49 results match your criteria: "West Hertfordshire Teaching Hospitals NHS Trust.[Affiliation]"
Cureus
November 2024
Trauma and Orthopaedics, Watford General Hospital, West Hertfordshire Teaching Hospitals NHS Trust, Watford, GBR.
Background and objective Hand numbness, often associated with carpal tunnel syndrome (CTS) and cubital tunnel syndrome (CuTS), significantly impacts the quality of life. This study aimed to evaluate the effectiveness of combined carpal and cubital tunnel decompression (CCTD) in patients with concurrent mild to moderate cervical spine stenosis when compared to single decompression procedures. Methods We retrospectively reviewed the records of 100 patients who underwent decompression surgery for hand numbness and concurrent cervical spine stenosis, with positive electromyography (EMG) results in some cases, between January 1, 2023, and January 1, 2024.
View Article and Find Full Text PDFClin Obes
December 2024
Royal Infirmary of Edinburgh, Edinburgh, UK.
Global obesity rates have risen dramatically, now exceeding deaths from starvation. Metabolic and bariatric surgery (MBS), initially for severe obesity (BMI ≥35 kg/m), is performed globally over 500 000 times annually, offering significant metabolic benefits beyond weight loss. However, varying eligibility criteria globally impact patient care and healthcare resources.
View Article and Find Full Text PDFBr J Anaesth
January 2025
Department of Anaesthesia and Critical Care, West Hertfordshire Teaching Hospitals NHS Trust, Watford, UK.
J AAPOS
December 2024
Watford General Hospital, West Hertfordshire Teaching Hospitals NHS Trust.
Retinal arteriovenous malformations (AVMs) are rare congenital, nonhereditary vascular anomalies of the retina. We report the case of a 6-year-old child presenting with recurrent frontal headaches. Funduscopy examination revealed an AVM in the right eye, inferior to the optic nerve head.
View Article and Find Full Text PDFIntroduction: Migration to the UK continues to rise. Refugee and migrant health needs are complex and multifaceted, and UK medical schools do not equip trainees to care confidently for this population.
Methods: A systematic literature review was performed to design a curriculum, which includes core themes, learning objectives, and proposed teaching methods.
Lancet Neurol
November 2024
Department of Neurology, Manchester Centre for Clinical Neurosciences, Salford, UK.
Clin Exp Allergy
December 2024
Paediatric Accident and Emergency Department, Chelsea and Westminster Hospital NHS Foundation Trust, London, UK.
Future Healthc J
September 2024
Institute of Inflammation and Ageing, University of Birmingham, Birmingham, UK.
Ann Med Surg (Lond)
October 2024
Department of Surgery, West Hertfordshire Teaching Hospitals NHS Trust, Watford General Hospital.
Introduction: Robotic-assisted surgery (RAS) is one of the most influential surgical advances with widespread clinical and health-economic benefits. West Hertfordshire Teaching Hospital NHS Trust was the first in the UK to simultaneously integrate two CMR Surgical Versius robots. This study aims to investigate clinical outcomes of RAS, explore surgeon learning curves and assess the feasibility of implementation within a district general hospital (DGH).
View Article and Find Full Text PDFCureus
August 2024
Gastroenterology, West Hertfordshire Teaching Hospitals NHS Trust, London, GBR.
Emphysematous gastritis is a rare condition with a high mortality rate. We present a rare case of haemorrhagic emphysematous gastritis in a 70-year-old woman with a background of relapsed endometrioid ovarian cancer previously treated with chemotherapy and recent prednisolone use. A CT scan showed a grossly distended stomach with gas in the stomach wall and gas in the gastric and portal veins in the liver.
View Article and Find Full Text PDFIndian J Orthop
May 2024
West Hertfordshire Teaching Hospitals NHS Trust, Trauma and Orthopaedic Surgery Department, Watford General Hospital, Vicarage Road, Watford, WD18 0HB UK.
Background: The aim of this study is to evaluate the use of isolated gastrocnemius release in the treatment of Achilles tendinopathy. The primary outcome is the change in patient-reported pain outcomes. Secondary outcomes include the change in patient-reported foot and ankle function, ankle range of motion and strength, patient satisfaction and rate of surgical complications.
View Article and Find Full Text PDFFuture Healthc J
March 2024
Honorary clinical senior lecturer, Imperial College London, London, UK, and gastroenterology consultant Imperial College Healthcare NHS Trust, London.
The allocation of healthcare resources is reliant upon accurate information generated through clinical coding. Several factors contribute to coding inaccuracies, one of which is interpreting medical documentation. A lack of awareness among medical staff of the clinical coding process and the importance of detailed documentation exacerbates this problem.
