XLIst Sir Peter Freyer Memorial Lecture and Surgical Symposium

Arts Millennium Building, National University of Ireland Galway

2nd & 3rd September 2016
Programme
FRIDAY, 2nd SEPTEMBER 2016
SESSION 1: BREAST CLINICAL
Time Allowed: 7 Minutes Speaking
3 Minutes Discussion
Location:
The Mirtn Tnthail Theatre, AM150 Theatre
Chair:
Professor Malcolm Kell & Mr Karl Sweeney
9.00 a.m.
Paper 1:

Invasive Lobular Carcinoma of the Breast; Clinicopathologic Profile of Cases over a 10-Year Period
N Shafique1, H Heneghan 1, R Prichard1, E McDermott1, C Quinn2, J Walsh3
(1) Department of Breast Surgery, St. Vincents University Hospital, Merrion Road, Dublin 4, Ireland;
(2) Department of Pathology, St. Vincents University Hospital, Merrion Road, Ireland;
(3) Department of Oncology, St. Vincents University Hospital, Merrion Road, Ireland

9.10 a.m.
Paper 2:

Paravertebral Blocks for Breast Surgery: A Series of 1060 Patients

D McNicholas1, M Kelly1, J Killeen1, J Coyne2, J McDonnell2, K Sweeney1
(1) Department of Surgery, Galway University Hospital, Galway, Ireland;
(2) Department of Anaesthesia, Galway University Hospital, Galway, Ireland

9.20 a.m.
Paper 3:

Preoperative Breast MRI and Surgical Outcomes: A Meta-Analysis

R O Cearbhaill, S Sharma, M Barry
Department of Breast Surgery, Mater Hospital, Eccles Street, Dublin 7, Ireland

9.30 a.m.
Paper 4:

The Impact of Breast Cancer Screening on a Symptomatic Breast Cancer Programme

B Moloney1, A Larke2, C Malone1, K Sweeney1, K Barry1, R McLoughlin1, S Walsh2,
AM O' Connell2, R Ennis2, P McCarthy2, MJ Kerin1
(1) Department of Surgery, Lambe Institute of Translational Research, National University of Ireland, Galway, Ireland;
(2) Department of Radiology, National University of Ireland, Galway, Galway, Ireland

9.40 a.m.
Paper 5:

Profiling Young Women with Breast Cancer

S Zehra, S Sherma, C Clancy, I Tunau, M Kell, JM Barry
Department of Breast Surgery, Mater Hospital, Dublin, Ireland, Ireland

9.50 a.m.

A Translational Study Examining the Impact of Sodium Iodide Symporter and other Novel Markers
on Breast Cancer Prognosis
C Cuggy1, S Abd Elwahab2, S Khan1, R Dwyer1, K Sweeney2, R McLoughlin2, MJ Kerin1,2, C Malone2
(1) Department of Surgery, Lambe Institute for Translational Research, National University of Ireland Galway,
Galway, Ireland;
(2) Department of Surgery, Galway University Hospital, Galway, Ireland

Paper 6:

10.00 a.m.
Paper 7:

Characterization and Follow-Up of FET with Mitoses

D OCallaghan1, SA Elwahab1, M OLoughlin2, R McLaughlin1, K Sweeney1, MJ Kerin1, C Brodie2, C Malone1
(1) Department of Breast Surgery, Galway University Hospital, Galway, Ireland;
(2) Department of Pathology, Galway University Hospital, Galway, Ireland

10.10 a.m.

Comparison of Radiological Burden in Neoadjuvant Chemotherapy and Adjuvant Chemotherapy

in Breast Cancer Patients
AZ Abidin1, MA Zaheer2, C Brady3, L Duddy4, M Corrigan2
(1) School of Medicine, University College Cork, Cork, Ireland;
(2) Department of Surgery, Cork University Hospital, Wilton, Cork, Ireland;
(3) Department of Oncology, Cork University Hospital, Wilton, Cork, Ireland;
(4) Department of Radiology, Cork University Hospital, Wilton, Cork, Ireland

Paper 8:

10.20 a.m.
Paper 9:

10.30 a.m.

Baseline Audit of Current Breast Reconstruction Practice in Galway University Hospital:

A First Step towards Implementing ERAS
C Hayes1, S Abd Elwahab2, N O'Halloran2, M Dowd3, C Malone2
(1) Department of Cardiology, Galway University Hospital, Galway, Ireland;
(2) Department of Breast & General Surgery, Galway University Hospital, Galway, Ireland;
(3) Symptomatic Breast Unit, Galway University Hospital, Galway, Ireland
COFFEE

SESSION 2: UROLOGY
Time Allowed: 7 Minutes Speaking
3 Minutes Discussion
Location:
The Patrick F Fottrell Theatre, AM200 Theatre
Chair:
Professor Thomas Lynch & Mr Frank Darcy
9.00 a.m.

Paper 10:

Men From the Most Socially Deprived Areas in Ireland Are Diagnosed with Prostate Cancer More
Often Than Their Counterparts. Prostate Cancer in Ireland - A Review of the National Cancer
Registry Ireland (NCRI) Database
S Norton1, A Looney2, I Cullen2, F O'Brien3, P Daly2
(1) Department of Surgery, University Hospital Waterford, Waterford, Ireland;
(2) Department of Urology, University Hospital Waterford, Ireland;
(3) Department of Urology, Cork University Hospital, Ireland

9.10 a.m.
Paper 11:

Open Nephron Sparing Surgery and Outcomes: A Single Centre Study

A Madden, A Aslam, A Sarwar, A Cham, C Dowling, F D'Arcy, P O'Malley, K Walsh, G Durkan, S Jaffry,
E Rogers, N Nusrat
Department of Urology, Galway University Hospital, Galway, Ireland

9.20 a.m.
Paper 12:

Diagnosing Prostate Cancer in the West of Ireland - The Role of Transperineal Template Biopsies
A Walsh1, G O'Boyle2, Y Braz 3, P O'Malley1, E Rogers1, S Jaffrey1, F Sullivan4, C Small2, G Durkan1,
D Bouchier-Hayes 3
(1) Department of Urology, Galway University Hospital, Galway, Ireland;
(2) Department of Radiation Oncology, Galway University Hospital, Galway, Ireland;
(3) Department of Urology, Galway Clinic, Galway, Ireland;
(4) Department of Radiation Oncology, Galway Clinic, Galway, Ireland

9.30 a.m.
Paper 13:

Increasing Grade of Prostate Cancer Diagnosis in the Mid-West over a 7-Year Period
T Kelly, N Bhatt, K Domanska, C Fogarty, J Leao, M Akram, J Drumm, H Flood, S Giri
Department of Urology, University Hospital Limerick, Dooradoyle, Limerick, Ireland

9.40 a.m.

A Comparison of Digital Rectal Examination, Ultrasound and MRI Findings of Prostate and their
Relation with Prostate Biopsies Results
M Awan1, MJ Kerin2, M Newell2, A Mohammad1
(1) Department of Urology, Kings Mill Hospital, Mansfield Road, Sutton in Ashfield, United Kingdom;
(2) Department of Surgery, National University of Ireland, University Road, Galway, Ireland

Paper 14:

9.50 a.m.
Paper 15:

Diagnostic Accuracy in Children Referred with Undescended Testes

U Donigiewicz, F Quinn
Department of Paediatric Surgery and Urology, Our Ladys Childrens Hospital, Crumlin Road, Dublin 12, Ireland

10.00 a.m.
Paper 16:

Management of Prostate Cancer in the Elderly

E Redmond, D O'Callaghan, N O'Connor, K Walsh, G Durkan, S Jaffry, E Rogers, FT Darcy, CM Dowling
Department of Urology, Galway University Hospital, Galway, Ireland

10.10 a.m.

The Changing Microbiological Trends in TRUS Sepsis following the Implementation of a Prospective
Surveillance Programme
K Patterson, EM Bolton, S White, M Skally, M Broe, R Power
Department of Urology, Beaumont Hospital, Beaumont Road, Dublin 9, Ireland

Paper 17:
10.20 a.m.
Paper 18:

10.30 a.m.
Paper 19:

10.40 a.m.

