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 'Patnam V'



Mersey and West Lancashire Teaching Hospitals Staff

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St Helens and Knowsley Hospital Staff - Publications pre April 2024

P179. Comparing roll and magseed in management of impalpable breast lesions a single unit experience

Background Screening and the use of Neoadjuvant therapy has increased the number of breast lesions requiring localisation. The search for the ideal technique is still on. ROLL (Radioisotope guided Occult Lesion Localisation) is a reliable technique though not widely available, Magnetic Seed, is a new alternative. These two techniques have..

Published: 01/05/2021
Authors: Jois RHS, Pushdary KH, Patnam V, Gupta N, Kiernan T, Bathla S, Ray A, Harris O, Chagla LS

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Role of clinical judgement in offering adjuvant chemotherapy for Breast Cancer patients

Aim NICE recommends Oncotype Dx for patients with oestrogen receptor‐positive, human epidermal growth factor receptor 2 (HER2)‐negative and lymph node (LN)‐negative patients in the decision for adjuvant chemotherapy. Oncotype Dx predicts cancer recurrence and benefits from chemotherapy based on Recurrence Score (RS >26 significant chemotherapy benefit). We aimed to..

Published: 01/12/2020
Authors: Patnam V, Pushdary KH

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Knife to the skin timing in emergency laparotomies (NELA patients): Are we quick enough?

Aim Definitive source control is pivotal in achieving ideal outcomes in patients undergoing emergency laparotomy. NELA suggests that 84% requiring immediate or urgent surgery arrived in theatre in congruous timeframe but does not comment on Knife to skin timings for absolute source control. We aimed to assess time difference of arrival..

Published: 01/12/2020
Authors: Patnam V, Barter R, Kanwar S

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Co-relation between clinical assessment, CT and intra-operative findings in emergency laparotomy. Is it time to rethink the algorithm?

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

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P Th A.13 Video-assisted sinus surgery (VASS): New technique for treatment of surgical site sinus: A case series

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

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SP 5.9- Clinical and cost effectiveness of CT scan as first lineinvestigation in diagnosis and treatment of acute abdominal pain – Is it time to change?

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

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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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