- Pancreatitis Pathology and Treatment
- Gallbladder and Bile Duct Disorders
- Pancreatic and Hepatic Oncology Research
- Gastrointestinal disorders and treatments
- Hernia repair and management
- Appendicitis Diagnosis and Management
- Abdominal Trauma and Injuries
- COVID-19 Clinical Research Studies
- Bariatric Surgery and Outcomes
- Congenital Diaphragmatic Hernia Studies
- Gastric Cancer Management and Outcomes
- Long-Term Effects of COVID-19
- Biliary and Gastrointestinal Fistulas
- Abdominal Surgery and Complications
- Pediatric Hepatobiliary Diseases and Treatments
- Cholangiocarcinoma and Gallbladder Cancer Studies
- Colorectal Cancer Surgical Treatments
- Amoebic Infections and Treatments
- Gastrointestinal Tumor Research and Treatment
- Minimally Invasive Surgical Techniques
- Sports injuries and prevention
- Enhanced Recovery After Surgery
- Orthopedic Surgery and Rehabilitation
- Cardiac, Anesthesia and Surgical Outcomes
- Pelvic floor disorders treatments
University Hospitals of Leicester NHS Trust
2025
University Hospitals of Derby and Burton NHS Foundation Trust
2021-2024
University of St. Gallen
2023
Winterthur Museum Garden and Library
2023
Royal Derby Hospital
2021-2023
Musgrove Park Hospital
2023
Chesterfield Royal Hospital NHS Foundation Trust
2020
There is emerging evidence that the pancreas may be a target organ of SARS-CoV-2 infection. This aim this study was to investigate outcome patients with acute pancreatitis (AP) and coexistent
Background & aimsInternational guidance advocates the avoidance of prolonged preoperative fasting due to its negative impact on perioperative hydration. This study aimed assess adherence these guidelines for in patients undergoing elective and emergency surgery East Midlands region UK.MethodsThis prospective audit was performed over a two-month period at five National Health Service (NHS) Trusts across UK. Demographic data, admission operative details, length were collected adult listed...
Minimally invasive cholecystectomy and common bile duct exploration offers single- stage management for complex gallstone disease (cholelithiasis choledocholithiasis). Robotic platform presents benefits in improving operative precision, which has not been extensively evaluated the acute setting of managing disease, as well performing transcholedochal or post exploration. We report an early series emergent expedited robotic assisted with (RC-CBDE) (R-CBDE) alone.
Introduction: Intervention options in acute cholecystitis (AC) include drainage (percutaneous/endoscopic) or surgery. Several scoring systems have been used to risk stratify surgical patients, but few validated. This study investigated the suitability of Acute Physiology and Chronic Health Evaluation II (APACHE-II) score, American Society Anesthesiologist (ASA) grade, Tokyo Guidelines 2018 (TG18) grade as predictors outcome assess laparoscopic cholecystectomy versus percutaneous...
Abstract Aim Laparoscopic cholecystectomy and common bile duct exploration (LC-CBDE) is an alternative to endoscopic retrograde cholangiopancreatography (ERCP) for treatment of choledocholithiasis. The ‘Achilles heel’ LC-CBDE the choledochotomy incision closure following clearance. Robotic assisted surgery (RAS) aspires overcome these technical challenges by providing improved views (3D enhancement) articulated instruments potentially improving surgical precision. We aim scrutinise outcomes...
Abstract Background Choledocholithiasis is a common condition with various presentations. There are several approaches through which this can be managed. This presentation aims to explain novel techniques and modalities in managing complex bile duct stones successfully minimal invasive approach. Methods video depicts the procedure performed for large CBD use of indocyanine green (ICG) intraoperative ultrasound (IOUS). The patient 61 year old gentleman presented abdominal discomfort deranged...
Abstract Introduction Revisional bariatric procedures are increasingly prevalent. These more complex with higher risk of complications as compared to primary procedures. The potential indications for revisional laparoscopic gastric bypass (R-LRYGB) may include weight regain and gastroesophageal reflux disease (GORD). This video abstract presents role fundectomy Indocyanine green fluorescence angiography (ICG-FA) perfusion assessment pouch in R-LRYGB. Methods Operative technique A 40-year-old...
Abstract Aims Acute small bowel obstruction secondary to strangulated hernias is a presentation often encountered during the acute surgical take. Despite widespread use of minimally invasive approach for elective hernia surgery, there significant reduction in laparoscopy emergency setting. We aim describe case series on applicability management or incarcerated hernias. Materials 4 cases patients who presented with acutely as an single centre United Kingdom. The demonstrated include inguinal,...
Abstract Aim The heterogeneous nature of severe acute pancreatitis (SAP) renders decisions related to complications challenging. A select group patients may be suitable for surgical (S-CG), which can performed open or laparoscopic, endoscopic (E-CG) transgastric cystgastrostomy (TCG) symptomatic infected retrogastric pancreatic collections (walled-off necrosis (WOPN) pseudocyst). There is limited data comparing outcomes between these approaches. Method Retrospective analysis all that...
Abstract Aim Acute small bowel obstruction secondary to strangulated obturator hernia is a rare condition, with high rates of morbidity and mortality in the absence prompt diagnosis intervention. We aim describe case above presentation, managed using minimally-invasive approach positive outcomes. Material Methods an 82-year-old female who presented acute on cross-sectional imaging. Results The patient underwent emergency surgery laparoscopic for repair assessment obstructed bowel. Our...