Persistently Elevated PSA Post Robotic Assisted Laparoscopic Prostatectomy: A Single Centre Experience
in 623 Men
S O Meara1, A Nic an Riogh1, PE Lonergan1, D Lundon1, KJ O'Malley2
(1) Department of Urology, Mater University Hospital, Eccles Street, Dublin 7, Ireland;
(2) Department of Urology, Mater Private Hospital, Eccles Street, Dublin 7, Ireland
RAPC Patients Not Diagnosed with Prostate Cancer: An Under Appreciated but Significant Resource
Burden
M Broe, M Matanhelia, F O' Kelly, E Bolton, M Hegazy, R Power, I Cheema, G Smyth, D Little
Department of Urology & Transplantation, Beaumont Hospital, Beaumont, Dublin 9, Ireland

COFFEE

SESSION 3: LOWER GI
Time Allowed: 7 Minutes Speaking
3 Minutes Discussion
Location:
The Colm hEocha Theatre, AM250 Theatre
Chair:
Mr Myles Joyce & Mr Ronan Waldron
9.00 a.m.
Paper 20:

9.10 a.m.
Paper 21:

Universal Screening of Colorectal Cancers for Lynch Syndrome by Reflex Immunohistochemistry:

A Single Centre 9 Year Experience
E Ryan, B Creavin, S Martin, J Hyland, R O'Connell, K Sheehan, D Winter
Department of Colorectal Disease, St Vincents Hospital, Elm Park, Dublin 4, Ireland
An Overview of Quality of Life in Patients Requiring Stoma Formation in University College Hospital
Galway
SG Jaskani, E Nugent, M Quigley, M Joyce
Department of Colorectal Surgery, Galway University Hospital, Galway, Ireland

9.20 a.m.
Paper 22:

Application of National Guidelines to an Endoscopy Waiting List

E Young, L Devane, S Zeeshan, F Cooke, G Ahmed, N O'Mara
Department of Colorectal Surgery, University Hospital Waterford, Co. Waterford, Ireland

9.30 a.m.
Paper 23:

Cancer Incidence at Interval Colonoscopy following Acute Diverticulitis: A Cohort Analysis

DJ O Connor, P Waters, E Condon, D Waldron
Department of Surgery, University Hospital Limerick, Dooradoyle, Limerick, Ireland

9.40 a.m.
Paper 24:

Factors Affecting 30-Day Readmission Rates Following Major Colon Resection

AL Fowler, W Joyce
Department of General & Colorectal Surgery, Galway Clinic, Doughiska, Galway, Ireland

9.50 a.m.
Paper 25:

The Utility of PET-CT Scanning in Colorectal Cancer Liver Metastases being considered for Surgery
A Foran1, C Kelly2, H Mohan3, J Geoghegan4, S Skeehan4, D Winter5, D Power6
(1) Department of Medical Oncology, Mater Misericordiae University Hospital, Eccles Street, Dublin 7, Ireland;
(2) Department of Medical Oncology, St Vincent's University Hospital, Elm Park, Dublin 4, Ireland;
(3) Department of Gastrointestinal and Hepatobiliary Surgery, Mercy University Hospital, Cork, Ireland;
(4) Department of Gastrointestinal and Hepatobiliary Surgery, St Vincent's University Hospital, Dublin 4, Ireland;
(5) Department of Colorectal Surgery, St Vincent's University Hospital, Elm Park, Dublin 4, Ireland;
(6) Department of Medical Oncology, Mercy University Hospital, Greenville Place, Cork, Ireland

10.00 p.m.
Paper 26:

The Clinical Utility of Neutrophil-to-Lymphocyte Ratio as a Prognostic Indicator in Colorectal Cancer

R Waldron1, M Kelly2, B Moloney1, C Clancy1, M Joyce2, MJ Kerin1
(1) Department of Surgery, Lambe Institute for Translational Research, National University of Ireland Galway,
Galway, Ireland
(2) Department of Surgery, Galway University Hospital, Galway, Ireland

10.10 p.m.

An Evaluation of Patients Awaiting Surveillance Endoscopy in an Irish Peripheral Hospital: An Analysis of

Over 700 Individuals
JF Bonnet, TM Connelly, M Aakif, M Umair, S Ali, F Matuni, F Pretorius, P Balfe, F Awan, O Elfaedy
Department of Surgery, St. Lukes Hospital, Kilkenny, Ireland

Paper 27:

10.20 p.m.
Paper 28:

Perioperative Anaemia Management in Colorectal Surgery

EM Quinn1, E Meland2, S McGinn1, JH Anderson1
(1) Department of Colorectal Surgery, Glasgow Royal Infirmary, Glasgow, G4 0ET, Scotland
(2) Department of Pharmacy, Glasgow Royal Infirmary, Glasgow, G4 0ET, Scotland

10.30 a.m.

COFFEE

SESSION 4: BREAST RESEARCH

Time Allowed: 7 Minutes Speaking
3 Minutes Discussion
Location:
The Mirtn Tnthail Theatre, AM150 Theatre
Chair:
Professor Elizabeth Connolly & Ms Carmel Malone
11.00 a.m.
Paper 29:

Columnar Cell Lesions With and Without Atypia - To Excise or Not?

G Kelly1, CA Fleming1, HM Heneghan1, J Rothwell1, D Evoy1, J Geraghty1, EW McDermott1,
A O'Doherty2, CM Quinn3, RS Prichard1
(1) Department of Surgery, St Vincent's University Hospital, Elm Park, Dublin 4, Ireland
(2) Department of Radiology, St Vincent's University Hospital, Elm Park, Dublin 4, Ireland
(3) Department of Histopathology, St Vincent's University Hospital, Elm Park, Dublin 4, Ireland

11.10 a.m.
Paper 30:

Investigation of MicroRNA-Mediated Regulation of COX-2 Expression in Breast Cancer

S Khan, K Gilligan, K O'Brien, E Ramphul, MJ Kerin, RM Dwyer
Department of Surgery, Lambe Institute for Translational Research, National University of Ireland, Galway, Ireland

11.20 a.m.

Breast Reconstruction Post Mastectomy- Lets Google It: Accessibility, Readability and Quality of Online
Information
N Lynch1, S Angelov1, B Lang1, S McGarrigle2, T Boyle1, D Alazawi1, E Connolly1
(1) Department of Surgery, St James's Hospital, Rialto, Dublin 8, Ireland
(2) Department of Surgery, Trinity College Dublin, Ireland

Paper 31:

11.30 a.m.
Paper 32:

Adipose Derived Stem Cells: Characterisation and Potential Use in Breast Tissue Regeneration
D Courtney, S Khan, RM O Dwyer, A Hussey, K Sweeney, AJ Lowery, MJ Kerin
Department of Surgery, Lambe Institute for Translational Research, National University of Ireland, Galway, Ireland

11.40 a.m.

False Negative Rate of Fine Needle Aspiration Cytology for Assessing the Presence of Axillary Lymph Node
Metastasis in Breast Cancer Patients
G Kane, C Fleming, H Heneghan, R Prichard, E Mc Dermott, D Evoy, J Geraghty, J Rothwell, C Quinn,
A O'Doherty, P James
Department of Breast, Endocrine & General Surgery, St Vincent's University Hospital, Elm Park, Dublin 4, Ireland

Paper 33:

11.50 a.m.
Paper 34:

Exosome-Encapsulated MicroRNAs as Circulating Biomarkers of Breast Cancer

BM Moloney1, S Khan 1, D Joyce1, K Gilligan1, P Lalor2, P Dockery2, MJ Kerin1, R Dwyer1
(1) Department of Surgery, Lambe Institute for Translational Research, National University of Ireland, Galway,
Ireland
(2) Department of Anatomy, National University of Ireland, Galway, Ireland

12.00 p.m.
Paper 35:

The Antineoplastic Effects of Taurolidine and 2250 on Breast Cancer Cell Lines
M Jinih1, R Pfirrmann2, J Wang1, HP Redmond1
(1) Department of Academic Surgery, Cork University Hospital, Wilton, Cork, Ireland
(2) Geitslich Pharma, Switzerland

12.10 p.m.
Paper 36:

The Impact of Rs2910164 in Pre-Mir-146a on Circulating Mir-146a Levels in Breast Cancer

R Waldron, T McVeigh, N Miller, MJ Kerin
Department of Surgery, Lambe Institute for Translational Research, National University of Ireland, Galway, Ireland

12.20 p.m.
Paper 37:

A Role for Vitamin D in Obesity-Associated Breast Cancer

F Idris1, S McGarrigle2, M Healy3, JE Welsh4, J Kennedy1, E Connolly2
(1) Academic Unit of Clinical and Molecular Oncology, Trinity College Dublin, St. James's Hospital Dublin 8,
Ireland
(2) Department of Surgery, St James Hospital, Dublin 8, Ireland
(3) Department of Biochemistry, Central Pathology Laboratory, St. James's Hospital, Dublin 8, Ireland
(4) Cancer Research Centre, University at Albany, Albany, New York, USA

12.20 p.m.
Paper 38:

MicroRNA Packaging into Exosomes is a Selective Process

K Gilligan, D Joyce, E Ramphul, C Curran, MJ Kerin, R Dwyer
Department of Surgery, Lambe Institute for Translational Research, National University of Ireland, Galway, Ireland

12.30 p.m.

