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ANNALS of the ROYAL COLLEGE of England ANNALS of THE ROYAL COLLEGE of England Volume 65 January-November 1983 Editor A J Harding Rains MS FRCS Assistant Editor R M Kirk MS FRCS Associate Editors Derek Seel FDSRCS DOrthRCS Faculty of Dental Surgery J E Riding MD FFARCS Faculty of Anaesthetists Executive Editor R E Horton MBE MS FRCS Published by The Royal College of Surgeons of England in conjunction with the Journal Department of the British Medical Association, B.M.A. House, Tavistock Square, London, WClH 9JR CONTENTS Volume 65 January-November 1983 Page Editorial I Scientific Articles Limb preservation in the treatment of bone tumours Rodney Sweetnam 3 A time-saving but effective approach to the follow-up ofpatients after curative surgery for carcinoma of the large bowel Alexander P Ross 8 Percentage malignant involvement: a new concept in staging of breast cancer A Cuschieri, A D Irving, A 3 Robertson, J Clark and R A B Wood 11 'Out this nettle . .' Peter W Thompson 14 An open comparison between routine and self-administered postoperative pain relief Peter 3 Slattery, Michael Harmer, Michael Rosen and Michael D Vickers 18 Angiography as an index of healing in experimental laparotomy wounds and colonic anastomoses David J Leaper 20 The effect of wall mechanical properties on patency of arterial grafts Iain G Kidson 24 Wound infection after cholecystectomy: a case for routine prophylaxis Richard S Stubbs 30 Rectocolectomy with anal conservation in inflammatory colitis A M Deane and I R Celestin 32 latrogenic spinal accessory nerve palsy Richard J King and Geraldo Motta 35 Subcutaneous bupivacaine for postoperative analgesia after herniorrhaphy K Hashemi and M D Middleton 38 Plain bupivacaine 0.50o: A preliminary evaluation as a spinal anaesthetic agent David W Ryan, Angus K Pridie and Paul F Copeland 40 Superficial acupuncture in the relief of chronic low back pain A J R MacDonald, K D Macrae, B R Master and A. P.Rubin 44 Prolonged access to the venuous system using the Hickman right atrial catheter G Sagor, P Mitchemere, J. Layfield, H G Prentice and R M Kirk 47 Aspects of treatment at the Zhejiang Medical College, China Shu rou Peng, Man Kwong rue, Vi Jeng and Jian Chen 50 Aging attitudes to home accidents John Watkins, Angela Perry and Richard Eiser 52 Thomas's splint with adjustable ring B N Muddu 55 Solo surgeon R. Bhattacharyya 57 Selecting surgical chairmen or Playing golf with matchsticks Harris B Shumacker 59 British Association of Clinical Anatomists 61, 198, 333 Some changing aspects of primary hyperparathyroidism Edward T Bainbrige and Anthony D Barnes 67 Factors influencing wound complications: a clinical and experimental study Timothy E Bucknall 71 Streptococcus milleri and surgical sepsis John C Tresadern, Roger J Farrand and Miles H Irving 78 Are systemic prophylactic antibiotics necessary for burns? M J Timmons 80 Op-site skin closure: a comparison with subcuticular and interrupted sutures G W Watson, C J Anders and J R Glover 83 Vein grafts for arterial repair: an experimental study of the histological development of the intima John K McGeachie, Francis J Prendergast and Peter J Morris 85 A modified Gritti-Stokes amputation: its place in the management of peripheral vascular disease C J M Beacock, J Doran, B R Hopkinson and G S Makin 90 Awareness during anaesthesia: a review J L Breckenridge and A R Aitkenhead 93 Long-term efficacy of surgical cordotomy in intractable non-malignant pain T M Jack and J W Lloyd 97 Ethamsylate in vaginal surgery under lumbar epidural anaesthesia G B Smith, R J Eltringham and J J Nightingale 103 Abdominal tuberculosis a disease revived N V Addison 105 The functional and morphological effects of duodeno-gastric reflux and their relation to peptic ulceration WEG Thomas 112 Gastric partitioning for morbid obesity D L Morris, J R Lee and R M Baddeley 117 A common bile duct sound: an aid to sphincterotomy Laurence F Tinckler 119 Anterior horseshoe fistula A P R Aluwihare 121 Stripping branchial fistulae J HNeame 123 Simple renal cysts in children A F Azmy and P G Ransely 124 The management of pyonephrosis G S M Harrison 126 Immunobiological determinants in organ transplantation Charles Marks 139 The role of surgery of the thymus for myasthenia gravis Clayton L N Robinson 145 The microflora of the oesophagus Aylwyn Mannell, Mary Plant and Julius Frolich 152 Presentation and prognosis of malignant tumours of the thyroid gland in the West Riding of Yorkshire C K Yeung and N V Addison 155 Is the undeniably palpable liver ever normal? D N L Ralphs, G Venn, 0 Khan, J C Palmer, D E Cameron and M Hobsley 159 The future of inhalation anasthesia E M Papper 161 A combination of subcuticular suture and sterile Micropore tape compared with conventional interrupted sutures for skin closure M Taube, R J Porter and P H Lord 164 The use of a new suture material (Polydioxanone) in the biliary tract Ronald W Hoile 168 A simple stoma wafer cutter Martin Clifton 172 Urodynamic investigation in