Research Development

Staff Publications

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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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All publications by 'Samad A'



Mersey and West Lancashire Teaching Hospitals NHS Trust – St Helens & Knowsley Staff

Small bowel obstruction secondary to phytobezoar in a patient with myotonic dystrophy

Abstract A male patient in his 30s, with myotonic dystrophy (DM), presented to the emergency department with abdominal pain and vomiting. CT imaging revealed a soft tissue lesion in the terminal ileum causing small bowel obstruction (SBO). The patient underwent diagnostic laparoscopy which allowed identification and removal of the obstructing..

Published: 05/10/2023
Authors: Harrison NL, Santoro G, Samad A, Ellerby N

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P-135 First experience with a new closed incision negative pressure wound therapy, Prevena TM

Aim Surgical site infection (SSI) contributes a significant proportion of post operative morbidity in patients undergoing abdominal wall reconstruction (AWR). PrevenaTM closed incision negative pressure wound therapy (ciNPT) has been demonstrated to reduce SSI rates in the elective and emergency laparotomy setting. However, there is no evidence for PrevenaTM use..

Published: 13/10/2022
Authors: Dixon S, Benson A, Kalaiselvan R, Kanwar S, Samad A, Pritchard-Jones R, West C, Scott M

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OC-022 Maintaining an elective abdominal wall reconstruction service during the COVID 19 pandemic

Aim Elective surgery services suffered significantly due to the COVID-19 pandemic. The aim of this study was to analyse the impact and outcomes of abdominal wall reconstruction (AWR) performed during the COVID-19 pandemic, assessing safety and sustainability. Material & Methods A retrospective review of all patients undergoing AWR in a single..

Published: 10/10/2022
Authors: Dixon S, Benson A, Kalaiselvan R, Kanwar S, Samad A, Pritchard-Jones R, West C, Scott M

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Dissecting the outcomes of anterior resections in a high-volume center

Purpose To analyse outcomes of patients undergoing anterior resections in a high-volume colorectal unit as proposed by the ACPGBI guidelines. Methods Retrospective analysis of 218 patients, undergoing anterior resections between January 2017 and December 2019. Results Median age was 67 years (IQR: 58–76), including 9 emergency resections. Indications were benign disease in 49 patients and malignancy in 169; 55..

Published: 15/09/2021
Authors: Rowe AK, Adderley A, Samad A, Javed M

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Laparoscopic colorectal resections during the COVID-19 pandemic – business as usual?

Introduction To analyse the outcomes of major colorectal resections performed during the COVID-19 pandemic, to assess safety and explore all precautionary measures. Method All patients who underwent major elective colorectal resections at St Helens and Knowsley Teaching Hospital NHS Trust between 24th March 2020 (the date that the Royal Colleges of..

Published: 31/08/2021
Authors: Kalaiselvan R, Scott M, Samad A

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Is it time for colorectal surgeons to follow the gynaecologists when removing left sided specimens?

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

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Overall survival of elderly colorectal cancer (CRC) patients

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

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SP 7.2.7- Role of Pre-Operative Chemical Component Separation(Botox) in Abdominal Wall Reconstruction

Aim It is accepted that CCS (Botulinum toxin A, BOTOX) is a useful pre-operative tool to enable successful AWR. UsuallyBOTOXis used in selected complex cases.We propose the routine use of CCS in allmidline defects of more than 5 cm size. To evaluate the outcome of pre-operative US guided injection of..

Published: 01/09/2019
Authors: Singh S, Atherton P, Samad A, Ross S, Benson A, Scott M

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P We F.6- Can satisfactory outcomes be achieved for Abdominal WallReconstruction (AWR) surgery in patients with a Body Mass Index (BMI)above 32kg/m2?

Introduction A high BMI has long been thought to be a negative predictive factor for post-operative outcomes. For AWR surgery, a BMI of 32 is often used as a cut-off. Due to the increasing prevalence of obesity, this is not always possible. Aim This study compared the outcomes of patients undergoing..

Published: 01/09/2019
Authors: Wright C, Singh S, Samad A, West C, Ross S, Scott M

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Laparoscopic right hemicolectomy – dissection before ligation

​Aims Laparoscopic right hemicolectomy (LRH) is the standard for removal of right-sided colon cancers. Commonly, vessel ligation occurs before mobilisation of the colon or lateral to medial dissection from the caecum. We describe the outcomes of an alternative method: mobilise from transverse colon so that retroperitoneal structures are visible before..

Published: 07/08/2018
Authors: Cheung F, Kalaiselvan R, Samad A, Telfer R

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Video-assisted anal fistula treatment: a high volume unit initial experience

​ 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

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P427 Quality of life and outcomes following video assisted anal fistula treatment

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

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PTU-233 Transanal haemorrhoidal dearterialization (THD) and targeted mucopexy for haemorrhoids

​ 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

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PTH-306 R1 rectal cancer: an analysis of survival

​ 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

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PWE-336 Outcomes of colorectal cancer resections in patients with multiple co-morbidities and advanced tumours

​ 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

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Anterior abdominal wall 'peritoneal recess'

​ Background Chronic abdominal pain is a well-known cause of prolonged morbidity and patient frustration. Often it is managed symptomatically with high recurrence rate and no definite treatment. Material and Methods We present here a new potential space named as ‘Peritoneal Recess’ inside the abdomen which was found during diagnostic laparoscopy..

Published: 19/07/2016
Authors: Samad A

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Anterior abdominal wall 'peritoneal recess'

​ Background No clear guidelines exist about management of chronic abdominal pain. We present here a new potential space named as ‘Peritoneal Recess’ inside the abdomen which was found during diagnostic laparoscopy performed to look for the cause of recurrent abdominal pain. Material and Methods A middle aged patient presented with..

Published: 19/07/2016
Authors: Samad A

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Pseudo-herniation of small bowel

​ Introduction:  A new potential space named as ‘Peritoneal Recess' was found during diagnostic laparoscopy performed to look for the cause of recurrent abdominal pain. Case Report:  A middle aged patient presented with chronic abdominal pain without any obvious cause. All her investigations including small bowel studies were normal; however a..

Published: 19/07/2016
Authors: , Samad A

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Pseudoherniation of Small Bowel

​ Abstract A middle-aged patient presented with intermittent chronic abdominal pain without any obvious cause. Computed tomography detected a hernia (presumed to be the cause of the patient's symptoms) without any obvious lump on examination. A laparoscopy was performed to repair the hernia. This revealed a left-sided unilateral 'peritoneal recess' at..

Published: 19/07/2016
Authors: , , Samad A

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St Helens Community Staff

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Knowsley Community Staff

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Halton Community Staff

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North West Boroughs Community Health Staff

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