LUNCH

SESSION 5: GENERAL
Time Allowed: 7 Minutes Speaking
3 Minutes Discussion
Location:
The Patrick F Fottrell Theatre, AM200 Theatre
Chair:
Professor Paul Ridgway & Mr Mark Regan
11.00 a.m.
Paper 39:

Emergency Surgery in Octogenarians: An Expanding Element of General Surgical Practice

J Bolger, A Zaidi, A Abbas, AF Bonachera, T McCormack, B Waldron, K Murray
Department of Surgery, University Hospital Kerry, Tralee, Co Kerry, Ireland

11.10 a.m.
Paper 40:

Discrepancies between Clinical and Pathological Diagnosis of Appendicular and Gallbladder Diseases
H Baldawee1, H Shabana1, S ELabd1, M Boyce2, B Barry1, B Whooley1, D Gough1, CJ O'Boyle1
(1) Department of Surgery, Bon Secours Hospital, Cork, Ireland;
(2) Department of Best Practice, Bon Secours, Cork, Ireland

11.20 a.m.
Paper 41:

Loss of the General Paediatric Surgical Service?

L Darcy, MR Boland, Z Khan, A Lal, S Tormey, A.J Lowery, BA Merrigan
Department of General Surgery, University Hospital Limerick, Dooradoyle, Limerick, Ireland

11.30 a.m.
Paper 42:

Patient Satisfaction Reporting: Logistics of Data Collection

MF Ullah, S Gubbins, CA Fleming, K Mealy
Department of General Surgery, Wexford General Hospital, Newtown Road, Wexford, Ireland

11.40 a.m.
Paper 43:

Is Routine Follow-Up Colonoscopy Required In All Patients After CT Confirmed Acute Diverticulitis?
SM Bollard, CA Fleming, HM Heneghan, RS Prichard, EW McDermott
Department of General, Breast and Endocrine Surgery, St. Vincent's University Hospital, Elm Park, Dublin 4,
Ireland

11.50 a.m.
Paper 44:

Use Your Head: Creating a Standardised Pathway for Head Injuries at Mayo University Hospital
M Murray, I Reynolds, R Heaney, F Hand, P Coyle, R Waldron, K Barry
Department of General Surgery, Mayo University Hospital, Castlebar, Co Mayo, Ireland

12.00 p.m.
Paper 45:

Robot Assisted Surgical Ward Rounds (RASWR): Virtually Always There

S Croghan, P Carroll, P Ridgway
Department of Surgery, Tallaght Hospital, Tallaght, Dublin 24, Ireland

12.10 p.m.
Paper 46:

Introduction of a Dedicated Emergency Theatre: The Waterford Experience

I Sheikh, R Sehgal, D Healy, C Cheung, M McMonagle, S Cross
Department of General Surgery, University Hospital Waterford, Dunmore Road, Waterford, Ireland

12.20 p.m.

Outcomes of Percutaneous Cholecystostomy Tube Insertion for the Definitive Management of

Complicated Cholecystitis
M Ismail, C Fleming, R Kavanagh, H Heneghan, R Prichard, D Brophy, E McDermott
Department of General Surgery, St Vincents Hospital, Elm Park, Dublin 4, Ireland

Paper 47:

12.30 p.m.

LUNCH

SESSION 6: UPPER GASTROINTESTINAL & HEPATOBILIARY

Time Allowed: 7 Minutes Speaking
3 Minutes Discussion
Location:
The Colm hEocha Theatre, AM250 Theatre
Chair:
Professor Tom Walsh & Mr Chris Collins

11.00 a.m.
Paper 48:

Peritoneal Metastases from Extra-Abdominal Cancer: A Population-Based Study

M Flanagan1, JG Solon2, KH Chang2, S Deady3, C Shields2, J Mulsow2
(1) Department of General Surgery, Mater Hospital, Eccles Street, Dublin, Ireland;
(2) National Centre for Peritoneal Malignancy, Mater Misericordiae University Hospital, Eccles St, Dublin 7,
Ireland;
(3) The National Cancer Registry of Ireland, Cork, Ireland

11.10 a.m.

Surgery Alone in the Management of Oesophageal and Junctional Cancer: Changing Patterns of Care
In A High Volume Centre
I Soric, C Donohoe, J Elliott, Z Ahmed, N Ravi, J Reynolds
Department of Surgery, St Jamess Hospital, Jamess Street, Dublin 8, Ireland

Paper 49:

11.20 a.m.
Paper 50:

Investigating the Feasibility of CT-Based Body Composition Analysis of Pancreatic Cancer Patients
O Griffin1, R O'Donohue2, R Ryan2, J Geoghegan1, K Conlon3
(1) Department of Surgery, St Vincent's University Hospital, Elm Park, Dublin 4, Ireland;
(2) Department of Radiology, St Vincent's University Hospital, Ireland;
(3) Department of Surgery, Trinity College Dublin, Trinity Centre for Health Sciences, Tallaght Hospital,
Dublin 24, Ireland

11.30 a.m.
Paper 51:

The Psychological Impact of Bariatric Surgery

H Shabana1, G Moore-Groarke2, M Boyce3, CJ O'Boyle1
(1) Department of Bariatric Surgery, Bon Secours Hospital, College Road, Cork, Ireland;
(2) Department of Psychology, Bon Secours Hospital, Cork, Ireland;
(3) Department of Best Practice, Bon Secours, Cork, Ireland

11.40 a.m.

An Investigation of the Association between Sarcopenia and Post-Operative Morbidity and Mortality
In Patients with Gastric Cancer
S OBrien1, F Moloney2, M Twomey2, O O'Connor2, C OSuilleabhain3
(1) School of Medicine, University College Cork, Brookfield Health Sciences Complex, College Road, Cork,
Ireland;
(2) Department of Radiology, Cork University Hospital, Wilton, Cork, Ireland;
(3) Department of Surgery, Mercy University Hospital, Grenville Place, Cork, Ireland

Paper 52:

11.50 a.m.
Paper 53:

And Dont Mess with the Pancreas! Lessons from a High Volume Pancreatic Surgery in Bochum, Germany
A Moriarty1, W Uhl2
(1) School of Medicine, National University of Ireland, Galway, Ireland;
(2) Department of General Surgery, St Josef Hospital, Gudrunstrasse 56, 44791, Bochum, Germany

12.00 p.m.

The Impact of Cancelling Cholecystectomy Surgery over a Twelve Month Period in a Tertiary Referral
Centre
EP Murphy, SE OBrien, A, MC Regan
Department of GI & General Surgery, Galway University Hospital, Galway, Ireland

Paper 54:

12.10 p.m.
Paper 55:

Benefits of Increased Perioperative Nutrition Support Post Oesophagectomy

L Healy1, S Doyle1, M Fanning1, A Mc Hugh1, N Ravi2, J Reynolds2
(1) Department of Clinical Nutrition, St Jamess Hospital, Jamess St, Dublin 8, Ireland;
(2) Department of Surgery, St Jamess Hospital, Jamess St, Dublin 8, Ireland

12.20 p.m.
Paper 56:

Is Completion Cholecystectomy Required Following Previous Subtotal Cholecystectomy?

P Wrafter, J Khan, M Regan
Department of Surgery, Galway University Hospital, Galway, Ireland

12.30 p.m.

LUNCH

SESSION 7: ENDOCRINE & HEAD & NECK SURGERY

Time Allowed: 7 Minutes Speaking
3 Minutes Discussion
Location:
The Mirtn Tnthail Theatre, AM150 Theatre
Chair:
Professor Ivan Keogh & Professor Aoife Lowery

1.30 p.m.
Paper 57:

Impact of Concurrent Thyroid Pathology on the Surgical Management of Primary Hyperparathyroidism

MC Casey1, M Mozo1, TP McVeigh1, JAL Brown1, A.J Lowery2, DS Quill1, MJ Kerin1
(1) Discipline of Surgery, Galway University Hospital, Galway, Ireland
(2) Graduate Entry Medical School, University of Limerick, Ireland

1.40 p.m.
Paper 58:

Fourteen Years of Allergen Specific Rhinitis in the West of Ireland

F Tan, K Davies, K Hinchion, P Gormley, I Keogh
Department of ENT, Galway University Hospital, Galway, Ireland

1.50 p.m.
Paper 59:

The Effect of BMI on Hemithyroidectomy Surgery

E OReilly, P McEntee, C Timon
Department of ENT, St Jamess Hospital, Dublin 8, Ireland

2.00 p.m.

