- Colorectal Cancer Surgical Treatments
- Cardiac, Anesthesia and Surgical Outcomes
- Enhanced Recovery After Surgery
- Colorectal Cancer Screening and Detection
- Surgical Simulation and Training
- Gastric Cancer Management and Outcomes
- Anatomy and Medical Technology
- Gastrointestinal Bleeding Diagnosis and Treatment
- Nutrition and Health in Aging
- Pancreatic and Hepatic Oncology Research
- Diverticular Disease and Complications
- Minimally Invasive Surgical Techniques
- Anesthesia and Pain Management
- Esophageal and GI Pathology
- Pelvic and Acetabular Injuries
- Esophageal Cancer Research and Treatment
- Lung Cancer Diagnosis and Treatment
- Stoma care and complications
- Gastrointestinal disorders and treatments
- Soft Robotics and Applications
- Colorectal and Anal Carcinomas
- Cancer survivorship and care
- Abdominal Surgery and Complications
- Augmented Reality Applications
- Hernia repair and management
Royal Surrey NHS Foundation Trust
2008-2025
Royal Surrey County Hospital
2014-2025
University of Surrey
2009-2024
Check Point (Israel)
2023
Institut de Virologie
2021
University of Birmingham
2020
National Health Service
2020
Imperial College London
2003-2004
St. Mary’s Hospital
2004
St Mary's Hospital
2002-2003
The aim of this study was to establish the relative importance risk factors for mortality after acute upper gastrointestinal haemorrhage, and formulate a simple numerical scoring system that categorizes patients by risk. A prospective, unselected, multicentre, population based undertaken using standardised questionnaires in two phases one year apart. total 4185 cases haemorrhage over age 16 identified four month period 1993 1625 subsequently three 1994 were included study. It found age,...
The goal of this European Society Coloproctology (ESCP) guideline project is to give an overview the existing evidence on management diverticular disease, primarily as a guidance surgeons.The was developed during several working phases including three voting rounds and one consensus meeting. two leads (JKS EA) appointed by ESCP committee together with member (WB) agreed methodology, decided six themes for groups (WGs) drafted list research questions. Senior WG members, mostly colorectal...
PURPOSE: The combination of laparoscopic colorectal surgery together with an enhanced recovery program has resulted in short hospital stays. purpose this study was to assess the acceptability and safety a 23-hour-stay protocol developed for patients undergoing colectomy. METHODS: Patients elective resection who met inclusion criteria were invited participate study. A specific preoperative, anesthetic, postoperative used. discharged 23 hours after start surgery. Follow-up by telephone contact...
To develop, validate, and implement a competency assessment tool (CAT) for technical surgical performance in the context of summative process National Training Programme Laparoscopic Colorectal Surgery (NTP).The NTP is an educational initiative by Cancer Action Team England to safely increase uptake laparoscopic colorectal surgery. It first competency-based national specialist surgeons (consultants), integral part program.Content validity was sought using expert opinion semistructured...
Abstract Background Although the potential benefits of stereoscopic laparoscopy have been recognized for years, technology has not adopted because poor operator tolerance. Passive polarizing projection systems, which revolutionized three-dimensional (3D) cinema, are now being trialled in surgery. This study was designed to see whether this resulted significant performance skilled laparoscopists. Methods Four validated laparoscopic skills tasks, each with ten repetitions, were performed by 20...
Aims — To assess changes in practice and outcome acute upper gastrointestinal haemorrhage following the feedback of data, reemphasis national guidelines, specific recommendations an initial survey. Design A prospective, multicentre, audit cycle. Forty five hospitals from three health regions participed two phases Patients Phase I: 2332 patients with haemorrhage; phase II: 1625 haemorrhage. Methods were evaluated respect to management (with reference guidelines), mortality, length hospital...
The National Institute for Clinical Excellence (NICE) has recommended laparoscopic resection as an alternative to open surgery patients with colorectal cancer. aim of this study was evaluate the current uptake in Great Britain and Ireland.A questionnaire distributed members Association Coloproctology Ireland (ACPGBI) regarding their surgical practice. Results were analysed individually, by region, nationwide.Information received on 436 consultants (in 155 replies), whom 233 (53%) perform...
Addressing the mononuclear phagocyte system (MPS) and macrophage M1/M2 activation is important in diagnosing hematological disorders inflammatory pathologies designing therapeutic tools. CSF1R a reliable marker to identify all circulating MPS cells tissue macrophages humans using single surface protein. permits quantification isolation of monocyte dendritic cell (DC) subsets conjunction with CD14, CD16, CD1c stable across lifespan sexes absence overt pathology. Beyond detection, measuring...
The choice of whether to perform protective ileostomy (PI) after anterior resection (AR) is mainly guided by risk factors (RFs) responsible for the development anastomotic leakage (AL). However, clear guidelines about PI creation are still lacking in literature and this often decided according surgeon's preferences, experiences or feelings. This qualitative study aims investigate, an open-ended question survey, individual decision-making process regarding elective AR.Fifty four colorectal...
Importance Enhanced Recovery After Surgery (ERAS) guidelines and the World Health Organization Surgical Safety Checklist (SSC) are 2 well-established tools for optimizing patient outcomes perioperatively. Objective To integrate to facilitate key perioperative decision-making. Evidence Review Snowball sampling recruited international ERAS users from multiple clinical specialties. A 3-round modified Delphi consensus model was used evaluate 27 colorectal or gynecologic oncology recommendations...
Total mesorectal excision is the gold standard for rectal cancer surgery, with laparoscopic and robot-assisted approaches commonly employed. While surgery may offer technical advantages, there limited evidence comparing short-term outcomes of techniques, particularly in Western European populations. This study aimed to assess vs total cancer. multicentre, international, retrospective cohort included 1749 patients who underwent or from January 2014 2024. Inverse probability treatment...