Penetrating head & neck trauma – Epidemiology and injury characteristics in terror-related violence, interpersonal violence and deliberate self-harm at a level 1 trauma centre
ConclusionViolent crime is increasing. Overall penetrating injury has more than doubled in 6 years. The injury characteristics observed are distinct depending on the assailants and motives. Head and neck trauma requires a multidisciplinary approach, with an understanding of the care needs of patients. Interpersonal violence is the most common aetiology and as such efforts to tackle rising violent crime must involve police and the community. In addition, terror-related violence is evolving in the United Kingdom and globally, and as such healthcare professionals must understand differences in aetiologies to promote optimal p...
Source: The Surgeon - February 25, 2019 Category: Surgery Source Type: research

Letter to the editors in response to the article: Facial restoration by transplantation, B. Kolar, B Pomahac. The surgeon 16 (2018) 245–249
Publication date: Available online 14 February 2019Source: The SurgeonAuthor(s): J.V. Sullivan, Q. Frew, N. Fox, P. Dziewulski (Source: The Surgeon)
Source: The Surgeon - February 14, 2019 Category: Surgery Source Type: research

Exploring geographical variation in access to general surgery in Ireland: Evidence from a national study
ConclusionVariations stemming from inefficient and unequal access are important components and markers of modern health systems and should be minimal. County of residence appears to have a clear influence on a patients' inaccessibility to certain interventions. Our findings imply a need for improved access at a regional level by facilitating the integration of public policies and promoting services at the appropriate settings. (Source: The Surgeon)
Source: The Surgeon - January 30, 2019 Category: Surgery Source Type: research

A review of forehead lipomas: Important tips for the training surgeon
ConclusionImportant differential diagnoses must be excluded prior to attempted surgical excision of forehead lipomas. Surgeons must also be aware that the correct anatomical plane for these lesions is often beneath the frontalis muscle. (Source: The Surgeon)
Source: The Surgeon - January 30, 2019 Category: Surgery Source Type: research

Single-stage approach for the management of choledocolithiasis with concomitant cholelithiasis. Implementation of a protocol in a secondary hospital
ConclusionsSingle-stage approach is a safe and effective management option for concomitant cholelithiasis and choledocolithiasis. Furthermore, a significant number of common bile duct stones pass spontaneously to duodenum or can benefit from a transcystic approach, with presumable low morbidity and cost-efficiency. (Source: The Surgeon)
Source: The Surgeon - January 29, 2019 Category: Surgery Source Type: research