The Angelina Jolie effect: Contralateral risk-reducing mastectomy trends in patients at increased risk of breast cancer.

Contralateral risk-reducing mastectomy (CRRM) rates have tripled over the last 2 decades. Reasons for this are multi-factorial, with those harbouring a pathogenic variant in the BRCA1/2 gene having the greatest survival benefit. On May 14th, 2013, Angelina Jolie shared the news of her bilateral risk-reducing mastectomy (BRRM), on the basis of her BRCA1 pathogenic variant status.

Galactorrhea/Galactocele After Breast Augmentation: A Systematic Review.

Aims: To review cases of galactorrhea and galactocele postbreast augmentation, determine possible risk factors and consider management strategies of this rare complication.

Methods: A systematic literature review was conducted in July 2019 searching Pubmed, Embase, and Google Scholar.

Results: The searches revealed 19 articles (17 case reports/series and 2 retrospective chart reviews) collectively comprising 38 women.

Current Practice of Therapeutic Mammaplasty: A Survey of Oncoplastic Breast Surgeons in England.

Introduction: Therapeutic mammaplasty (TM) is a useful technique in the armamentarium of the oncoplastic breast surgeon (OBS). There is limited guidance on patient selection, technique, coding, and management of involved margins. The practices of OBS in England remain unknown.

The Manchester guidelines for contralateral risk-reducing mastectomy.

Background: Rates of contralateral risk-reducing mastectomy (CRRM) are rising, despite a decreasing global incidence of contralateral breast cancer. Reasons for requesting this procedure are complex, and we have previously shown a variable practice amongst breast and plastic surgeons in England. We propose a protocol, based on a published systematic review, a national UK survey and the Manchester experience of CRRM.

Morphine delays discharge following ambulatory surgery: a prospective institutional study.

Introduction: Morphine is used regularly in day surgery despite its known side-effects. We assessed whether this delayed discharge.

Patients And Methods: 100 patients were divided into 2 groups: 50 patients received morphine and 50 patients received non-morphine analgesia.

Isolated duodenal rupture due to go-karting accidents--braking news.

Introduction: Isolated duodenal injury due to blunt abdominal trauma is extremely rare. We present a series of three such injuries due to go-karting accidents, which presented to our hospital over 5 months.

Case Reports: Between October 2007 and February 2008, three cases of D3/D4 duodenal rupture presented to our hospital after go-karting accidents.

Mobility one year after unilateral lower limb amputation: a modern, UK institutional report.

The aim of this current retrospective study was to assess postoperative mobility one year after above knee (AKA) or below knee amputation (BKA) in a district general hospital. Data on patient demographics, diabetic status, risks for peripheral vascular disease, mortality and mobility at one year were recorded from the vascular database. Seventy-five patients underwent lower limb amputation over a 70-month period (AKA n=31, BKA n=44).