A5023125899- Gallbladder and Bile Duct Disorders
- Appendicitis Diagnosis and Management
- Biliary and Gastrointestinal Fistulas
- Esophageal Cancer Research and Treatment
- Pediatric Hepatobiliary Diseases and Treatments
- Emergency and Acute Care Studies
- Central Venous Catheters and Hemodialysis
- Medical Research and Treatments
- Vascular anomalies and interventions
- Bariatric Surgery and Outcomes
- Artificial Intelligence in Healthcare and Education
- Cholangiocarcinoma and Gallbladder Cancer Studies
- Minimally Invasive Surgical Techniques
- Body Contouring and Surgery
- Lung Cancer Diagnosis and Treatment
- History of Medicine Studies
- Breast Lesions and Carcinomas
- Healthcare Policy and Management
- Breast Cancer Treatment Studies
- Cardiac, Anesthesia and Surgical Outcomes
- Vascular Procedures and Complications
- Medical History and Innovations
- History of Medical Practice
- Medical Malpractice and Liability Issues
- Thyroid and Parathyroid Surgery
Shrewsbury and Telford Hospital NHS Trust
2018-2023
Sheffield Teaching Hospitals NHS Foundation Trust
2023
Royal Shrewsbury Hospital
2021
Luton and Dunstable Hospital
2018
Heart of England NHS Foundation Trust
2017
Royal Stoke University Hospital
2016
University Hospitals of North Midlands NHS Trust
2015
Roger Williams Medical Center
1976
Providence College
1976
American Academy of Ophthalmology
1976
Leak following bariatric surgery continues to be associated with morbidity and rarely mortality. With improvement in surgical techniques stapler design, leak rates have reduced drastically. Intra-operative high pressure Methylene blue test (HPMB) is one of the employed confirm integrity anastomoses staple lines. Despite this, evidence for its use remains limited. We evaluated role HPMB detecting preventing leaks.A retrospective cohort consecutive patients who underwent primary or revisional...
There is increasing pressure on emergency services within the NHS requiring efficient, rapid assessment and management of patients. A subsequent reduction in hospital admissions reduces overall costs with an aim to improve quality care. At Royal Shrewsbury Hospital we run a one stop surgical clinic. With strict criteria for admission this clinic have established care pathway those patients urgent review but not necessarily admission.We reviewed our initial referral New guidelines were...
Background Subtotal cholecystectomy (STC) has been reported as an effective method to remove the gallbladder if hepatocystic triangle anatomy is unfavourable. However, evidence regarding its long-term outcomes from United Kingdom (UK) lacking. This study aimed assess short and with a minimum of one-year follow-up. Methodology We retrospectively analysed all elective emergency STCs performed in single UK NHS Trust between 2014 2020. Relevant data were collected using electronic patient...
<h3>Introduction</h3> Stage directed therapy based on the imaging modalities remains cornerstone of oesophageal cancer management. EUS and CT are commonly used to stage patients with cancer, sensitivity 90% 70% for T staging respectively; provides up accuracy in N stage. Neoadjuvant chemotherapy is recognised reduce 3-yr mortality II/III cancers. Due limitations preop modalities, a cohort T1/2 risk being under staged have surgery as index treatment option, who may otherwise benefited from...
Abstract Aim Post-operative haemorrhage following thyroid and parathyroid surgery is a well-recognised life-threatening complication. Following an audit reporting reoperation for bleeding rate of 1.3% in 1913 patients (World J Surg 2020), protocol driven approach involving the implementation several specific measures at time wound closure (captured by ‘ITSRED Fred’ mneumonic - Irrigation wound, Time, Systolic blood pressure &gt;100 mm Hg, relieving neck extension, Elevating venous...
Background: Bowel length measurement is a vital component of bariatric bypass procedures as limb lengths have profound effect on patient outcomes.In general surgery, important in situations such small bowel resection.Techniques been suggested to guide and increase accuracy for example introducing measuring tape into the abdomen, demonstrating instrument dimensions, or marking viscera.We undertook study assess estimated measurement, investigate impact simple this estimation.Methods: 14...
Abstract Background Acute or hot cholecystectomy (AC) has been established as a safe and efficacious modality of managing acute biliary pathology. However, it performed with caution in the elderly (defined by world health organisation patients over age 65). The NICE guidance this area does not preclude practise on patients. Our service treats all ages according to performance status fitness for surgery rather than we audited our results group. Methods All 65 who underwent dedicated emergency...