Mesh hernia repair: more complications than with open surgery?

One in 10 people will develop a hernia. The most common treatment involves a mesh repair. Victoria Derbyshire reported recently on the BBC that there have been between 90,000 and 100,000 hernia mesh operations in England each year since 2011-12, and that some surgeons believe …

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Striking in the NHS: are there lasting consequences?

As a medical student during the junior doctor strikes I was submerged in an attitude of anger, frustration and disappointment for much of my training. I worry that such an atmosphere, present as such a pivotal time in a young person’s education, will result in …

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Managing trans people within a health service

It is unlikely that any healthcare professional working today has not consulted with a trans person. Referral rates to gender identity clinics have been doubling every five years since the late 1960’s, and services are struggling to manage this increasing demand which has probably been …

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Surge in prostate cancer referrals following Stephen Fry’s diagnosis

Matthew Swindells, deputy chief executive of NHS England, recently commented on the increase in awareness of prostate cancer following Stephen Fry’s announcement of his own diagnosis at the beginning of 2018:
‘We have seen increases in referrals into a number of the cancer specialties, particularly urology, …

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Bowel injury following surgery on the prostate

On 3rd September the BBC1 and national newspapers published the sobering story of Andrew Lane, a 63 year old man who reportedly suffered serious complications from an operation to remove his prostate in 2013. In the post-operative period he had developed necrotising faciitis following an …

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Bawa-Garba and beyond: hope or despair?

In 2015 Dr Hadiza Bawa-Garba was found guilty of gross negligence manslaughter after mistakenly misdiagnosing sepsis as gastroenteritis in 6-year-old Jack Adcock, who subsequently died in 2011 at Leicester Royal Infirmary.
In light of the evidence against her, Dr Hadiza Bawa-Garba initially received a 24-month suspended …

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Catheter care in the community

There are some bizarre contradictions in our attitude to indwelling urinary catheters (IDC).

We are quick to put them in but are reluctant to take them out. In nearly a half of patients their use is inappropriate.
Many urological problems would be impossible to manage without an …

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Mental Health and the Criminal Justice System

Men, and to a lesser extent women, with mental health conditions constitute a considerable proportion of the prison population. The National Institute for Health and Care Excellence (NICE) approximate that 39% of people detained in police custody, and 29% of those serving community sentences, have …

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Don’t overlook the elderly for prostate cancer treatment

Prostate cancer is a common malignancy in men with a predilection for the elderly. Despite this, many prostate cancer medical trials under-represent the geriatric population and there is a risk of under treatment within this age group. The associated article ‘Radiotherapy in elderly patients with …

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Dealing with the rising tide of UK knife crime

This year has witnessed record numbers of deaths and serious penetrating injuries, mainly in young men, from knife wounds in London, as well as several other major cities in the England. Rapid and skilful treatment of the victims of knife crime in major trauma centres …

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