Publications by authors named "R W Motson"
Background: The impact of laparoscopic inguinal hernia repair (IHR) on chronic groin pain (CGP) prevalence, risk and daily activities compared to open IHR is still unclear.
Methods: A meta-analysis of randomised controlled trials comparing CGP rates in laparoscopic and open IHR was performed.
Results: 22 trials were included.
Article Synopsis
- The study analyzed the effects of The National Training Program for Lapco on laparoscopic surgery rates and clinical outcomes among colorectal surgeons in England, comparing trained Lapco delegates with non-Lapco surgeons.
- Results showed a significant 37.8% increase in laparoscopic surgery by Lapco surgeons, alongside a notable decrease in 30-day and 90-day mortality rates, indicating improved patient outcomes post-training.
- Overall, the findings suggest that the Lapco training program effectively enhances surgical techniques and outcomes, with competency assessments being predictive of performance improvements after training.
Use of a robotic camera holder (FreeHand) for laparoscopic appendicectomy.
Minim Invasive Ther Allied Technol
February 2020
Use of a mechanical arm to hold the laparoscopic camera has many advantages. FreeHand (FreeHand Ltd, Guildford, United Kingdom) is a robotic camera holder which uses head movement and infrared technology. This trial assessed the usefulness of FreeHand in laparoscopic appendicectomy.
View Article and Find Full Text PDFBackground: The diagnostic accuracy of Magnetic Resonance Imaging (MRI) in restaging locally advanced rectal cancers (LARC) after neoadjuvant chemo-radio therapy (NCRT) has been under recent scrutiny. There is limited data on the accuracy of MRI and its timing in assessing tumor regression grade (TRG) and in identifying patients with complete response (CR). NCRT seems to cause tissue inflammation and oedema which renders reading the scans difficult for radiologist.
View Article and Find Full Text PDFAim: The aim was to document the outcomes of surgeons attending a cadaveric simulation course designed to provide an introduction to transanal total mesorectal excision (TaTME).
Method: This was a prospective observational study documenting the outcomes from classroom and wet lab activities. Follow-up questionnaires were used to monitor clinical activity after the course.