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  1. Article ; Online: Meta-analysis of peritoneal lavage in appendicectomy.

    Gammeri, E / Petrinic, T / Bond-Smith, G / Gordon-Weeks, A

    BJS open

    2018  Volume 3, Issue 1, Page(s) 24–30

    Abstract: Background: The use of peritoneal lavage to prevent postoperative intra-abdominal abscess (IAA) after appendicectomy has been debated widely.: Methods: A systematic review and meta-analysis of suction alone : Results: Eight studies met the ... ...

    Abstract Background: The use of peritoneal lavage to prevent postoperative intra-abdominal abscess (IAA) after appendicectomy has been debated widely.
    Methods: A systematic review and meta-analysis of suction alone
    Results: Eight studies met the inclusion criteria, the majority of which were retrospective. Only three were RCTs. Four studies included analysis only of the paediatric population. The rate of IAA was 1·0-19·5 per cent in patients receiving suction alone and 1·5-18·6 per cent in those having lavage. WI rates were 1·0-29·2 per cent for suction alone and 0·8-20·5 per cent for lavage. The pooled risk difference for IAA was 0·01 (95 per cent c.i. -0·03 to 0·06;
    Conclusion: There is no evidence of benefit of lavage over suction for postoperative infective complications, and no individual study demonstrated a significant benefit in patients receiving lavage.
    MeSH term(s) Abdominal Abscess/etiology ; Abdominal Abscess/prevention & control ; Acute Disease ; Appendectomy/methods ; Appendicitis/surgery ; Humans ; Intraoperative Care/methods ; Peritoneal Lavage ; Postoperative Complications/prevention & control ; Suction ; Surgical Wound Infection/prevention & control
    Language English
    Publishing date 2018-11-29
    Publishing country England
    Document type Journal Article ; Meta-Analysis ; Systematic Review
    ISSN 2474-9842
    ISSN (online) 2474-9842
    DOI 10.1002/bjs5.50118
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  2. Article ; Online: In response to: Laparoscopic surgery and the coronavirus disease 2019 pandemic: A word from a different hymn sheet.

    Tebala, Giovanni D / Lami, Mariam / Bond-Smith, Giles

    The journal of trauma and acute care surgery

    2020  Volume 89, Issue 4, Page(s) e121

    MeSH term(s) Algorithms ; Betacoronavirus ; COVID-19 ; Colorectal Surgery ; Coronavirus ; Coronavirus Infections ; Hospitals, Teaching ; Italy ; Laparoscopy ; Pandemics ; Pneumonia, Viral ; SARS-CoV-2
    Keywords covid19
    Language English
    Publishing date 2020-07-01
    Publishing country United States
    Document type Journal Article ; Comment
    ZDB-ID 2651070-4
    ISSN 2163-0763 ; 2163-0755
    ISSN (online) 2163-0763
    ISSN 2163-0755
    DOI 10.1097/TA.0000000000002843
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  3. Article ; Online: Multidisciplinary treatment of cancer.

    Tebala, Giovanni D / Bond-Smith, Giles

    Updates in surgery

    2020  Volume 73, Issue 1, Page(s) 349–350

    MeSH term(s) Humans ; Neoplasms/therapy ; Patient Care Team
    Language English
    Publishing date 2020-05-15
    Publishing country Italy
    Document type Letter ; Comment
    ZDB-ID 2572692-4
    ISSN 2038-3312 ; 2038-131X
    ISSN (online) 2038-3312
    ISSN 2038-131X
    DOI 10.1007/s13304-020-00794-7
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  4. Article ; Online: Laparoscopic tubularized gastrostomy: a valid alternative to percutaneous endoscopic gastrostomy.

    Tebala, Giovanni D / Bond-Smith, Giles

    Updates in surgery

    2020  Volume 73, Issue 2, Page(s) 779–780

    MeSH term(s) Enteral Nutrition ; Gastrostomy ; Humans ; Laparoscopy ; Surgical Stomas
    Language English
    Publishing date 2020-07-08
    Publishing country Italy
    Document type Letter
    ZDB-ID 2572692-4
    ISSN 2038-3312 ; 2038-131X
    ISSN (online) 2038-3312
    ISSN 2038-131X
    DOI 10.1007/s13304-020-00849-9
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  5. Article ; Online: Guidelines and recommendations during the COVID-19 pandemic: A word of caution.

    Tebala, Giovanni D / Bond-Smith, Giles

    American journal of surgery

    2020  Volume 220, Issue 6, Page(s) 1526–1527

    MeSH term(s) Bibliometrics ; COVID-19/diagnosis ; COVID-19/epidemiology ; COVID-19/therapy ; Evidence-Based Medicine ; Global Health ; Humans ; Pandemics ; Practice Guidelines as Topic/standards ; Specialties, Surgical/standards
    Keywords covid19
    Language English
    Publishing date 2020-06-06
    Publishing country United States
    Document type Editorial
    ZDB-ID 2953-1
    ISSN 1879-1883 ; 0002-9610
    ISSN (online) 1879-1883
    ISSN 0002-9610
    DOI 10.1016/j.amjsurg.2020.06.005
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  6. Article: Indocyanine Green Fluorescence in Elective and Emergency Laparoscopic Cholecystectomy. A Visual Snapshot.

