Wirral Academic Surgical Program

Successful regional academic surgical program working in association with University of Edinburgh, RCSED and Edge Hill university.

[ASGBI @asgbi]

In this week’s email to our members, our Moynihan Academy President, @JWohlgemut outlines the many benefits that resident doctors, SAS doctors and medical students can enjoy when joining ASGBI, as well as inviting you to attend the @ASGBI_MA Trauma & EGS Masterclass on 13th November and the party the night before!

Read Jared's full blog here - https://t.co/pJSONjM3yN

[ASGBI @asgbi]

We have spent an brilliant day at Liberton High School and Broughton High School in Edinburgh today, inspiring the next generation of surgeons!

With lots of opportunity to take part in surgical simulations, including lap skills, stapling and VR as well as a chance to chat to our faculty, we hope to see some pupils following in our footsteps soon 🩺

A massive thank you to @CMRSurgical, @RCSEd and @MedtronicUK for supporting today's visit!

[Jon Lund @Schoolofsurg]

Training logbook numbers by specialty relative to 2019. Millions fewer procedures performed with/by a trainee. Consultants - remember that you were all trainees once. Time to train the next generation! Every case is a training case. #NoTrainingTodayNoSurgeonsTomorrow

[ASGBI Moynihan Academy @ASGBI_MA]

Colonoscopic Perforation cont'...

See the algorithm for colonoscopic perforations below.
The take home message is these can be managed conservatively .. In the right patients with the right level of observation!

#FRCSFriday #ColonoscopicPerforation #SurgicalAlgorithm

[Prof. Conor Magee @mageefrcs]

Congratulations to our four 2024 @ProgramWirral fellows who obtained NTNs in General Surgery!
This means we have 4 slots on our highly successful surgical program- advert out soon- DM for further details!

[Prof. Conor Magee @mageefrcs]

@ProgramWirral this is something we need to look at

[Pratik Roy @pratikroy]

Really interesting presentation at ASGBI 2024 from @ProgramWirral regarding the presence of pharmacists on EGS ward rounds and improving prescribing stewardship @asgbi @LeedsEGS #asgbi2024

[Prof. Conor Magee @mageefrcs]

Fabulous opportunity for trainees- high quality research with superb mentorship- and supplemented with ongoing clinical work.

[Wirral Academic Surgical Program @ProgramWirral]

Fantastic opportunity to work with highly experienced AWR surgeons with academic focus dynamic general surgical team!

[Prof. Conor Magee @mageefrcs]

Peri-CCT trainees we are advertising for a supra-regional Abdominal Wall Reconstruction Fellow (training in robotic TAR, RS and open). Fully salaried with 1:12 on call. Fabulous opportunity!

https://t.co/UfPFdRVonU

[Wirral Academic Surgical Program @ProgramWirral]

If you have read this article, we would like to hear what are your thoughts. ???

[The BMJ @bmj_latest]

Symptomatic gallstone disease is the classic indication for elective cholecystectomy.

The clinical indication for and the timing of surgery, however, remains a grey area. What did a new study contribute to the evidence base?
https://t.co/FTXFVhlSYG

[EAGLE Study @EagleEscp]

The first EAGLE publication is out!

View the article: https://t.co/Ao8iESHG2E

➡️Global collaborative effort🌎
➡️2000+ surgeons completed online training
➡️Completion of globally available digital training by engaged teams can alter anastomotic leak rates

[BJS Open @BjsOpen]

November is 💜#PancreaticCancerAwarenessMonth 💜and last thursday was🟣#WorldPancreaticCancerDay🟣!!
So lets have a look at our recent paper focusing on 🏺periampullary cancer, a heterogenous group including PDAC, distal CCA, and duodenal cancer:
➡️ https://t.co/V9qzTgA8eD

Tumour origin, diagnostic accuracy and histopathological evaluation in patients with periampullary cancer: nationwide cohort study
The proportion of non-pancreatic periampullary cancer is substantially higher in patients with a histopathological diagnosis than in those with a clinical diagnosis. Histopathological standardization correlated with an increased frequency of pancreatic ductal adenocarcinoma diagnosis, R1 resection and N1 stage. The misdiagnosis of periampullary cancer origin occurs in a clinically relevant proportion of patients and needs to be considered in patients with a neoadjuvant oncological treatment plan.

Great work by Johannes Byrling, Sam Ghazi, Bodil Andersson

@PanCAN #PanCANawareness @EurPancClub @P_C_E_ @dice_europe #PancreaticCancer #cholangiocarcinoma #SoMe4Surgery #MedTwitter #SurgEd #Surgery #some4hpb #PancreasClub2023 @villesallinen @Gio_Marchegiani @ksoreide @PhilipMueller_1 @TejedorPat

[Wirral Academic Surgical Program @ProgramWirral]

Friday Teaching

A huge thanks to @mageefrcs for providing a useful insight into the role of bariatric surgery and, more importantly, sharing clinical pearls for emergency care of bariatric surgery patients.

[Wirral Academic Surgical Program @ProgramWirral]

Which hemorrhoidal classification do you prefer? https://t.co/8xWiuglZVS

[STITCHES - the Best Papers in General Surgery @stitchestoday]

Guidelines for Bowel Preparation in Minimally Invasive Colorectal Surgery

by Antoniou SA, Huo B (...) Morales-Conde S et 17 al. in Surg Endosc

https://t.co/ibav5sTiKH

[Prof. Conor Magee @mageefrcs]

@SurgeryHPB @ProgramWirral look out for this and discuss in JC

[European Hernia Society @eurohernias]

🔃 If u do apply #SmallBitesTechnique please RETWEET this post and spread the word!! Let's give a strong message!

#HerniaPrevention #StopTheBulge #AWSurgery #HerniaSurgery #HerniaFriends

[Wirral Academic Surgical Program @ProgramWirral]

We had an interesting topic for Journal club meeting today. Presented by @kamalesh99
"Techniques for mesoappendix transection and appendix resection: insights from the ESTES SnapAppy study".
@mageefrcs @jiw1374
@estesonline @garybassmd

[European Hernia Society @eurohernias]

📢 It's OUT!! Update of the International HerniaSurge Guidelines for #GroinHernia management.

➡️ https://t.co/mM0GnzN0iF

#GroinHerniaGuidelines #HerniaGuidelines #InguinalHernia #FemoralHernia #CPIP #HerniaSurgery #AWSurgery #HerniaFriends #OpenAccess

[Wirral Academic Surgical Program @ProgramWirral]

Prehospital Tranexamic acid therapy in advanced trauma systems - benefits vs risks?
Applicability in NHS?
PATCH trial vs CRASH-2 and CRASH 3
@RussellGruen