Vanessa Wills
A5090919838- Esophageal and GI Pathology
- Esophageal Cancer Research and Treatment
- Gastric Cancer Management and Outcomes
- Gallbladder and Bile Duct Disorders
- Gastroesophageal reflux and treatments
- Lung Cancer Diagnosis and Treatment
- Dysphagia Assessment and Management
- Abdominal Trauma and Injuries
- Pelvic and Acetabular Injuries
- Biliary and Gastrointestinal Fistulas
- Liver Disease Diagnosis and Treatment
- Cardiac, Anesthesia and Surgical Outcomes
- Pancreatic and Hepatic Oncology Research
- Pediatric Hepatobiliary Diseases and Treatments
- Eosinophilic Esophagitis
- Pregnancy-related medical research
- Delphi Technique in Research
- Political Economy and Marxism
- Neuroendocrine Tumor Research Advances
- Cancer, Stress, Anesthesia, and Immune Response
- Trauma and Emergency Care Studies
- Global Health and Surgery
- Liver Disease and Transplantation
- Nausea and vomiting management
- Enhanced Recovery After Surgery
University of Derby
2024
Radboud University Medical Center
2022
Canisius-Wilhelmina Ziekenhuis
2022
Radboud University Nijmegen
2022
John Hunter Hospital
2000-2021
Hunter New England Local Health District
2018-2020
University of Newcastle Australia
2020
Australian Museum
2018
St George Hospital
2000-2001
St George's Hospital
2000
Background : Traditional management of choledocholithiasis has been supraduodenal choledochotomy, duct exploration and insertion a T‐tube. This study reviews the complications associated with T‐tube use assesses whether laparoscopic procedures are an increase in relating to use. Methods Case records from two large public hospitals New South Wales (Australia) were analysed retrospectively for 10‐year period using standardized data collection form. Morbidity, mortality potential factors...
Textbook outcome has been proposed as a tool for the assessment of oncological surgical care. However, an international in patients undergoing oesophagectomy oesophageal cancer not reported. This study aimed to assess textbook setting.
Abstract Background Preoperative immunonutrition has been proposed to reduce the duration of hospital stay and infective complications following major elective surgery in patients with gastrointestinal malignancy. A multicentre 2 × factorial RCT was conducted determine impact preoperative postoperative versus standard nutrition oesophageal cancer. Methods Patients were randomized before oesophagectomy (IMPACT®) isocaloric/isonitrogenous nutrition, then further after operation nutrition....
Bile leakage in the absence of major ductal injury may occur from liver bed or cystic duct remnant after cholecystectomy. The early limitations minimally invasive surgery led to reliance on endoscopic methods manage this complication. However, repeat laparoscopy permits drainage bile collection and direct control site selected situations.Details 15 patients with laparoscopic cholecystectomy were recorded prospectively are reviewed.Postoperative occurred (0.8 per cent) 1779 cholecystectomies....
Although cirrhosis has been regarded as a contraindication to laparoscopic cholecystectomy, there is increasing evidence that patients with mild moderate may safely undergo cholecystectomy results superior those of open cholecystectomy. A prospective evaluation and comparison outcome in 25 consecutive 1275 without undergoing was undertaken. Fourteen Child's cirrhosis, nine B, two C underwent After surgery, one patient died. The median length stay 4 days. Postoperative morbidity occurred 52%...
Abstract Aim This study assessed the responsiveness and convergent validity of two preference-based measures; newly developed cancer-specific EORTC Quality Life Utility Measure-Core 10 dimensions (QLU-C10D) relative to generic three-level version EuroQol 5 (EQ-5D-3L) in evaluating short-term health related quality life (HRQoL) outcomes after esophagectomy. Methods Participants were enrolled a multicentre randomised controlled trial determine impact preoperative postoperative immunonutrition...
John Hunter Hospital is the major trauma centre for a region covering more than 25,000 square kilometres. The helicopter primary retrieval service paramedic staffed and protocol driven. aim of present study was to assess overtriage rate created by such protocols, benefit patient outcomes that may be attributable service.The database used identify all cases arriving in 1996, as well their demographic details, injury severity score, details accident outcome. An expert panel reviewed medical...
Clinical assessment has been shown to compare poorly with results of hand-held Doppler examination or venography in the evaluation varicose veins. Although use duplex scanning well described veins, there are few data comparing clinical and scans.A total 188 patients were referred veins a sole specialist vascular surgeon over 1-year period. After assessment, all for scan which was performed by trained technician. The compared retrospectively findings.A 315 legs assessed this period, 38.7%...
Although cirrhosis has been regarded as a contraindication to laparoscopic cholecystectomy, there is increasing evidence that patients with mild moderate may safely undergo cholecystectomy results superior those of open cholecystectomy. A prospective evaluation and comparison outcome in 25 consecutive 1275 without undergoing was undertaken. Fourteen Child's cirrhosis, nine B, two C underwent After surgery, one patient died. The median length stay 4 days. Postoperative morbidity occurred 52%...
Laparoscopic Heller myotomy provides similar results to open for the treatment of oesophageal achalasia with advantage quicker recovery. The present series examines evolution operative technique, postoperative outcome and effect 'learning curve' in a group 70 consecutive patients.Between 1992 1999, details all patients undergoing oesophagogastric were prospectively entered on database. Patients followed biannual postal symptom questionnaire scores obtained dysphagia, heartburn, regurgitation...
A case of gallstone ileus occurring 5 months after laparoscopic cholecystectomy is presented. The possible aetiology discussed and the literature regarding consequences intraperitoneal stone spillage reviewed.
Splenectomy is associated with a lifelong increase in the risk of sepsis. The aim this study was to determine level knowledge patients who have undergone splenectomy within an Australian area health service.Adults undergoing between 1994 and 2004 Hunter Area Health Service were invited participate study. Consenting participants contacted by telephone standardized questionnaire completed.More than 50% displayed good active infection post-splenectomy understanding role vaccinations reducing...
Background : The rate of intraoperative cholangiography fell after the advent laparoscopic cholecystectomy due to perceived difficulty cystic duct cannulation. It is suggested that cholecystocholangiography (CCC) a valid and easier alternative. present study compares (CDC) CCC with evaluation procedural time, success rate, image quality, cost radiation exposure. Methods Patients undergoing were randomized ( n = 40) or CDC 36). Details operative times, exposure, use disposable equipment...
Introduction: The goal of an acute general surgical unit (AGSU) is to improve the management all emergency admissions including those with gall bladder disease. In May 2008, John Hunter Hospital Newcastle implemented AGSU. Changes service provision included in‐house consultant (7 am 7 pm) dedicated surgery access afternoon operating list most weekdays. This study compares disease before and after implementation AGSU in setting unchanged policy operative during index admission (where...