    Tebala, Giovanni D / Bond-Smith, Giles

    Surgical technology international

    2020  Volume 37, Page(s) 69–71

    Abstract: Positive identification of the biliary anatomy is a crucial step during laparoscopic cholecystectomy to prevent iatrogenic biliary injuries. While it is usually quite straightforward in elective cholecystectomies, it may be very challenging in an ... ...

    Abstract Positive identification of the biliary anatomy is a crucial step during laparoscopic cholecystectomy to prevent iatrogenic biliary injuries. While it is usually quite straightforward in elective cholecystectomies, it may be very challenging in an emergency setting, when inflammation and adhesions at the gallbladder pedicle make identification of the common bile duct a difficult and risky manoeuvre. Indocyanine green (ICG) is a dye that, when injected intravenously at 0.2-0.5 mg/kg, concentrates in the bile and becomes fluorescent under near-infrared light. When administered well in advance, ideally 24 hours before the procedure, ICG is completely cleared by the liver and reaches a good concentration in the bile, thus allowing a good fluorescence-cholangiogram. Unfortunately, in emergency cholecystectomy-when it would be most needed-the injection of ICG cannot be planned with such long notice. However, even when injected less than 1 hour before the operation, ICG may be able to reach a sufficient concentration in the bile. This report shows that ICG-fluorescence can be helpful in identifying the extrahepatic biliary anatomy during the dissection of Calot's triangle in both elective and emergency cases.
    MeSH term(s) Biliary Tract/diagnostic imaging ; Cholangiography ; Cholecystectomy, Laparoscopic ; Coloring Agents ; Indocyanine Green
    Chemical Substances Coloring Agents ; Indocyanine Green (IX6J1063HV)
    Language English
    Publishing date 2020-10-08
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1225512-9
    ISSN 1090-3941
    ISSN 1090-3941
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  7. Article ; Online: Failure to rescue following emergency surgery: A FRAM analysis of the management of the deteriorating patient.

    Sujan, M / Bilbro, N / Ross, A / Earl, L / Ibrahim, M / Bond-Smith, G / Ghaferi, A / Pickup, L / McCulloch, P

    Applied ergonomics

    2021  Volume 98, Page(s) 103608

    Abstract: Background: Failure to rescue (FTR) denotes mortality from post-operative complications after surgery with curative intent. High-volume, low-mortality units have similar complication rates to others, but have lower FTR rates. Effective response to the ... ...

    Abstract Background: Failure to rescue (FTR) denotes mortality from post-operative complications after surgery with curative intent. High-volume, low-mortality units have similar complication rates to others, but have lower FTR rates. Effective response to the deteriorating post-operative patient is therefore critical to reducing surgical mortality. Resilience Engineering might afford a useful perspective for studying how the management of deterioration usually succeeds and how resilience can be strengthened.
    Methods: We studied the response to the deteriorating patient following emergency abdominal surgery in a large surgical emergency unit, using the Functional Resonance Analysis Method (FRAM). FRAM focuses on the conflicts and trade-offs inherent in the process of response, and how staff adapt to them, rather than on identifying and eliminating error. 31 semi-structured interviews and two workshops were used to construct a model of the response system from which conclusions could be drawn about possible ways to strengthen system resilience.
    Results: The model identified 23 functions, grouped into five clusters, and their respective variability. The FRAM analysis highlighted trade-offs and conflicts which affected decisions over timing, as well as strategies used by staff to cope with these underlying tensions. Suggestions for improving system resilience centred on improving team communication, organisational learning and relationships, rather than identifying and fixing specific system faults.
    Conclusion: FRAM can be used for analysing surgical work systems in order to identify recommendations focused on strengthening organisational resilience. Its potential value should be explored by empirical evaluation of its use in systems improvement.
    MeSH term(s) Humans ; Mortality ; Postoperative Complications
    Language English
    Publishing date 2021-10-14
    Publishing country England
    Document type Journal Article
    ZDB-ID 2003513-5
    ISSN 1872-9126 ; 0003-6870
    ISSN (online) 1872-9126
    ISSN 0003-6870
    DOI 10.1016/j.apergo.2021.103608
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  8. Article: How to reduce SSI: a new infection reduction bundle for HPB surgery.

    Bond-Smith, Giles / Butcher, Lisa / Soonawalla, Zahir / Leaper, David

    Journal of wound care

    2021  Volume 30, Issue 4, Page(s) 254–255

    MeSH term(s) Humans ; Patient Care Bundles ; Surgical Wound Infection/prevention & control
    Language English
    Publishing date 2021-04-15
    Publishing country England
    Document type Editorial
    ZDB-ID 1353951-6
    ISSN 0969-0700
    ISSN 0969-0700
    DOI 10.12968/jowc.2021.30.4.254
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    Zs.A 4572: Show issues Location:
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  9. Article ; Online: Frailty Assessment Can Enhance Current Risk Prediction Tools in Emergency Laparotomy: A Retrospective Cohort Study.

