Successful regional academic surgical program working in association with University of Edinburgh, RCSED and Edge Hill university.
Birkenhead, England
Joined January 2019
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Wirral Academic Surgical Program retweeted
In this week’s email to our members, our Moynihan Academy President, @JWohlgemut outlines the many benefits that resident doctors, SAS doctors and medical students can enjoy when joining ASGBI, as well as inviting you to attend the @ASGBI_MA Trauma & EGS Masterclass on 13th November and the party the night before!
Read Jared's full blog here - asgbi.org.uk/news/2025/aug/2…
Wirral Academic Surgical Program retweeted
We have spent an brilliant day at Liberton High School and Broughton High School in Edinburgh today, inspiring the next generation of surgeons!
With lots of opportunity to take part in surgical simulations, including lap skills, stapling and VR as well as a chance to chat to our faculty, we hope to see some pupils following in our footsteps soon 🩺
A massive thank you to @CMRSurgical, @RCSEd and @MedtronicUK for supporting today's visit!
Wirral Academic Surgical Program retweeted
Training logbook numbers by specialty relative to 2019. Millions fewer procedures performed with/by a trainee. Consultants - remember that you were all trainees once. Time to train the next generation! Every case is a training case. #NoTrainingTodayNoSurgeonsTomorrow
Wirral Academic Surgical Program retweeted
Colonoscopic Perforation cont'...
See the algorithm for colonoscopic perforations below.
The take home message is these can be managed conservatively .. In the right patients with the right level of observation!
#FRCSFriday #ColonoscopicPerforation #SurgicalAlgorithm
Wirral Academic Surgical Program retweeted
Congratulations to our four 2024 @ProgramWirral fellows who obtained NTNs in General Surgery!
This means we have 4 slots on our highly successful surgical program- advert out soon- DM for further details!
Wirral Academic Surgical Program retweeted
@ProgramWirral this is something we need to look at
Beautifully presented work #SAGES2024 @neylaboukhili 👏👏@mcgillGenSx hartmann’s reversal is fraught with complications ➡️ 20% of reoperations include a new stoma 🥹@SAGES_Updates
Wirral Academic Surgical Program retweeted
Really interesting presentation at ASGBI 2024 from @ProgramWirral regarding the presence of pharmacists on EGS ward rounds and improving prescribing stewardship @asgbi @LeedsEGS #asgbi2024
Wirral Academic Surgical Program retweeted
Fabulous opportunity for trainees- high quality research with superb mentorship- and supplemented with ongoing clinical work.
Delighted to announce our new colorectal cancer research fellowships starting in Aug 24 @LivUniCancer. A range of projects from translational science through to big data and qualitative research. Adverts coming soon, DM me for more details
Wirral Academic Surgical Program retweeted
The first EAGLE publication is out!
View the article: academic.oup.com/bjs/advance…
➡️Global collaborative effort🌎
➡️2000+ surgeons completed online training
➡️Completion of globally available digital training by engaged teams can alter anastomotic leak rates
Wirral Academic Surgical Program retweeted
November is 💜#PancreaticCancerAwarenessMonth 💜and last thursday was🟣#WorldPancreaticCancerDay🟣!!
So lets have a look at our recent paper focusing on 🏺periampullary cancer, a heterogenous group including PDAC, distal CCA, and duodenal cancer:
➡️ doi.org/10.1093/bjsopen/zrad…
Tumour origin, diagnostic accuracy and histopathological evaluation in patients with periampullary cancer: nationwide cohort study
The proportion of non-pancreatic periampullary cancer is substantially higher in patients with a histopathological diagnosis than in those with a clinical diagnosis. Histopathological standardization correlated with an increased frequency of pancreatic ductal adenocarcinoma diagnosis, R1 resection and N1 stage. The misdiagnosis of periampullary cancer origin occurs in a clinically relevant proportion of patients and needs to be considered in patients with a neoadjuvant oncological treatment plan.
