Research Development
Staff Publications
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Staff Publications
Research Development
Find out what your colleagues have been writing. This section features articles published by staff working for St Helens and Knowsley Teaching Hospitals and Halton, Knowsley and St Helens community staff.
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Abstract Midline incision was reported as the common site of incisional hernia (IH) after hand-assisted laparoscopic anterior resection (LAR). There is no consensus on the ideal site for specimen extraction. Our aim was to compare the rate of IH at various specimen extraction sites at our institution. Method We retrospectively..
Published: | 30/08/2023 |
Authors: | Win M, Ngo V, Jeyam T, Rajaganeshan R |
Introduction Haemorrhoidal disease (HD) is a common perianal condition. There is still limited data on the role of minimally invasive surgery for HD. The aim of our study was to report the outcome of radiofrequency ablation of haemorrhoids under local anaesthetic (RAFAELO) at our institution. Methods 23 patients who had a..
Published: | 10/05/2023 |
Authors: | Win M, Ngo V, Rajaganeshan R |
Aim VAAFT is claimed to be the only technique that allows the surgeon to see inside the anal fistula tract and locate the internal opening using an endoscope light. It is designed to only affect the fistula tract and there preserve sphincter function and faecal continence. Our aim was to..
Published: | 06/09/2022 |
Authors: | Alfred J, Santoro G, Beggs R, Brookes J, Rajaganeshan R |
Aim Incisional hernia are an established complication following abdominal surgery. There is limited data available on the relationship between formation of an incisional hernia and choice of extraction site for patients undergoing a laparoscopic anterior resection. This study aimed to determine the prevalence of incisional hernia following this operation and..
Published: | 06/09/2022 |
Authors: | Botzenhardt E, Clifford R, Rajaganeshan R |
Introduction The first wave of the COVID-19 pandemic led to an unprecedented time for the management of colorectal cancer, with uncertainty as to cancer-specific risks and the circumventing of gold standard oncological strategies. Our study aimed to acquire a snapshot of the practice of multidisciplinary team (MDT) management and variability..
Published: | 23/12/2021 |
Authors: | Rajput K, Clifford R, Rajaganeshan R, Kalaiselvan R |
Background Single center experience of trans-anal haemorrhoidal dearterialization (THD) with and without mucopexy; evaluating differences in recurrence, pain and post-operative complications Method Retrospective analysis of all patients undergoing THD between October 2014-September 2016, with and without mucopexy procedure depending on clinical need. Primary outcome was symptom recurrence; this was evaluated during..
Published: | 15/09/2021 |
Authors: | Kearsey C, Javed M, Rajaganeshan R |
Dear Editor Since the beginning of the global pandemic there has been a paternalistic approach to consenting patients for surgery. This is both because of guidance from overseeing organizations, and individual concern about significant morbidity and mortality. The first wave of the pandemic saw a shift towards less surgery in..
Published: | 13/03/2021 |
Authors: | Davidson T, Singh V, Kalaiselvan R, Rajaganeshan R |
Background This systematic review and meta-analysis aimed to compare recurrence rates of rectal prolapse following ventral mesh rectopexy (VMR) and suture rectopexy (SR). Methods MEDLINE, Embase, and the Cochrane Library were searched for studies reporting on the recurrence rates of complete rectal prolapse (CRP) or intussusception (IS) after SR and..
Published: | 09/01/2021 |
Authors: | Kearsey C, Rajaganeshan R |
Introduction Pilonidal disease (PD) is a chronic condition involving the sacrococcygeal area. It can have a significant impact on quality of life, social activities and occupation. Surgery is the mainstay of treatment. However, Laser depilation (LD) has been proposed as an adjunct to surgery and shown improved results in previous..
Published: | 01/12/2020 |
Authors: | Javed M, Kalaiselvan R, Rajaganeshan R |
Introduction Pilonidal disease (PD) is a chronic condition involving the sacrococcygeal area. It can have a significant impact on quality of life, social activities and occupation. Surgery is the mainstay of treatment. However, Laser depilation (LD) has been proposed as an adjunct to surgery and shown improved results in previous..
Published: | 15/07/2020 |
Authors: | Liyanage A, Javed M, Kalaiselvan R, Rajaganeshan R |
Purpose To analyze different extraction sites for specimen extraction following left sided colorectal resections and risk for developing an IH. Methods Retrospective analysis of 107 patients undergoing laparoscopic left sided colorectal resections. Patients were divided into 3 groups based on extraction sites; midline, transverse (right or left) or pfannenstiel incisions. Data regarding..
