- Congenital Diaphragmatic Hernia Studies
- Abdominal Surgery and Complications
- Hernia repair and management
- Pleural and Pulmonary Diseases
- Esophageal and GI Pathology
- Intestinal Malrotation and Obstruction Disorders
- Gastroesophageal reflux and treatments
- Urological Disorders and Treatments
- Clinical Nutrition and Gastroenterology
- Congenital Anomalies and Fetal Surgery
- Airway Management and Intubation Techniques
- Cardiac, Anesthesia and Surgical Outcomes
- Intestinal and Peritoneal Adhesions
- Gastrointestinal disorders and treatments
- Tracheal and airway disorders
- Global Health and Surgery
- Congenital gastrointestinal and neural anomalies
- Anesthesia and Pain Management
- Enhanced Recovery After Surgery
- Global Health Workforce Issues
- Pediatric Urology and Nephrology Studies
- Diet and metabolism studies
- Foreign Body Medical Cases
- Eosinophilic Esophagitis
- Trauma Management and Diagnosis
John Radcliffe Hospital
2022-2024
Royal Hospital for Children
2008-2022
University of Edinburgh
2017-2022
Merrill (United States)
2022
Royal Hospital for Sick Children
2014-2021
Edinburgh College
2021
King's College London
2019
American College of Surgeons
2019
Canadian Anesthesiologists' Society
2019
Royal College of Surgeons of England
2019
In Brief Objective: To compare the clinical outcome and endocrine response in children who were randomized to open or laparoscopic Nissen fundoplication using minimization. Background: It is assumed that surgery associated with less pain, quicker recovery dampened response. Few studies have been performed children. Methods: Parents gave informed consent, this study was approved registered (ClinicalTrials.gov Identifier: NCT00231543). Anesthesia, postoperative analgesia feeding standardized....
<h3>Objective</h3> To evaluate the 4-year results following a randomised controlled trial (RCT) comparing open (ONF) and laparoscopic (LNF) Nissen fundoplication in children. <h3>Background</h3> It is assumed that long-term of ONF LNF are comparable. No studies have been performed <h3>Methods</h3> A follow-up study was children to or (<i>clinicaltrials.gov</i> identifier NCT00259961). Recurrent gastro-oesophageal reflux (GER) documented by upper gastrointestinal contrast and/or 24-h pH...
The aim of this study was to review the changes in CO(2) excretion and anesthetic management during thoracoscopy children.We analyzed end-tidal carbon dioxide concentration (EtCO(2); kPa) pneumothorax. EtCO(2) measured on a continuous basis by using positive sampling system recorded every 10 minutes. Baseline highest were used derive maximum change intraoperative period. also three time periods: (1) preinsufflation, (2) insufflation into chest, (3) after desufflation. Core temperature as an...
Laparoscopic fundoplication has not been extensively reviewed to establish the efficacy and outcome in infants. Our aims were investigate of laparoscopic infants assess factors predicting outcome.We performed a retrospective study on undergoing fundoplication. Demographic data, operating time, length hospital stay, complications, need for redo recorded. Chi-squared test was correlate symptoms outcome. There 79 patients. Median age 6 months (range 0.5 11) weight 5.6 kg (2.6 10). Forty-eight...
Abstract Objectives To assess the accuracy of ultrasound diagnosis duplex kidneys in fetus and to identify prognostic features antenatal sonography associated with this diagnosis. Methods Retrospective identification cases an kidney was made from computerized databases. Results postnatal radiological investigations were obtained unit where delivery took place. A total 75% seen a multidisciplinary fetal renal clinic correctly diagnosed as having kidney. Prognostic sonographic are described....
Carbon dioxide (CO(2)) is the gas most commonly used to inflate body cavities during 'keyhole' surgery (e.g. laparoscopy and thoracoscopy). However, CO(2) can be absorbed, leading increased arterial elimination from lungs. These increases in are observed following a wide variety of procedures both adults infants children. Although it usually assumed that or end-tidal directly reflect absorption cavities, this not necessarily true, as either metabolically produced respiratory compromise...
To compare surgical outcomes for a simple purse string method of laparoscopic hernia (LH) repair with traditional open inguinal (OH) in children single center.Following ethical approval, retrospective review all undergoing LH from January 2010 to December 2013 versus historic cohort OH repairs between and 2011 was conducted. performed by technique using nonabsorbable braided suture. Groups were compared the independent t test or Mann-Whitney as appropriate.One hundred three patients (23...
Abstract Background A major shift in treatment of appendicitis occurred early the SARS-CoV-2 pandemic with non-operative management used commonly outside research protocols and units limited previous experience. This study aims to compare real-world outcomes surgery versus uncomplicated children 1-year follow-up. Method prospective multicentre observational treated for at 74 hospitals UK Ireland from 1 April 31 July 2020 was performed. Propensity-score matched analysis conducted using age,...
This study analyses the impact of anaesthetic blockade and intraperitoneal local infiltration on paediatric laparoscopic inguinal hernia repair.A retrospective review repairs versus open repairs. Anaesthetic blockade, analgesic consumption postoperative pain scores were compared between groups.155 children underwent repair, 150 Median age was 7.2 months (16 days-14 years) in group, 6 (17 days-13 group. varied significantly; 62.7% cases had caudal to 21.6% (p < 0.001). A subset patients...