In the 2 years since TBS was formed Iain & Adam have performed over 100 laparoscopic gallbladder operations and laparoscopic hernia repairs at BMI The Park Hospital. Their cholecystectomy conversion rate is less than 1%, with an overall wound infection below 2%. In excess of 30% of the procedures have been day cases and there have been no episodes of hospital-acquired infections (MRSA / C Difficile).
In 2011 the referral rate to TBS has increased by 16% compared to 2010 and we have looked after patients from through out the East Midlands region and as far afield as the Nordic Countries and the Middle East.
Many of our laparoscopic hernia repair patients are keen to return to work or sport and many achieve this within a week of their surgery and are actively participating in their sport either running, swimming badminton or squash within 2-4 weeks – patients have even been late for their follow up clinic because they were playing in a match!
We have seen a 4.5 fold increase in liver resections performed at the Park in 2011 with an average hospital stay inpatient stay of only 5 days. TBS are well placed to take full advantage of the new 6 bedded critical care facility and state-of-the-art new laparoscopic surgery suite opening later this year at the Park Hospital. These new facilities offer a state if the art, high quality environment in which to undertake laparoscopic and complex liver and pancreatic resections
Over the last few months following feedback from patients and GPs we have introduced nurse led post surgery follow up. Our nurse specialist now contacts all patients undergoing surgery within 48 hours of the procedure. She provides practical advice and reassurance whilst ensuring that they are recovering on schedule from their operation. Feedback from this has been excellent from both patients and GPs. Any problems or issues that cannot be resolved over the phone are referred straight back in to one of our twice weekly clinics.
Team working is important to us, and we believe to our patients and GP colleagues. Iain and Adam ensure that there is 24-hour cover and complex patients are reviewed at least daily. We tend to work closely with only 1 or 2 anaesthetists who also provide ongoing care whilst patients are in Critical Care. Together with our Nurse Specialist they have focussed on reduction in post operative nausea and vomiting especially in the day case patients.
Flexible team working enables us to streamline the service we offer to patients. Patients with complex hepatobiliary disease will have their imaging performed and reported and will be seen again in clinic by either Mr Brooks or Mr Cameron in only a few days of the referral.
Over the last 2 years we have forged strong links with colleagues in both Nottingham and Lincoln including Hepatology, Oncology, Colorectal Surgery and Urology
Jane Islip is Trent Biliary Surgery’s PA and the face of the partnership (and voice on the phone) to many of our patients. Jane works tirelessly to pull all the strands of the team together and her efforts are frequently appreciated in feedback from patients.
Adam deployed again with the Army to Afghanistan as part of his TA commitment over the summer leaving Iain to cover TBS. Subsequently he appeared on Radio Nottingham’s Sunday morning show where he shared his dubious taste in music. Adam is giving a lecture to the Nottingham Med Chi Society on Trauma in Afghanistan on the 23rd of February 2012. Adam presented at the Association of Surgeons of Great Britain & Ireland in 2011 and appeared in several articles in the Nottingham Evening Post. He was also promoted to Clinical Director at Nottingham University Hospitals NHS Trust.
Iain has lectured on Colorectal Liver Metastases in Belfast, and was an invited guest at the Pan Asian HPB conference held in Australia. He has also been promoted to Head of Service for Hepato-Pancreato-Biliary Surgery in Nottingham.
TBS are working to develop an App for smart phones that will provide GPs with details about HPB diseases and TBS services and patients with information about the procedures and updates on HPB diseases. This will shortly be available on the Apple iTunes Store and we will let you know as soon as it can be downloaded
If you would like to know more please about Trent Biliary Surgery you can see us on the web at www.trentbiliarysurgery.co.uk or contact Jane on 0115 966 2122. Alternatively if you would like Iain or Adam to talk at your practice meeting on HPB surgery then please contact Jane.
For patient referrals please contact Jane directly on 0115 966 2122 or through the Park Hospital asking to speak to the PA for Trent Biliary Surgery.
Finally, TBS we would like to take this opportunity to thank those of you who have referred patients to us over the last 2 years. We really appreciate your feedback on the service we provide for our patients and look forward to your comments and suggestions for future initiatives.
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