West Midlands

Surgical Society

Spring Meeting

Russell Hall Hospital,

Dudley

Friday 19TH MAY 2017

West Midlands Surgical Society Spring 2017 2

WEST MIDLANDS SURGICAL SOCIETY SPRING MEETING

FRIDAY 19TH MAY 2017 AT RUSSELL HALL HOSPITAL

Programme

09.00 REGISTRATION AND COFFEE

09.30 WELCOME

Christine Hall – President WMSS

Scientific Short Papers

09.35 A Multi-marker Methylation Panel Accurately Detects Ulcerative Colitis Associated Dysplasia: Results From Phase 1 of the ENDCAP-C Study A Beggs The ENDCAP-C Consortium, Academic Department of Surgery, University of Birmingham

09.44 A Prospective Study of the Prevalence of Undiagnosed COPD in Patients With An Abdominal Aortic Aneurysm S Yusoff, L Archer, J Shakespeare, R Benson, C Imray University Hospital Coventry & Warwick

09.53 Take It Or Leave It? The Macroscopically Normal Appendix At Laparoscopy: How Common and What Should We Do With It? H Pierce(1), C Macano(2), P Varghese(1), A Brookes(2) University Hospitals of North Midlands(1), Heart of England(2)

10.02 10.11

Cavity Biopsy and the Assessment of Marginal Status Following Breast Conserving Surgery – A 25-year Study

G Kirby(1), M Birney(2), R Kirby(1) University Hospitals of North Midlands(1), Department of Psychology and Statistics, Chester University(2)

Comparing the Immune Signatures of Primary Colorectal Cancer and Pulmonary Metastasis G Goussous(1,2), N Lal(1,4), C J Bagnall(1), H Bancroft(3), B Naidu(1,3), T Ismail(2), B Wilcox(1), G Middleton(1) University of Birmingham(1), University Hospitals Birmingham(2), Heart of England(3), Burton Hospitals(4)

West Midlands Surgical Society Spring 2017 3

10.20 What is the Best Inflammation-based Prognostic Score to Predict Prognosis for Patients with Oesophagogastric Cancer?

J Wen(1), M Bedford(2), R Begum(3), H Mitchell(4), J Hodgson(5), J Whiting(2), E Griffiths(2) University of Birmingham Medical School(1), University Hospitals Birmingham(2), University of Hull York Medical School(3), University of Bristol Medical School(4)

10.29 Is Profunda Revascularisation Enough In Limb Salvage? Y Rajjoub(1), N Saffaf(2), K Poskitt(3) University Hospitals of Coventry & Warwick(1), Birmingham Children’s Hospital(2), Cheltenham General Hospital(3)

10.38 National Impact of a STARSurg Student-driven Project Investigating Acute Kidney Injury in Gastrointestinal Surgery J Glaseby, D Nepogodiev University of Birmingham

10.47 10.56

The Utility of High-pressure Methylene Blue Dye Test During Primary and Revisional Bariatric Surgery: The Birmingham Experience G Kirby, C Macano, S Nyasavajjala, M Sahloul, V Charalampakis, M Richardson, R Singhal Heart of England

Obstetric RVF Can Be Closed, Most Have Anal Incontinence. Should There Be a Different Treatment Paradigm? M R B Keighley Emeritus Professor of Surgery, University Hospitals of Birmingham

11.05 MORNING COFFEE

Plus visit to trade stands

11.30 Iron Metabolism is Dysregulated in Colorectal Adenocarcinoma and Associated with Mutations in B-raf M Bedford(1), R D Horniblow(1), S Evans(1), E Sutton(1), R Hollingworth(1), N Lal(2), A Beggs(1), T H Iqbal(1), C Tselepis(1) Institue of Cancer & Genomic Sciences(1), Institue of Immunity & Immunotherapy(2) University of Birmingham

11.39 Outcomes of Revascularisation in Patients with Active Malignancy Presenting with Critical Lower Limb Ischaemia

A Syed, A Saratzis, R Davies, M Wall Dudley Group of Hospitals, University Hospitals of Leicester

11.48 Outcomes of Stapled Side to Side Ileocolic Anastomosis: Is It Dependent on Technique or Surgeon Grade and Specialism? J Glasbey, D Nepogodiev European Society of Coloproctology Collaborating Group, University of Birmingham

West Midlands Surgical Society Spring 2017 4

11.57 12.06 12.15 12.24 12.33 12.42 12.51

Superior Mesenteric Artery Syndrome: A Single Centre Experience of Laparoscopic Duodenojejunostomy as the Operatoin of Choice G C Kirby(1), E R Faulconer(2), S J Robinson(1), A Perry(1), R Downing(2) Dept. of Upper GI Surgery(1), Dept. of Vascular Surgery(2) Worcestershire Acute Hospitals

