A5087285179- Colorectal Cancer Surgical Treatments
- Gastroesophageal reflux and treatments
- Diverticular Disease and Complications
- Hip and Femur Fractures
- Diversity and Career in Medicine
- Minimally Invasive Surgical Techniques
- Surgical Simulation and Training
- Gallbladder and Bile Duct Disorders
- Eosinophilic Esophagitis
- Cardiac, Anesthesia and Surgical Outcomes
- Pediatric Hepatobiliary Diseases and Treatments
- Colorectal and Anal Carcinomas
- Hernia repair and management
- Pancreatic and Hepatic Oncology Research
- Abdominal Trauma and Injuries
- Helicobacter pylori-related gastroenterology studies
- Stoma care and complications
- Esophageal and GI Pathology
- Abdominal vascular conditions and treatments
- Vascular Procedures and Complications
- Pelvic and Acetabular Injuries
- Surgical site infection prevention
- Appendicitis Diagnosis and Management
- Surgical Sutures and Adhesives
- Reconstructive Surgery and Microvascular Techniques
James Cook University Hospital
2016-2025
National Institute for Health Research
2024
University of Birmingham
2024
Portsmouth Hospitals NHS Trust
2024
South Tees Hospitals NHS Foundation Trust
2024
Health Education North West
2022
University Hospital of North Tees
2018-2021
North Tees and Hartlepool NHS Foundation Trust
2019
Gallbladder volvulus (GV) is a rare surgical emergency characterized by the twisting of gallbladder around its mesentery, leading to vascular compromise and gangrene. It often misdiagnosed as acute gangrenous cholecystitis due overlapping symptoms, making preoperative diagnosis challenging. Definitive identification typically made intraoperatively. Contributory factors include advanced age, female gender, low body mass index, increased mobility. Urgent intervention crucial prevent severe...
BACKGROUND Total mesorectal excision remains the gold standard for management of rectal cancer however local early is gaining popularity due to lower morbidity and higher acceptance by elderly frail patients. AIM To investigate results transanal endoscopic microsurgery (TEMS) approach carried out at three large centers in United Kingdom. METHODS TEMS database was retrospectively reviewed assess demographics, operative findings post clinical oncological outcomes. This a retrospective review...
Abstract Background Visceral artery pseudoaneurysms (VAPAs) are rare, potentially life-threatning aneurysms found in the celiac, superior, or inferior mesenteric arteries. They most common splenic (60-70%), followed by hepatic arteries (20%) and celiac (10%). Usually asymptomatic, VAPAs often discovered incidentally during abdominal imaging. pose a high risk of rupture haemorrhage. Risk factors include iatrogenic injury trauma. Traumatic extremely rare with unclear management guidelines....
Abstract Aim Restoration of bowel continuity after Hartmann's procedure (RoH) can be challenging and associated with considerable morbidity. A technique using single‐incision laparoscopic surgery through the stoma site (SIL RoH) has been shown to feasible safe. In this study, we compared clinical outcomes SIL RoH conventional (CL) open (OS). Methods This was a retrospective analysis prospectively maintained database between 2007 2017 in UK colorectal unit. The access decided by surgeon on...
Abstract Adhesive small bowel obstruction (SBO) is typically managed conservatively with early administration of gastrografin within 12 hours admission. However, at our institution, there currently no established protocol. Therefore, study aims to evaluate the variability in SBO management and summarise existing practices. This was a retrospective audit between November 2022 August 2023. Our primary objective assess timing subsequent imaging. analysis included 49 patients mean age 65.6 years...
Abstract Aims The British Society of Geriatrics recommends that all patients undergoing emergency laparotomy aged >= 65 who score more than 5 on Clinical Frailty Score (CFS) or 80 years with any CFS should receive comprehensive geriatric assessment within 72 hours admission to a ward step down from critical care. Despite substantial evidence outlining an improvement in postoperative outcomes, efforts refer and record are still insufficient. aim our study is evaluate the use ≥...
<h3>Introduction</h3> Gastro-oesophageal reflux disease (GORD) is usually treated with lifestyle modifications, combined drug therapy (antacids, alginates and acid suppression drugs such as proton pump inhibitors H2 receptor antagonists). Patients inadequate response to medical treatments, or intolerant of therapy, are offered anti-reflux surgery open laparoscopic fundoplication which remains the gold standard.<sup>1,2</sup> Stretta® a minimally-invasive endoscopic treatment that delivers...
Abstract Introduction Rectal cancer (RC) is a common in the UK. Treatment options include surgery, chemotherapy, radiotherapy or combination of these form neoadjuvant adjuvant treatment. Aim To analyse treatment type and outcomes our RC patients. Methods We performed an analysis prospectively collected data on patients diagnosed with between Jan-2013 Dec-2020 trust. Details included demographics, histology, staging, mortality. Twenty out 1202 were excluded due to missing information leaving...
Abstract Aim Extra-levator abdomino-perineal excision for low rectal cancer has been shown to reduce tumor perfoation rates and incidence of local recurrence when compared a conventional abdominoperineal excision. This is however associated with increased wound complications. study was done evaluate the feasibility an inferior gluteal artery flap in patients undergoing ELAPE. Methods retrospective analysis at tertiary centre all who underwent ELAPE over period 7 years (December 2013 July...