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  1. 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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    In stock of ZB MED Cologne/Königswinter

    Zs.A 127: Show issues Location:
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  2. 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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    Zs.B 101: Show issues Location:
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  3. 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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    Zs.B 101: Show issues Location:
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  4. 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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  5. 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
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. 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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    Zs.MG 4: Show issues

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  7. 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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  8. 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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  9. Article: Proposal and Validation of a New Classification of Surgical Outcomes after Colorectal Resections within an Enhanced Recovery Programme.

    Tebala, Giovanni D / Hameed, Waseem / Di Saverio, Salomone / Gallo, Gaetano / Bond-Smith, Giles

    Surgery research and practice

    2021  Volume 2021, Page(s) 8864555

    Abstract: Background: Advantages of Enhanced Recovery (ER) programmes in colorectal surgery have already been demonstrated, but heterogeneity exists with respect to the choice of compared outcomes. A comprehensive classification aimed at standardizing the ... ...

    Abstract Background: Advantages of Enhanced Recovery (ER) programmes in colorectal surgery have already been demonstrated, but heterogeneity exists with respect to the choice of compared outcomes. A comprehensive classification aimed at standardizing the reporting of surgical outcomes has been proposed and validated.
    Method: Clinical variables of 231 patients who underwent colorectal resections within an ER programme from 2013-2018 were analysed. Their outcomes have been reported according to a new classification in 5 classes and 11 subclasses. Prognostic variables have been identified.
    Results: Seventy-nine patients (34.2%) had an optimal class 1 outcome. Almost half of the patients had an uneventful recovery after being discharged after day 4 (2a). Only two patients (0.9%) were discharged early and then readmitted for a minor ailment (2b). Total morbidity was 12.6% (3a-5). Perioperative mortality was 2.6% (5). Young age, laparoscopic resection, and years of experience with ER have been identified as independent prognostic factors towards a totally positive outcome.
    Conclusions: The proposed outcome classification is a simple and objective tool to report the surgical outcome in clinical studies. Its implementation seems to be appropriate, in particular, in the field of ER protocols in colorectal surgery, but it can have a wider application in any other surgical subspeciality.
    Language English
    Publishing date 2021-05-11
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2775994-5
    ISSN 2356-6124 ; 2356-7759
    ISSN (online) 2356-6124
    ISSN 2356-7759
    DOI 10.1155/2021/8864555
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article: 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

    J Trauma Acute Care Surg

    Keywords covid19
    Publisher WHO
    Document type Article
    Note WHO #Covidence: #837903
    Database COVID19

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