The United Kingdom National Health Service treats both elective and emergency patients and seeks to provide high quality care, free at the point of delivery. Equal numbers of emergency and elective general surgical procedures are performed, yet surgical training prioritisation and organisation of NHS institutions is predicated upon elective care. The increasing ratio of emergency general surger...

BACKGROUND Emergency major gastrointestinal (GI) surgery carries a considerable risk of mortality and postoperative complications. Effective management of complications and appropriate organization of postoperative care may improve outcome. The importance of the latter is poorly described in emergency GI surgical patients. We aimed to present mortality data and evaluate the postoperative care p...

An emergency is defined as an event that has to be dealt with immediately, usually within the first hour after presentation. The commonest eye emergencies that fall into this category are chemical burns of the eye and retinal artery occlusion. Neither of these requires surgery as part of the initial management. The majority of cases presenting as emergencies can therefore be defined as urgent c...

Visceral metastases from malignant melanoma (stage M1c) confer a very poor prognosis, as documented on the most recent revised version of the TNM/AJCC staging system. Emergency surgery for intra-abdominal complications from the disease is rare. We report on our 5-year single institution experience with surgical management of metastatic melanoma to the viscera in the emergent setting. From 2009 ...

Ulcerative colitis in its milder manifestations may be managed by conservative methods. If these are unsuccessful, or, in the presence of more severe disease, a planned surgical procedure, either subtotal colectomy or proctocolectomy, is the alternative method of treatment. On occasion, however, the rapidity of progression of the disease forces the issue: conservative measures, if any have been...

Background Emergency surgery is unplanned by definition and patients are scheduled for surgery with minimal preparation. Some patients who have sustained emergency orthopaedic trauma or other conditions must be operated on immediately or within a few hours, while others can wait until the hospital's resources permit and/or the patients' health status has been optimised as needed. This may affec...

W. M. McQuillan. (Pp. 74; figs. 38. 10s 6d). Edinburgh and London: E. & S. Livingstone, 1967. THE speciality of hand surgery owes a lot to Bunnell whose pupil was Prof. Erik Moberg of of Goteborg, the author. This small monograph was originally written in Swedish, it was rewritten in German and this is a translation from the German by the senior lecturer in Orthopaedic Surgery in Edinburgh Univ...

BACKGROUND Steroid-based intensive medical therapy for severe ulcerative colitis is successful in 60-70% of such patients. Patients with complications or those refractory to medical therapy require emergency colectomy for salvage. Little is known about the impact of timing of surgical intervention and surgical outcomes of such patients undergoing emergency surgery in India where the diagnosis i...

Level I trauma centers frequently see trauma at or below the ankle, which requires consultation with the orthopedic surgery department. However, as podiatry programs begin to firmly establish themselves in more Level I trauma centers, their consultations increase, ultimately taking those once seen by orthopedic surgery. A review of the literature demonstrates that this paradigm shift has yet to...