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Article ; Online: Pregnancy, parenthood and second-generation bias: women in surgery.

Donohoe, C L / Mohan, H M

2021 Volume 108, Issue 1, Page(s) 1–2

MeSH term(s)	Education, Medical/organization & administration ; Female ; Humans ; Mothers/statistics & numerical data ; Physicians, Women/statistics & numerical data ; Pregnancy/statistics & numerical data ; Sexism ; Surgeons/statistics & numerical data
Language	English
Publishing date	2021-02-10
Publishing country	England
Document type	Journal Article
ZDB-ID	2985-3
ISSN	1365-2168 ; 0263-1202 ; 0007-1323 ; 1355-7688
ISSN (online)	1365-2168
ISSN	0263-1202 ; 0007-1323 ; 1355-7688
DOI	10.1093/bjs/znaa014
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Article ; Online: Cancer surgery in a time of COVID-19: Many questions, few certainties.

Ghignone, F / Mohan, H M / Montroni, I

European journal of surgical oncology : the journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology

2020 Volume 46, Issue 6, Page(s) 1196–1197

MeSH term(s)	Betacoronavirus ; COVID-19 ; Comorbidity ; Coronavirus Infections/epidemiology ; Global Health ; Humans ; Neoplasms/epidemiology ; Neoplasms/surgery ; Pandemics ; Pneumonia, Viral/epidemiology ; SARS-CoV-2 ; Surgical Oncology ; Surgical Procedures, Operative/standards
Keywords	covid19
Language	English
Publishing date	2020-04-30
Publishing country	England
Document type	Letter
ZDB-ID	632519-1
ISSN	1532-2157 ; 0748-7983
ISSN (online)	1532-2157
ISSN	0748-7983
DOI	10.1016/j.ejso.2020.04.046
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Article ; Online: Nurturing Excellence: Association of Surgeons in Training Annual Conference 2018 Edinburgh.

Mohan, H M / Deekonda, P / Humm, G

International journal of surgery (London, England)

2019 Volume 67, Page(s) 123–128

Abstract: The Association of Surgeons in Training (ASiT)'s motto is the pursuit of excellence in surgical training. The Association provides support to surgical trainees throughout the United Kingdom and Republic of Ireland. Originally founded in 1976, ASiT is ... ...

Abstract	The Association of Surgeons in Training (ASiT)'s motto is the pursuit of excellence in surgical training. The Association provides support to surgical trainees throughout the United Kingdom and Republic of Ireland. Originally founded in 1976, ASiT is independent of the National Health Service (NHS), Surgical Royal Colleges, and specialty associations. The 2018 Annual Conference in Edinburgh hosted over 800 delegates for a packed educational weekend. The conference theme was #nurturingexcellence and focused on helping trainees achieve their potential and improve surgical care. The importance of support for diversity in surgery was emphasised. An inclusive approach was fostered with a baby feeding room and a clear message that babies were welcome at the conference. Debates on the role of simulation in surgical training, sessions on reflective practice and the improving surgical training programme and a question and answer session with the presidents of the Royal colleges of surgeons made for lively and at times heated discussions. The weekend started with pre-conference courses covering a diverse range of topics including core laparoscopic, vascular, orthopaedics, neurosurgical skills, leadership, NOTSS and global surgery. Over 1000 abstract submissions were received and there were over 30 prize winning submissions. ASiT continues to grow and we look forward to an even larger and more successful international conference next year in Belfast 22nd-24th March, with an exciting parallel Hackathon to foster cross specialty cooperation to solve surgical problems.
MeSH term(s)	Awards and Prizes ; Congresses as Topic ; General Surgery/education ; Humans ; Ireland ; Scotland ; Societies, Medical ; Surgeons/education ; United Kingdom
Language	English
Publishing date	2019-01-03
Publishing country	England
Document type	Editorial
ZDB-ID	2212038-5
ISSN	1743-9159 ; 1743-9191
ISSN (online)	1743-9159
ISSN	1743-9191
DOI	10.1016/j.ijsu.2018.12.008
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Article: Cancer surgery in a time of COVID-19: Many questions, few certainties

Ghignone, F / Mohan, H M / Montroni, I

Eur J Surg Oncol

Keywords	covid19
Publisher	WHO
Document type	Article
Note	WHO #Covidence: #141578
Database	COVID19

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Article ; Online: Cancer surgery in a time of COVID-19

Ghignone, F. / Mohan, H.M. / Montroni, I.

