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  1. Article ; Online: Open abdomen in secondary peritonitis: time for closure.

    Slade, Dominic A J

    The British journal of surgery

    2023  Volume 111, Issue 2

    MeSH term(s) Humans ; Abdomen ; Peritonitis/surgery ; Negative-Pressure Wound Therapy ; Abdominal Wound Closure Techniques
    Language English
    Publishing date 2023-11-17
    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/znae013
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: Abdominal wall reconstruction.

    Stylianides, Nicholas / Slade, Dominic A J

    British journal of hospital medicine (London, England : 2005)

    2016  Volume 77, Issue 3, Page(s) 151–156

    Abstract: Abdominal wall hernias can be challenging and complicated to manage. The techniques to deal with them are evolving rapidly with increasing adaptation and utilization in general surgery. ...

    Abstract Abdominal wall hernias can be challenging and complicated to manage. The techniques to deal with them are evolving rapidly with increasing adaptation and utilization in general surgery.
    MeSH term(s) Abdominal Wall/anatomy & histology ; Biocompatible Materials ; Clinical Trials as Topic ; Herniorrhaphy/adverse effects ; Herniorrhaphy/methods ; Humans ; Laparoscopy ; Postoperative Complications/prevention & control ; Recurrence ; Surgical Flaps ; Surgical Mesh ; Sutures
    Chemical Substances Biocompatible Materials
    Language English
    Publishing date 2016-03
    Publishing country England
    Document type Journal Article ; Review
    ISSN 1750-8460
    ISSN 1750-8460
    DOI 10.12968/hmed.2016.77.3.151
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Impact of negative pressure wound therapy on enteroatmospheric fistulation in the septic open abdomen.

    Kalaiselvan, Ramya / Slade, Dominic A J / Soop, Mattias / Burnett, Hugh / Lees, Nicholas P / Anderson, Iain D / Lal, Simon / Carlson, Gordon L

    Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland

    2022  Volume 25, Issue 1, Page(s) 111–117

    Abstract: Aim: The effect of negative pressure wound therapy (NPWT) on the pathogenesis and outcome of enteroatmospheric fistulation (EAF) in the septic open abdomen (OA) is unclear. This study compares the development and outcome of EAF following NPWT with that ... ...

    Abstract Aim: The effect of negative pressure wound therapy (NPWT) on the pathogenesis and outcome of enteroatmospheric fistulation (EAF) in the septic open abdomen (OA) is unclear. This study compares the development and outcome of EAF following NPWT with that occurring in the absence of NPWT.
    Methods: Consecutive patients admitted with EAF following abdominal sepsis at a National Reference Centre for intestinal failure between 01 January 2005 and 31 December 2015 were included in this study. Patients were divided into two groups based on those that had been treated with NPWT and those that had not (non-NPWT) and characteristics of their fistulas compared. Clinical outcomes concerning nutritional autonomy at 4 years and time to fistula development, size of abdominal wall defect and complete fistula closure were compared between groups.
    Results: A total of 160 patients were admitted with EAF following a septic abdomen (31-NPWT and 129-non-NPWT). Median (range) time taken to fistulation after OA was longer with NPWT (18 [5-113] vs. 8 [2-60] days, p = 0.004); these patients developed a greater number of fistulas (3 [2-21] vs. 2 [1-10], p = 0.01), involving a greater length of small bowel (42.5 [15-100] cm vs. 30 [3.5-170] cm, p = 0.04) than those who did not receive NPWT. Following reconstructive surgery, nutritional autonomy was similar in both groups (77% vs. 72%) and a comparable number of patients were also fistula-free (100% vs. 97%).
    Conclusions: Negative pressure wound therapy appears to be associated with more complex and delayed intestinal fistulation, involving a greater length of small intestine in the septic OA. This did not, however, appear to adversely affect the overall outcome of intestinal and abdominal wall reconstruction in this study.
    MeSH term(s) Humans ; Negative-Pressure Wound Therapy ; Treatment Outcome ; Intestinal Fistula/etiology ; Intestinal Fistula/surgery ; Wound Healing ; Abdomen/surgery ; Abdominal Wound Closure Techniques/adverse effects
    Language English
    Publishing date 2022-09-20
    Publishing country England
    Document type Journal Article
    ZDB-ID 1440017-0
    ISSN 1463-1318 ; 1462-8910
    ISSN (online) 1463-1318
    ISSN 1462-8910
    DOI 10.1111/codi.16318
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: The Association of Coloproctology of Great Britain and Ireland consensus guidelines in emergency colorectal surgery.

    Miller, Andrew S / Boyce, Kathryn / Box, Benjamin / Clarke, Matthew D / Duff, Sarah E / Foley, Niamh M / Guy, Richard J / Massey, Lisa H / Ramsay, George / Slade, Dominic A J / Stephenson, James A / Tozer, Phil J / Wright, Danette

    Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland

    2021  Volume 23, Issue 2, Page(s) 476–547

    Abstract: Aim: There is a requirement for an expansive and up to date review of the management of emergency colorectal conditions seen in adults. The primary objective is to provide detailed evidence-based guidelines for the target audience of general and ... ...

    Abstract Aim: There is a requirement for an expansive and up to date review of the management of emergency colorectal conditions seen in adults. The primary objective is to provide detailed evidence-based guidelines for the target audience of general and colorectal surgeons who are responsible for an adult population and who practise in Great Britain and Ireland.
    Methods: Surgeons who are elected members of the Association of Coloproctology of Great Britain and Ireland Emergency Surgery Subcommittee were invited to contribute various sections to the guidelines. They were directed to produce a pathology-based document using literature searches that were systematic, comprehensible, transparent and reproducible. Levels of evidence were graded. Each author was asked to provide a set of recommendations which were evidence-based and unambiguous. These recommendations were submitted to the whole guideline group and scored. They were then refined and submitted to a second vote. Only those that achieved >80% consensus at level 5 (strongly agree) or level 4 (agree) after two votes were included in the guidelines.
    Results: All aspects of care (excluding abdominal trauma) for emergency colorectal conditions have been included along with 122 recommendations for management.
    Conclusion: These guidelines provide an up to date and evidence-based summary of the current surgical knowledge in the management of emergency colorectal conditions and should serve as practical text for clinicians managing colorectal conditions in the emergency setting.
    MeSH term(s) Colorectal Surgery ; Consensus ; Digestive System Surgical Procedures ; Emergency Service, Hospital ; Humans ; United Kingdom
    Language English
    Publishing date 2021-01-22
    Publishing country England
    Document type Journal Article
    ZDB-ID 1440017-0
    ISSN 1463-1318 ; 1462-8910
    ISSN (online) 1463-1318
    ISSN 1462-8910
    DOI 10.1111/codi.15503
    Database MEDical Literature Analysis and Retrieval System OnLINE

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