Investigating the Role of a Single Nucleotide Polymorphism in NRG1 in Predisposition to Breast and
Thyroid Cancers
U McVeigh1, T McVeigh1, P Owens1, D Morris2, N Miller1, A Lowery3, M Kerin1
(1) Department of Surgery, Lambe Institute for Translational Research, National University of Ireland, Galway,
Ireland;
(2) Department of Biochemistry, National University of Ireland Galway, Galway, Ireland;
(3) Department of Surgery, University Hospital Limerick, Limerick, Ireland

Paper 60:

2.10 p.m.
Paper 61:

Reduced Disease Persistence Associated With Intraoperative Gamma Probe Use in Parathyroidectomy for
Primary Hyperparathyroidism
MS Lim, P Redmond
Department of Surgery, Cork University Hospital, Wilton Road, Cork, Ireland

2.20 p.m.
Paper 62:

Differentiated Thyroid Cancer: How Do Current Practice Guidelines Affect Management?

P Owens1, T McVeigh2, M Bell3, A Lowery4, D Quill5, MJ Kerin1
(1) Department of Surgery, Lambe Institute for Translational Research, National University of Ireland Galway,
Ireland;
(2) Department of Clinical Genetics, Our Ladys Childrens Hospital, Crumlin, Dublin, Ireland;
(3) Department of Endocrinology, Galway University Hospital, Galway, Ireland;
(4) Department of Surgery, University of Limerick, Graduate Entry Medical School, Limerick, Ireland;
(5) Department of Surgery, Galway University Hospital, Galway, Ireland

2.30 p.m.

COFFEE

SESSION 8: ORTHOPAEDIC I
Time Allowed: 7 Minutes Speaking
3 Minutes Discussion
Location:
The Patrick F Fottrell Theatre, AM200 Theatre
Chair:
Mr Colin Murphy & Mr Stephen Kearns

1.30 p.m.
Paper 63:

Systematic Review on the Role of Topical Haemostatic Matrices in Spinal Surgery

D Dalton, M Hanly, B Lenehan
Department of Orthopaedic Surgery, University Hospital Limerick, Limerick, Ireland

1.40 p.m:
Paper 64:

3 Year Review of Periprosthetic Hip Fractures at a Tertiary Referral Centre: The Cost Implications
R Lyons1, J Kelly2, W Curtin2, C Murphy2
(1) Department of Trauma and Orthopaedic Surgery, Galway Hospitals Group, Saolta Hospital Group, Galway,
Ireland;
(2) Department of Trauma and Orthopaedic Surgery, Galway University Hospital, Saolta Hospital Group, Galway,
Ireland

1.50 p.m.
Paper 65:

Fractures of the Zygomatic Complex. A Decades Experience

T Barry1, S McBride2, M Perry3, A Garrahy4, P Ramsay-Baggs2
(1) Department of Oral and Maxillofacial Surgery, Galway University Hospital, Galway, Ireland;
(2) Department of Oral and Maxillofacial Surgery, Ulster Hospital, Belfast, BT16 1RH, United Kingdom;
(3) Department of Oral and Maxillofacial Surgery, Northwick Park Hospital, Harrow, London, United Kingdom;
(4) Department of Oral and Maxillofacial Surgery, Royal Victoria Infirmary, Newcastle, NE1 4LP, United Kingdom

2.00 p.m.
Paper 66:

A 19 Year National Analysis of Metastatic Bone Disease in Ireland

FJ McCabe1, DY Jadaan2, MM Jadaan3, MJ Kerin1, JP McCabe3
(1) Department of Surgery, Lambe Institute for Translational Research, National University of Ireland Galway,
Galway, Ireland;
(2) Department of Medicine, University College Dublin, Belfield, Dublin, Ireland;
(3) Department of Trauma and Orthopaedics, Galway University Hospitals, Galway, Ireland

2.10 p.m.
Paper 67:

Causes of Revision Total Hip Arthroplasty in Young Patients: Paradigm Shift?

J Gibbons1, N Burke2, J Cashman2
(1) Department of Orthopaedic Surgery, Mayo University Hospital, Castlebar, Co Mayo, Ireland;
(2) Department of Orthopaedic Surgery, Cappagh National Orthopaedic Hospital, Finglas, Dublin 11, Ireland

2.20 p.m.

A Three-Year Review of Fracture Related Inpatient Admissions in a Level One Trauma Centre In Ireland
and The Relationship To Daily Temperatures And Precipitation
C Keogh, C Kennedy, J Harty
Department of Trauma and Orthopaedics, Cork University Hospital, Wilton, Cork, Ireland

Paper 68:

2.30 p.m.

COFFEE

SESSION 9: PLASTIC, RECONSTRUCTIVE & HAND SURGERY

Time Allowed: 7 Minutes Speaking
3 Minutes Discussion
Location:
The Colm hEocha Theatre, AM250 Theatre
Chair:
Professor Jack Kelly & Mr Padraic Regan

1.30 p.m.
Paper 69:

A Randomized Controlled Trial Evaluating the Efficacy of Novel Distraction Techniques in Controlling
Patient Discomfort in Local Anaesthetic Surgery
R Sugrue, PF Wrafter, JC Chan, C Neary, JL Kelly
Department of Plastic Surgery, Galway University Hospital, Ireland

1.40 p.m.
Paper 70:

De Novo Experience of Resorbable Woven Mesh in Immediate Breast Reconstruction Post Mastectomy
S Sharma1, S Van Barsel2, M Barry1, M Kell1
(1) Department of General and Breast Surgery, Mater University Hospital, Eccles St, Dublin, Ireland;
(2) UCD School of Medicine, Belfield, Dublin, Ireland

1.50 p.m.
Paper 71:

A Comparison of Epitendinous Repair Techniques for Flexor Tenorraphy

G Rahmani1, CW Joyce1,2, H Capella3, D Zeugolis3, MJ Kerin4, M O Shaughnessy2, AJ Hussey1,
PJ Regan1, JL Kelly1,4
(1) Department of Plastic, Reconstructive and Hand Surgery, Galway, Ireland
(2) Department of Plastic, Reconstructive and Hand Surgery, Cork, Ireland
(3) Network of Excellence for Functional Biomaterials, National University of Ireland, Galway, Ireland
(4) Department of Surgery, National University of Ireland, Galway, Ireland

2.00 p.m.

Hand In Hand: The Activity of a Soft Tissue Trauma Clinic in A Tertiary Referral Centre and Its
Association with Economic Prosperity
C McQuade, C Quinlan, O Shelley, P Eadie
Department of Plastic Surgery, St. James's Hospital, James's Street, Dublin 8, Ireland

Paper 72:

2.10 p.m.
Paper 73:

Oblique Flexor Tendon Lacerations: Are We Managing Them Correctly? An Ex-Vivo Biomechanical Study
CW Joyce1,2, K Fuller3, D Zeugolis3, AJ Hussey1, JL Kelly1,2, PJ Regan1
(1) Department of Plastic, Reconstructive and Hand Surgery, Galway, Ireland
(2) Department of Surgery, National University of Ireland, Galway, Ireland
(3) Network of Excellence for Functional Biomaterials, National University of Ireland, Galway, Ireland

2.20 p.m.
Paper 74:

How Successful Is Patient Directed Suture Removal In An Elective Setting? An Interventional Control Trial
A Freyne, J Martin-Smith, J Kelly
Department of Plastic Surgery, South Infirmary Victoria University Hospital, Cork, Ireland

2.30 p.m.

COFFEE

SESSION 10: PLENARY

Time Allowed: 7 Minutes Speaking
3 Minutes Discussion
Location:
The Colm hEocha Theatre, AM250 Theatre
Chair:
Professor Calvin Coffey, Professor Arnold Hill, Professor Ronan OConnell

3.00 p.m.
Paper 75:

The Impact of Roux-En-Y Gastric Bypass on Features of Podocyte Injury in an Experimental Model of
Diabetic Kidney Disease
A Canney1, JA Elliott2, HG Eckhardt1, S Jackson1, S Kearney1, CW le Roux1, NG Docherty1
(1) Diabetes Complications Research Centre, Conway Institute, University College Dublin, Dublin, Ireland;
(2) Department of Surgery, Trinity Centre for Health Sciences, St. James's Hospital, Dublin, Ireland

3.10 p.m.
Paper 76:

Improving Multivariable Prostate Cancer Risk Assessment

R Foley2, R Maweni1, L Gorman2, K Murphy3, D Lundon4, G Durkan4, F O'Brien4, K O'Malley4, D Galvin4,
TB Murphy4, W Watson 5
(1) Post Graduate Medical Centre, Croydon University Hospital, 530 London Road, CR7 7YE, United Kingdom;
(2) School of Medicine and Medical Science, University College Dublin, Belfield, Dublin 4, Ireland;
(3) School of Mathematical Sciences, University College Dublin, Belfield, Dublin 4, Ireland;
(4) Irish Prostate Biopsy Collaborative, University College Dublin, Belfied, Dublin 4, Ireland;
(5) Conway Institute of Biomolecular and Biomedical Research, University College Dublin, Belfield, Dublin 4,
Ireland

3.20 p.m.

