1502 UK National Survey of Huber Needle Availability for Deflation of Gastric Band Balloon in The Acute Setting

Abstract Introduction The laparoscopic gastric band was popularised in the 1990’s. The procedure involves placement of an adjustable band around the proximal stomach, aiming to induce satiety and offering a surgical solution to morbid obesity. Complications such as band slippage and erosion, together with succession by sleeve gastrectomy and gastric bypass which offer more significant weight loss has meant the procedure has gone out of favour. However, their legacy continues with a stream of patients presenting annually with complications, many of whom have travelled abroad for the procedure. The aim of this study was to examine Huber needle availability in acute surgical units nationally. Method All acute general surgical admission units across the UK were identified from the National Emergency Laparotomy Audit database. The senior nurse managing each unit was contacted by telephone and asked three questions; whether their hospital has an elective bariatric service on site, whether they review acute bariatric emergencies and whether the unit stocks Huber needles. Results 151 acute general surgical units were identified across the UK, of which 60% responded. 30/90(33%) have an elective bariatric service on site and 65/90(72%) reviewed acute bariatric patients. 8/90(8.9%) stock Huber needles for the acute deflation of gastric bands. Conclusions Patients presenting acutely with gastric band complications typically need urgent deflation of the gastric band. The Huber needle is a non-coring needle used for gastric band adjustment, preventing damage to the port. The Huber needle is a low-cost item and should be stocked by all acute general surgical units.

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On the application of the EM-imaging for chipless RFID tags

Wireless Power Transfer ◽

10.1017/wpt.2015.12 ◽

2015 ◽

Vol 2 (2) ◽

pp. 86-96 ◽

Cited By ~ 4

Author(s):

M. Zomorrodi ◽

N.C. Karmakar

Keyword(s):

Radio Frequency Identification ◽

Low Cost ◽

60 Ghz ◽

Rfid Tag ◽

High Data ◽

Data Encoding ◽

Bending Effect ◽

Chipless Rfid ◽

Frequency Identification ◽

Cost Item

The electromagnetic (EM) imaging technique at mm-band 60 GHz is proposed for data encoding purpose in the chipless Radio Frequency Identification (RFID) systems. The fully printable chipless RFID tag comprises tiny conductive EM polarizers to create high cross-polar radar cross-section. Synthetic aperture radar approach is applied for formation of the tag's EM-image and revealing the tag's content. The achieved high data encoding capacity of 2 bits/cm2in this technique based on a fully printable tag is very convincing for many applications. The system immunity to multipath interference, bending effect, and printing inaccuracy suggests huge potentials for low-cost item tagging. Tags are also readable through a tick paper envelop; hence secure identification is provided by the proposed technique.

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The BabySaver: Design of a New Device for Neonatal Resuscitation at Birth with Intact Placental Circulation

Children ◽

10.3390/children8060526 ◽

2021 ◽

Vol 8 (6) ◽

pp. 526

Author(s):

James Ditai ◽

Aisling Barry ◽

Kathy Burgoine ◽

Anthony K. Mbonye ◽

Julius N. Wandabwa ◽

...

Keyword(s):

Low Cost ◽

Neonatal Resuscitation ◽

Sub Saharan Africa ◽

Skilled Birth Attendants ◽

New Device ◽

Birth Attendants ◽

Premature Babies ◽

Sub Saharan ◽

The Uk ◽

The University

The initial bedside care of premature babies with an intact cord has been shown to reduce mortality; there is evidence that resuscitation of term babies with an intact cord may also improve outcomes. This process has been facilitated by the development of bedside resuscitation surfaces. These new devices are unaffordable, however, in most of sub-Saharan Africa, where 42% of the world’s 2.4 million annual newborn deaths occur. This paper describes the rationale and design of BabySaver, an innovative low-cost mobile resuscitation unit, which was developed iteratively over five years in a collaboration between the Sanyu Africa Research Institute (SAfRI) in Uganda and the University of Liverpool in the UK. The final BabySaver design comprises two compartments; a tray to provide a firm resuscitation surface, and a base to store resuscitation equipment. The design was formed while considering contextual factors, using the views of individual women from the community served by the local hospitals, medical staff, and skilled birth attendants in both Uganda and the UK.

