A5053805568- Colorectal Cancer Surgical Treatments
- Colorectal and Anal Carcinomas
- Anorectal Disease Treatments and Outcomes
- Colorectal Cancer Screening and Detection
- Pelvic floor disorders treatments
- Gastric Cancer Management and Outcomes
- Infectious Aortic and Vascular Conditions
- Pelvic and Acetabular Injuries
- Abdominal Trauma and Injuries
- Tuberculosis Research and Epidemiology
- Neurofibromatosis and Schwannoma Cases
- Kawasaki Disease and Coronary Complications
- Antimicrobial Resistance in Staphylococcus
- Vascular Procedures and Complications
- Venous Thromboembolism Diagnosis and Management
- Central Venous Catheters and Hemodialysis
- Diverticular Disease and Complications
- Infectious Diseases and Tuberculosis
- Diagnosis and Treatment of Venous Diseases
- Diagnosis and treatment of tuberculosis
- Meningioma and schwannoma management
- Infective Endocarditis Diagnosis and Management
- Radiomics and Machine Learning in Medical Imaging
- Aortic Thrombus and Embolism
- Appendicitis Diagnosis and Management
Ashford and St Peter's Hospitals NHS Foundation Trust
2020
East Kent Hospitals University NHS Foundation Trust
2017
East Surrey Hospital
2015
Royal Marsden Hospital
2011-2015
Kingston Hospital
2015
Salisbury District Hospital
2015
Pelican Cancer Foundation
2010-2015
Royal Marsden NHS Foundation Trust
2015
NU Hospital Group
2013
Rotterdam University of Applied Sciences
2013
This study aimed to validate a magnetic resonance imaging (MRI) staging classification that preoperatively assessed the relationship between tumor and low rectal cancer surgical resection plane (mrLRP).Low oncological outcomes remain global challenge, evidenced by high pathological circumferential margin (pCRM) rates unacceptable variations in permanent colostomies.Between 2008 2012, prospective, observational, multicenter (MERCURY II) recruited 279 patients with adenocarcinoma 6 cm or less...
It is widely believed that quality of life worse after abdominoperineal excision then low anterior resection. However, this view not supported unequivocally.The aim study was to compare in patients 1 year following resection and for rectal cancer.Data were collected prospectively on 62 undergoing (32) (30) adenocarcinoma within 6 cm the anal verge. Patients with metastatic disease excluded. Quality assessed by use European Organization Research Treatment Cancer's QLQ-C30 QLQ-CR38 modules...
BACKGROUND: Low rectal cancers are associated with worse outcomes in comparison mid and upper tumors. OBJECTIVE: This study aimed to assess the predictive accuracy of MRI identifying correct surgical approach based on mesorectal extralevator planes. DESIGN: involved retrospective analysis histopathology data 33 patients low cancer, use an anatomically staging system. Three radiologists reported available planes excision predicted relationship tumor key anatomical features. MRI-predicted were...
Extralevator abdominoperineal excision in the prone position has been reported as a method to improve poor outcome sometimes observed after (APE) for low rectal cancer. In this paper pictorial guide is presented describing key anatomical steps and landmarks of operation.Intraoperative footage five APE operations filmed high definition was reviewed stages operation were identified. Still frames captured from these sequences illustrate guide. An edited video sequence produced one accompany...
Good functional outcome following anterior resection (AR) for rectal cancer is an important clinical goal, but its prediction has proven difficult. Assessments such as anal manometry have been advocated a potential tool anatomy depicted on MRI not investigated. This study looked at whether sphincter complex measurements recorded from preoperative staging MRIs and any correlation with outcome.Consecutive patients adenocarcinoma underwent manometric assessment staging. were assessed regard to...
Aim: Low rectal cancer, within 6 cm of the anal verge commonly requires a permanent stoma but in selected patients colo-anal anastomosis, with defunctioning is feasible.A restorative procedure not complete until reversed.We report reversal rate 124 who had anastomosis for low cancer.Method: Two-hundred and seventy-two cancer underwent surgery multicentre Rectal Cancer MERCURY II study: 96 females (35%); median age 65 years (range 23-89).Patient demographics, tumour stage, neoadjuvant...
The public is becoming increasingly aware of the symptoms deep vein thrombosis (DVT) due to so-called 'economy class' syndrome. However, arterial rupture can mimic these symptoms. We report a misdiagnosis ruptured 'fem-pop' graft (previously unreported) presenting identically as DVT. patient received conventional anticoagulation treatment which could have resulted in disastrous consequences.
Einführung: Anhand einer retrospektiven Untersuchung wurde ein MRT Staging System für Rektumkarzinome des unteren Drittels erstellt, welches Tumoren mit einem hohen Risiko einen positiven zirkumferentiellen Resektionsrand (CRM) identifiziert. Dieses in Kombination der klinischen Beurteilung prospektiven Studie hinsichtlich Bestimmung chirurgischen Resektionsebene untersucht. Der primäre Endpunkt MERCURY II war die Reduktion Rate positiver CRM.
Post-operative fever is common following emergency surgery. Investigation and management of post-operative can be challenging when a clear source sepsis not evident or the underlying infection recognised. We herein report case secondary pulmonary tuberculosis presenting as laparotomy for perforated duodenal ulcer. This was diagnosed on day 41 post-operatively prior inconclusive results meant that we relied mainly re-visiting history examination in order to identify 3 targeted investigations:...
A 62-year-old lady previously had a left sapheno-femoral ligation with stripping of the long saphenous vein and multiple avulsions 10 years ago. The pre-operative duplex scan, performed by an experienced vascular technologist, showed patent competent deep venous system no evidence previous thrombosis. junction (SFJ) was shown to have been surgically ligated but small tortuous recurrence noted fill groin varices. It evident that proximal stripped. residual mid-thigh significantly incompetent...