European Journal of Surgical Oncology

Many questions, few certainties

2020 Volume 46, Issue 6, Page(s) 1196–1197

Keywords	Surgery ; Oncology ; General Medicine ; covid19
Language	English
Publisher	Elsevier BV
Publishing country	us
Document type	Article ; Online
ZDB-ID	632519-1
ISSN	0748-7983
ISSN	0748-7983
DOI	10.1016/j.ejso.2020.04.046
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Fallibility of tattooing colonic neoplasia ahead of laparoscopic resection: a retrospective cohort study.

Sparks, R / Power, S / Kearns, E / Clarke, A / Mohan, H M / Brannigan, A / Mulsow, J / Shields, C / Cahill, R A

Annals of the Royal College of Surgeons of England

2022 Volume 105, Issue 2, Page(s) 126–131

Abstract: Introduction: Precise geographical localisation of colonic neoplasia is a prerequisite for proper laparoscopic oncological resection. Preoperative endoscopic peri-tumoural tattoo practice is routinely recommended but seldom scrutinised.: Methods: A ... ...

Abstract	Introduction: Precise geographical localisation of colonic neoplasia is a prerequisite for proper laparoscopic oncological resection. Preoperative endoscopic peri-tumoural tattoo practice is routinely recommended but seldom scrutinised. Methods: A retrospective review of recent consecutive patients with preoperative endoscopic lesional tattoo who underwent laparoscopic colonic resection as identified from our prospectively maintained cancer database with supplementary clinical chart and radiological, histological, endoscopic and theatre database/logbook interrogation. Results: Some 210 patients with 'tattooed' colonic neoplasia were identified, of whom 169 underwent laparoscopic surgery (mean age 68 years, median BMI 27.8kg/m Conclusions: Tattoo in advance of attempting laparoscopic resection is vital for precision cancer surgery especially for radiologically unseen tumours to avoid adverse clinical consequence.
MeSH term(s)	Humans ; Male ; Female ; Aged ; Tattooing/methods ; Retrospective Studies ; Preoperative Care/methods ; Colonic Neoplasms/surgery ; Colonic Neoplasms/pathology ; Laparoscopy/adverse effects ; Laparoscopy/methods ; Colonoscopy/methods
Language	English
Publishing date	2022-02-17
Publishing country	England
Document type	Journal Article
ZDB-ID	80044-2
ISSN	1478-7083 ; 0035-8843
ISSN (online)	1478-7083
ISSN	0035-8843
DOI	10.1308/rcsann.2021.0319
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Article ; Online: Association of Surgeons in Training conference: Bournemouth 2017.

Williams, A P / Harries, R L / Mohan, H M

International journal of surgery (London, England)

2017 Volume 52, Page(s) 361–365

Abstract: The Association of Surgeons in Training (ASiT) is a professional body and registered charity working to promote excellence in surgical training for the benefit of junior doctors and patients alike. The Association provides support at both regional and ... ...

