A5055145183- Pelvic floor disorders treatments
- Anorectal Disease Treatments and Outcomes
- Congenital gastrointestinal and neural anomalies
- Urinary Bladder and Prostate Research
- Gastrointestinal motility and disorders
- Diverticular Disease and Complications
- Hernia repair and management
- Pelvic and Acetabular Injuries
- Colorectal Cancer Surgical Treatments
- Pressure Ulcer Prevention and Management
- Abdominal Surgery and Complications
- Vascular Procedures and Complications
- Music Therapy and Health
- Surgical site infection prevention
- Muscle and Compartmental Disorders
- Maternal and Perinatal Health Interventions
- Inflammatory Bowel Disease
- Reconstructive Surgery and Microvascular Techniques
- Stoma care and complications
- Anesthesia and Pain Management
- Surgical Sutures and Adhesives
- Musculoskeletal pain and rehabilitation
- Trauma Management and Diagnosis
- Acupuncture Treatment Research Studies
- Amoebic Infections and Treatments
St Mark's Hospital
2015-2025
Imperial College London
2024-2025
St. Mark's Hospital
2024
Royal Alexandra Hospital
2024
London North West Healthcare NHS Trust
2019-2023
Ashford and St Peter's Hospitals NHS Foundation Trust
2020
University of London
2020
St George's Hospital
2015-2017
London Postgraduate Medical and Dental Education
2016
Medway Maritime Hospital
2011
Pilonidal disease is a benign condition mainly affecting the young population. In recent literature, depth of natal cleft thought to impact postoperative outcomes including wound complications and rate recurrence. Currently there no agreed method for measuring cleft; this study proposes novel instrument-free technique that can be used as research tool measure depth. This single centre performed at St Mark's Hospital in London, with 63 participants volunteering take part. Blinded repeated...
Abstract Background Sacral nerve stimulation (SNS) is a well established therapy for faecal incontinence (FI). Percutaneous tibial (PTNS) newer, less invasive, treatment. The effectiveness and acceptability of these treatments have not been compared systematically. Methods An investigator-blinded randomized pilot trial PTNSversus SNS with parallel qualitative study was performed. Quantitative clinical outcomes data from patient interviews were collected both interventions. Results Forty...
Chronic constipation is difficult to treat when symptoms are intractable. Colonic propulsion may be altered by distal neuromodulation but this conventionally delivered percutaneously. Transcutaneous tibial nerve stimulation noninvasive and cheap: study aimed assess its efficacy in chronic constipation.Eighteen patients (median age 46 years, 12 female) with were recruited consecutively. Conservative behavioural therapy had failed improve all 18. Thirty minutes of daily bilateral...
The management of enterocutaneous fistulae (ECF) is complex and challenging. We examined factors associated with fistula healing at a National Intestinal Failure Centre devised the first scoring system to predict spontaneous prior surgery.A retrospective audit 177 patients (mean age 48.7 years) treated over 7 years was undertaken. Results were compared previously reported series from this unit. Univariate multivariate analyses wete performed on variables assess relationship ECF healing. A...
Study Design. A single case study was conducted. Objectives. To detail the occurrence of multiple intracranial, intraparenchymal hemorrhages following an iatrogenic acute reduction in cerebral spinal fluid pressure excision intradural extramedullary tumor. Summary Background Data. Multiple supratentorial, intraparenchymal, intracranial have not been previously reported literature. Methods. report and literature review are presented. Results. The patient made uneventful full recovery....
Posterior tibial nerve stimulation (PTNS) has been shown to improve faecal incontinence in the short term. The optimal treatment regimen is unclear with wide variations protocol reported literature. study aimed assess two different regimens of transcutaneous PTNS and establish whether increasing frequency increases effectiveness.Thirty patients were randomized receive once daily or twice weekly for a 6-week period. was carried out by patient at home after instruction. primary investigator...
