Jones R, Olatunbode D, Dean J, Hall B, Harji D, Davis P, on behalf of the IMPACT investigators IntroductionIn young adults with indeterminate right iliac fossa (RIF) pain, the need for surgery often relates to the likelihood of appendicitis. Ultrasound (US) is widely used in this setting despite a low diagnostic accuracy for appendicitis. We…
General Surgery
Retrospective Analysis of treatment of patients with Acute Cholecystitis by the General Surgery team at the RVI; should provision of Emergency General Surgery services change?
Jacob Begbie, Mohammed Fageer IntroductionGallstone related pathology (GD) accounts for a large proportion of general surgery acute admissions, with 3% of acute admissions due to acute cholecystitis (AC). Guidelines from NICE and AUGIS state that AC patients should be offered laparoscopic cholecystectomy (LC) within 7 days of diagnosis (ALC). Despite this, treatment of AC differs…
Management and outcomes of perforated duodenal ulcers in the North East of England from 2002-2016
Charles Johnson, Ross Mclean, Iain Mcallum, Alexander Phillips BackgroundDuodenal perforation is a common surgical emergency. Open repair with omental patch is routine (1), though laparoscopic repair has been shown to be a safe, reliable alternative (2, 3). Non-operative management is generally restricted to patients too unwell for laparotomy or clinically well at initial assessment (4).…