View Article and Find Full Text PDFObjectives: COVID-19 infection confers an increased risk of coagulation dysfunction (1) predisposing to thromboembolism in many anatomical sites including the gastrointestinal tract (GIT) (2). This study investigates the clinical presentation and outcome in patients presenting with concurrent COVID-19 infection and gastrointestinal tract ischaemia. Furthermore, differentiation and comparisons are drawn between those with arterial and venous aetiology for mesenteric ischaemia.
View Article and Find Full Text PDFActa Cytol
August 2024
Department of Cellular Pathology, West Hertfordshire Teaching Hospitals NHS Trust, Hemel Hempstead, UK.
Background: Cytopathology is integral to the investigation and diagnosis of respiratory disease, and, in the last decade or so, transbronchial needle aspiration by endobronchial ultrasound has made possible diagnosis and staging of malignant thoracic tumours at a single procedure. In addition, interventional teams increasingly include cytopathologists and cytotechnologists who, by providing rapid onsite evaluation, ensure efficient sampling of intrathoracic targets with the ultimate goal of accurate diagnosis as well as sufficient material for comprehensive predictive testing. Nonetheless, "traditional" cytological investigations such as bronchial washings, brushings, and lavages are still carried out for investigation of both suspected neoplastic and non-neoplastic conditions, and all these procedures still produce specimens in which florid benign cells mimic malignancy, while truly neoplastic cells lurk quietly in the background.
View Article and Find Full Text PDFInt J Gynecol Cancer
July 2024
Department of Gynaecological Oncology, West Hertfordshire Teaching Hospitals NHS Trust, Watford, UK
J Orthop Case Rep
February 2024
Department of Trauma and Orthopaedics, West Hertfordshire Teaching Hospitals NHS Trust, Watford WD18 0HB, United Kingdom.
Introduction: Patella fracture can occur due to direct injury to the knee or indirect eccentric contraction of the quadriceps tendon. These injuries can present in different configurations which require acceptable reduction and good fixation. Patients are at risk of not only losing their knee extensor mechanism but also having a defective patellofemoral articulation.
View Article and Find Full Text PDFBMC Surg
February 2024
Watford General Hospital, West Hertfordshire Teaching Hospitals NHS Trust, Watford, UK.
Background: Emergency laparotomy is a commonly performed surgical procedure that has higher post-operative morbidity and mortality than elective surgery. Previous research has identified that patients valued postoperative quality of life (QoL) more than the risk of mortality when deciding to undergo emergency surgery. Current pre-operative scoring and risk stratification systems for emergency laparotomy do not account for or provide prediction tools for post-operative QoL.
View Article and Find Full Text PDFInt Orthop
May 2024
Department of Trauma & Orthopaedics, West Hertfordshire Teaching Hospitals NHS Trust, Hertfordshire, UK.
Purpose: The optimal timing of surgery after traumatic rotator cuff tears (RCT) is unclear, with its impact on functional outcomes under debate. This study aimed to review functional outcomes after RCT repair in patients who underwent early vs delayed surgery at our unit.
Methods: This was single-centre retrospective evaluation.
Transfus Med
February 2024
Centre of Defence Pathology, Ministry of Defence, Birmingham, UK.
Bone Joint J
February 2024
Department of Trauma and Orthopaedics, West Hertfordshire Teaching Hospitals NHS Trust, Watford, UK.
Aims: Hip fractures are some of the most common fractures encountered in orthopaedic practice. We aimed to identify whether perioperative hypotension is a predictor of 30-day mortality, and to stratify patient groups that would benefit from closer monitoring and early intervention. While there is literature on intraoperative blood pressure, there are limited studies examining pre- and postoperative blood pressure.
View Article and Find Full Text PDFClin Oncol (R Coll Radiol)
January 2024
University College London Hospitals NHS Foundation Trust, London, UK.
Aims: Phyllodes tumours and breast sarcomas are uncommon tumours and their rarity poses significant challenges in diagnosis and management. This cross-sectional study was conducted to evaluate the multidisciplinary clinical practice for these tumours across the UK and Ireland, with the aim of identifying gaps in knowledge and providing direction for establishing national guidelines.
Materials And Methods: An international survey was adapted and circulated to breast and/or sarcoma surgeons and oncologists in the UK and Ireland through national organisations.
Occup Med (Lond)
December 2023
Occupational Health, West Hertfordshire Teaching Hospitals NHS Trust, Vicarage Road, Watford WD18 0HB, UK.
Skeletal Radiol
November 2024
Clementine Churchill Hospital, Harrow, England.
We present the clinical and radiological characteristics of phalangeal microgeodic syndrome in a cluster of five children during the second peak of COVID-19 pandemic in the UK. Each child presented with phalangeal swelling and erythema, prompting a comprehensive multi-disciplinary team review to analyse the clinical presentation, blood test results and imaging. The cohort's average age was 14.
View Article and Find Full Text PDFArch Dis Child
December 2023
Department of Paediatrics, West Hertfordshire Teaching Hospitals NHS Trust, Watford, Hertfordshire, UK
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