Effectiveness of Contrast-Induced Acute Kidney Injury Prevention Methods, A Systematic Review

and Network Meta-Analysis
K Ahmed, T McVeigh, M Tubassam, S Walsh
Department of Surgery, Lambe Institute for Translational Research, National University of Ireland, Galway, Ireland

Paper 77:

3.30 p.m.
Paper 78:

Lifestyle Factors Influence Telomere Length in Unaffected BRCA Mutation Carriers

S McGarrigle1, E Guinan2, J Hussey2, J O'Sullivan1, D Gallagher 3, J Kennedy3, E Connolly1
(1) Department of Surgery, St. James's Hospital, Dublin 8, Ireland;
(2) School of Physiotherapy, Trinity College Dublin, Trinity Centre, St. James's Hospital, Dublin 8, Ireland;
(3) Academic Unit of Clinical and Molecular Oncology, Trinity College Dublin, St. James's Hospital, Dublin 8,
Ireland

3.40 p.m.

Understanding the Tumour Suppressive Role of MicroRNA-379 and Developing a Tumour-Targeted

Method of Therapeutic Delivery
KP OBrien1, S Khan1, K Thompson2, DP Joyce1, P Lalor2, P Dochery2, H Ingoldsby3, MJ Kerin1,
RM Dwyer1,
(1) Discipline of Surgery, Lambe Institute for Translational Research, National University of Ireland Galway,
Galway, Ireland
(2) Discipline of Anatomy, National University of Ireland Galway, Ireland
(3) Discipline of Pathology, National University of Ireland Galway, Ireland

Paper 79:

3.50 p.m.
Paper 80:

4.00 p.m.
Paper 81:

4.10 p.m.
Paper 82:

Outcomes following Pelvic Exenteration for Locally Advanced and Recurrent Rectal Cancer:
A Multi-Centre International Analysis
M Kelly1, I Jenkins2, P Sagar3, F Frizelle4, M Solomon5, R O'Connell1, D Winter1,
On Behalf of PelvEx Collaborative Group6
(1) Department of Colorectal Surgery, St Vincent's University Hospital, Elm Park, Dublin, Ireland;
(2) Department of Colorectal Surgery, St Mark's Hospital, London, United Kingdom;
(3) Department of Colorectal Surgery, St. James's University Hospital, Leeds, United Kingdom;
(4) Department of Colorectal Surgery, Christchurch Hospital, Christchurch, New Zealand;
(5) Department of Colorectal Surgery, Royal Prince Alfred Hospital, Sydney, Australia;
(6) On Behalf of PelvEx Collaborative Group, Ireland
Validation of the Comprehensive Complication Index, A Novel Continuous Measure of Surgical Morbidity,
After Oesophagectomy
R Fleck, J Elliott, S King, C Donohoe, N Ravi, J Reynolds
Department of Surgery, Trinity College Dublin and St. James Hospital, Trinity Centre for Health Sciences,
St. James Hospital, Dublin 8, Ireland
A Systematic Review and Meta-Analysis of the Clinicopathological Characteristics and Survival Outcomes
of Inflammatory Bowel Disease associated Colorectal Cancer versus Sporadic Colorectal Cancer
I Reynolds1, A OToole2, J Deasy1, DA McNamara1, JP Burke1
(1) Department of Surgery, Beaumont Hospital, Beaumont Road, Dublin 9, Ireland;
(2) Department of Gastroenterology, Beaumont Hospital, Beaumont Road, Dublin 9, Ireland

10

SESSION 10: PLENARY

Time Allowed: 7 Minutes Speaking
3 Minutes Discussion
Location:
The Colm hEocha Theatre, AM250 Theatre
Chair:
Professor Calvin Coffey, Professor Arnold Hill, Professor Ronan OConnell

4.20 p.m.
Paper 83:

4.30 pm.
Paper 84:

A Systematic Review of Locoregional Recurrence by Breast Cancer Subtype following Breast Cancer
Surgery in the Trastuzumab Era
A McGuire1, A Lowery1, M Kell2, MJ Kerin1, K Sweeney1
(1) Department of Surgery, National University of Ireland Galway, Galway, Ireland;
(2) Department of Surgery, Mater Miscericordiae Hospital, Dublin, Ireland
SRC-1 Promotes Disease Progression in Endocrine Treatment-Resistant Breast Cancer by Silencing
Tumour Suppressor Genes
E Ward1, D Varelija1, A Fagan1, A Hill2, L Young1
(1) Department of Surgery, Royal College of Surgeons, Dublin 2, Ireland;
(2) Department of Endocrine Oncology, Beaumont Hospital, Beaumont Road, Dublin 9, Ireland

4.40 p.m.
Paper 85:

Surgical Management of Perianal Fistulas: A Systematic Review and Meta-Analysis

CX Cheung1, A Rogers2, T Fahey3, D Kavanagh1
(1) Department of Surgery, AMNCH Tallaght Hospital, Tallaght, Dublin 24, Ireland;
(2) Department of Surgery, University Hospital Waterford, Dunmore Road, Waterford, Ireland;
(3) Department of Postgraduate Studies, RCSI, St Stephens Green, Dublin 2, Ireland

5.00 p.m.
Introduction:
Speaker:
Topic:
Location:

SIR PETER FREYER MEMORIAL LECTURE

Professor Michael Kerin
Professor Michael Solomon
20 Years of Evolving Pelvic Exenteration
The Colm hEocha Theatre - AM250 Theatre

7.30 p.m.

SIR PETER FREYER BANQUET RADISSON BLU HOTEL, GALWAY

11

SATURDAY, 3RD SEPTEMBER 2016

SESSION 11: VASCULAR & CARDIOTHORACIC
Time Allowed: 7 Minutes Speaking
3 Minutes Discussion
Location:
The Mirtn Tnthail Theatre, AM150 Theatre
Chair:
Professor Stewart Walsh & Mr Tony Moloney

10.00 a.m.
Paper 86:

Long-Term Comparison of Endovascular versus Open Repair of Abdominal Aortic Aneurysm in a

High Volume Centre
P Canning, W Tawfick, N Hynes, S Sultan
Department of Vascular Surgery, Western Vascular Institute, Galway University Hospital, Ireland

10.10 a.m.
Paper 87:

Outcomes of Failed Angioplasty for Peripheral Arterial Disease

S Angelov, E Kheirelseid, A Elmallah, A OCallaghan, Z Martin, S O'Neill, M Colgan, P Madhaven
Department of Vascular Surgery, St Jamess Hospital, St. James's St, Dublin 8, Ireland

10.20 a.m.
Paper 88:

Hybrid Procedures as Feasible Option in Critically Ischaemic Limbs with Multiple Level Vascular Disease
M Elkassaby, Y Mihes, M Tubassam
Department of Vascular Surgery, Galway University Hospital, Galway, Ireland

10.30 a.m.
Paper 89:

Outcome following Trans-Metatarsal Amputation in a Diabetic Population

A Tamas, A O'Callaghan, MP Colgan, SM ONeill, P Madhavan, Z Martin
Department of Vascular Surgery, St James's Hospital, Dublin, Ireland

10.40 a.m.

15 Years Experience of Endoscopic Robotic Assisted Coronary Artery Bypass to Lad (Endoacab) As
Part of A Hybrid Approach with Percutaneous Intervention (Pci) To Non Lad Vessels: A Minimally
Invasive Approach for Full Revascularization In Multi-Vessels Coronary Artery Disease
M Cannoletta, A Soo, R Yada, R Trimlett, A De Souza
Department of Cardiothoracic Surgery, Royal Brompton Hospital, United Kingdom

Paper 90:

10.50 a.m.
Paper 91:

The Challenge of Managing Anticoagulation in Vascular Patients: A Single Centre Experience

M Twyford, C Harrington, E Coveney, S Tierney, B Egan
Department of Vascular Surgery, Tallaght Hospital, Dublin 24, Ireland

11.00 a.m.
Paper 92:

Current Trend in West of Ireland for Initiating Dialysis in Chronic Renal Failure Patients
Y Mihes, M Elkassaby, M Tubassam
Department of Surgery, Galway University Hospital, Galway, Ireland

11.10 a.m.
Paper 93:

Contemporary Outcomes following Major Limb Amputation

K Mohan, S Sagheer1, P White2, P Colgan2, Z Martin 2, S ONeill2, P Madhavan 2, A OCallaghan2
(1) Department of Breast and General Surgery, St James Hospital Dublin, Jamess Street, Dublin 8, Ireland;
(2) Department of Vascular Surgery, St James Hospital, Jamess Street, Dublin 8, Ireland

11.20 a.m.
Paper 94:

Incidence of Malignancy following Endovascular versus Open Aortic Aneurysm Repair

E Hegazy, P Canning, W Tawfick, S Sultan
Western Vascular Institute, Galway University Hospital, Galway, Ireland

11.30 a.m.

