE). However, their relative safety and effica …

01.07.2026

Competence over case count: rethinking paediatric orthopaedic training

01.07.2026

Virtual joint school prior to hip and knee arthroplasty: patient feedback and carbon footprint savings

Introduction Patient education programmes prior to hip and knee arthroplasty reduce anxiety and create realistic expectations. We describe a ‘virtual joint school’ (VJS) model and analyse patient feedback and environmental impact. Methods Eligible patients first viewed online edu …

01.07.2026

Response to letters from Ms Deepa Bose (SAC) & Mr Alexander Thomas Schade (BOTA)

01.07.2026

A rare case of extramedullary plasmacytoma in the breast – an incidental finding in a 100-year-old following a fall

Extramedullary plasmacytoma is a rare type of tumour consisting of monoclonal plasma cells found in soft tissues. Breast plasmacytomas account for less than 1% of all breast neoplasms. Breast plasmacytomas are challenging to identify on imaging due to nonspecific features. Their …

01.07.2026 · 2 Zitationen

Out of this world: can surgery learn from NASA’s approach to leadership and safety culture?

The US National Aeronautics and Space Administration (NASA) will be familiar to most across the world. Leading highly dangerous and innovative space travel, NASA has gone from a blame culture in the 1960s to an environment that keeps safety at the forefront and a top priority. NA …

01.07.2026 · 1 Zitationen

Decision making and outcomes in colorectal cancer and frailty: the DeCaF study

Introduction Surgical resection is the main treatment for non-metastatic colorectal cancer (CRC). However, 6% of patients do not undergo surgery owing to frailty, according to the National Bowel Cancer Audit (NBOCA). The impact of preoperative evaluation and decision making on ou …

01.07.2026 · 2 Zitationen

Evaluating the ability of AI chatbots to provide informed consent information for common oncological surgeries

Introduction Informed consent is fundamental to oncological surgery, but communication is often hindered by medical terminology, inconsistent explanations and variation in patient understanding. Large language models may improve accessibility by generating simplified consent info …

01.07.2026

This story shall the good [surgeon] teach

01.07.2026 · 1 Zitationen

Cholecysto-duodenal and cholecysto-colic fistulae identified intraoperatively during laparoscopic cholecystectomy in a surgical hub

Laparoscopic cholecystectomy is the standard treatment for symptomatic gallstone disease and is often performed in elective settings. To address surgical backlogs, the United Kingdom has adopted off-site elective surgical hubs designed for high-volume, low-complexity procedures. …

01.07.2026

Using a bladder syringe for retrograde urethrogram

01.07.2026

Artificial urinary sphincter surgery in the UK: are we following the guidelines?

Introduction Artificial urinary sphincter (AUS) is a guideline-recommended treatment for male stress urinary incontinence. Despite its widespread use, it is thought that there is no standardisation in AUS practice. This study aims to report current AUS insertion practices in the …

01.07.2026

The oral and maxillofacial surgery training pathway in India

01.07.2026

Long-term outcomes of bovine pericardium neo-aortic reconstructions in infected vascular fields

Introduction Infected aortic fields are among the most complex surgical challenges, often requiring urgent intervention and associated with a high risk of morbidity and mortality. Bovine pericardium offers a customisable, off-the-shelf option for in situ reconstruction using biol …

01.07.2026

Frailty in emergency surgery: expanding the role of biomarkers

01.07.2026

Frailty: new horizons in older patients needing surgery

01.07.2026 · 1 Zitationen

The effectiveness of nonsurgical nasal devices in relieving nasal obstruction

Introduction Nasal obstruction secondary to septal deformity is a common problem, for which surgery is the gold-standard treatment. Long waiting times for surgery, however, leave patients in need of effective, patient-led strategies in the interim. Many wearable nasal devices are …

01.07.2026

Renal hyperparathyroidism: comparative outcomes of parathyroidectomy in two regional centres over 14 years

Introduction Renal hyperparathyroidism is a common complication of chronic kidney disease, often requiring parathyroidectomy (PTX) when medical therapy fails. Following surgical intervention, recurrence and postoperative complications, in particular hypocalcaemia, are variable. T …

01.05.2026

Learning from orthopaedic complications and adverse events in a district general hospital

