NESTAC MEDAL FOR MEDICAL STUDENTS 2021

Pre-fracture mobility is an independent predictor of post-operative outcomes in hip fracture surgery

ABSTRACT NUMBER: NESTAC MEDAL FOR MEDICAL STUDENTS_7   AUTHOR Thomas Stubbs MAIN ABSTRACT TEXT Introduction Hip fracture is the most common serious injury in the older population of the UK, and its incidence continues to rise. Previous studies have used preoperative patient characteristics to predict post-operative outcomes, but mobility, a key indicator of pre-operative function,…

Detecting metastatic melanoma with the five-year follow-up regime

ABSTRACT NUMBER: NESTAC MEDAL FOR MEDICAL STUDENTS_8   AUTHOR Georgina Liu MAIN ABSTRACT TEXT Introduction Malignant melanoma is the second commonest skin cancer among adults aged 25 to 49 years old. It is crucial for metastatic disease to be detected as early as possible, as the stage of melanoma correlates to the survival rate of…

Hypochromia is an early marker of iron deficiency anaemia

ABSTRACT NUMBER: NESTAC MEDAL FOR MEDICAL STUDENTS_6   AUTHOR Jeremy Cheong MAIN ABSTRACT TEXT Introduction Microcytosis in iron deficiency anaemia triggers an urgent referral for investigation of suspected gastrointestinal cancers. This study evaluated whether the inclusion of hypochromia as a marker for iron deficiency would lead to earlier referrals. Methods Consecutive patients referred from primary…

Does robotic colorectal surgery decrease the risk of an anastomotic leak?

ABSTRACT NUMBER: NESTAC MEDAL FOR MEDICAL STUDENTS_5   AUTHOR Alexander Lea MAIN ABSTRACT TEXT Introduction Anastomotic leaks (AL) are a complication of colorectal cancer surgery with a mortality rate of 6-39%. Clinical outcomes vary from defunctioning stomas to life-threatening sepsis and death. AL increases the rates of further surgeries and local recurrence of cancer. Multiple…

Routine nasogastric decompression versus no decompression during pancreatoduodenectomy: Metaanalysis of perioperative outcomes

ABSTRACT NUMBER: NESTAC MEDAL FOR MEDICAL STUDENTS_4   AUTHOR Thejasvin K MAIN ABSTRACT TEXT Introduction There is no consensus regarding the use of nasogastric tube NGT after pancreaticoduodenectomy PD. The present meta-analysis aims to review the current evidence on the impact of routine nasogastric decompression (NGD) following PD on perioperative outcomes. Methods All studies indexed…

Closed Incision Negative Pressure Wound Therapy is associated with reduced Surgical Site Infection after Emergency Laparotomy: A propensity matched cohort analysis

ABSTRACT NUMBER: NESTAC MEDAL FOR MEDICAL STUDENTS_3   AUTHOR Omar Ali MAIN ABSTRACT TEXT Introduction Surgical site infection contributes to a significant proportion of post-operative morbidity in patients undergoing emergency laparotomy. SSIs cause significant patient burden, increase length of stay and have economic implications. CINPT has been shown to reduce SSI rates in patients undergoing…

Mitral valve re-repair vs replacement following failed initial repair: a systematic review and meta-analysis

ABSTRACT NUMBER: NESTAC MEDAL FOR MEDICAL STUDENTS_2   AUTHOR Prash Cheekoty MAIN ABSTRACT TEXT Introduction Although the incidence and causes of mitral valve repair failure is well documented, the optimal treatment strategy following a failed mitral valve repair remains unclear. This study aims to compare and analyse all available studies which report the clinical outcomes…

Postoperative pain relief after major pancreatic resection: systematic review and meta-analysis of analgesic modalities

ABSTRACT NUMBER: NESTAC MEDAL FOR MEDICAL STUDENTS_1   AUTHORS Nasreen Akter MAIN ABSTRACT TEXT Introduction Postoperative pain after major pancreatic resections is frequent. Optimising pain control is a fundamental aspect of Enhanced Recovery After Surgery programmes, which have shown to enhance recovery and reduce morbidity. This systematic review and meta-analysis explored the efficacy of different…