Search

Your search keyword '"Sayers, Adele"' showing total 28 results
Start Over Author "Sayers, Adele"
28 results on '"Sayers, Adele"'

1. EAES, SAGES, and ESCP rapid guideline: bowel preparation for minimally invasive colorectal resection

Author

Antoniou, Stavros A., Huo, Bright, Tzanis, Alexander A., Koutsiouroumpa, Ourania, Mavridis, Dimitrios, Balla, Andrea, Dore, Suzanne, Kaiser, Andreas M., Koraki, Eleni, Massey, Lisa, Pellino, Gianluca, Psichogiou, Mina, Sayers, Adele E., Smart, Neil J., Sylla, Patricia, Tschudin-Sutter, Sarah, Woodfield, John C., Carrano, Francesco Maria, Ortenzi, Monica, and Morales-Conde, Salvador

Published
2023
Full Text
View/download PDF

2. CLosure of Abdominal MidlineS Survey (CLAMSS): A national survey investigating current practice in the closure of abdominal midline incisions in UK surgical practice.

Author

Messenger, David E., Rajaretnam, Niroshini, Slade, Dominic A. J., Basu, Sanjoy, Hammond, Toby, Lee, Matthew, Smart, Neil, Mehta, Akash, Harries, Rhiannon, Byrne, Benjamin E., Blencowe, Natalie, Pathak, Samir, Layfield, David, Rolls, Natasha, Sayers, Adele, Siddika, Arifa, Warren, Oliver, Hodgkinson, Jonathan, Bullock, Jackie, and Chandler, Susan

Subjects
PHYSICIAN practice patterns, ABDOMINAL wall, RANDOMIZED controlled trials, SURGICAL site, SURGEONS, NEEDLES & pins
Abstract

Aim: Incisional herniation (IH) is a frequent complication following midline abdominal closure with significant associated morbidity. Randomized controlled trials have demonstrated that the small bites technique (SBT) and prophylactic mesh augmentation (PMA) may reduce IH compared to mass closure techniques, but data are lacking on their implementation in contemporary surgical practice. This survey aimed to evaluate the use of the SBT and PMA and to identify factors associated with their adoption. Method: Between 22 January 2023 and 16 March 2023, consultant surgeons across the UK were asked to complete a 25‐question survey on closure of an elective primary midline incision. Results: Responses were received from 267 of 675 eligible surgeons (39.6%) in 38 NHS Trusts. Respondents were evenly split between tertiary centres (47.6%) and district general hospitals (49.4%). SBT and PMA were used by 19.9% and 3.0% of respondents, respectively. Compared to other techniques, surgeons using the SBT were more likely to close the anterior aponeurotic layer only, use single suture filaments, 2–0 gauge sutures and sharp needle points and routinely dissect abdominal layers to aid closure (all p < 0.001). Attendance at lectures/conferences on SBT (p = 0.043) and basing practice on available evidence (p < 0.001) were independently associated with use of the SBT. The commonest barriers to adopting SBT were a perceived lack of evidence (23.8%) and belief that personal IH rates were low (16.8%). Conclusion: A minority of UK consultant surgeons have adopted the SBT or PMA. Practice change should be driven by more widespread dissemination of current evidence and procedural information. [ABSTRACT FROM AUTHOR]

