Time to retire the term "high volume" and replace with "high quality" for HPB centers: A position statement from Caribbe...
Published in The surgeon : journal of the Royal Colleges of Surgeons of Edinburgh and Ireland
External validation and revision of Penn incisional hernia prediction model: A large-scale retrospective cohort of abdom...
...Published in The surgeon : journal of the Royal Colleges of Surgeons of Edinburgh and Ireland
Incisional hernia (IH) manifests in 10%-15% of abdominal surgeries and patients at elevated risk of this complication should be identified for prophylactic intervention. This study aimed to externally validate the Penn hernia risk calculator. The Ramathibodi abdominal surgery cohort was constructed by linking relevant hospital databases from 2010 t...
The impact of bariatric surgery on liver enzymes in people with obesity: A 5-year observational study.
Published in The surgeon : journal of the Royal Colleges of Surgeons of Edinburgh and Ireland
Non-alcoholic fatty liver disease (NAFLD) has increasing worldwide prevalence, fuelled by rising obesity rates, and weight reduction is the mainstay of its management. We sought to study the effect of bariatric surgery, the most effective long-term treatment for obesity and associated metabolic disorders, on liver function in people with obesity. W...
Making fracture fixation teaching Child's play.
Published in The surgeon : journal of the Royal Colleges of Surgeons of Edinburgh and Ireland
International registry on aortic balloon occlusion in major trauma: Partial inflation does not improve outcomes in abdom...
Published in The surgeon : journal of the Royal Colleges of Surgeons of Edinburgh and Ireland
Resuscitative endovascular balloon occlusion of the aorta (REBOA) is a method for temporary hemorrhage control used in haemodynamically unwell patients with severe bleeding. In haemodynamically unwell abdominal trauma patients, laparotomy remains the initial procedure of choice. Using REBOA in patients as a bridge to laparotomy is a novel option wh...
Meta-analysis of laparoscopic spleen-preserving distal pancreatectomy versus laparoscopic distal pancreatectomy with spl...
Published in The surgeon : journal of the Royal Colleges of Surgeons of Edinburgh and Ireland
To evaluate comparative outcomes of laparoscopic spleen-preserving distal pancreatectomy (LSPDP) and laparoscopic distal pancreatectomy with splenectomy (LDPS). A systematic search of multiple electronic data sources and bibliographic reference lists were conducted. Comparative studies reporting outcomes of LSPDP and LDPS were considered followed b...
Improved adherence to hip fracture standards reduces mortality after hip fractures.
Published in The surgeon : journal of the Royal Colleges of Surgeons of Edinburgh and Ireland
Hip fractures are increasing in incidence due to increasing life expectancy. Mortality continues to improve but it is important to explore which factors are responsible for driving improvements. A cohort of hip fracture patients predating SARS-CoV-2 was examined to determine the predictors of adherence to the six Irish Hip Fracture Standards (IHFS)...
Surgical trainee experiences from 2013 to 2023 within the United Kingdom as reported by the General Medical Council Nati...
Published in The surgeon : journal of the Royal Colleges of Surgeons of Edinburgh and Ireland
The General Medical Council (GMC) issues annual surveys to all doctors within the United Kingdom (UK) in a formal postgraduate training scheme. This facilitates the monitoring of experiences for quality assurance purposes. Low job satisfaction has been associated with heightened levels of burnout and staff turnover, alongside deteriorating clinical...
Comparison of post-hepatectomy long-term survival outcome between non-colorectal non-neuroendocrine and colorectal liver...
...Published in The surgeon : journal of the Royal Colleges of Surgeons of Edinburgh and Ireland
Hepatectomy is an established treatment for colorectal liver metastasis (CLM) or neuroendocrine liver metastasis. However, its role in non-colorectal non-neuroendocrine liver metastasis (NCNNLM) is controversial. This study aims to compare long-term survival outcomes after hepatectomy between NCNNLM and CLM in a population-based cohort. From 2009 t...
A new checklist surgical hand scrub to replace time-based methods - A pixel intensity analysis.
Published in The surgeon : journal of the Royal Colleges of Surgeons of Edinburgh and Ireland
Hand scrubbing is an absolute precaution to avoid surgical site infections. World Health Organization (WHO) recommends 4-min overall scrubbing (4MS) for surgical hand hygiene. However, we hypothesize that the more methodical 10-stroke counting technique (10SS) via locational partitioning of the arm is superior to WHO's superficial guideline dictati...
