Produced by the Royal College of Physicians of Edinburgh and Royal College of Physicians and Surgeons of Glasgow

Surgery

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Foam Injection Sclerotherapy for Varicose Veins

A less invasive surgical procedure has been developed for treating problematic varicose veins. In this article, requested by a visitor to the BTMH site, Dr Rafiq Mofidi and Mr John Murie provide an overview of foam infection sclerotherapy. Read…

The surgical management of breast cancer

The surgical management of breast cancer has undergone radical change in the last 40 years. While it used to be standard practice to perform mastectomies, new breast-conserving procedures have been developed which have been shown to be as effective as mastectomy in some cases. Mr Udi Chetty reviews the evidence and the criteria for breast-conserving surgery and mastectomy. Read…

Lung volume reduction surgery for emphysema: the national emphysema treatment trial (NETT)

Lung-volume reduction surgery has been proposed as a means of alleviating severe emphysema. How much of a benefit could this procedure have on alleviating symptoms and prolonging life? And do the benefits outweigh the costs? Prof Bill MacNee reviews a major study which set out to answer these questions. Read…

KEYHOLE SURGERY FOR HERNIA – THE KEY IS GOOD TRAINING AND HOLE IS WHERE THE SURGEON AND POSSIBLY PATIENT MAY FIND THEMSELVES WHEN POORLY TRAINED

In recent years, keyhole surgery techniques have been developed for a range of surgical procedures. However, it has been suggested that keyhole surgery for hernia carries an increased risk of complications over traditional, open, surgery. Mr Steve Nixon reviews the evidence Read…

DVT in hospitals: guideline implementation

While much media coverage of DVT has focussed on long-distance travel, it is perhaps less publicly-known that many patients develop DVTs whilst in hospital and that DVT is the most common form of preventable death in hospital. A number of clinical guidelines have been developed to tackle this problem, but how extensively are they being implemented? Dr Kerstin Hogg, Dr Steve Jones and Professor Kevin Mackway-Jones review the evidence. Read…

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