Published
2024
Full Text
View/download PDF

3. A core outcome set for clinical studies of adhesive small bowel obstruction

Author

Lee, Matthew J., Chapman, Stephen J., Blackwell, Sue, Arnott, Robert, ten Broek, Richard P. G., Delaney, Conor P., Dudi‐Venkata, Nagendra N., Fish, Rebecca, Hind, Daniel, Jayne, David G., Mellor, Katie, Mishra, Anurag, O’Grady, Greg, Sammour, Tarik, Thorpe, Gabrielle, Wells, Cameron I., Wolthuis, Albert M., Fearnhead, Nicola S., Adegbola, Samuel, Ananth, Sachin, Bagaglini, Giulia, Beamish, Andrew, Bibby, Neil, Blencowe, Natalie S., Brown, Leo R., Bulte, Joris P., Carver, Julie, Challand, Christopher P., Chan, Shirley, Chisholm, Lindsey, Clerc, Daniel, Coe, Peter O., Cox, Daniel, Culkin, Alison, Daniels, Sarah, Dawidziuk, Aleksander, Dawson, Amanda, Drake, Thomas M., Drayton, Daniel J., Duff, Sarah, Espin‐Basany, Eloy, Evans, Martin D., Fakhrul‐Aldeen, Mohammed, Fisher, Nigel, Fleetwood‐Beresford, Sahara, Forshaw, Suzannah, Gani, Jon, Haddon, Sandra, Han, Jennie, Helliwell, Jack, Herrod, Philip, Hollyman, Marianne, Hopkins, James, Juloski, Jovan, Keane, Celia, Lam, Yick Ho, Love, Lisa, Lynch, Aoife, Major, Giles, Maw, Andrew, McDermott, Frank, McVeigh, Jamie, Mehraj, Asif, Millan, Monica, Mohan, Helen, Moug, Susan, Naylor, Maureen, Parnell, Richard, Pata, Francesco, Peckham‐Cooper, Adam, Pellino, Gianluca, Pockney, Peter, Proctor, Victoria K., Rajagopalan, Arjun, Robinson, Jonathan, Rutegård, Martin, Saha, Arin, Sahnan, Kapil, Sayers, Adele E., Siragusa, Leandro, Smart, Neil J., Swain, David, Thompson, Julie, Tutty, Linda, Vaughan‐Shaw, Peter G., Vinci, Danilo, Vissapragada, Ravi, Wheelband, Katharine R., Williams, Annabelle, Younis, Mohammed U., Group, Tripartite Gastrointestinal Recovery SBO, Lee, Matthew J., Chapman, Stephen J., Blackwell, Sue, Arnott, Robert, ten Broek, Richard P. G., Delaney, Conor P., Dudi‐venkata, Nagendra N., Fish, Rebecca, Hind, Daniel, Jayne, David G., Mellor, Katie, Mishra, Anurag, O’Grady, Greg, Sammour, Tarik, Thorpe, Gabrielle, Wells, Cameron I., Wolthuis, Albert M., Fearnhead, Nicola S., Adegbola, Samuel, Ananth, Sachin, Bagaglini, Giulia, Beamish, Andrew, Bibby, Neil, Blencowe, Natalie S., Brown, Leo R., Bulte, Joris P., Carver, Julie, Challand, Christopher P., Chan, Shirley, Chisholm, Lindsey, Clerc, Daniel, Coe, Peter O., Cox, Daniel, Culkin, Alison, Daniels, Sarah, Dawidziuk, Aleksander, Dawson, Amanda, Drake, Thomas M., Drayton, Daniel J., Duff, Sarah, Espin‐basany, Eloy, Evans, Martin D., Fakhrul‐aldeen, Mohammed, Fisher, Nigel, Fleetwood‐beresford, Sahara, Forshaw, Suzannah, Gani, Jon, Haddon, Sandra, Han, Jennie, Helliwell, Jack, Herrod, Philip, Hollyman, Marianne, Hopkins, Jame, Juloski, Jovan, Keane, Celia, Lam, Yick Ho, Love, Lisa, Lynch, Aoife, Major, Gile, Maw, Andrew, Mcdermott, Frank, Mcveigh, Jamie, Mehraj, Asif, Millan, Monica, Mohan, Helen, Moug, Susan, Naylor, Maureen, Parnell, Richard, Pata, Francesco, Peckham‐cooper, Adam, Pellino, Gianluca, Pockney, Peter, Proctor, Victoria K., Rajagopalan, Arjun, Robinson, Jonathan, Rutegård, Martin, Saha, Arin, Sahnan, Kapil, Sayers, Adele E., Siragusa, Leandro, Smart, Neil J., Swain, David, Thompson, Julie, Tutty, Linda, Vaughan‐shaw, Peter G., Vinci, Danilo, Vissapragada, Ravi, Wheelband, Katharine R., Williams, Annabelle, and Younis, Mohammed U.

Subjects
Consensus, perioperative care, Delphi Technique, Gastroenterology, Adhesive, Consensu, core outcome set, adhesion, Treatment Outcome, Research Design, Adhesives, Surveys and Questionnaires, small bowel obstruction, gastrointestinal recovery, Humans, Surveys and Questionnaire, Patient Reported Outcome Measures, Human
Abstract

