C Skouras, Thomas Skouras, M Pai, E Zacharakis and D Spalding: Updates in Surgery 2012

Case Report published in Updates in Surgery, 2012

Inguinoscrotal extension of a pancreatic collection: a rare complication of pancreatitis—case report and review of the literature by Christos Skouras, Thomas Skouras, Madhava Pai, Emmanouil Zacharakis and Duncan Spalding

Pancreatitis associated with the extension of a pancreatic collection, pseudocyst or abscess into the groin is a rare phenomenon with few reports in the English literature. Nevertheless, it remains a clinically important differential diagnosis as it may be mistaken for more common pathologies in the groin and with a subsequent unnecessary surgical intervention. A case of this rare complication of pancreatitis is reported, together with a review of the literature.

Medicines and Healthcare products Regulatory Agency: Orthopaedics

The following section/document has been added/updated

Title: Orthpaedics

Summary: The MHRA is issuing updated information and advice about the management and monitoring of patients implanted with metal-on-metal (MoM) hip replacements.

You can find the section/document here: http://www.mhra.gov.uk/home/idcplg?IdcService=SS_GET_PAGE&ssDocName=CON096875

Latest updates from NHS Evidence

The following new style Evidence Updates were published recently:

 Pregnancy and complex social factors: Evidence Update January 2012: focuses on a summary of selected new evidence relevant to NICE clinical guideline 110, ‘A model for service provision for pregnant women with complex social factors’ (2010).

Bacterial meningitis and meningococcal septicaemia: Evidence Update January 2012: focuses on a summary of selected new evidence relevant to NICE clinical guideline 102, ‘Management of bacterial meningitis and meningococcal septicaemia in children and young people younger than 16 years in primary and secondary care’ (2010).

Chronic obstructive pulmonary disease: Evidence Update February 2012: focuses on a summary of selected new evidence relevant to NICE clinical guideline 101, ‘Management of chronic obstructive pulmonary disease in adults in primary and secondary care’ (2010).

Venous thromboembolism: reducing the risk, Evidence Update February 2012: focuses on a summary of selected new evidence relevant to NICE clinical guideline 92, ‘Reducing the risk of venous thromboembolism (deep vein thrombosis and pulmonary embolism) in patients admitted to hospital’ (2010).

News from HTA: Heart defects screening for the newborn

 

Screening test for heart defects in newborn babies

 

Research published in Health Technol. Assess. has found a quick and painless test that is able to detect more cases of life threatening heart defects in newborn babies.

 

Congenital heart defects are the most common group of congenital malformations and one of the leading causes of infant death in the developed world. Currently in the UK, all newborn babies undergo a routine screening examination, usually in the first 24 hours after birth, during which, among other things, a careful assessment of the cardiovascular system is undertaken. However, it is estimated that over 50 per cent of babies with undiagnosed congenital heart defects fail to be picked up by routine neonatal examination

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NHS National End of Life Care Programme

Critical success factors that enable individuals to die in their preferred place of death

Highlighting good practice from seven PCTs across the country, this report identifies the critical success factors associated with improving end of life care and enabling a person to die in the place of their choice. The report is intended as a starting point to help those commissioning and planning services to see what has worked well in other areas although it does not suggest that one size fits all.

Transforming end of life care in acute hospitals: the route to success ‘how to’ guide
This guide builds upon the framework set out in ‘The route to success in end of life care – achieving quality in acute hospitals’, published in 2010. It highlighted best practice models developed by acute hospital trusts, providing a framework to enable hospitals to deliver high quality care to people at the end of life. This guide aims to help clinicians, managers and directors implement ‘The route to success’ more effectively, drawing on valuable learning from the NHS Institute for Innovation and Improvement’s Productive Ward: Releasing time to care series.