WUTH publication: Radical cystectomy and pelvic lymphadenectomy with ileal conduit urinary diversion and abdominal wall reconstruction: an interesting case of multidisciplinary management.

Citation: International Medical Case Reports Journal. 2015 Jan 16;8:29-31
Author: Sofos, Stratos S, Walsh, Ciaran J, Parr, Nigel J, Hancock, Kevin
Abstract: The ileal conduit for urinary diversion after radical cystectomy is a well-described procedure. Furthermore, parastomal hernias, prolapse, stenosis, and retraction of the stoma have been reported as some of the more common complications of this procedure. The subsequent repair of parastomal hernias with a biological mesh and the potential of the conduit to "tunnel" through it has also been described. In this case report, we present a combined repair of a large incisional hernia with a cystectomy and a pelvic lymphadenectomy for invasive bladder cancer, with the use of a biological mesh for posterior component abdominal wall primary repair as well as for support to the ileal conduit used for urinary diversion.
KEYWORDS: biological mesh; incisional hernia; posterior component separation

Link to PubMed record.

WUTH Publication:The use of hip radiographs in primary care: the inter-observer agreement of reporting native hip pathology.

Citation: The use of hip radiographs in primary care: the inter-observer agreement of reporting native hip pathology. Hip Int. 2014 May-Jun;24(3):290-4
Authors:Kenyon PJ, Perry D, Barrett M, Carroll FA, Thomas G
Abstract:INTRODUCTION: Plain radiographs are often the first line investigation in identifying the cause of hip pain, though they do not differentiate all morphologically normal and abnormal hips. Interpretation of radiographs is subjective, depending on the patient history and physical signs. A radiological report can be misleading and may lead to, unnecessary radiation exposure, a delay in referral and a delay to definitive treatment. This study was to investigate the inter-observer reliability in the reporting of plain radiographs.

METHODS: Sixty-one consecutive antero-posterior (AP) radiographs of native hips were identified that had been referred to one of the senior authors from the community with "hip pain". Images were anonymised within PACS (picture archiving and communication system) and reviewed by a consultant orthopaedic surgeon, two consultant musculoskeletal radiologists, one senior orthopaedic registrar and one senior radiology registrar. Each reviewer was given a pre-constructed proforma, and asked to report the radiographs.
RESULTS: There is a varying degree of 'agreement' for many of the commonly used terms on a hip radiograph. Agreement between all observers varied, by description, between 23.3% (CAM Lesion) to 93.3% (AVN). Multi-rater  agreement showed Kappa values ranging from 0.12 (poor) to 0.6 (moderate). Overall there were widespread inconsistencies, even amongst the most widely used terms.
CONCLUSION: There is variable agreement amongst musculoskeletal radiology and orthopaedic experts when analysing plain radiographs of the native hip. This has implications for utility of reporting and therefore treatment in the community setting.

PMID: 24500827 [PubMed - indexed for MEDLINE]

Link to Pubmed record:

UpToDate Anywhere

UpToDate provides evidence based summaries of clinical topics covering more than 20 specialties, as well as nearly 1,500 patient information topics, and more than 27,000 graphics, tables and videos available to download into presentations.  Use UpToDate as a starting point to gain a comprehensive overview of your topic.

WUTH now has a  subscription to UpToDate Anywhere, which means you can get:

• Free UpToDate mobile app for most leading devices

• Easy access to UpToDate by logging in from any computer with an internet connection

• Free continuing education credits (CME/CE/CPD) when you research a clinical question using UpToDate onsite or remotely – including on your mobile device

Registration is easy:

1. Access UpToDate via the WUTH staff webpages

2. Click on Log-in/Register in the top navigation bar of the UpToDate log-in page

3. Create a unique user name and password on the UpToDate Anywhere registration page

4. You are now registered and will receive a confirmation email with information about

installing the UpToDate Mobile App

Please note that Up to Date is an American resource. This is particularly important when using information on licensed indications, doses and treatment pathways. For UK advice please refer to the Medicines Formulary, the BNF or contact Medicines Information (OpenAthens details are required to access this resource).

Changes to McArdle Library Journal Subscriptions 2015

The Lancet

Message From NICE Evidence:


NICE and Elsevier have announced that access to The Lancet (electronic) will continue to be made available for a further 12 months (1 January 2015 – 31 December 2015). In order to secure equitable access to The Lancet we have had to negotiate the removal of access to the print version of the journal. You will no longer receive a print copy of The Lancet from 1 January 2015.



Nursing Standard



Unfortunately due to a substantial price increase the subscription to Nursing Standard has been cancelled from 1 January 2015. Please note that table of contents for this journal and other RCN published journals (including abstracts) are available from the RCN publishing website . The library can obtain full text articles via our inter-library loan service if required.

WUTH Publication: Nicorandil-associated ulceration of the gastrointestinal tract: side effects requiring surgical intervention.

Citation:Int J Colorectal Dis. 2015 Jan 13. [Epub ahead of print]
Nicorandil-associated ulceration of the gastrointestinal tract: side effects requiring surgical intervention.
Author:Shapey IM¹, Agbamu D, Newall N, Titu LV.Department of Colorectal Surgery, Wirral University Teaching Hospital NHS Foundation Trust, Arrowe Park Hospital, Arrowe Park Road, Wirral, Merseyside, CH49 5PE, UK, i.m.shapey@doctors.org.uk.

Link to Pubmed Record