Alexandra Coxon‐Meggy

ORCID: 0000-0001-5637-8457
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About
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Research Areas
  • Colorectal Cancer Surgical Treatments
  • Hernia repair and management
  • Anorectal Disease Treatments and Outcomes
  • Cardiac, Anesthesia and Surgical Outcomes
  • Stoma care and complications
  • Esophageal and GI Pathology
  • Pelvic floor disorders treatments
  • Diverticular Disease and Complications
  • Gastrointestinal disorders and treatments
  • Enhanced Recovery After Surgery
  • Abdominal Surgery and Complications
  • Pelvic and Acetabular Injuries
  • Colorectal and Anal Carcinomas
  • Sarcoma Diagnosis and Treatment

University Hospital of Wales
2023-2025

Cardiff and Vale University Health Board
2023-2025

Cardiff University
2023-2024

Hebron University
2024

Introduction As a result of improving survival rates, the adverse consequences rectal cancer surgery are becoming increasingly recognised. Low anterior resection syndrome (LARS) is one such consequence and describes constellation bowel symptoms after which includes urgency, faecal incontinence, stool clustering incomplete evacuation. LARS has significant impact on quality life (QoL) present in up to 75% patients first year surgery. Despite this, little known about natural history there poor...

10.1136/bmjopen-2024-092612 article EN cc-by-nc-nd BMJ Open 2025-02-01

Abstract Aim Incisional Hernia (IH) is a common complication of colorectal surgery, affecting up to 30% patients. There an association between surgeon experience and outcomes in hernia yet little regarding impact the performing abdominal wall closure (AWC) on IH rate. We aimed assess rates at 1 year following AWC junior senior surgeons patients undergoing surgery. Method This exploratory analysis who participated Hughes Abdominal Repair Trial (HART), prospective, multicentre randomised...

10.1093/bjs/znae323.003 article EN British journal of surgery 2025-01-01

Rectal cancer is common with a 60% 5-year survival rate. Treatment usually involves surgery or without neoadjuvant chemoradiotherapy adjuvant chemotherapy. Sphincter saving curative treatment can result in debilitating changes to bowel function known as low anterior resection syndrome (LARS). There are currently no clear guidelines on the management of LARS only limited evidence for different modalities.Patients who have undergone an rectal last 10 years will be approached study. The...

10.1136/bmjopen-2022-064248 article EN cc-by-nc BMJ Open 2023-01-01

Incisional hernia (IH) is a common complication of colorectal surgery, affecting up to 30% patients at 2 years. Given the associated morbidity and high recurrence rates after attempted repair IH, emphasis should be placed on prevention. There an association between surgeon volume outcomes in yet there little evidence regarding impact seniority performing abdominal wall closure IH rate. The aim our study was assess 1 year following junior senior surgeons undergoing elective surgery.This...

10.1111/codi.16537 article EN cc-by-nc-nd Colorectal Disease 2023-03-25

Abstract Introduction As a result of improving survival rates, the adverse consequences rectal cancer surgery are becoming increasingly recognised. Low Anterior Resection Syndrome (LARS) is one such consequence and describes constellation bowel symptoms after which includes urgency, faecal incontinence, stool clustering incomplete evacuation. LARS has significant impact on Quality-of-Life (QoL) present in up to 75% patients first year surgery. Despite this, little known about natural history...

10.1101/2024.08.19.24312209 preprint EN cc-by-nd medRxiv (Cold Spring Harbor Laboratory) 2024-08-19

Abstract Introduction There is an association between surgeon volume and outcomes in hernia surgery, yet little evidence regarding impact of the experience performing abdominal wall closure (AWC) on IH rate. Our aim was to assess rates at 1 year following surgery Registrar Consultant surgeons patients undergoing elective colorectal surgery. Methods Patients for cancer 2014-2018 were identified through Hughes Abdominal Repair Trial (HART). Grade AWC categorised into “Trainee” “Consultant”...

10.1093/bjs/znad241.111 article EN British journal of surgery 2023-08-21
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