An Audit of the Patient Reported Pain Levels Following Major Lower Limb Amputation With and Without Perineural Nerve Catheters A Murray, M Wall, H Aladin, A Tameem Russell Hall Hospital, Dudley Correlation and Phase Relationship Between Peripheral Muscle Tissue Oxygenation (St02) and Arterial Blood Gas Parameters In An Animal Hypovolaemia-resuscitation Model T Barker(1), E Kirkman(2), S Watts(2), M Midwinter(1) Academic Dept. of Surgery & Trauma, Royal Centre For Defence Medicine, Birmingham(1), Biomedical Sciences Dept; Dstl Porton Down, Salisbury Intravenous Fluid Prescription on a Surgical Emergencies Unit A Choudhary, S Davies, M Abdulla, A Addai-Mensah, M Manu New Cross Hospital, Wolverhampton The ‘Holland Sign’: A Quick Radiological Marker of Risk or Mortality? G Layton, S McKay, D Puchooa, E Spirtovic, W S Lao, P Logan, L Holland, S Addison Walsall Manor Hospital Poor Pain Control in Major Gastrointestinal Surgery D Nepogodiev, P Ananthavarathan, A Bhangu, T Pinkney, S Bach University of Birmingham Repair of Major Bile Duct Injuries by Specialist Hepatobiliary Surgeons Results in Fewer Long-term Biliary Complications and Invasive Procedures J Halle-Smith(1), J Hodson(2), D Mirza(1), K Roberts(1) Hepatobiliary & Pancreatic Surgery Unit(1), Medical Statistics(2) University Hospitals Birmingham

13.00 LUNCH Plus visit to trade stands and posters

14.00 TRAINING UPDATE

MR MIKE HALLISSEY

14.15 WEST MIDLANDS RESEARCH COLLABORATIVE

West Midlands Surgical Society Spring 2017 5

14.30 SYMPOSIUM: NOT JUST THE DAY JOB! CHAIR – CHRISTINE HALL

14.40 MY MOVEMENT FROM VASCULAR SURGERY TO MEDICAL MANAGER Ms Colette Marshall, Deputy Medical Director University Hospitals of Leicester

15.05 OUTSIDE THE HEADMASTERS OFFICE Mr Kevin Wheatley, Consultant Colorectal & General Surgeon Sandwell and West Birmingham Hospitals 15.30 MEDICAL DEVICES TO LEGAL ADVICES Dr Nicola Lennard, Medico-legal Advisor Medical Defence Union 15.55 PANEL DISCUSSION: Ms C Marshall Mr K Wheatley Dr N Lennard Mr M Gannon Mr A Garnham 16.15 TEA AND AWARD OF PRIZES

West Midlands Surgical Society Spring 2017 6

POSTER LIST

AUDIT ASSESSING COMPLIANCE WITH THE INTERNATIONAL ASSOCIATION OF PANCREATOLOLOGY AND THE

AMERICAN PANCREATIC ASSOCIATION (IAP/APA) ACUTE PANCREATITIS GUIDELINES AT THE HEART OF

ENGLAND TRUST

C El-Sayed, J Warburton, H Khaira

Good Hope Hospital

AUDITING THE SUPERFICIAL BLADDER CANCER (sbc), TIME TO Rx PATHWAY

M k Quraishi, W Asaad, A Elves

Shrewsbury & Telford NHS Trust

BRITISH UROLOGISTS’ VIEWS ON PERFORMING PSA SCREENING TEST

Y C Phan, S Segaran, P Shah, A Rane

East Surrey Hospital

COMPLICATED DIVERTICULITIS – ESTABLISHING PREDICTIVE TOOLS

Y Rajjoub(1), N Saffaf(2), C Evans

University Hospitals Coventry & Warwick(1), Birmingham Cildren’s Hospital(2)

PERI-OPERATIVE MANAGEMENT OF MSSA ORTHOPAEDIC PATIENTS IN THE WEST MIDLANDS: WHO KNOWS

HOW TO DO IT AND HOW WELL WE DO IT?

S Khan(1), T Moores(2), N Aslam(1)

Worcestershire Royal Hospital(1), Royal Stoke University Hospital(2)

PLATINUM ARTERIES WORTH THE COST?

A Klonis, W Ng, M Collins, A Garnham

New Cross Hospital, Wolverhampton

SCREENING FOR COLORECTAL CANCER IN AGE-APPROPRIATE PEOPLE WITH DEFUNCTIONED COLONS –

CURRENT PRACTICE TRENDS

F Akbar(1), A Quyn(2), R J Steele(2)

Shrewsbury & Telford(1), Ninewells Hospital & Medical School, Dundee(2)

TEACHING SURGICAL SKILLS TO HEALTHCARE UNDERGRADUATES: THE BENEFITS OF PEER-ASSISTED

LEARNING

S Bennett(1), S Morris(1), S Mirza(2)

University of Birmingham(1), Walsall Manor Hospital(2)

THE IMPACT OF ENHANCED CONSULTANT-LED 7 DAY ELECTIVE AND NON-ELECTIVE GENERAL SURGICAL

WARD ROUNDS

J P Quigley, A E Price, R Wilkie, R Dawson

Royal Stoke University Hospital

THE IMPACT OF SURGICAL RESEARCH COLLABORATIVES IN THE UK

D Nepogodiev

University of Birmingham

West Midlands Surgical Society Spring 2017 7

www.wmresearch.org.uk

committee@wmresearch.org.uk

@WMRC_UK