Sheik Rehman, FRCS

We're excited to be launching our new webinar series - Meet the experts! 🙌 Join us to hear from world-leading NHS experts on the use of #Versius, and the path to building a successful surgical robotic programme. Find out more and sign-up here: eventcreate.com/e/meet-the-exp…

Congratulations to our Colorectal teams from across BCU who have successfully rolled out robotic technology for their patients with bowel cancer! We have received fantastic feedback from our patients so far; you can read more about it: bcuhb.nhs.wales/news/health-bo… @CMRSurgical

The Prime Minister blaming Junior doctors for hospital waiting lists is one of the most despicable things he’s said & for the record he’s offered them a crappy real terms pay cut If like me you stand with the junior doctors who sacrificed so much to keep us safe RT this widely

Bowel cancer: Pioneering blood tests for patients in Swansea bbc.co.uk/news/uk-wales-…

THOUGHT FOR DAY: In 2021 LTA@£1.073m = public sector pension of £46,657 before breaching With inflation 10.1% '22, 7.9% '23 LTA should be £1.423m buying same pension of 46.7k Instead LTA will by 27/28 be real terms £818k = pension just £35.6k! RT if you agree➡️NHS collapse 📉

*NEWS* Independent review of @gmcuk #ManjulaArora published Thank you from @NHSEngland for working closely with us on this gmc-uk.org/news/news-arch…

Rumours @Jeremy_Hunt may be next Chancellor Glad Jeremy understands what a car crash the pensions taxation is in the NHS - would really like an early meeting if he is #TalkToTony @BMA_Pensions - lets get this long standing car crash for the NHS fixed, & properly. RT if agree!

7/ Finally, @BMA_Pensions have *repeatedly* asked if @nhs_pensions will start routinely putting whole time equivalent pay on each line of a pension saving statement. This happens in Scotland, costs nothing, and would help many members to spot such errors. RT if u agree

@HFrcs ‘Futility of surgery’ should be considered and communicated with NOK… just because a procedure can be done it doesn’t mean should do it…. Keeping pts dignity, comfort and wishes is essential…..

78 yr old woman pc tender abdomen for 2 days. pH 7.1 & no better after resus. CT shows lft colonic inflammatory mass & free intraperitoneal gas. resus on iTu hasnt improved condition, remains hypotnsve with fixed mottling of legs &trunk.What would be best treatment for this pt?

@HFrcs CT helps to plan surgery/ surgical approach (laparoscopic/open)/ surgical incisions , their size and location depending on cause for pneumoperitoneum and pathology.

How would a CT change what you do?

A 40 year old fit and healthy patient comes in with Abdo pain and a chest X-RAY shows lots of free air under the diaphragm. His WCC is 22. What would be most appropriate course of action?

Daily Quordle #61 7️⃣8️⃣ 5️⃣4️⃣ quordle.com

Daily Quordle #48 5️⃣4️⃣ 8️⃣7️⃣ quordle.com

@drkeithsiau Preference ? LMWH? NOAC?

Baveno guidelines for the management of non-cirrhotic portal vein thrombosis #LiverTwitter

@SWexner 👍Me too, once the stoma is taken down, most of nearby adhesions can be released and other ports inserted under vision.

I agree and have employed that technique since 1991

@TheGenSurgeon Congratulations… well done 👍

FRCS Exams ✅ absolutely delighted and relieved 😌 #FRCS

Minimal access surgery restarted at Christie with robotic prostatectomy followed by gynae and colorectal!. Well done all

👇This needs sorting, urgently in the next couple of days @RishiSunak @MattHancock Healthcare workers, bullied out of the pension scheme by ill conceived taxes, need to be confident of FULL death in service and ill health retirement benefits Fix this now please. RT widely pls

In the BJS February issue: Closure of the fascial defect during laparoscopic umbilical hernia repair: a randomized clinical trial ow.ly/yKKp30qcF2v @JJEarnshaw @AmyLightnerMD @bplwijn @des_winter @JohnBeynon5 @ksoreide @MalinASund @evanscolorectal @robhinchliffe1

@LorraineMHickey @DrJonnys @morenominilap1 @bisturitx @drambm @CelestinoGutirr @hpbsurgeon1 @plaquetagen @stevecripe57 @amalias79281640 @oabdeenmd @HelgaL08682462 @ericorodriguez @chewie_15 Most likely fleeing..... 🤞😀

worth watching✨👇🏻🚗 @morenominilap1 @bisturitx @drambm @CelestinoGutirr @hpbsurgeon1 @plaquetagen @stevecripe57 @amalias79281640 @oabdeenmd @HelgaL08682462 @ericorodriguez @LorraineMHickey @chewie_15

This is what happens when you don’t stop and reflect after a surgical complication. #colorectalsurgery #colorectalresearch #patientsafety