Zakya Penny
- Appendicitis Diagnosis and Management
- Cardiac, Anesthesia and Surgical Outcomes
- Intraperitoneal and Appendiceal Malignancies
- Congenital Diaphragmatic Hernia Studies
- Ultrasound in Clinical Applications
- Hernia repair and management
- Congenital Anomalies and Fetal Surgery
- Esophageal and GI Pathology
- Diverticular Disease and Complications
Children's Health Ireland at Crumlin
2023-2024
Acute appendicitis is a common surgical emergency, and the standard approach to diagnosis management has been codified in several practice guidelines. Adherence these guidelines provides insight into independent patterns institutional resource constraints as impediments best practice. We explored data from recent ESTES SnapAppy observational cohort study determine guideline compliance contemporary identify opportunities close evidence-to-practice gaps.We undertook preplanned analysis of...
Exomphalos anomaly is defined as the herniation of abdominal viscera into base umbilical cord, with only a membranous sac covering these contents. It has an incidence approximately 1 in 4000-6000 births. Management exomphalos major (EM) remains controversial and limited, very few studies to guide decision-making.
Abstract Background Appendicitis is the most frequent global abdominal surgical emergency. An ageing population, who often exhibit atypical symptoms and delayed presentations, challenge conventional diagnostic treatment paradigms. Objectives This study aims to delineate disparities in presentation, management, outcomes between elderly patients younger adults suffering from acute appendicitis. Methods subgroup analysis forms part of ESTES SnapAppy, a time-bound multi-center prospective,...
Abstract Background Acute appendicitis is the most common surgical emergency in children. Eighty percent of paediatric appendicectomies are performed by adult general surgeons on an annual basis. The remaining 20% at Children’s Health Ireland (CHI) centres. Occasionally patients transferred from Non-Specialist Paediatric Surgical Centres (NSPSC) for specialised pre-operative or post-operative care. Aim To assess rates and characterise appendicitis-related referrals to CHI Crumlin NSPSC....