Great work by Johannes Byrling, Sam Ghazi, Bodil Andersson
@PanCAN #PanCANawareness @EurPancClub @P_C_E_ @dice_europe #PancreaticCancer #cholangiocarcinoma #SoMe4Surgery #MedTwitter #SurgEd #Surgery #some4hpb #PancreasClub2023 @villesallinen @Gio_Marchegiani @ksoreide @PhilipMueller_1 @TejedorPat
Wirral Academic Surgical Program retweeted
Guidelines for Bowel Preparation in Minimally Invasive Colorectal Surgery
by Antoniou SA, Huo B (...) Morales-Conde S et 17 al. in Surg Endosc
link.springer.com/article/10…
Wirral Academic Surgical Program retweeted
@ProgramWirral look out for this and discuss in JC
Wirral Academic Surgical Program retweeted
🔃 If u do apply #SmallBitesTechnique please RETWEET this post and spread the word!! Let's give a strong message!
#HerniaPrevention #StopTheBulge #AWSurgery #HerniaSurgery #HerniaFriends
Wirral Academic Surgical Program retweeted
📢 It's OUT!! Update of the International HerniaSurge Guidelines for #GroinHernia management.
➡️ bit.ly/3MbsiWp
#GroinHerniaGuidelines #HerniaGuidelines #InguinalHernia #FemoralHernia #CPIP #HerniaSurgery #AWSurgery #HerniaFriends #OpenAccess
Wirral Academic Surgical Program retweeted
One for journal club @ProgramWirral @jiw1374
Just published online . Less is more again? rdcu.be/diMbP
@sedar @germ_red @cafeoranestesia @AbadGurumeta @EmilioMaseda @caldecoaal @SCISEDAR
Wirral Academic Surgical Program retweeted
Wirral Academic Surgical Program retweeted
Due to another cohort of @ProgramWirral fellows obtaining general surgery NTNs- we have vacancies! Our program is highly effective with numerous fellows gaining NTNs- registrar training, funded ChM, protected research time- we think its the best! Join us
jobs.nhs.uk/xi/direct_apply/…
Wirral Academic Surgical Program retweeted
📢 #ScrotalHerniaGuidelines have been published on @JoAWSurgery
We'll share entire KQs and recommendations under this thread!
#OpenAccess ➡️ bit.ly/3lNHtef
#HerniaGuidelines #ScrotalHernia #InguinaHernia #GroinHernia #HerniaSurgery #AWSurgery #HerniaFriends #JoAWS
Wirral Academic Surgical Program retweeted
𝙎𝙪𝙗𝙩𝙤𝙩𝙖𝙡 𝙍𝙚𝙘𝙤𝙣𝙨𝙩𝙞𝙩𝙪𝙩𝙞𝙣𝙜 𝘾𝙝𝙤𝙡𝙚𝙘𝙮𝙨𝙩𝙚𝙘𝙩𝙤𝙢𝙮 & 𝙋𝙧𝙞𝙢𝙖𝙧𝙮 𝘾𝙡𝙤𝙨𝙪𝙧𝙚 𝙤𝙛 𝘾𝙝𝙤𝙡𝙚𝙘𝙮𝙨𝙩𝙤𝙙𝙪𝙤𝙙𝙚𝙣𝙖𝙡 𝙁𝙞𝙨𝙩𝙪𝙡𝙖
Intraoperative Findings:
🟢Chronic cholecystitis
🟢Cholecystoduodenal fistula
🟢Duodenum adhered to Hartmann's pouch
🟢Sufficient dissection of hepatocystic triangle not feasible to achieve critical view of safety
Surgical Approach:
🔴Judicious use of diathermy
🔴Leave disc of posterior GB wall on duodenum
🔴Sharp dissection after visual confirmation of correct planes
🔴Divide GB
🔴Inspect remnant GB stump for any stones
🔴Utilise IOC +/- IOUS for anatomical confirmation if needed
🔴Choledochoscopy to rule out ductal stones
🔴2/0 Vicryl absorbable continuous suture to close remnant GB
🔴2/0 Vicryl absorbable interuppted suture to close fistula with omentum over the top
🔴2 x 18F Robinson's drains in subhepatic space
Key Points:
🔵Utilise bailout options (subtotal) in cases where CVS can not be achieved
🔵Seek 2nd opinion if available
🔵Options for subtotal include reconstituting or fenestrating
🔵Advanced lap skills and biliary experience critical➡️close and refer to HPB specialist unit if in doubt
#FOAMed #GITwitter #surgery #MedEd #SurgEd #SoMe4Surgery #safechole #hpb