Aim Adhesive small bowel obstruction (ASBO) is a common surgical emergency condition. Research in the field is plentiful; however, inconsistency in outcome reporting makes comparisons challenging. The aim of this study was to define a core outcome set (COS) for studies of ASBO. Methods The long list of outcomes was identified through systematic review, and focus groups across different geographical regions. A modified Delphi consensus exercise of three rounds was undertaken with stakeholder groups (patients and clinicians). Items were rated on a 9-point Likert scale. Items exceeding 70% rating at 7–9 were passed to the consensus meeting. New item proposals were invited in round 1. Individualised feedback on prior voting compared to other participants was provided. An international consensus meeting was convened to ratify the final COS. Results In round 1, 56 items were rated by 118 respondents. A total of 18 items reached consensus, and respondents proposed an additional 10 items. Round 2 was completed by 90 respondents, and nine items achieved consensus. In round 3, 80 surveys were completed; one item achieved consensus, and five borderline items were identified. The final COS included 26 outcomes, mapped to the following domains: Interventions, need for stoma, septic complications, return of gut function, patient reported outcomes, and recurrence of obstruction, as well as mortality, failure to rescue, and time to resolution. Conclusion This COS should be used in future studies in the treatment of adhesive SBO. Further studies to define a core measurement set are needed to identify the optimum tools to measure each outcome.

Published
2023
Full Text
View/download PDF

10. Surgical site infections after emergency hernia repair: substudy from the Management of Acutely Symptomatic Hernia (MASH) study.

Author

Proctor, Victoria K, O'Connor, Olivia M, Burns, Flora A, Green, Susie, Sayers, Adele E, Hawkins, Deborah J, Smart, Neil J, Lee, Matthew J, and Collaborators, MASH

Subjects
SURGICAL site infections, HERNIA surgery, UMBILICAL hernia, HERNIA, ABDOMINAL wall
Abstract

Introduction Acutely symptomatic abdominal wall and groin hernias (ASH) are a common acute surgical presentation. There are limited data to guide decisions related to surgical repair technique and use of antibiotics, which can be driven by increased risk of surgical site infection (SSI) in this group. This study aims to report rates of SSI following ASH repair and explore the use of patient-reported outcome measure reporting in this setting. Methods An 18-week, UK-based, multicentre prospective cohort study (NCT04197271) recruited adults with ASH. This study reports operatively managed patients. Data on patient characteristics, inpatient management, quality of life, complications, and wound healing (Bluebelle score) were collected. Descriptive analyses were performed to estimate event rates of SSI and regression analysis explored the relationship between Bluebelle scores and SSI. The 30 and 90-day follow-up visits assessed complications and quality of life. Results The MASH study recruited 273 patients, of whom 218 were eligible for this study, 87.2 per cent who underwent open repair. Mesh was used in 123 patients (50.8 per cent). Pre- and postoperative antibiotics were given in 163 (67.4 per cent) and 28 (11.5 per cent) patients respectively. There were 26 reported SSIs (11.9 per cent). Increased BMI, incisional, femoral, and umbilical hernia were associated with higher rates of SSI (P = 0.006). In 238 patients, there was a difference in healthy utility values at 90 days between patients with and without SSI (P = 0.025). Also, when analysing 191 patients with Bluebelle scores, those who developed an SSI had higher Bluebelle values (P < 0.001). Conclusion SSI is frequent in repair of acutely symptomatic hernia and correlates with BMI and site of hernia. [ABSTRACT FROM AUTHOR]

Published
2023
Full Text
View/download PDF

14. The TONK score: a tool for assessing quality in trauma and orthopaedic note-keeping

Author

Khan Zeeshan, Sayers Adele E., Khattak Mohammad Usman, and Chambers Iain Richard

Subjects
Quality, Note-keeping, Audit, Legibility, Orthopedic surgery, RD701-811
Abstract

Introduction: Medical case notes are the only lasting interpretation of a patient-physician interaction and are important for good quality patient care. Accurate, legible and contemporaneous note-keeping is important however it can be substandard. This can lead to errors in handover of patients and to medicolegal vulnerability. We present a comprehensive auditing tool for Trauma & Orthopaedics medical case notes and our experience in using it over the last 12 months. Patients and Methods: The TONK score was developed from a pre-existing system with some additions for Trauma & Orthopaedic case notes, with the incorporation of a legibility scoring system. An initial audit was carried out evaluating the case notes for each team against the TONK score. In order to evaluate the reproducibility of this score, we employed the Cohen’s Kappa coefficient and noted substantial agreement. The individual team scores were analysed and the audit cycle completed four months later with the provision of feedback. Results: Our first audit revealed a mean of 81 with a range from 70 to 90. Subsequent audits over the next two quarters revealed mean scores in excess of 90. Significant improvement has been noted in all areas of documentation and it has been decided to conduct this audit every six months in our department. Conclusions: The TONK score is an easy, quick and reproducible tool, which aims to eliminate the weaknesses in Trauma & Orthopaedic medical note-keeping. It emphasises the medicolegal importance of accurate medical note-keeping to doctors at all levels of training.

