Brown, OS

Hing, CB

Smith, TO

Tsinislanidis, G

Tsinislanidis, P

Umarji, S

St George's Online Research Archive

topic of global surgery (GS). The multidisciplinary principles of GS areincreasingly recognised as being key to modern practice and as such,must be fostered at early stages of medical training. However, it isunclear whether medical students are being exposed to GS. This studyCorresponding Author: Mr. Alireza Sherafat (ASherafat@uclan.ac.uk)Introduction: The current study presents a systematic review of litera-ture on surgical management of ureteropelvic junction obstruction(UPJO) alongside an ongoing cohort study of neonates presenting withhigh grades of hydronephrosis due to UPJO requiring urgent treatmentin a developing country amid the COVID-19 pandemic. The aim of thisstudy is to investigate the efficacy and cost effectiveness of laparo-scopic-assisted pyeloplasty.Methods: Patients’ demographics, clinical presentations and treatmentoutcomes are recorded. The cohort is classified into 3 groups based ontype of surgical treatment offered including open, laparoscopic andlaparoscopic-assisted pyeloplasty. All patients admitted with grade 3-4hydronephrosis due to UPJO are included. Patients with UPJO as part ofa complex multisystemic syndrome are excluded. Literature reviewwas conducted from 2000/1/1 to 2020/1/1 to include all original researchpapers on surgical management of UPJO. The age group was limited toneonates (under 1 year-old).Results: 32 articles were included in the review. 20 papers (62.5%) rec-ommended open pyeloplasty, 10 papers (31.3%) recommended laparo-scopic pyeloplasty and 2 papers (6.25%) recommended laparoscopic-as-sisted pyeloplasty. The cohort study is currently recruiting patientstreated by the 3 surgical approaches.Conclusion: The majority of studies are focusing on open pyeloplasty.However, as more surgeons are going through the learning curve of lap-aroscopic pyeloplasty, the trend is towards more laparoscopic manage-ment in the future. It is important to discover the advantages of laparo-scopic-assisted approach as a new technique to improve the outcomeand shorten the hospital stay amid the COVID-19 pandemic.P118The 134-year-old problem meets the 1-year-old problem:lessons learned in managing acute appendicitis during thet.uk)studyas onesyn-sur-rate ofttedweres was 33(ASA)and allhywentwere di-cohortswereout-COVIDtheP119The association of hand and wrist injuries with other skeletalinjuries in multiple trauma patients in a UK Major TraumaCentreProdromos Tsinaslanidis, Toby O Smith, Oliver S Brown, GeorgeTsinaslanidis, Shamim Umarji, Caroline B HingSt George’s University Hospitals NHS Foundation TrustCorresponding Author: Dr. Prodromos Tsinaslanidis (p.tsinaslanidis@nhs.net)Background: There are 20,000 major trauma cases in England annuallyyet the association with concomitant upper limb injuries is unknown.Injuries of the hand and wrist can cause serious functional impair-ment, decreased quality of life and confer a significant economic bur-den to healthcare systems. The aim of this study was to determine theincidence, injury pattern and association of hand/wrist injuries withother injuries and the ISS score in multiple trauma patients in the UK.Methods: A single centre retrospective cohort study was performed ata level one trauma centre. Trauma Association & Research Network(TARN) eligible patients during a 5-year period were included.Results: A total of 107 patients were included in this study. Seventypatients had an ISS<15 and 37: had an ISS>15. The majority were male(70.1%) and the mean age was 45 Years. Hand and wrist injuries werethe second most common injury found in 26.2% of patients.There was a significant association between hand/wrist injuries andlower limb injuries (p¼ 0.04) and pelvic injuries (p¼ 0.02). The associa-tion between hand and wrist injuries with ISS score was found to benot significant (p¼ 0.82).Conclusion: Hand and wrist injuries should be screened for in multiplyinjured patients with a pelvic or lower limb injury.Poster presentation | i33Downloaded from https://academic.oup.com/bjsopen/article/5/Supplement_1/zrab032.118/6217256 by guest on 12 April 2021

The association of hand and wrist injuries with other skeletal injuries in multiple trauma patients in a UK Major Trauma Centre

http://openaccess.sgul.ac.uk/id/eprint/113153/1/zrab032.118.pdf

The association of hand and wrist injuries with other skeletal injuries in multiple trauma patients in a UK Major Trauma Centre

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