A 24 item team working assessment tool was developed by both collaborations in order to assess the current working atmospheres of emergency theatres during laparotomies. The following poster presentation was accepted at the Winter Scientific Meeting in Westminster, Jan 2018 based upon a surgery carried out at the Royal Liverpool Hospital. Further work will be… Continue reading Laparotomy Team Working Evaluation Tool

The NELA audit is an ongoing assessment of trust's outcomes with regards to laparotomies. It is a national requirement to provide this data to the NELA website but this has often been arduous and neglected. More importantly the correct data needs to entered to provide exact detailed reporting and in Merseyside the surgical aspects are… Continue reading Merseyside Emergency Laparotomy Collaboration Project

The following is taken from a presentation of results from the Royal Liverpool Hospital focused upon NASBO results in this region. The original inception and protocols can be found here: http://nasbo.org.uk/project-hub/ Background Laparotomy for small bowel obstruction (SBO) accounted for 49% of emergency laparotomies in the first NELA report. Approximately 12,000 emergency laparotomies for SBO between… Continue reading National Audit of Small Bowel Obstruction

Background The indications of cholecystostomy have been debated for a number of years and whereas traditionally they are employed for empyemas, the spectrum of use has increased. Severe acute cholecystitis has often been managed with a drain, especially in patients not fit for open operations but younger patients have also had them inserted. It has… Continue reading Cholecystostomy Audit

Background Pyogenic liver abscess (PLA) is a serious but rare clinical entity carrying a mortality rate of up to 19%.  Readily available access to increasingly sophisticated imaging modalities has made diagnosing PLA easier, however the optimal management of PLA remains controversial and may ultimat ely depend on local facilities and expertise. The last two decades have… Continue reading Pyogenic Liver Abscess Audit