Fatema Nedham
- Appendicitis Diagnosis and Management
- Intraperitoneal and Appendiceal Malignancies
- Intestinal and Peritoneal Adhesions
- Hernia repair and management
- COVID-19 and healthcare impacts
- Cardiac, Anesthesia and Surgical Outcomes
- Surgical Simulation and Training
- Diverticular Disease and Complications
- Abdominal Trauma and Injuries
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...
Surgically managed appendicitis exhibits great heterogeneity in techniques for mesoappendix transection and appendix amputation from its base. It is unclear whether a particular surgical technique provides outcome benefit or reduces complications.We undertook pre-specified subgroup analysis of all patients who underwent laparoscopic appendectomy at index admission during SnapAppy (ClinicalTrials.gov Registration: NCT04365491). We collected routine, anonymized observational data regarding...
Abstract Introduction The COVID-19 (SARS-CoV-2) pandemic drove acute care surgeons to pivot from long established practice patterns. Early safety concerns regarding increased postoperative complication risk in those with active COVID infection promoted antibiotic-driven non-operative therapy for select conditions ahead of an evidence-base. Our study assesses whether or recent SARS-CoV-2 positivity increases hospital length stay (LOS) complications following appendectomy. Methods Data were...
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,...