Trif Papettas

Trif Papettas
South Warwickshire NHS Foundation Trust · Colorectal & General Surgery

FRCS General Surgery with colorectal interest

About

19
Publications
1,260
Reads
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78
Citations
Additional affiliations
October 2015 - present
Frimley Park Hospital NHS Foundation Trust
Position
  • laparoscopic and robotic colorectal fellow
October 2010 - October 2012
University Hospitals Coventry and Warwickshire NHS Trust
Position
  • General and Colorectal Surgery

Publications

Publications (19)
Article
Introduction The coronavirus disease 2019 (COVID-19) pandemic led to hospitals in the UK substituting face-to-face (FtF) clinics with virtual clinic (VC) appointments. We evaluated the use of virtual two-week wait (2-ww) lower gastrointestinal (LGI) clinic appointments, conducted using telephone calls at a district general hospital in England. Met...
Preprint
Aims: The COVID-19 pandemic led to hospitals in the United Kingdom substituting face-to-face (FtF) clinics with virtual clinic (VC) appointments. We evaluated the impact of virtual two-week wait (2-ww) lower gastrointestinal (LGI) consultations on stakeholders at a district general hospital in England. Methods: Patients undergoing index outpatient...
Article
Full-text available
Background: Closure of an abdominal stoma, a common elective operation, is associated with frequent complications; one of the commonest and impactful is incisional hernia formation. We aimed to investigate whether biological mesh (collagen tissue matrix) can safely reduce the incidence of incisional hernias at the stoma closure site. Methods: In...
Article
Background: Lymph node metastasis (LNM) is prognostic in colorectal cancer (CRC). However, evaluation by routine haematoxylin and eosin histology (HE) limits nodal examination and is subjective. Missed LNMs from tissue allocation bias (TAB) might under-stage disease, leading to under-treatment. One-step nucleic acid amplification (OSNA) for CK19 m...
Article
Introduction Surgeons are increasingly performing surgery on older patients. There are currently no tools specifically for risk prediction in this group. The aim of this study was to review general surgical operations carried out on patients aged over 90 years and their outcome, before comparing these with predictors of morbidity and mortality. Me...
Chapter
The most common location for Crohn’s disease (CD) is the ileo-colic region, with isolated disease in the small bowel or colon occurring less frequently. Peri-anal Crohn’s is usually found in combination with disease at other sites, especially the distal large bowel. The site of disease tends to remain stable over time, whilst the type of disease of...
Article
Aims: To analyse the effect of socioeconomic deprivation on amputation outcome.Currently 5,000 leg amputations occur annually in England and Wales and have a 50% mortality rate at 2 years. Methods: All patients undergoing major lower limb amputation from January 2005 to December 2009 were identified from a prospectively maintained vascular database...
Article
Full-text available
Temporal artery biopsy (TAB) is performed in suspected cases of sight-threatening giant cell arteritis (GCA). We aimed to determine the feasibility of TAB in patients who are suspected of having GCA. A retrospective audit of all patients undergoing TAB at a single teaching hospital between 2005 and 2011, identified from the histopathology database....
Article
Full-text available
Stomal prolapse is a complication caused by invagination of proximal redundant bowel through the stoma. We describe a laparoscopic technique for repairing a prolapsing end ileostomy that confers the benefits of being minimally invasive and preserves the existing stoma site. Three laparoscopic ports are inserted in the standard way: umbilical (12mm...
Article
Full-text available
Training times and the working week have been shortened but the amount needed to be learned remains the same. This article demonstrates how trainees in surgery can incorporate learning opportunities into their normal working day.
Article
Full-text available
Most patients with rectal cancer are treated with curative-intent surgery; adjuvant chemotherapy and radiation are often used as well. A recent survey of members of the American Society of Colon and Rectal Surgeons (ASCRS) revealed considerable variation in surveillance intensity after primary treatment. We evaluated whether geographic factors may...
Article
The follow-up of patients with rectal cancer after potentially curative resection has significant financial and clinical implications for patients and society. The ideal regimen for monitoring patients is unknown. We evaluated the self-reported practice patterns of a large, diverse group of experts. There is little information available describing...

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