Published
2015
Full Text
View/download PDF

15. Outcomes following small bowel obstruction due to malignancy in the national audit of small bowel obstruction

Author

Drake, Thomas M., primary, Lee, Matthew J., additional, Sayers, Adele E., additional, Abercrombie, John, additional, Acheson, Austin, additional, Alderson, Derek, additional, Anderson, Iain, additional, Bradburn, Mike, additional, Davies, Michael, additional, Hamady, Zaed, additional, Hind, Daniel, additional, Hollyman, Marianne, additional, Hare, Sarah, additional, Lee, Ellen, additional, Northover, John, additional, Lewis, Christopher, additional, Marriott, Paul J., additional, Maynard, Nick, additional, McFall, Malcolm, additional, Muragananthan, Aravinth, additional, Murray, David, additional, Singh, Pritam, additional, Tierney, Gillian, additional, Verjee, Azmina, additional, Walsh, Ciaran, additional, Wild, Jonathan RL., additional, Wilson, Timothy, additional, Abbott, S., additional, Abdulaal, Y., additional, Afshar, S., additional, Akhtar, M., additional, Anderson, D., additional, Appleton, S., additional, Bandyopadhyay, D., additional, Bashir, G., additional, Behar, N., additional, Bhandari, S., additional, Branagan, G., additional, Boulton, R., additional, Borg, C., additional, Bouras, G., additional, Boyle, J., additional, Brewer, H., additional, Brown, L., additional, Briggs, C., additional, Cartmell, M., additional, Chan, S., additional, Chandratreya, N., additional, Conaghan, P., additional, Cornish, J., additional, Cotton, D., additional, Coyne, P., additional, Crozier, J., additional, Cook, T., additional, Cunha, P., additional, Curtis, N., additional, Day, A., additional, Dayal, S., additional, Dennis, R., additional, Dent, P., additional, Dowson, H., additional, Fallaize, R., additional, Farag, S., additional, El Farran, M., additional, Faulkner, G., additional, Giordano, P., additional, Grey, T., additional, Halahakoon, V., additional, Hannay, J., additional, Harikrishnan, A., additional, Holtham, S., additional, Hawkin, P., additional, Hall, C., additional, Hancock, L., additional, Hartley, J., additional, Howse, F., additional, Kallam, R., additional, Kakaniaris, G., additional, Kelly, S., additional, Lockwood, S., additional, Leinhardt, D., additional, Levy, B., additional, Lal, R., additional, Lazim, T., additional, Lund, J., additional, Lunevicius, R., additional, Mathur, P., additional, Maude, K., additional, McArthur, D., additional, McIlroy, B., additional, Miles, A., additional, Moug, S., additional, Mondragon-Pritchard, M., additional, Messenger, D., additional, Mullan, M., additional, Myers, A., additional, Muhammad, K., additional, Mason, C., additional, Sarveswaran, J., additional, Shatkar, V., additional, Singh, B., additional, Skelly, B., additional, Subramonia, S., additional, Swinscoe, M., additional, Thava, B., additional, Thorn, C., additional, Panagiotopoulos, S., additional, Patel, P., additional, Phillips, J., additional, Peristerakis, I., additional, Qureshi, A., additional, Saunders, M., additional, Shah, P., additional, Sheel, A., additional, Siddiqui, S., additional, Skaife, P., additional, Smart, N., additional, Smith, I., additional, Stevenson, L., additional, Stylianides, N., additional, Steinke, J., additional, Stubbs, B., additional, Thompson, R., additional, Varcada, M., additional, Vimalachandran, D., additional, Virlos, I., additional, Watfah, J., additional, Watson, N., additional, Walker, M., additional, Ventham, N., additional, West, H., additional, Wilson, J., additional, Wijeyekoon, S., additional, Ah-Chuen, J., additional, Ahmed, T., additional, Akram, F., additional, Aldred, E., additional, Ali, A., additional, Aly, M., additional, Amajuoyi, A., additional, Amin, V., additional, Andreou, A., additional, Ansari, A., additional, Ardley, R., additional, Arshad, F., additional, Ashour, O., additional, Asour, A., additional, Ayoub, F., additional, Azeem, H., additional, Azhar, B., additional, Baillie, C., additional, Barker, J., additional, Barkham, B., additional, Baron, R., additional, Barrie, J., additional, Barry-Yarrow, E., additional, Battersby, N., additional, Bazoua, G., additional, Berger, C., additional, Bhasin, S., additional, Biggs, S., additional, Bisset, C., additional, Blencowe, N., additional, Boddy, A., additional, Boereboom, C., additional, Bogdan, M., additional, Bogle, R., additional, Bohra, P., additional, Bolkan, H., additional, Boyer, M., additional, Broadhurst, J., additional, Brown, E., additional, Brown, J., additional, Burns, K., additional, Butcher, K., additional, Capper, C., additional, Cash, T., additional, Chapman, J., additional, Chapman, S., additional, Charalabopoulos, A., additional, Cheek, C., additional, Chok, S., additional, Choong, W., additional, Chowdhury, J., additional, Coe, P., additional, Conn, G., additional, Cook, N., additional, Cooper, S., additional, Cox, C., additional, Crook, R., additional, Cuffolo, G., additional, da