Abstract	The Association of Surgeons in Training (ASiT) is a professional body and registered charity working to promote excellence in surgical training for the benefit of junior doctors and patients alike. The Association provides support at both regional and national levels throughout the United Kingdom and Republic of Ireland. Originally founded in 1976, ASiT is independent of the National Health Service (NHS), Surgical Royal Colleges, and specialty associations. The 2017 Annual Conference in Bournemouth brought together over 700 delegates for a diverse educational weekend with numerous expert guest speakers. With a theme of '#AdvancesIn,' we looked to celebrate cutting edge progress in training, clinical management, medical technology, leadership and entrepreneurialism. These updates were complimented by debates on current training in surgery and an array of focussed parallel sessions. For the first time, delegates were also able to interact with the conference digitally, with the debut of our conference smartphone App. The weekend started with 9 pre-conference courses covering a diverse range of topics including core laparoscopic, vascular, orthopaedics, neurosurgical skills, leadership and global surgery. Over 1000 abstract submissions were received and those successful competed for over 30 awards, representing nearly £4000 in trainee prizes and bursaries. As the only national surgical trainee meeting for all specialties, ASiT continues to grow and we look forward to an even larger and more successful international conference next year in Edinburgh 6-8th April 2018 with the theme of #nurturingexcellence.
MeSH term(s)	Congresses as Topic ; General Surgery/education ; Humans ; Ireland ; Societies, Medical ; Surgeons/education ; United Kingdom
Language	English
Publishing date	2017-12-14
Publishing country	England
Document type	Editorial
ZDB-ID	2212038-5
ISSN	1743-9159 ; 1743-9191
ISSN (online)	1743-9159
ISSN	1743-9191
DOI	10.1016/j.ijsu.2017.11.030
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Article ; Online: Complete mesocolic excision versus standard resection for colon cancer: a systematic review and meta-analysis of perioperative safety and an evaluation of the use of a robotic approach.

Xu, J / Mohan, H M / Fleming, C / Larach, J T / Apte, S S / Cohen, L C L / Miskovic, D / Jiang, W / Heriot, A G / Warrier, S K

Techniques in coloproctology

2023 Volume 27, Issue 11, Page(s) 995–1005

Abstract: Purpose: Complete mesocolic excision (CME) has been associated with improved oncological outcomes in treatment of colon cancer. However, widespread adoption is limited partly because of the technical complexity and perceived risks of the approach. The ... ...

Abstract	Purpose: Complete mesocolic excision (CME) has been associated with improved oncological outcomes in treatment of colon cancer. However, widespread adoption is limited partly because of the technical complexity and perceived risks of the approach. The aim of out study was to evaluate the safety of CME compared to standard resection and to compare robotic versus laparoscopic approaches. Methods: Two parallel searches were undertaken in MEDLINE, Embase and Web of Science databases 12 December 2021. The first was to evaluate IDEAL stage 3 evidence to compare complication rates as a surrogate marker of perioperative safety between CME and standard resection. The second independent search compared lymph node yield and survival outcomes between minimally invasive approaches. Results: There were four randomized control trials (n = 1422) comparing CME to standard resection, and three studies comparing laparoscopic (n = 164) to robotic (n = 161) approaches. Compared to standard resection, CME was associated with a reduction in Clavien-Dindo grade 3 or higher complication rates (3.56% vs. 7.24%, p = 0.002), reduced blood loss (113.1 ml vs. 137.6 ml, p < 0.0001) and greater mean lymph node harvest (25.6 vs. 20.9 nodes, p = 0.001). Between the robotic and laparoscopic groups, there were no significant differences in complication rates, blood loss, lymph node yield, 5-year disease-free survival (OR 1.05, p = 0.87) and overall survival (OR 0.83, p = 0.54). Conclusions: Our study demonstrated improved safety with CME. There was no difference in safety or survival outcomes between robotic and laparoscopic CME. The advantage of a robotic approach may lie in the reduced learning curve and an increased penetration of minimally invasive approach to CME. Further studies are required to explore this. Prospero id: CRD42021287065.
MeSH term(s)	Humans ; Robotic Surgical Procedures/adverse effects ; Lymph Node Excision/adverse effects ; Colectomy/adverse effects ; Colonic Neoplasms/pathology ; Robotics ; Mesocolon/surgery ; Mesocolon/pathology ; Laparoscopy/adverse effects ; Treatment Outcome
Language	English
Publishing date	2023-07-07
Publishing country	Italy
Document type	Meta-Analysis ; Systematic Review ; Journal Article ; Review
ZDB-ID	2083309-X
ISSN	1128-045X ; 1123-6337
ISSN (online)	1128-045X
ISSN	1123-6337
DOI	10.1007/s10151-023-02838-7
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Article ; Online: Perceptions of the Annual Review of Competence Progression (ARCP) in surgical training in the UK and Ireland: A prospective cross sectional questionnaire study.