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P63 Improving cervical smear uptake through an Automated Voice Messages Reminder

BJS Open ◽

10.1093/bjsopen/zrab032.062 ◽

2021 ◽

Vol 5 (Supplement_1) ◽

Author(s):

Francesca Bladt ◽

Felyx Wong ◽

Francesca Bladt

Keyword(s):

Cervical Cancer ◽

Low Cost ◽

Cervical Screening ◽

Telephone Triage ◽

Cervical Smear ◽

Screening Programs ◽

Smear Test ◽

Voice Message ◽

The Uk ◽

Busy Schedule

Abstract National cervical screening programs have played a pivotal role in the prevention of cervical cancer. However, practices across the UK have reached an all-time low in cervical screening uptake. This study aimed to assess the efficacy of implementing an automated voice message reminder within the local general practice (GP) telephone triage system and explore the reasons which deter eligible patients away from cervical screening. A 20-second voice-message reminder in the telephone queue was played, addressing key risk factors along with a message from a child who lost his mother to cervical cancer. From the anonymised GP database, weekly new smear test bookings were monitored from 4 weeks prior until 2 weeks after the intervention was implemented. To qualitatively assess factors which deter patients away from screening, female patients were randomly sampled to fill in an anonymous questionnaire. The use of a low-cost 20 second voice message in the telephone queue across UK GP practices could be an effective method to increase cervical smear test coverage towards the national target of 80%. 35 questionnaire responses were received, main themes reported for not attending screening include embarrassment(37%), busy schedule(32%) and cultural differences(24%). In the week following the intervention, cervical smear tests increased more than 2-fold, from an average of 12 to 26 smears per week. This could be partly due to the convenient timing of voice recording, reminding them to book both appointments simultaneously and the child’s emotive message.

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Gastric Band Slippage: Beware of the Refeeding Syndrome After the Band Removal—Comment on “Should We Introduce a Gastric Band Removal Schedule?”

Obesity Surgery ◽

10.1007/s11695-021-05685-3 ◽

2021 ◽

Author(s):

Clemence Boutron ◽

Sylvie Breton ◽

Margot Denis ◽

Adriana Torcivia ◽

Jean-Christophe Vaillant ◽

...

Keyword(s):

Gastric Band ◽

Refeeding Syndrome ◽

Band Slippage ◽

Band Removal

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Diagnostic accuracy and clinical management by realtime teledermatology. Results from the Northern Ireland arms of the UK Multicentre Teledermatology Trial

Journal of Telemedicine and Telecare ◽

10.1258/1357633981932028 ◽

1998 ◽

Vol 4 (2) ◽

pp. 95-100 ◽

Cited By ~ 65

Author(s):

M A Loane ◽

R Corbett ◽

S E Bloomer ◽

D J Eedy ◽

H E Gore ◽

...

Keyword(s):

Diagnostic Accuracy ◽

Clinical Management ◽

Low Cost ◽

Treatment Plan ◽

Management Plan ◽

Face To Face ◽

Management Plans ◽

Video Link ◽

The Uk ◽

Management Recommendations

Diagnostic accuracy and management recommendations of realtime teledermatology consultations using low-cost telemedicine equipment were evaluated. Patients were seen by a dermatologist over a video-link and a diagnosis and treatment plan were recorded. This was followed by a face-to-face consultation on the same day to confirm the earlier diagnosis and management plan. A total of 351 patients with 427 diagnoses participated. Sixty-seven per cent of the diagnoses made over the video-link agreed with the face-to-face diagnosis. Clinical management plans were recorded for 214 patients with 252 diagnoses. For this cohort, 44 of the patients were seen by the same dermatologist at both consultations, while 56 were seen by a different dermatologist. In 64 of cases the same management plan was recommended at both consultations; a sub-optimum treatment plan was recommended in 8 of cases; and in 9 of cases the video-link management plans were judged to be inappropriate. In 20 of cases the dermatologist was unable to recommend a suitable management plan by video-link. There were significant differences in the ability to recommend an optimum management plan by video-link when a different dermatologist made the reference management plan. The results indicate that a high proportion of dermatological conditions can be successfully managed by realtime teledermatology.