Silva, L., additional, Das, B., additional, Davenport, M., additional, Davies, J., additional, Davies, T., additional, Dean, S., additional, Demetriou, G., additional, Dengu, F., additional, Dent, H., additional, Di Benedetto, G., additional, Dindyal, S., additional, Donnelly, E., additional, Douka, E., additional, Downham, C., additional, Edent, H., additional, Edgerton, K., additional, El-Sharif, M., additional, Elamin, O., additional, Elsaid, N., additional, Evans, J., additional, Evans, M., additional, Ewe, R., additional, Ewing, A., additional, Ferguson, H., additional, Fisher, O., additional, Fletcher, J., additional, Forouzanfar, A., additional, Foster, A., additional, Fox, R., additional, Francis, N., additional, Fretwell, V., additional, Fung, D., additional, Gammeri, E., additional, Garnham, J., additional, Geraghty, A., additional, Gilbert, A., additional, Gill, M., additional, Gillespie, M., additional, Glasbey, J., additional, Golder, A., additional, Green, N., additional, Groundwater, E., additional, Grove, T., additional, Habib, H., additional, Haddow, J., additional, Halkias, C., additional, Hampson, A., additional, Hanna, T., additional, Harries, R., additional, Harvey, K., additional, Hawkins, J., additional, Healy, R., additional, Heartshorne, R., additional, Heller, S., additional, Hendra, L., additional, Herrod, P., additional, Heywood, N., additional, Hicks, G., additional, Ng, P., additional, Hope, C., additional, Hopley, P., additional, Hossain, T., additional, Hossaini, S., additional, Hubbard, T., additional, Humphreys, A., additional, Ikram, H., additional, Ioannis, M., additional, Iqbal, M., additional, Jatania, J., additional, Jenkinson, P., additional, Jokhan, S., additional, Jones, A., additional, Jones, C., additional, Jones, L., additional, Joshi, H., additional, Joshi, K., additional, Joy, M., additional, Jull, P., additional, Kane, E., additional, Kanitkar, R., additional, Kauser, S., additional, Kazmi, F., additional, Kedrzycki, M., additional, Kendall, J., additional, Khan, T., additional, King, G., additional, Kisiel, A., additional, Kitsis, C., additional, Kolawole, I., additional, Kosasih, S., additional, Kosti, A., additional, Kotb, A., additional, Lau, A., additional, Lafaurie, G., additional, Lazzaro, A., additional, Lefroy, R., additional, Lennon, H., additional, Leong, K., additional, Lim, E., additional, Lim, J., additional, Lindley, S., additional, Liu, D., additional, Lloyd, P., additional, Locker, D., additional, Lowe, C., additional, Lunt, A., additional, Lutfi, S., additional, Luther, A., additional, Luwemba, S., additional, Mahankali-Rao, P., additional, Mai, D., additional, Majid, S., additional, Malik, A., additional, Manu, N., additional, Mapara, R., additional, Martin, C., additional, Martin, J., additional, Massey, L., additional, Mathias, J., additional, McCain, S., additional, McCluney, S., additional, McNair, A., additional, Mekhail, P., additional, Merchant, J., additional, Merker, L., additional, Mir, S., additional, Mistry, P., additional, Miu, V., additional, Moat, M., additional, Mohamed, E., additional, Mohamed, I., additional, Moore, N., additional, Moretti, L., additional, Morris, H., additional, Morrison, T., additional, Moss, J., additional, Mountford, D., additional, Moynihan, R., additional, Muldoon-Smith, D., additional, Mulholland, J., additional, Murgitroyd, E., additional, Murugaiyan, K., additional, Mykoniatis, I., additional, Nana, G., additional, Nash, T., additional, Nassar, A., additional, Newton, R., additional, Nguyen, K., additional, Nicholas, F., additional, Noor, M., additional, Nowers, J., additional, Nugent, C., additional, Nunn, A., additional, O'Callaghan, J., additional, O'Hara, R., additional, O'Neill, A., additional, Olivier, J., additional, Osei-Bordom, D., additional, Osgood, L., additional, Panchasara, B., additional, Parks, R., additional, Patel, H., additional, Pawelec, K., additional, Payne, C., additional, Pearson, K., additional, Perin, G., additional, Petronio, B., additional, Phelan, L., additional, Pisaneschi, C., additional, Pitt, J., additional, Ponchietti, L., additional, Powell, A., additional, Powell-Chandler, A., additional, Pranesh, N., additional, Proctor, V., additional, Qureshi, N., additional, Rahman, M., additional, Rai, Z., additional, Ramcharan, S., additional, Rangarajan, K., additional, Rashid, M., additional, Reader, H., additional, Rehman, A., additional, Rehan, S., additional, Rengifo, C., additional, Richardson, N., additional, Robinson, A., additional, Robinson, D., additional, Rossi, B., additional, Rutherford, F., additional, Sadien, I., additional, Saghir, T., additional, Sahnan, K., additional, Salahia, G., additional, Scott, B., additional, Scott, K., additional, Seager, A., additional, Seal, S., additional, Sezen, E., additional, Shaban, F., additional, Shahmohammadi, M., additional, Shamsiddinova, A., additional, Shankar, S., additional, Sharpe, A., additional, Shields, T., additional, Shinkwin, M., additional, Shurmer, J., additional, Siddika, A., additional, Simson, R., additional, Singh, S., additional, Sivaraj, J., additional, Skinner, A., additional, Smart, C., additional, Smith, F., additional, Smith, R., additional, Sreedhar, A., additional, Stewart-Parker, E., additional, Stott, M., additional, Symons, N., additional, Taj, T., additional, Tam, J., additional, Tan, K., additional, Tani, S., additional, Tao, D., additional, Thippeswamy, K., additional, Thomas, C., additional, Thompson, E., additional, Thompson-Reil, C., additional, Tongo, F., additional, Toth, G., additional, Turnbull, A., additional, Turnbull, J., additional, Wade, T., additional, Wafi, A., additional, Waite, K., additional, Walker, N., additional, Walker, T., additional, Walsh, U., additional, Wardle, S., additional, Warner, R., additional, Watt, J., additional, Watts, J., additional, Wayman, J., additional, Weegenaar, C., additional, West, M., additional, Whyler, M., additional, Whitehurst, L., additional, Wiggans, M., additional, Williams, G., additional, Williams, R., additional, Williamson, A., additional, Williamson, J., additional, Winter, A., additional, Wolpert, L., additional, Wong, J., additional, van Boxel, G., additional, Yeap, E., additional, Zaman, S., additional, Zappa, B., additional, Zosimas, D., additional, Anderson, O., additional, Athem, A., additional, Athersmith, M., additional, Badenoch, T., additional, Barker, S., additional, Bellam, S., additional, Boam, T., additional, Boland, M., additional, Blake, L., additional, Brown, O., additional, Butler, M., additional, Byrne, B., additional, Campbell, L., additional, Chow, M., additional, Da Costa, K., additional, Cutting, J., additional, Deputy, M., additional, Devoto, L., additional, Doody, P., additional, Ekpete, N., additional, Eljaafari, M., additional, Exarchou, K., additional, Faoury, M., additional, Farinella, E., additional, Gill, C., additional, Goh, M., additional, Gregoir, T., additional, Growcott, S., additional, Gunasekaran, S., additional, Harris, G., additional, Heard, R., additional, Hobson, B., additional, Iqbal, N., additional, Jain, R., additional, Kang, P., additional, Khan, M., additional, Korambayil, S., additional, Kouris, S., additional, Kshatriya, K., additional, Kumar, S., additional, Lee, K., additional, Mahroof, S., additional, Malik, K., additional, Mann, K., additional, Mansour, S., additional, Martin, R., additional, McKay, S., additional, McKinley, N., additional, McWhirter, D., additional, Mellor, K., additional, Mishra, A., additional, Mockford, K., additional, Morrison-Jones, V., additional, Ng, C., additional, Nunn, R., additional, O'Neill, S., additional, Oke, O., additional, Obeid, N., additional, Patel, R., additional, Patel, S., additional, Plunkett-Reed, K., additional, Pouzi, M., additional, Pywell, S., additional, Richards, E., additional, Sinclair, P., additional, Slim, N., additional, Spence, G., additional, Swinkin, M., additional, Tahir, W., additional, Takacs, K., additional, Tanner, N., additional, Taylor, M., additional, Valero, C., additional, Venn, M., additional, Venza, M., additional, Yeong, T., additional, and Fearnhead, Nicola S., additional

