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 'Kalaiselvan R'



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

An Audit to Evaluate the Prevalence and Efficiency of the 'Acute Abdomen Pathway' Proforma Used in a Large District General Hospital.

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

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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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Colorectal resections during the COVID-19 pandemic: a national survey of practice during first lockdown

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

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EP.FRI.50 Morbidity of presumed temporary loop de-functioning stomas in patients with colorectal cancer

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

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Morbidity of presumed temporary loop de-functioning stomas in patients with colorectal cancer

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

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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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034 Colorectal cancer resections during COVID-19: to do or not to do?

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

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The right to take risk: are we practising informed consent during the COVID pandemic?

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

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Elective major general surgery in a patient who had recovered from COVID‐19: considerations and complications

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

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Laser depilation as adjuvant therapy in prevention of recurrence of pilonidal sinus disease

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

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The effect on the surgeon of surgical complications: Are we doing enough to provide support?

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

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Incidence of genitourinary dysfunction following left‐sided colorectal cancer (CRC) resections

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

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Laser depilation as adjuvant therapy in prevention of recurrence of pilonidal sinus disease:

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

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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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Laser depilation as adjuvant therapy in prevention of recurrence of pilonidal sinus disease

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

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P132 Minimally invasive techniques in the management of pilonidal disease

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

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1013 Upper GI Cancer MDT Decision Making

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

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Short-term outcomes of endoscopic pilonidal sinus treatment

​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

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Minimally invasive techniques in the management of pilonidal disease

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

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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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St Helens Community Staff

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Halton Community Staff

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North West Boroughs Community Health Staff

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