Research Development

Staff Publications

 Small purple icon of a book with a magnifying glass on top  Staff Publications

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 'Chadwick M'



Mersey and West Lancashire Teaching Hospitals Staff

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St Helens and Knowsley Hospital Staff - Publications pre April 2024

Validation of the OAKS prognostic model for acute kidney injury after gastrointestinal surgery

Background Postoperative acute kidney injury (AKI) is a common complication of major gastrointestinal surgery with an impact on short- and long-term survival. No validated system for risk stratification exists for this patient group. This study aimed to validate externally a prognostic model for AKI after major gastrointestinal surgery in two..

Published: 16/02/2022
Authors: Chadwick M, El-Taji OM, Rimmer L, Matthews J, Cheng J, Anderson L

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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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What is the fate of an Ostomy following Emergency Laparotomy?

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

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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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Cancelled operations: a 7 day cohort study of planned adult inpatient surgery

Background Cancellation of planned surgery impacts substantially on patients and health systems. This study describes the incidence and reasons for cancellation of inpatient surgery in the UK NHS. Methods We conducted a prospective observational cohort study over 7 consecutive days in March 2017 in 245 NHS hospitals. Occurrences and reasons for previous surgical..

Published: 24/12/2018
Authors: Adeney C, Behl S, Chadwick M, Coleman T, Dealing S, Ellwood J, Goel V, Kennedy T, Miller T, Reilly R, Syratt T, Welfare E

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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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Laparoscopic ventral mesh rectopexy for rectal prolapse using veritas mesh

​ 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

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Preoperative Site Marking: Are We Adhering to Good Surgical Practice?

​Objectives Wrong-site surgery is a never event and a serious, preventable patient safety incident. Within the United Kingdom, national guidance has been issued to minimize the risk of such events. The mandate includes preoperative marking of all surgical patients. This study aimed to quantify regional variation in practice within general..

Published: 15/08/2017
Authors: Bathla S, Chadwick M, Nevins EJ

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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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Loop colostomy and loop ileostomy complications

​ Aim The formation of a loop stoma is common practice in emergency and elective surgery, but has a profound effect on patient well-being, particularly if complications arise. In our District General Hospital we investigated and compared morbidity outcomes for patients who had loop stomas formed over a 1-year period. Methods..

Published: 19/07/2016
Authors: Chadwick M

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Diverticular perforation

​ Abstract An 81-year-old woman with stage 4 chronic kidney disease (focal segmental glomerulosclerosis) requiring steroids and immunosuppression with mycophenolate mofetil presented with left iliac fossa (LIF) pain, anorexia and rectal bleeding with mucus. Examination and investigations revealed no pyrexia, LIF tenderness, supraclavicular subcutaneous emphysema or leucocytopenia. An erect chest x-ray (figure 1)..

Published: 19/07/2016
Authors: Chadwick M

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St Helens Community Staff

Knowsley Community Staff

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Halton Community Staff

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North West Boroughs Community Health Staff

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