Philip Alexander
A5060679068- Cardiac, Anesthesia and Surgical Outcomes
- Global Health and Surgery
- Surgical site infection prevention
- Hip and Femur Fractures
- Enhanced Recovery After Surgery
- Infectious Diseases and Tuberculosis
- Colorectal Cancer Surgical Treatments
- Pleural and Pulmonary Diseases
- Tracheal and airway disorders
- Medical Imaging and Pathology Studies
- Appendicitis Diagnosis and Management
- Orthopedic Infections and Treatments
- Pelvic and Acetabular Injuries
- Telemedicine and Telehealth Implementation
- Foreign Body Medical Cases
- COVID-19 and healthcare impacts
- Parasitic Infections and Diagnostics
- Trauma Management and Diagnosis
- Law and Political Science
- Global Health Workforce Issues
- Public Administration and Political Analysis
- Climate Change and Health Impacts
- Gastrointestinal disorders and treatments
- Hernia repair and management
- Diversity and Career in Medicine
Atal Bihari Vajpayee Institute of Medical Sciences and Dr. Ram Manohar Lohia Hospital
2009-2024
National Institute of Mental Health and Neurosciences
2024
National Institute for Health Research
2022-2024
University of Birmingham
2022-2024
University of Göttingen
2022
University of Warwick
2018
University of Edinburgh
2018
Edinburgh Royal Infirmary
2018
St. Vincent Hospital
2017
St Vincent Medical Center
2017
Surgical site infection (SSI) is one of the most common infections associated with health care, but its importance as a global priority not fully understood. We quantified burden SSI after gastrointestinal surgery in countries all parts world.
Background80% of individuals with cancer will require a surgical procedure, yet little comparative data exist on early outcomes in low-income and middle-income countries (LMICs). We compared postoperative breast, colorectal, gastric surgery hospitals worldwide, focusing the effect disease stage complications mortality.MethodsThis was multicentre, international prospective cohort study consecutive adult patients undergoing for primary or requiring skin incision done under general neuraxial...
BackgroundSurgical site infection (SSI) is the most common postoperative complication worldwide. WHO guidelines to prevent SSI recommend alcoholic chlorhexidine skin preparation and fascial closure using triclosan-coated sutures, but called for assessment of both interventions in low-resource settings. This study aimed test low-income middle-income countries.MethodsFALCON was a 2 × factorial, randomised controlled trial stratified by whether surgery clean-contaminated, or contaminated dirty,...
The World Health Organization (WHO) Surgical Safety Checklist has fostered safe practice for 10 years, yet its place in emergency surgery not been assessed on a global scale. aim of this study was to evaluate reported checklist use settings and examine the relationship with perioperative mortality patients who had laparotomy.In two multinational cohort studies, adults undergoing laparotomy were compared those having elective gastrointestinal surgery. Relationships between determined using...
Abstract Background The National Institute for Health Research Global Unit on Surgery is establishing research Hubs in low- and middle-income countries (LMICs). aim of this study was the to prioritize future into areas unmet clinical need patients LMICs requiring surgery. Methods A modified Delphi process overseen by Hub leads engaged LMIC clinicians, expert methodologists. four-stage iterative delivered topics. This included anonymous electronic voting, teleconference discussions a 2-day...
BackgroundEnd colostomy rates following colorectal resection vary across institutions in high-income settings, being influenced by patient, disease, surgeon and system factors. This study aimed to assess global variation end after left-sided resection.
Introduction Surgical site infection (SSI) is one of the most common healthcare-associated infections (HAIs). However, there a lack data available about SSI in children worldwide, especially from low-income and middle-income countries. This study aimed to estimate incidence associations between morbidity across human development settings. Methods A multicentre, international, prospective, validated cohort aged under 16 years undergoing clean-contaminated, contaminated or dirty...
Surgery needs electricity. Dependable power supplies are a major problem in the Global South. Diesel generators, when available, provide heavily polluting alternative. This image shows Dr. Philip Alexander operating Kaaza, Spiti Valley, Himachal Pradesh, India, using battery-operated camping headlight, theatre lights powered with car battery, and diathermy by diesel generator. Clean, reliable energy that will improve patient outcomes simultaneously protect local environment is priority for...
Abstract Introduction Surgical care in first‐referral hospitals (FRHs) low‐ and middle‐income countries (LMICs) is poorly characterized. Inguinal hernia repair can act as a good tracer condition. This study aimed to evaluate the variation across different hospital types LMICs. Methods We conducted secondary analysis of an international prospective cohort surgery. Data was collected from consecutive patients undergoing primary inguinal between 30 January May 21, 2023. characterized LMICs,...
Abstract Background Identification of patients at high risk surgical-site infections may allow surgeons to minimize associated morbidity. However, there are significant concerns regarding the methodological quality and transportability models previously developed. The aim this study was develop a novel score predict 30-day infection after gastrointestinal surgery across global context externally validate against existing models. Methods This secondary analysis two prospective international...
Oesophageal perforations are associated with a high mortality and morbidity. Intrathoracic especially mediastinitis sepsis. The repair of these may be difficult, particularly when there has been delay to diagnosis. We report our use method or buttress the suture line after vascularized intercostal muscle flap, having used it successfully in two patients intrathoracic oesophageal perforations.
Introduction Distance from a healthcare facility is barrier in access to surgery. Methodologies evaluate the population covered by hospital are time consuming and costly. The aim of this study was analyse density around hospitals pragmatically their while comparing differences between types. Methods This analysis conducted that participated an international cohort on inguinal hernia patients (HIPPO study). Hospitals located low middle income countries were eligible for inclusion classified...
Abstract Background and Objectives Telemedicine, including teleneurology, has emerged as a valuable tool for providing healthcare services remotely, particularly in situations where distance plays critical role. Teleneurology the potential to increase access care, improve patient outcomes, reduce costs, especially patients rural underserved areas. We aimed investigate health care providers satisfaction with teleneurology dementia. Methods recruited 15 dementia part of public initiative on...
Abstract Background and Objectives Telemedicine, including teleneurology, has emerged as a valuable tool for providing healthcare services remotely, particularly in situations where distance plays critical role. Teleneurology the potential to increase access care, improve patient outcomes, reduce costs, especially patients rural underserved areas. We aimed investigate health care providers satisfaction with teleneurology dementia. Methods recruited 15 dementia part of public initiative on...
In developing countries, when patients with traumatic epistaxis cannot be adequately treated at their local medical facility and require further treatment a distant tertiary care center, it is important that bleeding controlled before transport. We describe patient anterior ethmoidal artery bleed who needed to taken center 8 hours away for endoscopic ablation, which was not available our hospital. The inflated balloon of an 18-Fr Foley catheter attached the face guard cricket helmet used as...
Purpose: Assess the feasibility of using a bovine carotid artery graft for buttonhole technique hemodialysis in patients who are not candidates native fistula. Methods: Case reports used to demonstrate selection criteria and results this approach. Criteria include: knowledgeable patient with prior dialysis experience, stable place 3 months minimum, candidate fistula, able maintain close follow-up. Results: Both grafts were based on axillary vessels have been total 64 months. They via 40...
Introduction: Patients with HCV and cirrhosis have the greatest need for treatment. Many of these patients failed previous treatment are at high risk decompensation if treated a regimen containing PEGINF/RBV. SOF, polymerase inhibitor, SMV, protease highly effective in suppressing genotype 1. SOF+SIM been utilized together prior null response cirrhosis. However, safety efficacy SOF+SMV contraindications to PEGINF/RBV has not yet evaluated. Methods: Seventy-five consecutive chronic HCV,...