Published: | 15/07/2020 |
Authors: | Javed M, Thomas E, West C, Chadwick M, Samad A, Rajaganeshan R |
Purpose To analyse outcomes of patients undergoing emergency laparotomy and stoma formation particularly: stoma reversal, stoma associated complications (SAC) and cost implications. Methods Retrospective analysis of 57 patients identified from NELA database between January 2014 and December 2015. Results Median age was 72 years (IQR: 60–82), M:F = 25:32. The median time duration between admission and..
Published: | 15/07/2020 |
Authors: | Javed M, Ting L, Appleton ND, Chadwick M, Rajaganeshan R, Kalaiselvan R |
Purpose Advances in surgical techniques and perioperative care have improved cancer‐related outcomes. This study aims to describe the outcomes of elderly who had curative surgery or symptomatic management for CRC. Methods Retrospective study of consecutive CRC patients between 2014 to 2016 in a DGH, who were 70 years old or above. Demographic..
Published: | 15/07/2020 |
Authors: | Javed M, Airey G, Kearsey C, Samad A, Chadwick M, Rajaganeshan R |
Abstract Introduction Pilonidal disease is a chronic condition involving the sacrococcygeal area. It can have a significant impact on quality of life, social activities and occupation. Surgery is the mainstay of treatment. However, laser depilation has been proposed as an adjunct to surgery and has shown improved results in some..
Published: | 17/04/2020 |
Authors: | Liyanage A, Javed M, Defty C, Shaaban H, Kalaiselvan R, Rajaganeshan R |
Aims Although clinical diagnosis has essential value in an emergency setting, CT (computed tomography) has become the central tool of diagnosis to aid the need for emergency laparotomy. Delay in CT can often drastically alter the outcome, especially in patients over the age 60. We aimed to assess if initial clinical..
Published: | 01/09/2019 |
Authors: | Patnam V, Altaf K, Holdsworth J, Muttoni E, Rajaganeshan R |
Introduction Sinus formation after a procedure is a recognised complication. While most settle without requiring any treatment, many can continue to cause persistent symptoms. These have always been managed by exploration of the sinus tract under general anaesthetic, laying open, excision of the tract or debridement. Results post-surgery may not..
Published: | 01/09/2019 |
Authors: | Altaf K, Hajnik J, Patnam V, Rajaganeshan R |
Background Abdominal x-ray (AXR) is currently used as a first line radiological investigation in assessing acute abdominal pain, often followed by a CT scan, which may delay diagnosis and treatment.We aimed to assess if AXR was needed at all in assessing these patients and its impact on patient outcomes...
Published: | 01/09/2019 |
Authors: | Altaf K, Muttoni E, Holdsworth J, Patnam V, Rajaganeshan R, MacDonald S |
Kalaiselvan, R; Liyanage, A; Rajaganeshan, R. (2019). Short-term outcomes of endoscopic pilonidal sinus treatment. Annals of the Royal College of Surgeons of England. 5, p1-4. Introduction : Endoscopic treatment for pilonidal disease was initially described by Meinero in 2013. This minimally invasive technique has both technical and aesthetic advantages. The diagnostic application helps..
Published: | 13/08/2019 |
Authors: | Kalaiselvan R, Liyanage A, Rajaganeshan R |
Introduction: Perianal fistulas are a common problem. Video-assisted anal fistula treatment is a new technique for the management of this difficult condition. We describe our initial experience with the technique to facilitate the treatment of established perianal fistulas. Methods: We reviewed a prospectively maintained database relating to consecutive patients undergoing..
Published: | 04/01/2018 |
Authors: | Appleton ND, Chadwick M, Cheung F, Kalaiselvan R, Nicholson J, Rajaganeshan R, Rout S, Samad A |
Abstract: We submit a video vignette describing how to perform a video-assistant peri-anal abscess drainage plus insertion of a draining seton. We have been using this technique within the NHS for two years successfully to manage acute perianal abscesses Rajaganeshan, R. and Nicholson, J. A.. (2017). Video Assisted Peri-anal Abscess Treatment (..
Published: | 02/01/2018 |
Authors: | Nicholson J, Rajaganeshan R |
Introduction Rectal prolapse and obstructive defecation syndrome are life altering conditions, common across the age spectrum. When previously considered unfit for open abdominal surgery, elderly patients have tended to undergo perineal procedures, known to have higher failure rates. The laparoscopic ventral mesh rectopexy (Lap-VMR) allows all patients to benefit from..