COFFEE

12

SESSION 12: GENERAL

Time Allowed: 7 Minutes Speaking
3 Minutes Discussion
Location:
The Patrick F Fottrell Theatre, AM200 Theatre
Chair:
Professor Kevin Barry & Mr Dermot Hehir

10.00 a.m.
Paper 95:

Acute Appendicitis: An Audit of Diagnostic Approach

S Finnegan1, J Henderson1, C Cronin2, F Pretorius2
(1) Department of Graduate Entry Medicine, University of Limerick, Limerick, Ireland;
(2) Department of Surgery, St Luke's Hospital, Kilkenny, Ireland

10.10 a.m.
Paper 96:

Readmission of General Surgical Patients; Implications for the Health Service

H Nasim, VE Onwochei, M Riaz, A Khan, I Reynolds, R Waldron, I Khan, W Khan, K Barry
Department of Surgery, Mayo University Hospital, Castlebar, Co. Mayo, Ireland

10.20 a.m.
Paper 97:

Longitudinal Study of Appendicitis and Appendicectomy in an Irish Population

A Adeyanju1, M Ryder2, D Buckley2
(1) Department of Surgery, University Of Edinburgh, Edinburgh, United Kingdom;
(2) Department of Surgery, Mid-Land Regional Hospital, Mullingar, Co. Westmeath, Ireland

10.30 a.m.
Paper 98:

The Role of Parenteral Nutrition in the Management of Surgical Pathology

J Khan1, P Wrafter1, E Nugent1, M Carter1, A Kilkelly2, M Joyce1
(1) Department of Surgery, University Hospital Galway, Galway, Ireland;
(2) Department of Nutrition and Dietetics, University Hospital Galway, Galway, Ireland

10.40 a.m.
Paper 99:

Radiological Imaging in Emergency Surgical Admissions

S MacLeod1, D McKeon1, N Foley2, D Bowden2, S Abd Elwahab1, M Varzgalis2, R McLaughlin1, MJ Kerin2
(1) Department of Surgery, Galway University Hospital, Galway, Ireland
(2) Department of Surgery, Lambe Institute for Translational Research, National University of Ireland, Galway,
Ireland

10.50 a.m.

Chronic Pancreatitis in Primary and Hospital Based Care in Ireland: The Management of an Orphan
Disease
H Ni Chonchubhair1, B O Shea2, B Ryan3, D Kavanagh4, S Duggan1, KC Conlon1
(1) Department of Surgery, Trinity College Dublin, Trinity Centre for Health Sciences, Tallaght Hospital, Dublin
24, Ireland;
(2) Department of Public Health and Primary Care, Trinity College Dublin, Trinity Centre for Health Sciences,
Tallaght Hospital, Dublin 24, Ireland;
(3) Department of Gastroenterology, Tallaght Hospital, Tallaght, Dublin 24, Ireland;
(4) Department of Colorectal Surgery, Tallaght Hospital, Tallaght, Dublin 24, Ireland

Paper 100:

11.00 a.m.
Paper 101:

Laparoscopic Ventral Hernia Repair - Realistic Results from a General Surgical Unit
D Hehir1, FR Sferle1, CD McKeown2
(1) Department of Surgery, MRH Tullamore, Arden Road, Tullamore, Co. Offaly, Ireland;
(2) Department of Graduate Entry Medical School, University of Limerick, Castletroy, Limerick, Ireland

11.10 a.m.

The Role of Surgical Expertise with Regard to Chronic Postoperative Inguinal Pain (CPIP) After
Lichtenstein Correction of Inguinal Hernia: A Systematic Review
V Meyer1, J Lange1, D Voropai1, E Keus2, AR Wijsmuller3, JPEN Pierie4, R Ploeg5
(1) Department of Abdominal Surgery, UMC Groningen, Hanzeplein 1, 9713GZ, Netherlands;
(2) Department of ICU, UMC Groningen, Netherlands;
(3) Department of IRCAD, UH Strasbourg, France;
(4) Department of Surgery, Medisch Centrum Leeuwarden, Netherlands;
(5) Department of Oxford Transplant Centre, Oxford University Hospital, United Kingdom

Paper 102:

11.20 a.m.
Paper 103:

A Bibliometric Analysis of the Citation Classics of Acute Appendicitis

M Varzgalis, D Bowden, K McDonald, K.J Sweeney, MJ Kerin
Department of Surgery, Galway University Hospital, Galway, Ireland

11.30 a.m.

COFFEE

13

SESSION 13: TRAINING & EDUCATION

Time Allowed: 7 Minutes Speaking
3 Minutes Discussion
Location:
The Colm hEocha Theatre, AM250 Theatre
Chair:
Professor Ronan Cahill & Professor Kevin Conlon

10.00 a.m.
Paper 104:

Surgical Learning Activities For House Officers - Do They Improve The Surgical Experience?
R Maweni1, R Foley2, M Lupi1, D Shier1, R O'Connell3, S Vig1
(1) Post Graduate Medical Centre, Croydon University Hospital, 530 London Road, CR7 7YE, United Kingdom;
(2) School of Medicine and Medical Science, University College Dublin, Belfield, Dublin 4, Ireland;
(3) UCD School of Medicine and Medical Science, St Vincent's University Hospital, Elm Park, Dublin 4, Ireland

10.10 a.m.

Prospective Video-Based Assessment of Trainee Performance during Laparoscopic Cholecystectomy;

Utility of a Mayo Intraoperative 10-Step Check List
H Nasim, F Hand, I Reynolds, A Khan, I Khan, W Khan, R Waldron, K Barry
Department of Surgery, Mayo University Hospital, Castlebar, Co. Mayo, Ireland

Paper 105:

10.20 a.m.
Paper 106:

MSK Clinical Skill Training of Medical Students: An RCT Evaluating the Use of Simulated Patients
And Professional Actors versus Real Patients
M Kelly1, S Gardiner1, F Boland2, ADK Hill3, J O'Byrne1, F Coffey4
(1) Department of Orthopaedic Surgery, RCSI Professorial Unit, Cappagh National Orthopaedic Hospital,
Dublin, Ireland;
(2) Department of General Practice, RCSI, Beaux Lane House, St Stephens Green, Dublin, Ireland;
(3) Department of Surgery, RCSI, ERC, Beaumont Hospital, Dublin, Ireland;
(4) Department of Health Professions Education Centre, RCSI, 123 St Stephens Green, Dublin 2, Ireland

10.30 a.m.
Paper 107:

Modernising Engagement with Grand Rounds

E Roche1, G Ismael2, M Cassar2, S Sharma3, F Grehan4, R Cahill2
(1) Department of Surgery, UCD School of Medicine and Medical Science, Health Sciences Centre, Dublin 4,
Ireland;
(2) Department of Surgery, MMUH & UCD, Eccles Street, Dublin 7, Ireland;
(3) Department of Surgery, MMUH, Eccles Street, Dublin 7, Ireland;
(4) Department of Biomedical Imaging, MMUH, Eccles Street, Dublin 7, Ireland

10.40 a.m.
Paper 108:

Current Assessment of Attitudes to Surgical Research

JP Hayes1, NM Foley2, D Bowden2, M Varzgalis2, MJ Kerin2
(1) Department of Surgery, Galway University Hospital, Galway, Ireland;
(2) Department of Surgery, Lambe Institute for Translational Research, National University of Ireland Galway,
Ireland

10.50 a.m.
Paper 109:

Student Emergency Abdominal Surgery Course (Seasc) - A Model Course in Medical Education
M Gallagher1, M Sugrue2, A Johnston3
(1) Donegal Clinical Research Academy, Letterkenny, Donegal, Ireland;
(2) Department of General and Emergency Surgery, Letterkenny University Hospital, Letterkenny, Ireland;
(3) Breast Centre North West, Letterkenny University Hospital, Letterkenny, County Donegal, Ireland

11.00 a.m.