Introduction The aim of this study was to determine the learning derived from postoperative complications to reduce the risk of avoidable harm. Methods A retrospective review of a prospectively maintained local hospital registry of readmissions for complications was undertaken at …

01.05.2026

Effect of unplanned conversion to open surgery on resection margins and complications in laparoscopic pancreaticoduodenectomy: a systematic review and meta-analysis with meta-regression

Introduction We aimed to investigate the effect of unplanned conversion to open surgery during laparoscopic pancreaticoduodenectomy on resection margins and complications. Methods A systematic review and meta-analysis (proportion and comparison models) with meta-regression using …

01.05.2026

Fatigue fracture of a DBS extension cable: a pictorial review

Non-deep brain stimulation (DBS) lead hardware complications are quite uncommon. They are observed more with tremor and dystonia patients due to constant strain on the neck region. However, occurrence of such complication over a two-decade period has not been reported. Twenty yea …

01.05.2026

CORESS Feedback: Cases from the Confidential Reporting System for Surgery

CORESS is an independent charity. Past CORESS cases can now be identified using a searchable CORESS case database, available via our website ( coress.org.uk ). We are grateful to those who have provided the material for these vignettes, some of which come from NHS England and Get …

01.05.2026 · 1 Zitationen

Online information on bowel resection for Crohn’s disease

Introduction Most patients with Crohn’s disease (CD) have at least one bowel resection during their lifetime. Patients considering surgery will probably look for information online, as is common practice among patients with chronic illnesses. The aim of this systematic review is …

01.05.2026

The effect of surgical complications on trauma and orthopaedic trainees

Background Complications can be devastating for patients, but the ‘second victim’ phenomenon is increasingly being acknowledged, whereby the surgeons involved in the complication are adversely affected by such complications. For trainees, who are early into their surgical careers …

01.05.2026

Tying surgeon's knot: a locking variation

01.05.2026 · 2 Zitationen

Internal validation protocol for large collaborative clinical data sets: assessment of the CONGRESS database

Introduction Multicentre clinical research collaboratives collect large, generalisable data sets. However, data are often collected by trainees who may lack clinical or academic experience, raising concerns about data quality and potential reporting bias. Validation practices in …

01.05.2026

Chloride-guided bolus vs conventional fluid therapy for preoperative optimisation in infantile hypertrophic pyloric stenosis

Introduction Infantile hypertrophic pyloric stenosis (IHPS) often presents with significant metabolic derangement requiring preoperative fluid resuscitation. Conventional fluid therapy (CFT) is widely used, but bolus fluid therapy (BFT), guided by serum chloride levels, may allow …

01.05.2026

Small bowel herniation through the epiploic foramen reduced laparoscopically

Herniation of intestinal contents through the epiploic foramen is a rare phenomenon. Diagnosis is often missed owing to its non-specific presentation, delaying management and increasing morbidity and mortality. We report a 60-year-old man presenting with symptoms of abdominal pai …

01.05.2026

Put a cork in it: using Instillagel to prevent urine spillage during suprapubic catheter insertion

01.05.2026

Impact of postoperative weight loss on anticoagulant dosing after major lower limb amputation

Objective Major lower limb amputation is often the final treatment for patients with chronic limb-threatening ischaemia. Postoperative weight loss is a common but under-recognised issue that may affect dosing accuracy for weight-dependent anticoagulants such as low molecular weig …

01.05.2026

A quantitative approach to understanding the effect of the COVID-19 pandemic on training opportunities for neurosurgical trainees in England

Introduction The literature speaks to the impact of the COVID-19 pandemic having a profound effect on surgical training. Our objective in this study was to quantify the effect of the COVID-19 pandemic on neurosurgical training and to test whether an effect on the quality of neuro …

01.05.2026

30-Day mortality risk predictors for emergency laparotomy: a comparative study

Introduction Morbidity and mortality are significant risks associated with emergency laparotomies. A risk calculation tool facilitates the identification of high-risk patients and provides clinicians with information to help them make informed decisions. In search of an ideal sco …

01.05.2026

Classification of vascular anomalies

01.04.2026

Effect of stump-preserving arthroscopic reconstruction or stump-eliminating arthroscopic reconstruction combined with exercise rehabilitation therapy on knee functional recovery in patients with anterior cruciate ligament injuries