Published: | 16/08/2017 |
Authors: | Fretwell VL, Brannigan K, Downes C, Rajaganeshan R, Chadwick M |
Aim Video assisted anal fistula treatment (VAAFT) is a novel technique. We performed a prospective longitudinal study with the aim of evaluating outcomes and how quality of life was affected with this treatment. Method Patients undergoing VAAFT were entered into a prospective database. A longitudinal study design was employed. Data..
Published: | 17/05/2017 |
Authors: | , Rout S, Scott M, Samad A, Chadwick M, Rajaganeshan R |
Introduction Pilonidal abscess is a common surgical emergency. Conventional treatment with incision and drainage is associated with significant postoperative morbidity. We report our initial experience of using minimally invasive endoscopic technique for the treatment of pilonidal abscesses, referred to as endoscopic pilonidal abscess treatment (EPAT). Materials and Methods A prospective..
Published: | 14/03/2017 |
Authors: | Jain Y, Javed M, Singh S, Rout S, , Rajaganeshan R |
Javed, MA. et. al. (2016).Comparison of conventional incision and drainage for pilonidal abscess versus novel endoscopic pilonidal abscess treatment (EPAT). Techniques in Coloproctology . 20 (12), 871-873.
Published: | 02/03/2017 |
Authors: | Javed M, Singh S, Fowler H, Jain Y, Scott M, Rajaganeshan R |
Abstract Introduction Video-assisted anal fistula treatment (VAAFT) is a minimally invasive, sphincter-preserving procedure with low morbidity. It was the aim of this prospective study to analyse both the feasibility and preliminary results of video-assisted anal fistula treatment (VAAFT) combined with advancement flap repair for anal fistula. Method The procedure involves..
Published: | 19/07/2016 |
Authors: | Ormsby N, Rajaganeshan R |
Introduction This study aims to evaluate the efficacy of transanal haemorrhoidal dearterialization and Mucopexy (THD+Mpx) in the treatment of symptomatic haemorrhoids and to identify the factors predicting failure for an effective mid-term outcome. Method Two hundred and fifteen patients affected by Grade II (27, 13%), III (145, 69%) and IV (39, 18%) symptomatic haemorrhoidal disease..
Published: | 19/07/2016 |
Authors: | Ormsby N, Singh S, Chadwick M, Scott M, Samad A, Rajaganeshan R |
Introduction Evidence has shown that a positive resection margin (R1) is a key determinant of subsequent local recurrence and a poor prognostic factor in rectal cancer. The aim of this study was to evaluate the outcomes of patients with R1 resection of rectal cancer. Method Retrospective study of all patients..
Published: | 19/07/2016 |
Authors: | Ormsby N, Chadwick M, Samad A, Scott M, Rajaganeshan R |
Introduction Comorbid patients with advanced tumours constitute a rapidly growing segment of patients undergoing colorectal cancer resection, but their outcomes remain understudied and under-reported. Our aims were to analyse outcomes of high risk patients with advanced tumours undergoing curative colorectal resections compared with a similar cohort 2 decades younger. Method Data..
Published: | 19/07/2016 |
Authors: | Garry J, Ormsby N, Scott M, Samad A, Rajaganeshan R |
Background & Aims There is a lack of conclusive long-term studies evaluating risk and benefit in the surgical management of patients who show a complete pathological response following radiotherapy in rectal cancer. The trend in practice is becoming increasingly conservative. We questioned whether increased age and/or comorbidity influenced management when..
Published: | 19/07/2016 |
Authors: | Ormsby N, Rajaganeshan R |
Introduction Higher morbidity and mortality is seen in patients with colorectal cancer (CRC) who present as an emergency. A study was performed to assess the pre-admission symptoms experienced by such patients, and time taken to referral. Method A retrospective analysis of all CRC patients presenting as an emergency to a..
Published: | 19/07/2016 |
Authors: | Rajaganeshan R, Scott M |
Aim CT in the acute surgical presentation has significantly increased with technological advancement and availability. Emergency CT is reported by the on call radiologist of varying seniority. We undertook a retrospective study to compare the correlation with the initial senior clinicians' diagnosis and the eventual laparotomy findings. Method Retrospective data..
Published: | 19/07/2016 |
Authors: | Rajaganeshan R, Wellens T |
Aim Computed Tomography (CT) is the radiological investigation of choice for the majority of acute surgical admissions with abdominal pain. Accuracy has been repeatedly reported at over 95% in studies since 2002. A retrospective analysis was performed to compare a senior clinician's bedside diagnosis with that of emergency CT. Method Retrospective review..
Published: | 19/07/2016 |
Authors: | Rajaganeshan R, Wellens T |
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