Adele Sayers
A5024553907- Hernia repair and management
- Intestinal and Peritoneal Adhesions
- Colorectal Cancer Surgical Treatments
- Abdominal Surgery and Complications
- Clinical practice guidelines implementation
- Appendicitis Diagnosis and Management
- Anorectal Disease Treatments and Outcomes
- Diverticular Disease and Complications
- Pelvic and Acetabular Injuries
- Dental Education, Practice, Research
- Colorectal Cancer Screening and Detection
- Inflammatory Bowel Disease
- Reconstructive Surgery and Microvascular Techniques
- Diversity and Career in Medicine
- Health Literacy and Information Accessibility
- Empathy and Medical Education
- Patient-Provider Communication in Healthcare
- Hip and Femur Fractures
- Pelvic floor disorders treatments
- Stoma care and complications
- Cardiac, Anesthesia and Surgical Outcomes
- Health Systems, Economic Evaluations, Quality of Life
- Gastric Cancer Management and Outcomes
- Healthcare Quality and Management
- Enhanced Recovery After Surgery
University of Sheffield
2024-2025
Sheffield Teaching Hospitals NHS Foundation Trust
2021-2025
Royal Devon & Exeter NHS Foundation Trust
2023
Exeter Hospital
2023
Maison Arabe de Software et de Hardware (Tunisia)
2021
Northern General Hospital
2021
Croydon University Hospital
2021
Yorkshire Cancer Research
2017-2019
Doncaster Royal Infirmary
2019
Hull and East Yorkshire Hospitals NHS Trust
2013-2019
Extralevator abdominoperineal excision (ELAPE) has become increasingly used because of some evidence improved oncological outcome. It is, however, thought to be associated with a higher incidence perineal hernia formation, although the exact is not known. The aim this study was identify after ELAPE.The case notes patients over 54-month period were reviewed. closure technique, complications and management plan recorded.During period, 56 underwent ELAPE, whom 24 (44%) developed wound...
Hospitals are increasingly looking for mobile solutions to meet their information technology needs. Medical professionals using personal devices support work, because of limitations in both time and space. Our aims were assess smartphone use amongst UK surgical doctors, the prevalence medical app online activity.A thirteen-item questionnaire was derived identify proportion doctors all grades smartphones within workplace. The following factors evaluated: apps; resources if users willing own...
Small bowel obstruction is a common surgical emergency, and associated with high levels of morbidity mortality across the world. The literature provides little information on conservatively managed group. aim this study was to describe burden small in UK. This prospective cohort conducted 131 acute hospitals UK between January April 2017, delivered by trainee research collaboratives. Adult patients diagnosis mechanical were included. primary outcome in-hospital mortality. Secondary outcomes...
Objective The aim of this study was to assess the nutritional status patients presenting with small bowel obstruction (SBO), along associated interventions and clinical outcomes. Design Prospective cohort study. Setting 131 UK hospitals acute surgical services. Participants 2069 adult a diagnosis SBO were included in mean age 67.0 years 54.7% female. Primary secondary outcome measures in-hospital mortality. Secondary outcomes recorded included: major complications (composite mortality,...
Small bowel obstruction (SBO) is associated with high rates of morbidity and mortality. The National Audit Bowel Obstruction (NASBO) a collaboration between trainees specialty associations to improve the care patients SBO through national clinical audit. aim this study was define current consultant practice preferences in management UK.A survey designed assess surgeons. anonymous captured demographics, indications for surgery or conservative management, use investigations including...
Abstract Background Perianal fistulising Crohn’s disease (pfCD) is a debilitating and complex complication of that challenging to manage associated with poor long-term outcomes. Mesenchymal stem cell (MSC) therapy has emerged as promising treatment option for medically refractory pfCD, but data on efficacy safety are limited. This study investigates the outcomes MSC in patients focusing clinical, radiological patient-reported Methods All treated single dose at two tertiary referral centres...