01.04.2026

Response to operative experience in paediatric orthopaedics in UK trainees achieving a Certificate of Completion of Training in trauma and orthopaedic surgery: a descriptive analysis of national e-logbook data

01.04.2026

Utility and outcomes of routine jejunostomy placement following oesophagectomy

01.04.2026 · 1 Zitationen

Foley catheter balloon tamponade for actively bleeding wounds following penetrating neck injury: a systematic review and meta-analysis

01.04.2026 · 1 Zitationen

Variation in costs to complete surgical training: a cross-sectional observation analysis

01.04.2026

Re: External validation of HAS model in predicting mortality after emergency laparotomy

01.04.2026 · 1 Zitationen

Predictive factors for prolonged nutritional support after oesophagogastric cancer resection

01.04.2026

Emergency obstructed hernia admissions over the COVID-19 national lockdowns: a regional review

01.04.2026 · 1 Zitationen

Massive simple hepatic cyst triggered sudden cardiac arrest in a middle-aged, female patient due to compression of the right heart

01.04.2026

Skull base reconstruction with nasoseptal flap in oncologic cases: can narrow-band imaging help? How we do it

01.04.2026

Deer velvet powder-induced antral stricture mimicking infantile hypertrophic pyloric stenosis in a 3-month-old infant: a case report

01.04.2026

Surgical training for simple and complex hernia repair in the UK: results of a nationwide training survey

01.04.2026

Consenting for intraoperative use of animal- and human-derived products: a case of the blind leading the blind?

01.04.2026 · 1 Zitationen

A simple trick for supinated hand positioning during hand surgery

01.04.2026

Longitudinal studies on interdisciplinary teaching models incorporating plastic surgery

01.04.2026 · 1 Zitationen

Operative experience in paediatric orthopaedics in UK trainees achieving a Certificate of Completion of Training in trauma and orthopaedic surgery: A descriptive analysis of national eLogbook data

01.04.2026

Calcific tendonitis of the shoulder; when should we operate?

01.04.2026

Morbidity and patient characteristics on acute presentation with sore throat: a multicentre national audit

01.03.2026

The Birmingham Mandible and Mid-face (BruMM) rules: interim data analysis

01.03.2026 · 1 Zitationen

Opening the operating theatre to oncology: treatment of locally recurrent rectal cancer with peritoneal metastasis by simultaneous hyperthermic intraperitoneal chemotherapy and intraoperative electron beam radiotherapy

01.03.2026

Novel use of calcium sulfate bioabsorbable beads as a cement restrictor in revision arthroplasty for infection

01.03.2026

Systematic review practices in surgical disciplines

01.03.2026 · 1 Zitationen

Patients’ priorities in kidney stone disease

01.03.2026

Reporting issues with systematic reviews and meta-analyses

01.03.2026

Comparison of orthopaedic specialty registrar training opportunities in trusts with and without an elective surgical hub: a review of administrative data

01.03.2026 · 1 Zitationen

A systematic review of patient and clinician experiences of bariatric tourism

01.03.2026 · 5 Zitationen

Adoption of nonwire localisation devices in UK breast units: an iBRA-NET survey to assess changes in practice

01.03.2026

Incidence, risk factors and prevention of hypothyroidism following laryngectomy: a systematic review and meta-analysis

01.03.2026 · 1 Zitationen

Suprapubic catheter insertion: a multicentre review on mortality during short-, medium- and long-term follow-up

01.03.2026 · 1 Zitationen

Arthrodesis of the distal interphalangeal joint: an accurate method of screw length measurement

01.03.2026 · 1 Zitationen

Total hip arthroplasty in patient with hip fracture and congenital pubic diastasis

01.03.2026 · 3 Zitationen

Thromboelastography and clinical outcomes in peripheral arterial disease: a systematic review and narrative synthesis

01.03.2026

Optimising same day discharge hemithyroidectomy: defining outcomes, unplanned admissions and patient experience

01.03.2026 · 1 Zitationen

Designing a new orthopaedic trauma meeting proforma to improve documentation in a large UK teaching hospital