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Mesentero-axial gastric volvulus after removal of laparoscopic adjustable gastric band

Annals of The Royal College of Surgeons of England ◽

10.1308/rcsann.2016.0313 ◽

2017 ◽

Vol 99 (2) ◽

pp. e58-e59

Author(s):

N Pirmadjid ◽

DJ Pournaras ◽

S Huan ◽

V Sujendran

Keyword(s):

Gastric Banding ◽

Gastric Band ◽

Gastric Volvulus ◽

Laparoscopic Adjustable Gastric Band ◽

Adjustable Gastric Band ◽

Emergency Laparotomy ◽

Band Removal ◽

Number Of Patients

Despite the decreasing popularity of gastric banding, a large number of patients still have a band in situ. Although immediate postoperative complications are relatively rare, long-term complications of gastric banding are more common but are not reported to occur after band removal. We report a case of gastric volvulus and subsequent ischaemic perforation in a patient shortly after band removal, resulting in emergency laparotomy and total gastrectomy. Severe continuing pain persisting after band deflation and even gastric band removal should be treated as an emergency and urgent investigation should not be delayed.

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SP9.1.7 Emergency Laparotomy for Trauma in the United Kingdom and Ireland: a Prospective Multicentre Study

British Journal of Surgery ◽

10.1093/bjs/znab361.170 ◽

2021 ◽

Vol 108 (Supplement_7) ◽

Author(s):

Paul Vulliamy ◽

Max Marsden ◽

Richard Carden ◽

Karim Brohi ◽

Ross Davenport ◽

...

Keyword(s):

Abdominal Surgery ◽

Prehospital Care ◽

Trauma System ◽

Emergency Laparotomy ◽

Trauma Patients ◽

Transfusion Rate ◽

Young Males ◽

Prospective Multicentre Study ◽

The Uk ◽

Emergency Abdominal Surgery

Abstract Aims Trauma patients requiring abdominal surgery have significant morbidity and mortality, but are not included in existing national audits of emergency laparotomy. The aim of this study was to examine processes of care and outcomes among trauma patients undergoing emergency abdominal surgery in the UK and Ireland. Methods A prospective trainee-led multicentre audit was conducted over six months from January 2019 across the national trauma system. Patients undergoing laparotomy or laparoscopy within 24 hours of injury were included. Subgroup analysis was conducted in those requiring major haemorrhage protocol (MHP) activation. Results The study included 363 patients from 34 hospitals (22 major trauma centres). The majority were young males with no co-morbidities who required surgery for control of bleeding (51%) or exploration of penetrating injuries (46%). Over 85% received consultant-led care in the emergency department (318/363) and operating theatre (321/363). The MHP subgroup made up 45% of the cohort but accounted for 97% of deaths and 79% of ICU days, with a mortality rate of 19% and a massive transfusion rate of 32%. Compared to non-MHP patients they had shorter times to theatre (122 vs 218 minutes, p < 0.001), higher rates of advanced prehospital care (60% vs 33%, p < 0.001) and higher rates of consultant-led care (95% vs 85%, p < 0.001). Conclusion The majority of trauma patients requiring emergency abdominal surgery receive consultant-delivered perioperative care which is appropriately tailored to patient risk profile. Despite this, mortality and resource utilization among high-risk patients remains substantial, justifying ongoing performance improvement initiatives and research into novel therapeutics.

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