GeneralSurgery

Medical Protection Society Website  

Medical Protection Society Website  

X-linked recessive condition, deficiency of factor VIII, prevalence 1 in 10,000 Range of possible mutations, 30% of cases due to sporadic mutation Low factor VIII levels predispose to bleeding – risk proportional to factor VIII level Mild disease (11-30 units/dl) risk after significant trauma/surgery Moderate disease (2-10 units) - minor trauma  

Faecal incontinence Occurs in 15% aged >65Y, increasing incidence with age in men only. Causes include: Sphincter weakness (following childbirth/surgery); Anal/rectal pathology e.g. fistulae, Crohn’s, proctitis;  

Three types of operation: Abdominal – TAH – Total Abdominal Hysterectomy This is the most common form of surgery performed in the UK Vaginal – VH – Vaginal HyesterectomyLaparoscopic – LAVH – Laparoscopically assisted Vaginal Hysterectomy  

C-section is major surgery, with real risks, and the decision to perform such an operation should not be taken lightly!   Epidemiology Incidence in increasing, mainly due to the increased diagnoses of fetal distress, as diagnosed by CTG monitoring. Also increasing used for non-longitudinal lies (e.g. breech, transverse) WHO recommends not >15% of deliveries should be via c-section  

By-pass surgery - CABG Along with angioplasty this is the other coronary revascularisation technique used for the treatment of IHD (ischaemic heart disease).   Indications  

Definitions. Before discussing SIRS along with the various sepsis syndromes, it is important to understand some basic definitions. Infection: This is the inflammatory response initiated by the presence of a micro-organisms in normally sterile tissue. Bacteraemia: The presence of live bacteria in the blood stream. This can occur in a healthy individual and present with no symptoms. Common causes include surgery, dental procedures and even tooth brushing.  

Learn about the key preperitoneal anatomy that laparoscopic surgeons must consider when repairing inguinal hernias.  

Virtual Hip Replacement Surgery is an activity for patients and their caregivers to take on the role of a surgeon and complete a hip replacement surgery while learning about the procedure, technology, and health risks and benefits. Activity includes photos of real surgery.  

Cosmetic surgery will not cure all issues related to image confidence, psychologist Emma Kenny says.  

Surgery is the only definitive treatment and is recommended for people with symptomatic gallstones who are fit to undergo surgery  

Accessing, undergoing, and achieving a successful outcome from surgery for “severe and complex obesity” is difficult and requires determination and effort. Here, we consider “severe and complex obesity” to mean that an individual’s health is compromised by his or her weight to the extent that surgery can be considered to be an appropriate option.1 Surgery may be offered to adults with a body mass index (BMI) of ≥40, or a BMI of ≥35 with an obesity related disease, and it can be very successful. An average 50% of excess weight may be lost in the first few years after surgery, and if this is sustained it is associated with long term reduction in overall mortality and decreased incidences of diabetes, myocardial infarction, stroke and cancer.1 2 This treatment, however, requires careful consideration and serious commitment, with the need to demonstrate full engagement in a structured weight loss programme, to have tried all appropriate non-invasive measures of weight loss, and persevered for referral to a specialist surgical team.1 Once surgery is approved it is necessary to choose which operation to undergo.  

Surgery is the only definitive treatment and is recommended for people with symptomatic gallstones who are fit to undergo surgery  

Accessing, undergoing, and achieving a successful outcome from surgery for “severe and complex obesity” is difficult and requires determination and effort. Here, we consider “severe and complex obesity” to mean that an individual’s health is compromised by his or her weight to the extent that surgery can be considered to be an appropriate option.1 Surgery may be offered to adults with a body mass index (BMI) of ≥40, or a BMI of ≥35 with an obesity related disease, and it can be very successful. An average 50% of excess weight may be lost in the first few years after surgery, and if this is sustained it is associated with long term reduction in overall mortality and decreased incidences of diabetes, myocardial infarction, stroke and cancer.1 2 This treatment, however, requires careful consideration and serious commitment, with the need to demonstrate full engagement in a structured weight loss programme, to have tried all appropriate non-invasive measures of weight loss, and persevered for referral to a specialist surgical team.1 Once surgery is approved it is necessary to choose which operation to undergo.  

Surgery is the only definitive treatment and is recommended for people with symptomatic gallstones who are fit to undergo surgery  

A 79 year old woman was referred to our ear, nose, and throat outpatient clinic with a history of hoarse voice. This symptom had been present for around three months. It initially fluctuated in severity but eventually became constant. There was no associated pain, weight loss, cough, dysphagia, odynophagia, or other upper airway symptoms. She had not recently had surgery or experienced trauma. Her medical history was of chronic obstructive pulmonary disease, and she was an ex-smoker.  

Men with early prostate cancer who are treated with androgen deprivation therapy instead of surgery or radiation therapy show no reduction in mortality compared with those who receive no treatment, a retrospective analysis of US cancer registries has shown.1  

Surgery is the only definitive treatment and is recommended for people with symptomatic gallstones who are fit to undergo surgery  

Surgery is the only definitive treatment and is recommended for people with symptomatic gallstones who are fit to undergo surgery