M.Koziara, AB. Scrimshire, P.Torres IntroductionEXOGEN therapy is established in the management of fracture delayed/non-unions. It has recently been recommended by NICE for use in trauma. Use of EXOGEN in delayed unions in elective foot and ankle surgery has not been previously reported. We aim to review the indications and outcomes of EXOGEN therapy in managing…
Long Distance Relationships – Does The Geographic Distance From The Transplant Centre Affect Lung Transplant Outcomes?
Espeed Khoshbin, Joseph Battle, Hazel Muse, Kirstie Wallace, George Ditchburn, Gareth Parry, Stephen Clark BackgroundPatient and referring physician choice often means that some lung transplant recipients may reside considerable distances from their transplant centre compared with others. We reviewed a single centre experience to examine the effect of distance from home to the transplant centre…
A prospective randomised controlled trial to evaluate the role of CT in young adults with indeterminate right iliac fossa pain – the IMPACT study
Jones R, Olatunbode D, Dean J, Hall B, Harji D, Davis P, on behalf of the IMPACT investigators IntroductionIn young adults with indeterminate right iliac fossa (RIF) pain, the need for surgery often relates to the likelihood of appendicitis. Ultrasound (US) is widely used in this setting despite a low diagnostic accuracy for appendicitis. We…
Advanced clinical stage not associated with poor outcomes
N Newton, AW Phillips, H Jaretzke, A Immanuel, N Hayes, SM Griffin BackgroundFollowing a diagnosis of oesophageal cancer UICC TNM staging guides treatment and informs prognosis. There is recognised variance between clinical staging (cTNM) and post-operative pathological staging ((y)pTNM). T3N3 oesophageal cancers have a 5-year survival of less than 25% in most studies; given the…
How applicable for a UK population is the proposed TNM 8 staging for Human Papilloma Virus related Oropharyngeal Squamous Cell Carcinoma?
Bradish T, Kelly C, Paleri V, Robinson M, O’Hara J BackgroundThe 8th edition of the TNM staging system introduced a new staging model for HPV related oropharyngeal squamous cell carcinoma (OPSCC). The dataset original study behind this staging system included patients from 7 centres across North America and Europe[1] ObjectivesThis study aimed to assess how…
Successful recruitment to a feasibility trial investigating if supplementation for Vitamin D deficiency improves outcomes following total hip or knee replacement: The VASO feasibility Trial – early results. (FEGGETTER MEDAL WINNER)
RJM Morrison 1,2, D Bunn 3, WK Gray 3, PN Baker 4,5, C White 4, A Rangan 4,5,6, KS Rankin 2, MR Reed 1,2,51 – Department of Orthopaedics, Northumbria Healthcare NHS Foundation Trust, UK 2 – Newcastle University, UK 3 – Research & Development, Northumbria Healthcare NHS Foundation Trust, UK 4 – Department of Orthopaedics,…
Open Axillary Access for complex endovascular aortic repair; a UK tertiary centre experience
Nandhra. S, Nesbitt. C, Priona. G, Williams. R, McCaslin. JNorthern Vascular Centre, Freeman Hospital, Newcastle upon Tyne IntroductionComplex endovascular aortic repair is frequently performed using concurrent axillary artery access; this can offer a favourable trajectory for the cannulation of the caudally-orientated visceral vessels. However, associated cerebrovascular complications are reported to be between 2 and 15%.…
Management and outcomes of perforated duodenal ulcers in the North East of England from 2002-2016
Charles Johnson, Ross Mclean, Iain Mcallum, Alexander Phillips BackgroundDuodenal perforation is a common surgical emergency. Open repair with omental patch is routine (1), though laparoscopic repair has been shown to be a safe, reliable alternative (2, 3). Non-operative management is generally restricted to patients too unwell for laparotomy or clinically well at initial assessment (4).…