WEMJ Volume 110 No. 4 - December 2011
Introduction
This special Radiology issue of the West of England Medical Journal concentrates on medical imaging in two modern surgical procedures. The first is renal transplantation and the role of CT in the assessment of the kidneys in live donors is beautifully portrayed. The second is another very significant operation: that of gastric banding. The article is a pictorial review of complications.
1. CT in potential live renal transplant donors-What the laparoscopic transplant surgeon wants to know
West of England Medical Journal Volume 110, Number 4, Article 1 December 2011
C Mortensen, J Gay, R Geach, H Massey, A Mortimer, N Kadi, N Collin, M Thornton, E Loveday, L Jones
Department of Radiology, Southmead Hospital, Bristol, UK
Abstract:
MDCT (Multi-Detector Computed Tomography) is an excellent modality for the pre-operative assessment of live renal donors (1) and is now routinely used to document anatomical characteristics. It is used to convey specific information to the laparoscopic surgeon as this allows accurate intra-operative planning(2). With the advent of reconstruction software, we are also able to provide 3D representations of anatomical variants preoperatively for surgeons to view.
2. Tightening the band around the obesity epidemic : A pictorial review of complications for the radiologist
West of England Medical Journal Volume 110, Number 4, Article 2 December 2011
Matthew J Laugharne, Sharon Bates, Justin D Morgan, Sally A Norton, Michael Darby
Southmead Hospital Bristol, BS10 5NB
Abstract:
Obesity is rapidly increasing in the developed world with a corresponding rise in bariatric surgery. Laparoscopic adjustable gastric banding (LAGB) in specialist centres has excellent results and is a common surgical option in Europe. Increasing numbers of post-operative patients will present with both early and late complications to specialist centres and general hospitals. Radiologists will be asked to investigate these patients and need to be familiar with post-operative appearances. This review describes normal appearances on radiological examinations and common complications that may occur. The incidence of complications is outlined and appropriate simple therapeutic manoeuvres for general radiologists in emergency situations are described.
Keywords: Bariatric surgery; Gastric banding; Surgical complications
3. Book Review: Chest X-Ray – A Survival Guide by Gerald de Lacey MA FRCR , Simon Morley FRCR and Laurence Berman MB BS FRCP FRCR; Published: MAR-2008 ISBN 13: 978-0-7020-3046-8
West of England Medical Journal Volume 110, Number 4, Article 3 December 2011
Whether you want speedy guidance, golden rules, or a systematic detailed explanation and approach to interpreting the CXR, we highly recommend the chest x-ray survival guide
Reviewed by Dr Sudath Weerapperuma and Dr Chloe Mortensen
4. Endometrioma developed in abdominal wall scar post Caesarean section: Imaging features with special emphasis on MR imaging
West of England Medical Journal Volume 110, Number 4, Article 4 December 2011
Sateesh Jayappa DMRD, DNB,
S K. Surana MD, FFRRCSI,
Khaledah Dashti FRCSP (Canada),
Mahesh Baj MD, FRCR, FFRCSI
Caesarean section scar endometrioma is a rare extrapelvic endometriosis that poses a diagnostic difficulty, often confused with other surgical conditions, such as incisional haematoma, granuloma, abscess and tumours. Even though ultrasound and CT scans are diagnostic of scar endometriosis, MR imaging yields more information regarding the characteristics and extent of the lesion as it is important for the surgical excision to prevent recurrence. We present a case of scar endometrioma with special emphasis on MR imaging.
5. Villains and Heroes: The Story of Smallpox
West of England Medical Journal Volume 110, Number 4, Article 5 December 2011
Abstract of the Meeting Report by Paul Goddard: 14 December 2011
At the joint meeting of the Bristol Medico Chirurgical Society and the Bristol Medico-Historical Society, Professor Gareth Williams presented an excellent historical review of smallpox, the heroes and the villains. The main hero was, of course, Jenner but other important figures and the main villain, smallpox itself, were excellently described.