A5048921049- COVID-19 and healthcare impacts
- Cardiac, Anesthesia and Surgical Outcomes
- Appendicitis Diagnosis and Management
- Diverticular Disease and Complications
- Pelvic floor disorders treatments
- Anorectal Disease Treatments and Outcomes
- Trauma and Emergency Care Studies
- Colorectal Cancer Surgical Treatments
- Intraperitoneal and Appendiceal Malignancies
- Surgical Simulation and Training
- Surgical site infection prevention
- Urinary Bladder and Prostate Research
- Hernia repair and management
- Respiratory Support and Mechanisms
- Minimally Invasive Surgical Techniques
- Abdominal Trauma and Injuries
- Hip and Femur Fractures
- Radiation Dose and Imaging
- Pelvic and Acetabular Injuries
- Diabetic Foot Ulcer Assessment and Management
- COVID-19 and Mental Health
- Thermal Regulation in Medicine
- Social Media in Health Education
- Neonatal Respiratory Health Research
- Healthcare Operations and Scheduling Optimization
St Thomas' Hospital
2023-2024
Musgrove Park Hospital
2023
Institut de Virologie
2020-2022
Croydon University Hospital
2021
Glan Clwyd Hospital
2020-2021
University of Birmingham
2020
AstraZeneca (Brazil)
2020
Stryker (United Kingdom)
2020
Pfizer (United Kingdom)
2020
Merck (Germany)
2020
Surgical site infection (SSI) is one of the most common infections associated with health care, but its importance as a global priority not fully understood. We quantified burden SSI after gastrointestinal surgery in countries all parts world.
Uncomplicated acute appendicitis can be managed with non-operative (antibiotic) treatment, but laparoscopic appendicectomy remains the first-line management in UK. During COVID-19 pandemic practice altered, more patients offered antibiotics as treatment. A large-scale observational study was designed comparing operative and of appendicitis. The aim this to evaluate 90-day follow-up.
Pelvic floor disorders encompass a spectrum of different functional and anatomical disorders, which often require input from disciplines. Usually, patients are referred with one main complaint, but other symptoms associated. For example, patient rectal prolapse may also suffer urinary incontinence associated anterior middle compartment prolapse. Multidisciplinary assessment treatment should be conducted initial to best understand specialties involved in symptom management. Conservative...
Objective To determine the incidence of hypothermia in patients undergoing colorectal surgery, and to identify factors that increase vulnerability perioperative hypothermia. Methods The retrospective study was conducted at Aga Khan University Hospital, Karachi, comprised medical records from May 2012 June 2017 related all aged >16 years either gender who underwent procedures. Analysis about predictors done using Stata 12. Results Of 100 patients, 69(69%) were males. overall mean age...
Posterior compartmental pelvic floor disorders include symptoms of defaecatory dysfunction and faecal incontinence, constipation, evacuatory (obstructed defaecation) functional anal pain (levator ani syndrome or proctalgia fugax). Patients may also suffer from concomitant attributable to anterior middle dysfunction, such as vaginal urinary symptoms. Causation is multifactorial be due anatomical abnormalities other contributing factors, gastrointestinal psychological elements chronic pain....
Anorectal manometry is the most widely used technique for detecting abnormalities of sphincter function and recto-anal coordination. It enables investigation defaecatory difficulties, including anal incontinence evacuatory assessment patients with fistula obstetric injury. routinely in combination other tests, such as endoanal ultrasound or imaging to understand pathophysiology aid treatment planning. There are various techniques reporting protocols available but adopting standardised...
Integrated total pelvic floor ultrasound is a combination of endoanal, transperineal, and endovaginal used for the static dynamic assessment entire floor. It can be as screening investigation defaecatory dysfunction so that radiological imaging may avoided. enables concomitant disorders such anterior middle compartment dysfunctions. Other advantages include ability to perform in outpatient rooms one stop clinic, alongside clinical assessment, anorectal physiology, whilst avoiding separate...
Abstract Introduction Multidisciplinary foot care services contribute to the reduction in amputations from ulceration secondary diabetes. The COVID-19 pandemic pressurised and required a pause of elective care. This study reports patient’s experience provision during first wave where self-care, virtual appointments patient directed were utilised. Method Diabetic patients retrospectively identified over one-month period booked for MDT (in hospital, OPD, diabetic clinic, community podiatry...
Abstract Introduction Elective care in the UK came to a standstill with advent of COVID-19 pandemic. A restart could only be enabled ‘green site’ separation and ‘covid protected’ zone. ‘hospital within hospital’ concept was developed including 9 elective theatres, 28 ring fenced beds, surgical enhanced unit, canteen, separated entrance. This model underpinned PPE, infection control guidance for staff. The study documented ability recover activity therefore provide training environment...
Abstract Background Acute cholecystitis accounts for 20% of Emergency General Surgical admissions. The concept seasonal variation is still a developing in surgical literature. Whether acute also follows trend remains to be established. Aim Given the struggle healthcare system has been facing towards resource and staff allocation deliver best possible patient care, we thought this may step forward predict North Wales demand resources seasonally make appropriate arrangements ahead time. Method...
Abstract Aim Higher Surgical training was decimated by the COVID-19 pandemic with cessation of elective care. Trainees raised concerns that restart and need for higher theatre activity to clear backlogs would impact on opportunities. This study evaluated resumption associated a ring-fenced centre (EC). Methods The EC established in July 2020 three time periods were determined: pre-COVID (10/19-2/20), 1st wave COVID (3/20-7/20) post go-live (8/20-12/20). Data collated from E-Logbooks General...
Abstract Aims The management of post-operative adhesional small bowel obstruction (SBO) has shifted from the historical motto “the sun should never rise and set on a complete SBO” to non operative approach in selected patients. Despite this shift, patients with SBO virgin abdomen is still encouraged. Methods We present an atypical case managed conservatively resolution, without surgical intervention. A literature review conducted our compared current literature. treatment algorithm...