Published
2019
Full Text
View/download PDF

17. Outcomes of obstructed abdominal wall hernia: results from the UK national small bowel obstruction audit.

Author

Lee, Matthew J, Drake, Thomas M, Sayers, Adele E, Walsh, Ciaran J, Davies, Michael M, Fearnhead, Nicola S, Abercrombie, John, Acheson, Austin, Alderson, Derek, Anderson, Iain, Bach, Simon, Davies, Michael, Hamady, Zaed, Hind, Daniel, Hollyman, Marianne, Hare, Sarah, Lee, Ellen, Northover, John, Lewis, Christopher, and Marriott, Paul

Subjects
ABDOMINAL wall abnormalities, SMALL intestine diseases
Abstract

Copyright of BJS Open is the property of Oxford University Press / USA and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Published
2020
Full Text
View/download PDF

20. The 2-week wait service

Author

Patel, Rikesh K., primary, Sayers, Adele E., additional, Seedat, Shahid, additional, Altayeb, Talal, additional, and Hunter, Iain A., additional

Published
2014
Full Text
View/download PDF

24. A prospective randomized control study on patient's recall of consent after hand surgery: how much they want to know?

Author

Khan, Zeeshan, Sayers, Adele E., Khattak, Mohammad U., Eastley, Nicholas C., and Shafqat, Syed O.

Subjects
*RANDOMIZED controlled trials, *HAND surgery, *SOCIOECONOMICS, *INFORMED consent (Medical law), *GENDER, *MEDICAL care
Abstract

Informed consent implies that the person undergoing an intervention thoroughly understands its pros and cons. We conducted a randomized control trial to evaluate patients' recall of complications after day case hand surgery and how this can be influenced by age and/or socioeconomic factors. Patients' wishes on the extent and type of provided information were also evaluated. A total of 124 cases were recruited. Ten cases were excluded because they presented for follow up more than 2 weeks after surgery. The other patients were randomized into 2 groups: the first one (48) received only verbal information, while the second one (66) also received written information sheets. No statistically significant difference was noted in the recall between the two groups. No difference among gender, age or socioeconomic status was noted. Most patients preferred both written and verbal information. Preference for knowledge of rates of complications increased when surgery was dangerous. Our results don't show any significant difference in patients' recall depending on the type of consenting method. Nevertheless, we still propose that patients should receive as much information as possible before undergoing any intervention. [ABSTRACT FROM AUTHOR]

Published
2013
Full Text
View/download PDF

25. Appraisal of current surgical guidelines for inflammatory bowel disease using the AGREE‐S instrument: A scoping review.

Author

Khan, Zarnigar Mussarat, Ball, Camille, Saeed, Dalha, Tai, Grace, Chandran, Shaneil, Vashista, Abhishek, Davey, Simon, Lee, Matthew James, Brown, Steven R., Hind, Daniel, and Sayers, Adele Elizabeth

Subjects
*INFLAMMATORY bowel diseases, *CROHN'S disease, *ULCERATIVE colitis, *MEDICAL personnel, *PATIENT care
Abstract

Aim Method Results Conclusions Guidelines play a crucial role in improving patient care by providing clinicians with up to date evidence‐based recommendations. A vast number of guidelines exist on the surgical management of inflammatory bowel disease (IBD). The aim of this scoping review was to identify current surgical IBD guidelines, assess their quality and identify areas of variation between the existing guidelines.A systematic search of the literature from January 2008 to September 2023 was conducted. After identifying eligible guidelines, they were assessed for quality using the Appraisal of Guidelines for Research and Evaluation for Surgical Interventions (AGREE‐S) instrument. Data were extracted on descriptive guideline characteristics and recommendations.Fifteen guidelines were identified globally. Most guidelines were published between 2011 and 2023, with six focusing solely on Crohn's disease, five on ulcerative colitis and four on both. Six guidelines focused exclusively on surgical management, while nine contained both medical and surgical recommendations. The overall mean AGREE‐S score was 59%, with more recent guidelines scoring higher.The quality of IBD surgical guidelines varies considerably. High‐quality, collaborative, international guidelines are needed to reduce duplication and ensure consistent, evidence‐based surgical care for IBD patients worldwide. Future guideline development should adhere to the AGREE‐S criteria to enhance methodological rigour and transparency. [ABSTRACT FROM AUTHOR]