a district general hospital A R de Bolla and D G Arkell 173 Experience with the 'Triple Test' in pancreatic disease H H Thompson, C L Brown, R S Murray, D L Wingate and H D Ritchie 176 A prospective study of radionuclide biliary scanning in acute pancreatitis 7 P Neoptolemos, D P Fossard and 7 M Berry 180 The transduodenal per-ampullary approach to common bile duct calculi A E Carter 183 Proximal gastric vagotomy: a district general hospital experience J J Wood, J M Ryan and C J Anders 185 The anatomical relationship between the retropancreatic part of the bile duct and the main pancreatic duct P M Dawson and T G Allen-Mersh 188 A proposed new method for the treatment of dry mouth N J Marks and B 7 Roberts 191 British urology 1982 W Keith reates 194 Microvascular free jejunal transfer reconstruction following pharyngolaryngectomy 7 P Birchall, M Hattab, K Pearman, D B Mathias and M 7 M Black 209 Observations on the activity of the renin-angiotensin-aldosterone (RAA) system after low volume colloid resuscitation for burn injury R W Griffiths, J G B Millar, J. Albano and P G Shakespeare 212 A simple, safe, surgical technique for closing the persistent ductus arteriosus in the preterm neonate A J Gunning 216 Meckel's Diverticulum: to look or not to look: to resect or not to resect A Lang-Stevenson 218 A study of colovesical fistulae in a district hospital Peter D Morrison and N V Addison 221 Day case inguinal hernia repair under local anaesthetic P A Baskerville and P E M Jarrett 224 The direct perfusion of surgical wounds with local anaesthetic solution: an approach to postoperative pain? D F M Thomas, W G Lambert and K Lloyd Williams 226 The fate of the below knee amputee Linda de Cossart, P Randall, P Tuner and R W Marcuson 230 The treatment of recurrent pulmonary embolism: experience with the Kimray Greenfield vena cava filter John H Scurr, Paul E M Jarrett and Christopher Wastell 233 A comparison of skin grafting and healing by granulation, following axillary excision for hidradenitis suppurativa Wyn P Morgan, Keith G Harding and Leslie E Hughes 235 Haemorrhoids treated by cryotherapy: a critical analysis J A Southam 237 Traumatic transection of the thoracic trAchea S P L Travis and G T Layer 240 An information leaflet for surgical patients T D Bunker 242 The surgery of malrotation and midgut volvulus: a nine year experience in neonates George H Welch, Amir F Azmy, and Mark A Ziervogel 244 Surgical operation rates: a twelve year experience in Stockton on Tees D S Quill, H. B. Devlin, c uA Plant, Katherine R Denham, R A McNay and D Morris 248 Problems of the medical staffing of intensive care units in British district general hospitals D G Price 254 Surgical wound management with adhesive polyurethane membrane: a preferred method for usage Laurence Tinckler 257 Problems with the use of Op-Site sutureless closures in orthopaedic procedures Timothy D Bunker 260 Right hemicolectomy: use of GIA stapler A K Ladha 263 A useful eye sign in the apparently unconscious patient David L Cain 265 The Falklands war: Army Field Surgical experience D S Jackson, C G Batty, J7 M Ryan and W S P McGregor 281 Delayed urinary fistula from high velocity missile injury to the ureter Nicholas E Cetti 286 Current thinking on the mnanagement of primary carcinoma of the breast M Baum 289 Epiglottopexy: a new surgical technique to prevent intractable aspiration G B Brookes and P McKelvie 293 Management of pancreatic trauma A Henarejos, D M Cohen and A R Moosa 297 Treatment of thyroid carcinoma in 107 cases D C C Bartolo, P H Kay and C H Talbot 301 Emergency surgery for stab wounds to the heart I J Reece and K G Davidson 304 Changing fashions in the surgery of aortic aneurysms G S Makin 308 Unoperated Abdominal Aortic Aneurysm: Presentation and Natural History E M Walker, B R Hopkinson and G S Makin 311 Second laparotomy following 'curative' resection for colorectal cancer H J Lewi, D C Carter, J G Ratcliffe and C S McArdle 314 Anaesthesia for laparoscopy: alfentanil and fentanyl compared B Kay, A T Cohen, F Shaw and T E Healy 316 Transtracheal ventilation in oral surgery P R Layman 318 The introduction of pulmonary artery pressure and cardiac output measurements in a district general hospital Howard S Smith 321 Identification of accessory bile ducts at cholecystectomy G B Hopkinson, D A K Woodward and N Prasad 323 Knotted drainage tube: practical points in its prevention Gillian E Mobb, M H Lewis and D P Goodwin 325 Abdominal drainage following cholecystectomy: high, low, or no suction? T T McCormack, P D Abel and C D Collins 326 Removal of common bile duct stones after emergency drainage of the gall bladder E M Walker and D H Rose 329 Needle aspiration in the treatment of pancreatic pseudocyst in childhood R Windle, D Finlay and J P Neoptolemos 331 The use of pedicled transplants of sigmoid or other parts of the intestinal tract for vaginal construction J C Goligher 353 Invasive breast cancer the tip of an iceberg C Jf Cahill, N M Gibbs, P.
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