Clinical guidelines are a cornerstone of evidence-based medicine. Little is known about clinicians' knowledge guideline development and how they perceive quality. A survey protocol was designed according to the CHERRIES (improving quality web surveys: Checklist for Reporting Results Internet E-Surveys) checklist. The explored three main aspects: high-quality markers guidelines, development, areas improvement. conducted by contacting UEG affiliated societies email via social media. All valid...
The performance of an indirect ELISA for diagnosing Mycobacterium bovis infection in live badgers was evaluated by examining blood samples collected from 1982 captured during statutory badger removal operations south west England. Validity the test and factors affecting prevalence are described. sensitivity 40.7 percent, its specificity 94.3 predictive value a positive 67.5% percent negative 84.6 percent. Its significantly higher males animals with gross lesions typical tuberculosis. values...
Introduction Small bowel obstruction (SBO) is a common indication for emergency laparotomy in the UK, which associated with 90-day mortality rate of 13%. There are currently no UK clinical guidelines management this condition. The aim multicentre prospective cohort study to describe burden, variation and outcomes SBO adult population. Methods analysis hospitals providing general surgery eligible participate. This has three components: (1) preference questionnaire be completed by consultants...
Abstract Background Acutely symptomatic abdominal wall and groin hernias are a common reason for acute surgical hospital admissions. There limited data to guide the treatment of these patients. This study aimed assess outcomes emergency hernia surgery identify management strategies, improve care high-risk Methods A 20-week, national multicentre, collaborative, prospective cohort (NCT04197271) recruited adults with acutely across UK. Data on patient characteristics, inpatient management,...
National Institute for Health and Clinical Excellence (NICE) guidelines were introduced in the UK to ensure that patients with high-risk symptoms of colorectal cancer reviewed promptly. We assessed proportion referred our department's nurse-led 2-week wait (2WW) clinic or signs met these rate pickup.Patients identified from a prospectively maintained logbook 2WW referrals over 1-year period (1 January 2008-31 December 2008). Computerized notes obtain following information: referral diagnosed...
Abstract Background Abdominal wall hernia is a common surgical condition. Patients may present in an emergency with bowel obstruction, incarceration or strangulation. Small obstruction (SBO) serious condition associated significant morbidity. The aim of this study was to describe current management and outcomes patients obstructed the UK as identified National Audit Bowel Obstruction (NASBO). Methods NASBO collated data on adults treated for SBO at 131 hospitals between January March 2017....
The National Audit of Small Bowel Obstruction was a UK-wide study active in early 2017. A Twitter© account used to interact with collaborators and the public throughout assess whether use social media improved engagement establish which Tweet signature styles achieved highest levels reach engagement.Twitter© analytics for @NASBO2017 covering June 2016-May 2017 were reviewed. number impressions, engagements rate analysed according stage.A total 176 Tweets made over period. median impressions...
Symptomatic perineal hernias following abdomino-perineal excision of rectum have been reported to occur uncommonly. We present the case a 79-year-old gentleman who developed hernia after laparoscopic-assisted extralevator (ELAPE) rectum. Despite initial myocutaneous flap repair, there was further symptomatic recurrence. Magnetic resonance imaging demonstrated non-compromised bowel extending beneath gracilis with extension into adductor compartment left thigh. Given recurrent nature, rectus...
Candidates must start preparing early to win a place in this competitive field, say Rikesh Patel and colleagues
The competition for Core Surgical Training (CST) positions and subsequent Specialty (ST3) posts throughout the UK is fierce. Our aim was to conduct a pilot study assess whether current foundation year doctors were considering pursuing career in surgery reasons guiding their decisions. A ten-item questionnaire voluntarily completed by at large acute teaching trust. Factors evaluated included: experience working within surgical rotation; previous consideration of surgery; they found appealing;...
Abstract Introduction Acutely symptomatic abdominal wall and groin hernias (ASH) are a common acute surgical presentation. There limited data to guide decisions related repair technique use of antibiotics, which can be driven by increased risk site infection (SSI) in this group. This study aims report rates SSI following ASH explore the patient-reported outcome measure reporting setting. Methods An 18-week, UK-based, multicentre prospective cohort (NCT04197271) recruited adults with ASH....