01.02.2026

ASiT Innovation Summit E-Posters

01.02.2026

ASiT Innovation Summit Oral Presentations

01.02.2026

The influence of surgeon seniority and intestinal failure experience on identifying malnourished patients in emergency general surgery: a national survey

01.02.2026

An unusual presentation of a depressed clavicle fracture in a child leading to venous congestion

01.02.2026

A temporary measure for ureteral stenting

01.02.2026 · 3 Zitationen

The carbon footprint of group and save in elective and emergency surgery

01.02.2026

Effect of drain omission after mastectomy on cosmesis, patient satisfaction and interval to adjuvant therapy

01.02.2026 · 1 Zitationen

The ‘hub’ model for colorectal surgery: a viable paradigm shift?

01.02.2026 · 3 Zitationen

Water-soluble contrast agent use in adhesional small bowel obstruction: a survey of surgical practices and clinical trial considerations

01.02.2026 · 3 Zitationen

On the vis inertiæ within burnout research

01.02.2026

Acute exertional compartment syndrome of the supraspinatus

01.02.2026

The open access juggernaut and another bastion falls

01.02.2026 · 5 Zitationen

Radiofrequency and microwave ablation as promising minimally invasive treatment options for papillary thyroid micro-carcinoma: a systematic review

01.02.2026

Evaluation of a local anaesthetic biopsy service for suspected cancers at a tertiary head and neck unit: relevance to post-COVID-19 recovery of surgical services

01.02.2026 · 1 Zitationen

Theatre etiquette Delphi: the development of a guide on professional conduct and best practices in operating environments

01.02.2026 · 1 Zitationen

Outcomes of reverse shoulder arthroplasty as a day case procedure: a population-based cohort study using the National Joint Registry and Hospital Episode Statistics

01.01.2026

Re: Cosmetic incision for paediatric muscle biopsy

01.01.2026 · 1 Zitationen

Nonemergency colectomy for inflammatory bowel disease: the National Consultant Information Programme (NCIP) used to highlight colorectal surgery practice and outcomes in England 2018–2022

01.01.2026

The impact of COVID-19 on inflammatory bowel disease surgery: a systematic review

01.01.2026 · 1 Zitationen

Investigating the fluid and electrolyte prescribing knowledge of Foundation Year doctors

01.01.2026 · 1 Zitationen

Addressing mental and physical fatigue in major abdominal surgery by incorporating muscle stretches and hydration mini breaks

01.01.2026

A thank you to all our reviewers

01.01.2026 · 1 Zitationen

Systematic review of bilateral epididymal leiomyomas

01.01.2026 · 1 Zitationen

Recurrent ascending cholangitis secondary to food reflux following transduodenal resection of an ampullary adenoma

01.01.2026 · 2 Zitationen

Management trends and practices in ischial tuberosity avulsion fractures: a cross-sectional study among hip surgeons in the UK, surgical technique and literature review

Background Ischial tuberosity avulsion fracture (ITAF) is a rare injury affecting predominantly adolescent athletes yet lacks standardised management protocols. This study aims to investigate the diverse management preferences among hip surgeons regarding ITAF and share our prefe …

01.01.2026

Impact of COVID-19 on management and outcomes of NHS patients with recurrent respiratory papillomatosis: evidence from a UK registry

01.01.2026 · 1 Zitationen

The role of social inequalities in the epidemiology of urological cancers: can this inform cancer screening?

01.01.2026 · 1 Zitationen

Optimal timing of chest radiograph following chest tube removal in detecting recurrent pneumothorax: analysis of 163 patients with thoracic stab wounds at a major trauma centre in South Africa

01.01.2026 · 1 Zitationen

Retroperitoneal haemangioma masquerading as recurrence of well-differentiated neuroendocrine tumour: a cautionary note

01.01.2026

CORESS Feedback: Cases from the Confidential Reporting System for Surgery

01.01.2026

A surgeon-modified device for the evacuation of diathermy smoke

01.01.2026

A national survey of the diagnosis and management of Ménière’s disease among ENT consultants, UK

01.01.2026 · 1 Zitationen

Analysis of short-term functional outcomes of colorectal resections in older adults aged 75 years and older: a prospective single health board cohort study