Nally, D M / Elsey, E / Humm, G / Mohan, H M

International journal of surgery (London, England)

2018 Volume 67, Page(s) 117–122

Abstract: Background: Surgical trainees in the UK and Ireland undergo rigorous formative and summative assessments throughout each placement, and appraisal at an Annual Review of Competence Progression (ARCP). The ARCP evaluates performance during each training ... ...

Abstract	Background: Surgical trainees in the UK and Ireland undergo rigorous formative and summative assessments throughout each placement, and appraisal at an Annual Review of Competence Progression (ARCP). The ARCP evaluates performance during each training year and determines progression to the next year of training. It is critical that the ARCP is a robust and fair process. The Association of Surgeons in Training (ASiT) sought to evaluate surgical trainees' experiences of the ARCP process in order to identify areas for improvement. Methods: An electronic survey was developed and distributed electronically to the trainee membership of ASiT in the UK and Republic of Ireland. A 57 point survey examined the specifics of one ARCP cycle as well as attitudes to the process in general. Quantitative analysis was performed, along with thematic analysis on the free-text comments. Results: 600 trainees from all deaneries, grades and specialities participated. The survey demonstrated difficulties in preparing for ARCP: insufficient notice (24%), inadequate communication (22%) and lack of engagement of seniors (30-39%). 47% considered the process and standards inconsistent. 82% of trainees considered a face-to-face ARCP advantageous. Such a meeting provided a means of raising concerns regarding training posts (29%), bullying (18%) and patient safety (17%) that would not otherwise have been reported in writing. During qualitative analysis, the following themes emerged: The conflict between potential value and real experience; concerns regarding the quality of assessment and the need for improvement (in process, individual performance and surgical training.) CONCLUSION: This survey demonstrates that trainees appreciate the potential educational value of the ARCP process. However, there is a gap between this potential and trainees experience. Particular concerns include inconsistency, the timing of decision-making and the need to retain a face-to-face meeting. This feedback from trainees can be used to improve the assessment process in relation to procedural developments at the national level and engagement of supervisors and trainers locally. These changes will ensure that the ARCP becomes a higher quality assessment and more constructive for training in future.
MeSH term(s)	Adult ; Clinical Competence/standards ; Cross-Sectional Studies ; Education, Medical, Graduate/standards ; Educational Measurement/standards ; Female ; Humans ; Ireland ; Male ; Perception ; Prospective Studies ; Students, Medical/psychology ; Surgeons/education ; Surgeons/psychology ; Surveys and Questionnaires ; United Kingdom
Language	English
Publishing date	2018-12-22
Publishing country	England
Document type	Journal Article
ZDB-ID	2212038-5
ISSN	1743-9159 ; 1743-9191
ISSN (online)	1743-9159
ISSN	1743-9191
DOI	10.1016/j.ijsu.2018.12.009
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Article ; Online: Pan-specialty access to robotic surgery in surgical training.

Fleming, C A / Ali, O / Clements, J M / Hirniak, J / King, M / Mohan, H M / Nally, D M / Burke, J

The British journal of surgery

2021 Volume 108, Issue 7, Page(s) e245–e246

MeSH term(s)	Clinical Competence ; Education, Medical, Graduate/methods ; Humans ; Robotic Surgical Procedures/education ; Simulation Training/methods ; Specialties, Surgical/education
Language	English
Publishing date	2021-04-06
Publishing country	England
Document type	Journal Article
ZDB-ID	2985-3
ISSN	1365-2168 ; 0263-1202 ; 0007-1323 ; 1355-7688
ISSN (online)	1365-2168
ISSN	0263-1202 ; 0007-1323 ; 1355-7688
DOI	10.1093/bjs/znab107
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