A5025109132- Colorectal Cancer Surgical Treatments
- Gallbladder and Bile Duct Disorders
- Anorectal Disease Treatments and Outcomes
- Diverticular Disease and Complications
- Pediatric Hepatobiliary Diseases and Treatments
- Hernia repair and management
- Biliary and Gastrointestinal Fistulas
- Pelvic floor disorders treatments
- Cardiac, Anesthesia and Surgical Outcomes
- Pelvic and Acetabular Injuries
- Colorectal and Anal Carcinomas
- Minimally Invasive Surgical Techniques
- Gastric Cancer Management and Outcomes
- Esophageal and GI Pathology
- Surgical Simulation and Training
- Intestinal and Peritoneal Adhesions
- Appendicitis Diagnosis and Management
- Colorectal Cancer Screening and Detection
- Radiomics and Machine Learning in Medical Imaging
- Drug Transport and Resistance Mechanisms
- Gastrointestinal disorders and treatments
- Stoma care and complications
- Inflammatory Bowel Disease
- Gastrointestinal Tumor Research and Treatment
- Aortic aneurysm repair treatments
Colchester Hospital
2011-2022
East Suffolk and North Essex NHS Foundation Trust
2008-2020
National Ice Centre
2017-2018
Anglia Ruskin University
2015-2017
Essex County Hospital
2006-2007
American College of Surgeons
1988
University of California, San Francisco
1977-1987
St Mark's Hospital
1985-1986
Royal London Hospital
1981-1985
St. Mark's Hospital
1984
Although previous studies have suggested that bacteria may contribute to pigment gallstone formation, the current experiments provide evidence a central role in this process. The included scanning electron microscopy (SEM) of gallstones, measurements bacterial adherence gallstones vitro, and determination glycocalyx elaboration by biliary bacteria. Gallstones from 85 patients were studied under SEM. Twenty-five (78%) 32 stones had microcolonies throughout interior stones. Bacteria absent all...
Abstract This article documents the consensus of an expert group surgeons from Second International Trans‐anal Total Mesorectal Excision (Ta TME ) Conference held in Paris July 2014. It outlines three facets Ta procedure: (i) technique and its indications, (ii) training adoption, (iii) data collection registry.
CME is a radical resection for colon cancer, but the procedure technically demanding with significant variation in its practice. A standardised approach to optimal technique and training is, therefore, desirable minimise technical hazards facilitate safe dissemination. The aim develop an expert consensus on Complete Mesocolic Excision (CME) right-sided transverse cancer guide implementation pathways.Guidance was developed following modified Delphi process draw from 55 international experts...
The results of restorative proctocolectomy with a three-loop ileal reservoir were reviewed. Of 66 patients treated between 1976 and 1982, 52 had ulcerative colitis 14 familial adenomatous polyposis. temporary ileostomy was closed 2 78 months previously in 63 cases. these, three the removed two lost to follow-up. One other patient subsequently found have Crohn's disease. Function assessed 55 who undergone closure more than 8 weeks previously. Mean frequency defecation 3.7 per 24 hours (range...
The surgical management of a consecutive series 97 patients with complete division the anal sphincter musculature is reported. damage followed operative, traumatic, or obstetric injury and resulted in frank fecal incontinence urgent necessity defunctioning colostomy. All were treated by delayed repair using an overlapping technique; 93 was protected temporary stoma. There no deaths. repair, completely successful 65 (78%) partially 11 (13%) 83 assessed from 4 to 116 months after surgery....
Abstract Background The English National Training Programme for Laparoscopic Colorectal Surgery introduced a validated objective competency assessment tool to accredit surgeons before independent practice. aim of this study was determine whether technical skills predicted clinical outcomes. Methods Established consultants, training in laparoscopic colorectal surgery, were asked submit two operative videos evaluation by blinded assessors using the tool. A mark 2·7 or above considered pass....
Aim The aim of this study was to assess the oncological and postoperative outcomes laparoscopic colorectal cancer surgery in obese patients. Method All (BMI > 30) patients who underwent from January 2005 2008 were compared with nonobese undergoing similar surgery. We recorded patient demographics, intra-operative details morbidity mortality. Results Sixty-two 172 resection. Both groups well matched for demographic parameters. Overall mean operating times not significantly different....
Objective: To examine the impact of The National Training Program for Lapco on rate laparoscopic surgery and clinical outcomes cases performed by surgeons after completion training. Summary Background Data: provided competency-based supervised training specialist colorectal in England. Methods: We compared surgery, mortality, morbidity cancer resections delegates non-Lapco 3-year periods preceding following using difference differences analysis. changes post-Lapco with sign-off competency...
Parks operation for faecal incontinence was performed on 97 patients with total loss of anorectal control due to injury. All had sustained complete division the anal sphincters as a result trauma, surgery, or obstetric tears and either were incontinent been given colostomy. In all divided repaired using an overlapping technique; in 93 repair protected by temporary defunctioning stoma. There no operative mortality. Continence completely restored 65 (78%) improved further 11 (13%) 83 assessed...
Abstract Objective Until recently the laparoscopic approach was reserved for uncomplicated diverticular disease. We show that fistulating disease can be resected safely, with good clinical outcome via a approach. Method Between April 1994 and May 2005, 31 consecutive patients [17 male, median age of 63 years (range 40–85)], underwent attempted resection fistulae. Patient data were prospectively recorded. Results There 22 colovesical nine colovaginal The operative time 150 min 60–310)...
Summary— Twenty‐five rectovesical and rectourethral fistulae were treated over an 18–year period in which various methods for closing the rectal side of fistula developed, ultimately with two techniques using full thickness intestine. As a result these operations management urethral vesical became relatively simple problem to standard could be applied.
A human skull is described in which the middle meningeal artery probably arose bilaterally from lacrimal artery. The branches of vessels, however, were normal both their position and distribution. This anomaly a rare occurrence neurosurgical importance.
Journal Article Sphincter injuries: Indications for, and results of sphincter repair Get access R W Motson Departments Surgery, The London St. Mark's Hospitals, London, UK Search for other works by this author on: Oxford Academic Google Scholar British Volume 72, Issue Supplement_1, September 1985, Pages s19–s21, https://doi.org/10.1002/bjs.1800721313 Published: 07 December 2005