A Comparison of Psychomotor Skills in Novice Surgeons using A DIY Laparoscopic Simulator and a
Commercially Built Standard Box Trainer
M Varzgalis2, PJK Choi1, T Koh1, D Byrne2, B Reid McDermott1, S De Freitas2, M Kelly1, M Carter1, MJ Kerin2
(1) Department of Surgery, Galway University Hospital, Galway, Ireland;
(2) Department of Surgery, Lambe Institute for Translational Research, National University of Ireland Galway,
Ireland

Paper 110:

11.10 a.m.
Paper 111:

Per-Operative Video Interpretation in OSCE Exams

M Cassar 1, F Lennon1, G Ismael1, R Cahill1, R O'Connell2
(1) Department of Surgery, UCD MMUH, Catherine McAuley Centre, Nelson Street, Dublin 7, Ireland;
(2) Department of Surgery, UCD St Vincents University Hospital, Ireland

11.20 a.m.
Paper 112:

Irish Interns Experience With and Perspectives of Surgical Informed Consent

RM Heaney, AM Heaney, M Murray, E Doherty
Department of Human Factors in Patient Safety, Royal College of Surgeons in Ireland, 121 St Stephen's Green,
Dublin 2, Ireland

11.30 a.m.

COFFEE

14

SESSION 14: ORTHOPAEDIC II

Time Allowed: 7 Minutes Speaking
3 Minutes Discussion
Location:
The Siobhan McKenna Theatre
Chair:
Mr Michael OSullivan & Mr Bill Curtin

10.00 a.m.
Paper 113:

The Optimisation of Perioperative Investigations in Elective Orthopaedic Patients in a Dublin-Based

Teaching Hospital
J O Sullivan1, J Collins2, L Kumar 1, D Cooper 1, D O'Connor3
(1) Department of Orthopaedic Surgery, AMNCH, Tallaght, Dublin 24, Ireland;
(2) Department of Anaesthetics, AMNCH, Tallaght,, Dublin 24, Ireland;
(3) Department of General Surgery, AMNCH, Tallaght, Dublin 24, Ireland

10.10 a.m.
Paper 114:

Is There Still A Need for Pre-Operative Group and Save in Lower Limb Arthoplasty?
C Fenelon1, J Galbraith1, R Kearsley2, B Lenehan1, F Condon1
(1) Department of Orthopaedic Surgery, University Hospital Limerick, Limerick, Ireland;
(2) Department of Anaesthesia, University Hospital Limerick, Limerick, Ireland

10.20 a.m.
Paper 115:

Spinal Metastasis: A Cohort of 632 Patients in an Irish Tertiary Referral Centre

FJ McCabe1, DY Jadaan2, MM Jaadan3, N Basavaraju4, JD Martin4, MJ Kerin1, JP McCabe3
(1) Department of Surgery, Lambe Institute for Translational Research, National University of Ireland Galway,
Galway, Ireland;
(2) Department of Medicine, University College Dublin, Belfield, Dublin, Ireland;
(3) Department of Trauma and Orthopaedic Surgery, Galway University Hospitals, Galway, Ireland;
(4) Department of Radiation Oncology, Galway University Hospitals, Galway, Ireland

10.30 a.m.

Scarf Osteotomy without Internal Fixation for Correction of Hallux Valgus: A Clinical and Radiographic
Review of 148 Cases
M Curtin, E Murphy, C Bryan, P Moroney
Department of Orthopaedic Surgery, Cappagh National Orthopaedic Hospital, Finglas, Dublin 11, Ireland

Paper 116:

10.40 a.m.
Paper 117:

5 Year Follow-Up Evaluation of a Patients Functional Outcome and Satisfaction Following Single Row
Rotator Cuff Repair
C Mc Donald, A Galbraith, P Groarke, K Kaar
Department of Trauma & Orthopaedic Surgery, Galway University Hospital, Galway, Ireland

10.50 a.m.
Paper 118:

oThimble - From Seed to Surgeon

P Carroll1, A Tansey2, B Carroll3, C Hurson1
(1) Department of Trauma & Orthopaedic Surgery, St. Vincent's University Hospital, Elm Park, Dublin 4, Ireland;
(2) Department of Mechanical Engineering, Institute of Technology Tallaght, Dublin 24, Ireland;
(3) Department of Engineering and Product Development, Episensor Limited, George's Quay, Limerick, Ireland

11.00 a.m.
Paper 119:

Tomosynthesis: A New Radiologic Technique for Rapid Diagnosis of Scaphoid Fractures

N Compton1, L Murphy2, P MacMahon2, J Jones1, F Lyons3, J Cashman3
(1) School of Medicine, University College Dublin, Belfield, Dublin 4, Ireland;
(2) Department of Radiology, Mater Misericordiae University Hospital, Eccles Street, Dublin 7, Ireland;
(3) Department of Orthopaedics, Mater Misericordiae University Hospital, Eccles Street, Dublin 7, Ireland

11.10 a.m.

A Review of Airlifted Cases to Galway University Hospital in 2015 Evidence for a Level-1 Trauma Centre
in the West
PA MacSuibhne, J Kelly, M OSullivan, C Murphy
Department of Trauma and Orthopaedic Surgery, Galway University Hospital, Galway, Ireland

Paper 120:

11.20 a.m.
Paper 121:

Fluoroscopy Use during Hip Fracture Surgery: The Surgeon Effect

G Kelly1, F Rowan2, C Hurson2
(1) Department of Surgery, St Vincents University Hospital, Elm Park, Dublin 4, Ireland;
(2) Department of Trauma & Orthopaedic Surgery, St Vincents University Hospital, Elm Park, Dublin 4, Ireland

11.30 a.m.

COFFEE

15

SESSION 15:

DELIVERY OF EMERGENCY CARE INFRASTRUCTURE & MODELS

Location:

The Colm hEocha Theatre - AM250 Theatre

Chair:

Professor Michael Kerin

12.00 p.m.

View from the Regional Orthopaedic Programme

Mr Michael OSullivan

12.10 p.m.

View from the HSE

Mr Ken Mealy

12.20 p.m.

National Trauma Needs

Professor Eilis McGovern

12.30 p.m.

View from Level 3 Hospitals

Mr Tim OHanrahan

12.40 p.m.

Discussion

1.00 p.m.
Introduction:
Speaker:
Topic:
Location:

STATE OF THE ART LECTURE

Professor Oliver McAnena
Professor Martin Corbally
The Surgeon in the Modern World
The Colm hEocha Theatre - AM250 Theatre

16

Chair:
Location:

1.

2.

POSTER ASSESSMENT
Mr Joe Duignan, Mr Killian Walsh & Mr Gerry Byrnes
Rooms AM109 & AM110, Arts Millennium Building

BREAST CLINICAL
Accuracy of Individual Elements of Triple Assessment of Breast Cancer 35 Years Old or Younger
M Brennan1, S El Edwahab1, S Walsh2, R McLaughlin1
(1) Department of Surgery, National University of Ireland Galway, Galway, Ireland;
(2) Department of Radiology, National University of Ireland Galway, Galway, Ireland

BREAST RESEARCH
The Rate of Subsequent Surgery Following Immediate Breast Reconstruction
A Tamas, MD Dahlia Saad, MD Muhanned, F Hassan, D Alazawi
Department of Breast Surgery, St James's Hospital, Dublin, Ireland

3.

MicroRNA-221 Expression in Breast Cancer Patients

D Courtney, R Dwyer, AJ Lowery, MJ Kerin
Department of Surgery, Lambe Institute for Translational Research, National University of Ireland, Galway, Ireland

4.

Extracellular Matrix Rich Adipose Derived Stem Cell Sheets for Breast Reconstruction
N O Halloran1, A Lowery2, M Kerin1, D Zeugolis3
(1) Department of Surgery, Lambe Institute for Translational Research, National University of Ireland Galway, Galway,
Ireland;
(2) Department of Surgery, University of Limerick, Limerick, Ireland;
(3) Department of REMODEL, National University of Ireland Galway, Galway, Ireland

5.

6.

7.

8.

