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 The 'acute abdomen pathway' was introduced with the aim of early identification of patients with an acute abdomen and once identified to increase the efficiency of imaging, senior review and if required surgical intervention. We audited how this pathway was being used by clerking doctors and its benefits to..
Published: | 30/08/2023 |
Authors: | Ross M, Kalaiselvan R, Yasin U, Gul A |
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 |
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 |
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 |
Objectives The incidence of parastomal hernia (PSH) can be up to 80% of patients who have a stoma following abdominal surgery (1). Surgical intervention is required in 70% of patients due to pain, obstructive symptoms or stoma appliance issues (2). This study aims to show the morbidity related to a presumed temporary loop stoma...
Published: | 28/10/2021 |
Authors: | Alfred J, MacDonald S, Kalaiselvan R |
Objectives The incidence of parastomal hernia (PSH) can be up to 80% of patients who have a stoma following abdominal surgery (1). Surgical intervention is required in 70% of patients due to pain, obstructive symptoms or stoma appliance issues (2). This study aims to show the morbidity related to a presumed temporary loop stoma...
Published: | 13/09/2021 |
Authors: | Alfred J, MacDonald S, Kalaiselvan R |
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 |
Introduction Ascertaining the practice of colorectal cancer (CRC) resections during the COVID-19 pandemic in England and Wales. Method A list of all colorectal multi-disciplinary teams (MDTs) was obtained from the National Bowel Cancer Audit (NBOCA) database. A survey was designed using Google Forms and emailed to at least one consultant..
Published: | 30/08/2021 |
Authors: | Barter R, Kalaiselvan 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 |
We describe unanticipated complications and subsequent management of a patient undergoing major elective general surgery following a recent hospital admission with coronavirus disease‐2019 (COVID‐19). A 63‐year‐old man was admitted to hospital with dyspnoea and hypoxia due to COVID‐19. He reported previously being able to walk for over an hour..
Published: | 27/12/2020 |
Authors: | Lightburn T, Dixit T, Pedder S, Kalaiselvan 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 Surgical complications have been shown to effect surgeons in a wide variety of domains, including psychological consequences and change in practice. A recent systematic review including over 8500 participants concluded that more formal support for surgical wellbeing after complications is required. We aimed to assess the effect of surgical complications..
Published: | 16/07/2020 |
Authors: | Clifford R, Kalaiselvan R |
Purpose CRC patients are at an increased risk of developing genitourinary symptoms post‐operatively due to the pelvic dissection. Our primary aim was to evaluate the incidence of genitourinary dysfunction after CRC resections and secondary aim was to look at the documentation about the risk of genitourinary dysfunction in consent..
Published: | 15/07/2020 |
Authors: | Javed M, Clark E, MacDonald S, Kalaiselvan 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 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 |
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 |
Background Pilonidal sinus disease remains a challenging entity because of the high morbidity of most treatment options and recurrence of symptoms. Minimally invasive methods have been described to minimise the morbidity associated with wound care and reduce time off work. We undertook this systematic review to study the effectiveness of..
Published: | 11/09/2019 |
Authors: | Kalaiselvan R |
Aim Management of complex oesophago-gastric cancer is difficult and decision making in multidisciplinary team (MDT) meetings may vary between centres across the country. There is currently no absolute standard for management of complex oesophago-gastric cancers. We describe the results of a scenario-based decision making survey sent out to all Upper..
Published: | 01/09/2019 |
Authors: | Cheung F, Kalaiselvan R |
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 |
Background Pilonidal sinus disease (PD) is a chronic condition involved in natal cleft. Excision surgery carries equally morbid course of recovery to that of disease itself. Minimally invasive treatments therefore have been developed to minimise morbidity and improve healing rates. This review looks at the literature on effectiveness of endoscopic..
Published: | 12/03/2019 |
Authors: | Allen W, Bathla S, Kalaiselvan R, Liyanage A |
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 |
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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