A5063516405- Appendicitis Diagnosis and Management
- COVID-19 and healthcare impacts
- Testicular diseases and treatments
- Urological Disorders and Treatments
- Hernia repair and management
- Surgical Simulation and Training
- Trauma and Emergency Care Studies
- Minimally Invasive Surgical Techniques
- Congenital gastrointestinal and neural anomalies
- Intestinal Malrotation and Obstruction Disorders
- Trauma Management and Diagnosis
- Esophageal and GI Pathology
- Hip disorders and treatments
- Infectious Aortic and Vascular Conditions
- Pediatric Urology and Nephrology Studies
- Anorectal Disease Treatments and Outcomes
- Abdominal Surgery and Complications
- Congenital Diaphragmatic Hernia Studies
- Kidney Stones and Urolithiasis Treatments
- Streptococcal Infections and Treatments
- Viral gastroenteritis research and epidemiology
- Diversity and Career in Medicine
- Cardiac, Anesthesia and Surgical Outcomes
- Abdominal Trauma and Injuries
- Infectious Diseases and Tuberculosis
Royal Hospital for Children
2021-2024
Imperial College Healthcare NHS Trust
2022
Chelsea and Westminster Hospital NHS Foundation Trust
2022
Chelsea and Westminster Hospital
2021
Great North Children's Hospital
2017-2020
Edinburgh Royal Infirmary
2020
Abstract Background Magnets and button batteries (BBs) are dangerous ingested foreign bodies in children. The scale consequences of this public health issue the UK unknown. This study aims to report current management strategies outcomes associated with paediatric magnet BB ingestion UK. Methods multicentre, retrospective observational involved 13 tertiary surgery centres. Children aged under 17 years, admitted between 1 October 2019 30 September 2020, following magnet, or were included....
Bilateral septic arthritis of the shoulder is uncommon in immunocompetent patient with no previous risk factors for joint infection, and thus easily missed. Septic associated significant rates morbidity mortality. Early diagnosis management key to a favourable outcome; should be considered as differential unwell presenting pain reduced range movement. We present case 47-year-old previously fit well man bilateral arthritis. will also review current literature on long-term outcomes patients...
Abstract Background A major shift in treatment of appendicitis occurred early the SARS-CoV-2 pandemic with non-operative management used commonly outside research protocols and units limited previous experience. This study aims to compare real-world outcomes surgery versus uncomplicated children 1-year follow-up. Method prospective multicentre observational treated for at 74 hospitals UK Ireland from 1 April 31 July 2020 was performed. Propensity-score matched analysis conducted using age,...
Common femoral artery aneurysms are rare, and surgical repair is indicated if they significantly large, or symptomatic (thrombosis causing limb ischaemia compression of surrounding structures). Synthetic grafts preferred, especially in cases involving large aneurysms, the bifurcation common artery. We present a case bilateral extending into repaired using synthetic graft which traditionally used for an axillobifemoral bypass. This technique was employed due to specific anatomical...
Injury to intra-abdominal organs occurs in approximately 0.2% of adult laparoscopic general surgery cases. This risk is increased the paediatric population due comparatively smaller operative field. Laparoscopic appendicectomy most common procedure performed children. Placement a suprapubic working port common; this associated with bladder injury. We present our experience managing 6-year-old boy who sustained an extra-peritoneal injury during placement for appendicectomy. will also review...
This study analyses the impact of anaesthetic blockade and intraperitoneal local infiltration on paediatric laparoscopic inguinal hernia repair.A retrospective review repairs versus open repairs. Anaesthetic blockade, analgesic consumption postoperative pain scores were compared between groups.155 children underwent repair, 150 Median age was 7.2 months (16 days-14 years) in group, 6 (17 days-13 group. varied significantly; 62.7% cases had caudal to 21.6% (p < 0.001). A subset patients...
Three-dimensional (3D) printing is frequently used for surgical simulation and training, however, no widely available model exists neonatal congenital diaphragmatic hernia (CDH). The aim of this study was to develop a 3D-printed CDH test interobserver variability in the simulated obtaining measurements defect ipsilateral diaphragm.A term fetal MRI (3.5 kg) thorax, diaphragm (15 mm × 5 mm) were delineated segmented after parental consent produce models. Consultant trainee paediatric surgeons...
To compare the reported and observed management of UK children with blunt liver or spleen injury (BLSI) to American Pediatric Surgical Association (APSA) 2019 BLSI guidance.UK Paediatric Major Trauma Centres (pMTCs) undertook 1 year prospective data collection on admitted discussed those centres an online questionnaire was distributed all consultants who care for in centres.All 21/21 (100%) pMTCs participated; 131 patients were included 100/152 (65%) responded survey. ICU be primarily...
Background: The coronavirus (COVID-19) pandemic affected the presentation of many conditions. This study analyses and describes impact COVID-19 on management appendicitis in children role laparoscopy. Materials Methods: We performed a prospective (during pandemic) retrospective (historic control) review tertiary paediatric surgical unit. Preoperative data, operative findings patient outcomes were compared between groups to identify differences periods any factors predictive outcomes....
<h3>Aim</h3> To evaluate our centre's experience on the management of urinary tract stones in children according to current European Association Urology (EAU) guidelines. <h3>Methods</h3> A retrospective review all cases urolithiasis treated tertiary paediatric centre. This encompasses a 6 year period (June 2013- May 2019). Data collected included patient demographics, and biochemical workup, stone burden analysis, surgical management, outcomes treatment follow up. Compliance with EAU...
Abstract Introduction Emergency scrotal exploration for suspected testicular torsion is a common procedure, performed by Paediatric surgeons, Urologists and General Surgeons. It expected that there variation in practice the way testes are fixed after other pathologies, both within departments across specialties. We aim to survey UK practice, describe impact of patient age, surgical specialty grade surgeon this procedure. Methods The Surgery Trainee Research Network (PSTRN) British Urology...