Published
2024
Full Text
View/download PDF

26. Management of a complex recurrent perineal hernia.

Author

Patel, Rikesh K., Sayers, Adele E., and Gunn, James

Subjects
*PLASTIC surgeons, *MUSCULOCUTANEOUS flaps, *SURGERY
Abstract

Symptomatic perineal hernias following abdomino-perineal excision of rectum have been reported to occur uncommonly.We present the case of a 79-year-old gentleman who developed a perineal hernia after laparoscopic-assisted extralevator abdomino-perineal excision (ELAPE) of the rectum. Despite initial myocutaneous flap repair, there was further symptomatic recurrence. Magnetic resonance imaging demonstrated non-compromised bowel extending beneath the gracilis flap with extension into the adductor compartment of the left thigh. Given the recurrent nature, a rectus flap repair was performed and after 15 months, he remains hernia free. There is currently no consensus as to the optimal operative technique in the prevention and management of these hernias; however, primary reconstruction at the time of ELAPE may be preferable. Symptomatic perineal hernias can be severely debilitating and require operative repair.We suggest that surgical options should be discussed and carried out with the input of a Plastic surgeon. [ABSTRACT FROM AUTHOR]

Published
2013
Full Text
View/download PDF

28. Management of Acutely Symptomatic Hernia (MASH) study.

Author

Proctor VK, O'Connor OM, Burns FA, Green S, Sayers AE, Hawkins DJ, Smart NJ, and Lee MJ

Subjects
Adult, Humans, Prospective Studies, Quality of Life, Surgical Mesh, Hernia, Inguinal diagnosis, Hernia, Inguinal surgery, Herniorrhaphy methods
Abstract

Background: Acutely symptomatic abdominal wall and groin hernias are a common reason for acute surgical hospital admissions. There are limited data to guide the treatment of these patients. This study aimed to assess outcomes of emergency hernia surgery and identify common management strategies, to improve care for these high-risk patients., Methods: A 20-week, national multicentre, collaborative, prospective cohort study (NCT04197271) recruited adults with acutely symptomatic abdominal wall and groin hernias across the UK. Data on patient characteristics, inpatient management, quality of life, complications, and wound healing were collected. Follow-up telephone calls at 30 and 90 days were used to assessed complications and quality of life. Descriptive analyses were undertaken to describe the population and outcomes., Results: Twenty-three hospitals recruited 272 eligible patients. Inguinal (37.8 per cent) and umbilical (37.1 per cent) hernias were the most common. Some 13.9 per cent were awaiting elective surgery and 12.8 per cent had previously declined intervention. CT was performed in 47.1 per cent and 81.3 per cent underwent surgical management. Open repairs were carried out in 93.5 per cent, and 92.5 per cent of these were performed under general anaesthesia. Four of 13 laparoscopic procedures were converted to open surgery. Mesh was used in 55.1 per cent of repairs, typically synthetic non-absorbable (87.4 per cent). Complications were infrequent; surgical-site infection (9.4 per cent), delirium (3.2 per cent), and pneumonia (2.3 per cent) were the most common. The 90-day mortality rate was 4.9 per cent. Immediate surgical management was associated with a significant improvement in quality of life at 30 days (median score 0.73-0.82)., Conclusion: There is variation in the investigation, management, and surgical technique used to treat acutely symptomatic abdominal wall and groin hernias in the UK. The optimal management strategy for specific acute presentations remains to be established. Presented to the Association of Surgeons in Training Conference, Birmingham, UK, March 2021, the Association of Surgeons of Great Britain and Ireland Congress, May 2021, the World Society of Emergency Surgery, Edinburgh, UK, September 2021, and the European Hernia Society Congress, Copenhagen, Denmark, October 2021., (© The Author(s) 2022. Published by Oxford University Press on behalf of BJS Society Ltd. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.)

Published
2022
Full Text
View/download PDF

Catalog

Books, media, physical & digital resources
See catalog results