Annals of the Royal College of Surgeons of England
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Ann R Coll Surg Engl · May 1993
Role of pre-admission clinics in a general surgical unit: a 6-month audit.
We report a 6-month audit of the running of a pre-admission assessment clinic for routine general surgical admissions. An attendance rate of 91.4% of fit patients ready for surgery on the day of admission was achieved. Of all patients attending the pre-admission clinics, 79.5% underwent surgery as planned. Pre-admission clinics are recommended as a method of improving the efficiency of elective surgical admissions.
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Ann R Coll Surg Engl · May 1993
Letter Case ReportsEmergency treatment of tracheal tear during pharyngolaryngectomy.
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Ann R Coll Surg Engl · Mar 1993
Case ReportsGastrointestinal disruption and vertebral fracture associated with the use of seat belts.
Seat belts have been shown to be beneficial in reducing the type and severity of injuries sustained in road traffic accidents. The association of vertebral and visceral injuries, although previously described, is rare. ⋯ We describe four cases of combined vertebral and visceral injury caused by the use of seat belts. The pathogenesis of the injury and subsequent management are discussed.
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Ann R Coll Surg Engl · Mar 1993
The use of Coca-Cola in the management of bolus obstruction in benign oesophageal stricture.
Oesophageal stricture is a complication of oesophageal reflux and may itself be complicated by bolus obstruction. We reviewed the records of patients presenting with dysphagia and who were found to have benign oesophageal strictures. We studied the outcome of bolus obstruction in 13 episodes affecting eight patients. ⋯ In the remaining two instances the procedure was abandoned and the patients returned to the ward for the administration of Coca-Cola. At subsequent endoscopy these patients were found to be clear of any bolus. These results suggest that the administration of Coca-Cola (or other aerated drinks) may clear a bolus in the acutely obstructed oesophagus.