Unilateral posterior tibial nerve stimulation has been shown to improve fecal incontinence in the short term. Posterior is believed work by of ascending afferent spinal pathways. Bilateral may activate more these This lead an improved therapeutic effect.The aim this study was assess efficacy bilateral transcutaneous for incontinence.This a single-group pilot prospective study.The conducted from June 2012 September at authors' institution.Twenty patients with were recruited consecutively....
Junctional hemorrhage, bleeding from the areas at junction of trunk and its appendages, is a difficult problem in trauma. These are not amenable to regular tourniquets as they cannot fit give circumferential pressure around extremity. arterial injuries can rapidly lead death by exsanguination, out-of-hospital control junctional be lifesaving. The present case report describes an off-label use Abdominal Aortic Tourniquet™ axilla demonstrates safety effectiveness stopping hemorrhage...
Chronic idiopathic anal pain is a common condition of unknown aetiology. Patients may have co-existing psychiatric disorders and existing treatments are often ineffective. A small number published case reports suggest that sacral nerve stimulation (SNS) could treat this condition. This pilot study aimed to investigate the efficacy SNS for treatment chronic pain.Ten patients with were recruited. All had failed respond conservative treatments. Clinical psychological evaluation was performed in...
Transcutaneous sacral nerve stimulation is reported to improve symptoms of fecal incontinence. Chronic constipation may also respond stimulation, but this poorly in the literature.The study assessed efficacy transcutaneous electrical directly over roots chronic constipation.Chronic functional was established all patients using Rome III criteria.The therapy self-administered at home.A pilot conducted given a 4-week period for 12 hours day.Patients were Patient Assessment Constipation...
The Renew® anal insert is a recent treatment for patients who suffer from passive faecal incontinence (FI). Our aim was to assess the effectiveness of and patients' satisfaction with it.A retrospective audit were treated undertaken. St Mark's Incontinence Score used evaluate clinical outcome. size, number inserts per day week had also been recorded. Subjective assessment symptoms, how beneficial satisfied device all Major events side effects noted.Thirty received as in 2016. median 15 (range...
Sacral nerve stimulation (SNS) may be offered to patients with constipation who have failed improve conservative treatment. The response SNS is variable, a significant loss of efficacy in some patients. An increased frequency the for faecal incontinence. This study aimed see if alteration pulse width or improved outcome those constipation.Eleven currently being treated by were recruited from three centres. They randomized five different protocols each applied 5 weeks. Group 1 used standard...
Sacral nerve stimulation (SNS) is a minimally invasive treatment for faecal incontinence (FI). We report our experience of patients who have undergone SNS FI with minimum 5 years' follow-up. This single centre prospective observational study the aim to assess long-term function SNS.All implanted were identified from database. The date implantation, first and last clinic follow-up, surgical complications St Mark's scores abstracted analysed.From 1996 2014, 381 considered SNS. Of these, 256...
Abstract Purpose OASIS is associated with devastating consequences; namely incontinence. Timely, satisfactory repair of necessary to mitigate the risk maternal morbidity. Primary typically undertaken by an obstetrician. In cases profound anatomical disruption, on-call surgeon may be called. The aim was explore experience and current practice surgeons in acute OASIS. Methods A cross-sectional, observational study performed. Registrars consultants who participate rota UK were included. survey...
Abstract Aim Obstetric anal sphincter injuries (OASIs) are associated with devastating consequences, mainly faecal incontinence. A timely and correct repair is necessary to reduce the risk of maternal morbidity. The aim was explore experience practice on‐call general surgeons in acute OASIs. Method cross‐sectional, observational questionnaire study performed. Registrars consultants participating an emergency surgical rota UK were included. 33‐item disseminated over a 9‐month period from...
Rectal prolapse is a common and significantly debilitating condition. Surgical correction usually required. The two most abdominal approaches are ventral mesh rectopexy posterior suture rectopexy. Both may be complicated, respectively, by either mesh-related complications or significant postoperative constipation. We report the outcome of novel operation which combines aspects both aforementioned approaches, for treatment external rectal (ERP).The technique involves laparoscopic partial...