A5102000494- Pelvic floor disorders treatments
- Anorectal Disease Treatments and Outcomes
- Diverticular Disease and Complications
- Pelvic and Acetabular Injuries
- Chronic Obstructive Pulmonary Disease (COPD) Research
- Cardiac, Anesthesia and Surgical Outcomes
- Hepatocellular Carcinoma Treatment and Prognosis
- Hernia repair and management
- Liver Disease Diagnosis and Treatment
- Colorectal Cancer Surgical Treatments
- Asthma and respiratory diseases
- Tribology and Lubrication Engineering
- Radiation Dose and Imaging
- Palliative Care and End-of-Life Issues
- Medical Imaging Techniques and Applications
- Appendicitis Diagnosis and Management
- Advanced X-ray and CT Imaging
- Respiratory Support and Mechanisms
- Enhanced Recovery After Surgery
- Knee injuries and reconstruction techniques
- Genetic and Kidney Cyst Diseases
- Bone fractures and treatments
- Coronary Interventions and Diagnostics
- Cardiac and Coronary Surgery Techniques
- Neonatal Respiratory Health Research
Chelsea and Westminster Hospital NHS Foundation Trust
2017-2024
Imperial College London
2012-2024
Maastricht University
2024
Royal Marsden Hospital
2022
Chelsea and Westminster Hospital
2015-2019
Hammersmith Hospital
2019
Zhejiang University
2019
St. John Hospital & Medical Center
2014
Papworth Hospital
2010
Introduction This study aimed to ascertain whether missed obstetric anal sphincter injury at delivery had worse functional and quality of life outcomes than primary repair immediately following delivery. Materials methods Two one propensity matching was undertaken patients presenting a tertiary pelvic floor unit with ultrasound evidence within 24 months who underwent the time by parity, grade assessment. Outcomes compared included Birmingham Bowel, Bladder Urinary Symptom Questionnaire...
MR defecography (MRD) is an alternative to conventional (CD) which allows for dynamic visualisation of the pelvic floor. The aim this study was assess whether MRI features indicative floor dysfunction correlated with patient-reported symptom severity. proctograms were matched a prospectively-maintained functional database. Univariate and multivariate analyses performed using pre-treatment questionnaire responses Birmingham Bowel, Bladder Urinary Symptom Questionnaire (BBUSQ), Wexner...
The aim of this study was to compare functional and quality life data in patients with increasing grades obstetric anal sphincter injury (OASI) presenting a tertiary colorectal pelvic floor clinic within 24 months delivery. Prospective were collected from the for period 2009–2016 included on outcomes motor anorectal manometry parameters. instruments used evaluation Birmingham Bowel Urinary Symptoms Questionnaire, Wexner Incontinence Score, Short Form 36, Pelvic Organ Prolapse/Urinary Sexual...
This study aims to establish the ability of patient-reported outcome measures (PROMs) and anorectal manometry (ARM) in predicting need for surgery patients with fecal incontinence (FI).Between 2008 2015, PROMs data, including Birmingham Bowel Urinary Symptoms Questionnaire (BBUSQ), Short Form 36 (SF-36), Wexner Incontinence Score ARM results, were prospectively collected from 276 presenting FI. Spearman rank was used assess correlations between specific questions assessments sphincter motor...
Motivated by the need for improving a haptics-based simulation tool learning and training digital rectal examinations, sphincter tone model its actuation is conceived developed. Two approaches are presented: one based on pneumatics other using cable-driven mechanical servo motors. Clinical scenarios modelled as profiles studies of anorectal manometry adapted with clinical input. Both designed mechanisms were experimentally evaluated six experts, Nurse Practitioners in Continence Colorectal...
The optimal treatment strategy for post-traumatic long bone non-unions is subject of an ongoing discussion. At the Maastricht University Medical Center (MUMC+) induced membrane technique used to treat non-unions. This uses a multimodal algorithm involving marrow aspirate concentrate (BMAC), reamer-irrigator-aspirator (RIA) and P-15 bioactive peptide (iFactor, Cerapedics). Bioactive glass (S53P4 BAG, Bonalive) added when infection suspected. study aims objectify effect this on health-related...
Abstract Background The use of robotics in hernia surgery is increasing. Continuous, real-time outcome analysis vital to inform and protect patients, enable cost-benefit decisions. Method Prospective data capture on patients undergoing robotic repair during one surgeon’s introduction into their high-volume practice. Results In the year 2023, 60 repairs were performed robotically: 29 ventral (transabdominal retromuscular umbilical prosthetic n = 12, parastomal Sugarbaker 5, transabdominal...
Abstract Background A retrospective cohort study of patients undergoing laparoscopic inguinal hernia repair compared short- and long-term outcomes between individuals with or without history previous abdominopelvic (AP) surgery, to determine the feasibility totally extra-peritoneal (TEP) within this population. Method All who underwent elective TEP by one consultant surgeon across three London hospitals were retrospectively analysed assess perioperative outcomes. Results 308 operated on 2017...
<h3>Introduction</h3> A dedicated emergency surgery service allows for faster accumulation of experience in procedures that are otherwise infrequent; laparoscopic peritoneal lavage (LPL) perforated diverticulitis is one such procedure. We describe our with LPL a series consecutive patients treated by service. <h3>Method</h3> Data was collected on 28 undergoing this novel technique unit between 2011 and 2014; analysed an intention to treat basis. Outcomes assessed included morbidity,...