Surg J R Coll Surg E
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Surg J R Coll Surg E · Jun 2005
Historical Article500 years of the College of Surgeons and 300 years of the Chair of Anatomy in Edinburgh.
2005 represents the 500th anniversary of the award of the first Charter to the Guild of Surgeons and Barbers at Edinburgh, and the 300th anniversary of the establishment of the Chair of Anatomy in the University of Edinburgh, the first Chair in this discipline in Britain. The first Charter of the Incorporation, in 1505, specified that they should dissect the body of one dead condemned criminal each year. Candidates who wished to join the Incorporation were required to be familiar with all of the gross structures of the human body. ⋯ On 1 February 1705, the Surgeons appointed Robert Elliot as their "public dissector of anatomie." He had volunteered to undertake all of the annual public dissections in Edinburgh, and the Members of the Incorporation of Surgeons unanimously accepted his offer. On 29 August 1705, at the request of the Surgeons, the Edinburgh Town Council appointed him their first Professor of Anatomy, and instructed the University's Treasurers to pay him 15 pounds Sterling per annum as his salary. As a result of the activities of the Incorporation of Surgeons and the Town Council, the first Chair of Anatomy was established in Britain, in the University of Edinburgh.
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Surg J R Coll Surg E · Apr 2005
Randomized Controlled Trial Comparative Study Clinical TrialComparison between three therapeutic modalities for non-complicated pilonidal sinus disease.
To evaluate the outcome of each of the three methods used to treat pilonidal sinus disease. ⋯ Limited excision of a pilonidal sinus represents one of the best therapeutic options. The result of this method is comparable with the more aggressive frequently used excisional method, and it has the advantage of having a shorter convalescence and better patient satisfaction.
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Surg J R Coll Surg E · Apr 2005
Review Case ReportsThe perioperative challenge of nephrogenic diabetes insipidus: a multidisciplinary approach.
Nephrogenic Diabetes Insipidus (NDI) is characterised by the inability of the kidneys to concentrate urine in response to arginine vasopressin (AVP). Such patients typically experience polyuria and polydipsia because of this inability to autoregulate their water balance. This provides a perioperative challenge that could lead to a life-threatening situation. ⋯ Two peak serum sodium values were attained. The first when the patient was retaining sodium due to an inappropriate fluid regimen and the second due to hypovolaemia. The literature is reviewed and principles for NDI perioperative management are proposed.
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Emphysematous cystitis is an uncommon infection of the bladder with the formation of carbon dioxide either within the bladder or within its wall. It is commonly seen in women and those with poorly controlled diabetes mellitus, in association with some form of urinary stasis and obstruction. The clinical features are very varied and the outcome is often unpredictable. ⋯ Occasionally, computed tomography scans are required to help in the diagnosis due to their atypical presentation with acute abdominal pain. Herein, we report three patients with such a condition who were treated with favourable outcomes. Of the three patients, two had to undergo exploratory laparotomy due to their initial presentations with acute abdomens.