    Isand, Karl G / Hussain, Shoaib / Sadiqi, Maseh / Kirsimägi, Ülle / Bond-Smith, Giles / Kolk, Helgi / Saar, Sten / Lepner, Urmas / Talving, Peep

    World journal of surgery

    2023  Volume 47, Issue 11, Page(s) 2688–2697

    Abstract: Objective: We set out to assess the performance of the P-POSSUM and NELA risk prediction tool (NELA RPT), and hypothesized that combining them with the Clinical Frailty Scale (CFS) would significantly improve their performance. Emergency laparotomy (EL) ...

    Abstract Objective: We set out to assess the performance of the P-POSSUM and NELA risk prediction tool (NELA RPT), and hypothesized that combining them with the Clinical Frailty Scale (CFS) would significantly improve their performance. Emergency laparotomy (EL) is a high-risk surgical intervention, particularly for elderly patients with marked comorbidities and frailty. Accurate risk prediction is crucial for appropriate resource allocation, clinical decision making, and informed consent. Although patient frailty is a significant risk factor, the current risk prediction tools fail to take frailty into account.
    Methods: In this retrospective single-center cohort study, we analyzed all cases entered into the NELA database from the Oxford University Hospitals between 01.01.2018 and 15.06.2021. We analyzed the performance of the P-POSSUM and NELA RPT. Both tools were modified by adding the CFS to the model.
    Results: The discrimination of both the P-POSSUM and NELA RPT was good, with a slightly worse performance in the elderly. Adding CFS into the P-POSSUM and NELA RPT models improved both tools in the elderly [AUC from 0.775 to 0.846 (p < 0.05) from 0.814 to 0.864 (p < 0.05), respectively]. The improvement of the NELA RPT across all age groups did not reach statistical significance. The CFS grade was associated with 30-day mortality in patients aged > 65 years. However, in younger patients, this effect was less marked than in the elderly.
    Conclusion: Our analysis demonstrated a significant improvement in the P-POSSUM and NELA risk models when combined with the CFS. Frailty also increases the 30-day mortality after EL in younger individuals.
    Language English
    Publishing date 2023-08-17
    Publishing country United States
    Document type Journal Article
    ZDB-ID 224043-9
    ISSN 1432-2323 ; 0364-2313
    ISSN (online) 1432-2323
    ISSN 0364-2313
    DOI 10.1007/s00268-023-07140-z
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    Zs.A 1336: Show issues Location:
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  10. Article ; Online: Prognostic factors and predictive models in hot gallbladder surgery: A prospective observational study in a high-volume center.

    Tebala, Giovanni Domenico / Shabana, Amanda / Patel, Mahul / Samra, Benjamin / Chetwynd, Alan / Nixon, Mickaela / Pradhan, Siddhee / Elhag, Bara'a / Mok, Gabriel / Mighiu, Alexandra / Antunes, Diandra / Slack, Zoe / Cirocchi, Roberto / Bond-Smith, Giles

    Annals of hepato-biliary-pancreatic surgery

    2024  

    Abstract: Backgrounds/aims: The standard treatment for acute cholecystitis, biliary pancreatitis and intractable biliary colics ("hot gallbladder") is emergency laparoscopic cholecystectomy (LC). This paper aims to identify the prognostic factors and create ... ...

    Abstract Backgrounds/aims: The standard treatment for acute cholecystitis, biliary pancreatitis and intractable biliary colics ("hot gallbladder") is emergency laparoscopic cholecystectomy (LC). This paper aims to identify the prognostic factors and create statistical models to predict the outcomes of emergency LC for "hot gallbladder."
    Methods: A prospective observational cohort study was conducted on 466 patients having an emergency LC in 17 months. Primary endpoint was "suboptimal treatment," defined as the use of escape strategies due to the impossibility to complete the LC. Secondary endpoints were postoperative morbidity and length of postoperative stay.
    Results: About 10% of patients had a "suboptimal treatment" predicted by age and low albumin. Postop morbidity was 17.2%, predicted by age, admission day, and male sex. Postoperative length of stay was correlated to age, low albumin, and delayed surgery.
    Conclusions: Several predictive prognostic factors were found to be related to poor emergency LC outcomes. These can be useful in the decision-making process and to inform patients of risks and benefits of an emergency vs. delayed LC for hot gallbladder.
    Language English
    Publishing date 2024-01-12
    Publishing country Korea (South)
    Document type Journal Article
    ZDB-ID 3012179-6
    ISSN 2508-5859 ; 2508-5778
    ISSN (online) 2508-5859
    ISSN 2508-5778
    DOI 10.14701/ahbps.23-112
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