Abdominal compartment syndrome
This article summaries the updated consensus definitions, pathophysiology, diagnostic investigation and management to help the junior surgical trainee faced with ACS. (Source: Surgery (Oxford))
Source: Surgery (Oxford) - September 7, 2019 Category: Surgery Source Type: research
Visceral volvulae and management
This article will summarize current evidence for management of the most common sources of volvulus; gastric, small bowel, and colonic. (Source: Surgery (Oxford))
Source: Surgery (Oxford) - September 7, 2019 Category: Surgery Source Type: research
Pathology of tumours of the kidney and urinary tract
Publication date: Available online 30 August 2019Source: Surgery (Oxford)Author(s): Jonathan M. SalmondAbstractThe urinary tract encompasses the kidney and the urinary collecting system, ureter, bladder and urethra. Benign lesions of the kidney include angiomyolipoma and renal oncocytoma. The main subtypes of renal cell carcinoma include clear cell, papillary and chromophobe variants. Prognostic factors reported by pathologists are reviewed, including the current grading and staging systems. Urothelial tumours include urothelial carcinoma in situ, papillary urothelial carcinoma and invasive urothelial carcinoma. Aspects of...
Source: Surgery (Oxford) - September 1, 2019 Category: Surgery Source Type: research
The management of testis cancer
Publication date: Available online 28 August 2019Source: Surgery (Oxford)Author(s): Noel W. Clarke, Áine M. HaranAbstractTestis cancer is the most common solid malignancy in young men and represents a clinically and pathologically diverse disease. Between 90% and 95% of tumours are germ cell tumours (GCTs) that are categorized into seminoma and non-seminomatous germ cell tumours (NGSCTs). Testis cancer typically presents as a painless testicular mass and must be investigated with ultrasound imaging and tumour marker assay before being treated urgently with radical inguinal orchidectomy if suspicion persists. Disease local...
Source: Surgery (Oxford) - August 29, 2019 Category: Surgery Source Type: research
Renal cancer
Publication date: Available online 21 August 2019Source: Surgery (Oxford)Author(s): Gideon Blecher, Kara McDermott, Benjamin ChallacombeAbstractRenal carcinoma is a reasonably common cancer in the UK. Fortunately, its diagnosis is nowadays much earlier due to the increased utilization of radiological imaging. While surveillance is an option, particularly in older/comorbid patients, nephron-sparing surgery remains the gold standard treatment for small renal masses. Laparoscopic, robotic or open partial nephrectomy have excellent cure rates. For larger tumours, radical nephrectomy may be required. This again can be performed...
Source: Surgery (Oxford) - August 21, 2019 Category: Surgery Source Type: research
Bladder cancer
Publication date: Available online 17 August 2019Source: Surgery (Oxford)Author(s): Jameel Mushtaq, Ramesh Thurairaja, Rajesh NairAbstractUrothelial carcinoma of the bladder is the most common malignancy affecting the urinary tract. This review examines the current standards in the diagnosis and management of this disease. Cystoscopy and urine cytology remain important tools in the diagnosis and follow-up of bladder cancer. Alternatives include photodynamic diagnosis, narrow band imaging and professional image enhancement which may improve detection of tumours. En-bloc resection using either laser or electrocautery shows p...
Source: Surgery (Oxford) - August 18, 2019 Category: Surgery Source Type: research
Prostate cancer
This article aims to summarize the current knowledge of prostate cancer and treatment options available. (Source: Surgery (Oxford))
Source: Surgery (Oxford) - August 18, 2019 Category: Surgery Source Type: research
Upper tract urothelial cancer
Publication date: Available online 17 August 2019Source: Surgery (Oxford)Author(s): Tim LaneAbstractUpper tract transitional cell carcinoma is a lethal disease with half the patients dead within 5 years of diagnosis. Unlike urothelial tumours arising in the bladder, the disease is more likely to be invasive at the time of diagnosis and in part reflects the poorer prognosis. It is a biologically aggressive disease with a high chance of recurrence even after local control. Diagnosis is made by a combination of upper tract imaging, urine cytology and ureteroscopic biopsy. Organ-confined disease is amenable to radical surgery,...
Source: Surgery (Oxford) - August 18, 2019 Category: Surgery Source Type: research
Tumours of the male genital tract
This article discusses pathological features of tumours of the male genital tract. Carcinoma of the prostate is common and represents an increasing burden to the NHS in terms of management and treatment. We focus on recent changes to grading and discuss issues around pathological diagnosis. Tumours of the testes represent the greatest success story of cancer treatment over the past several decades. We review the pathological features of the commonest tumours focusing on prognostic features. Carcinoma of the penis is rare but appears to be increasing in incidence. It requires more awareness amongst the public and general pr...
Source: Surgery (Oxford) - August 17, 2019 Category: Surgery Source Type: research
Haematuria
This article provides a clear framework to help decide which patients have significant haematuria and which patients are suitable for urological referral; a decision algorithm is also included. We discuss how to investigate such patients further, including points not to forget when taking a history or conducting physical examination. Explanations are provided as to why current management strategies exist and what the potential flaws are of each method, including the ubiquitous urine dipstick test, urine cytology, cystoscopy and the modern radiological techniques used in everyday clinical practice. We provide guidance on wh...
Source: Surgery (Oxford) - August 15, 2019 Category: Surgery Source Type: research
Test yourself: MCQs
Publication date: Available online 14 August 2019Source: Surgery (Oxford)Author(s): Adrian Ben Cresswell (Source: Surgery (Oxford))
Source: Surgery (Oxford) - August 14, 2019 Category: Surgery Source Type: research
Contents
Publication date: August 2019Source: Surgery (Oxford), Volume 37, Issue 8Author(s): (Source: Surgery (Oxford))
Source: Surgery (Oxford) - July 25, 2019 Category: Surgery Source Type: research
Editorial Board
Publication date: August 2019Source: Surgery (Oxford), Volume 37, Issue 8Author(s): (Source: Surgery (Oxford))
Source: Surgery (Oxford) - July 25, 2019 Category: Surgery Source Type: research
Contents
Publication date: July 2019Source: Surgery (Oxford), Volume 37, Issue 7Author(s): (Source: Surgery (Oxford))
Source: Surgery (Oxford) - July 3, 2019 Category: Surgery Source Type: research
Editorial Board
Publication date: July 2019Source: Surgery (Oxford), Volume 37, Issue 7Author(s): (Source: Surgery (Oxford))
Source: Surgery (Oxford) - July 3, 2019 Category: Surgery Source Type: research