CARDIOTHORACIC
Endoscopic Conduit Harvest - A New Standard in Coronary Artery Bypass Surgery
M Cannoletta, A Soo, C Revlas, M Olivar, A De Souza, R Yadav, R Trimlett
Department of Cardiothoracic Surgery, Royal Brompton Hospital, United Kingdom

ENDOCRINE & OTOLARYNGOLOGY

Reduced Doses of Low Molecular Weight (LMW) Heparin Perioperatively do not Increase the Incidence of
Thromboembolic Events
M Gregory1, J Hanratty2, G Smith1, B Swinson1, A Ketabchi1, T Barry3
(1) Department of OMFS, Altnagelvin Area Hospital, Glenshane Road, Londonderry, Northern Ireland;
(2) Department of OMFS, Ulster Hospital, Upper Newtownards Road, Dundonald, Northern Ireland;
(3) Department of OMFS, Galway University Hospital, Galway, Ireland
Effectiveness of Low-Level Laser Therapy on Postoperative Pain in Secondary Palatal Operation;
Double Blind Study
A Ezzat1, M El-Begermy2, H EL-Shenawy3, M Eid4
(1) Department of ENT, Galway University Hospital, Galway, Ireland;
(2) Department of ENT, Faculty of Medicine, Ain Shams University, Cairo, Egypt;
(3) Department of Oral Surgery, Medicine & Orodental, National Research Center, Giza, Egypt;
(4) Department of ENT, Faculty of Medicine, Al-Azhar University, Cairo, Egypt

EVIDENCE BASED MEDICINE

A Prospective Audit of Patients Admitted to a General Surgical Unit with Acute Diverticulitis and
Assessment of Adherence to Guidelines
I Reynolds, RM Heaney, W Khan, IZ Khan, R Waldron, K Barry
Department of Surgery, Mayo University Hospital, Castlebar, Co Mayo, Ireland

17

9.

GENERAL
A Retrospective Cohort Study: The Morbidity, Mortality and Quality of Life of Mini-Open Anterior Gastropexy
P Mhandu, C Malone, J McGuigan
Royal Victoria Hospital Belfast, Belfast, Northern Ireland

10. Portosystemic Shunt Surgery: A Single Centre Experience

A Canas-Martinez, B Fiore, J Geoghegan, D Maguire, E Hoti
Department of Hepatobiliary and Liver Transplant Surgical Unit, St. Vincent's University Hospital, Dublin 4, Ireland
11. Radiological Portal Vein Embolization and Surgical Portal Vein Ligation Have Equivalent Effects in
Manipulating the Future Liver Remnant in Major Liver Surgery
M Hennessy1, SP Power2, P McEneaney2, A OSullivan1,2
(1) Department of Surgery, National University of Ireland Galway, Galway, Ireland;
(2) Department of Hepatobiliary & Pancreatic Surgery, Mercy University Hospital, Cork, Ireland;
(3) Department of Radiology, Mercy University Hospital, Cork, Ireland
12. A Prospective Evaluation of the Surgical and Non Surgical Therapies for Patients with Dupuytrens Contracture
EP Murphy, R Lyons, S Beecher, M OSullivan
Department of Trauma and Orthopaedics, Galway University Hospital, Galway, Ireland
13. Snapshot Audit of Stoma Closure - Mater Dublin Experience including after Cytoreductive Surgery
MF Khan, C Shields, A Brannigan, J Mulsow, R Cahill
Department of Colorectal Surgery, Mater Hospital, Eccles Street, Dublin, Ireland
14. Multidisciplinary Team Approach for the Management of Severe Deeply Infiltrating Endometriosis
A Zawwar1, D Kearney1, O Lawal1, M Tatouh1, S Shah1, M Amir1, U Tahir2, O Neill2, P Neary1
(1) Department of Surgery, Adelaide and Meath Hospital, incorporating the National Children's Hospital, Tallaght,
Dublin 24, Ireland;
(2) Department of Gynaecology and Obstetrics, Adelaide and Meath Hospital, incorporating the National Children's
Hospital, Tallaght, Dublin 24, Ireland
15. Breaking the Midnight Fast: Results of a Staff Survey
N Moynagh1, E Jones1, F Dunlevy2, D Robinson3, L Healy2
(1) Trinity College Dublin, Ireland;
(2) Department of Clinical Nutrition, St Jamess Hospital, Dublin 8, Ireland;
(3) Department of Medicine for the Elderly, St James Hospital, Jamess Street, Dublin 8, Ireland
16. Perineal Wound Complications in Patients Undergoing Abdominoperineal Resection for Cancer:
A Retrospective Review
Y Mihes, A Nadeau, O McAnena, M Regan, E Myers, M Joyce
Department of Colorectal Surgery, Galway University Hospital, Galway, Ireland
17. Acute Cellulitis: An 8-Month Prospective Study
A Kabir1, A Waris1, R Sehgal1, G O'Donoghue2
(1) Department of General Surgery, University Hospital Waterford, Waterford, Ireland;
(2) Department of Breast and General Surgery, University Hospital Waterford, Waterford, Ireland

HISTORY OF SURGERY
18. From the Barber to the Dermatologist: The Evolution of Skin Surgery
L Nicholson
Galway University Hospital, Galway, Ireland
19. History of Bariatric Surgery
E Nicholson
School of Medicine, National University of Ireland Galway, Galway, Ireland
20. From KUB to CT: The Use of Radiological Imaging in the Diagnosis of Renal Tract Stones
NC Redmond, EJ Redmond
Department of Urology, Galway University Hospital, Galway, Ireland

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LOWER GASTROINTESTINAL
21. Sacral Nerve Stimulation for Faecal Incontinence: A Single Centre Experience
A Canas-Martinez, D Proud, A Hanly, R O'Connell
Centre for Colorectal Disease, St Vincent's University Hospital, Dublin 4, Ireland
22. Malignant Colorectal Polyps: A Study of Factors Associated With Lymph Node Metastases
C Palmer1, M Joyce2, M Sheehan3
(1) School of Medicine, National University of Ireland, Galway, Galway, Ireland;
(2) Department of Surgery, Galway University Hospital, Galway, Ireland;
(3) Department of Pathology, Galway University Hospital, Galway, Ireland
23. Evaluation of Colorectal Cancers Presenting Through the National Bowel Cancer Screening Programme
E O Connell1, J McCarthy2, M McCourt1, E Andrews1
(1) Department of Surgery, Cork University Hospital, Wilton, Cork, Ireland;
(2) Department of Gastroenterology, Mercy University Hospital, Cork, Ireland
24. Evaluation of the Effectiveness and Patientss Contentment with Transanal Haemorrhoidal Artery
Dearterialisation and Mucopexy (THD) For Treatment of Haemorrhoidal Disease: A 5-Year Study
QU Ain, Y Bashir, E Eguare
Department of General Surgery, Naas General Hospital, Naas, Co Kildare, Ireland
25. Is Colorectal Cancer Ageist?
R Waldron1, ME Kelly1, B Molony2, C Clancy2, M Joyce1, MJ Kerin2
(1) Department of Surgery, Galway University Hospital, Galway, Ireland;
(2) Department of Surgery, Lambe Institute for Translational Research, National University of Ireland, Galway, Ireland
26. Stapled Haemorrhoidectomy: An Effective Adjunct to the Multimodal Treatment of Haemorrhoidal Disease
DJ O Connor, P Waters, E Condon, D Waldron
Department of Surgery, University Hospital Limerick, Dooradoyle, Limerick, Ireland

NEUROSURGERY
27. Outcomes of Emergency Neurosurgical Intervention In Traumatic Brain Injury; An Audit of Practice and
Interventions At Cork University Hospital (June 2012-December 2013)
M Amoo1, P O'Halloran1, AM Leo2, A O'Loughlin2, P Mahon2, C Lim1
(1) Department of Neurosurgery, Cork University Hospital, Wilton, Cork, Ireland;
(2) Department of Neuro-Critical Care, Cork University Hospital, Wilton, Cork, Ireland
28. Quality of Life in Irish Acoustic Neuroma Patients
R Maweni1, R Foley2, H Jaafar3, R McConn Walsh4, M Javadpour4, D Rawluk4
(1) Post Graduate Medical Centre, Croydon University Hospital, 530 London Road, CR7 7YE, United Kingdom;
(2) School of Medicine and Medical Science, University College Dublin, Belfield, Dublin 4, Ireland;
(3) Institute of Psychiatry, Psychology and Neuroscience, King's College London, Denmark Hill, SE5 7LZ, United
Kingdom;
(4) Neurosurgery Unit, Beaumont Hospital, Dublin 9, Ireland

ONCOLOGY
29. A Single Institution Evaluation of Diagnostic Laparoscopy and Lymph Node Biopsy for Isolated Abdominal
Lymphadenopathy
R Gilbert1, B Bird2, C O'Boyle3
(1) Department of Medicine, University College Cork, College Road, Cork, Ireland;
(2) Department of Clinical Oncology, Bon Secours Hospital, Cork, Ireland;
(3) Department of Surgery, Bon Secours Hospital, Cork, Ireland

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ORTHOPAEDIC
30. A Ten Year Review of Percutaneous Fixation of Spinal Trauma
L Fahey, E Murphy, M Jadaan, JP McCabe
Department of Orthopaedic Surgery, Galway University Hospital, Galway, Ireland
31. Systematic Review of the Prevalence of Maxillofacial Injuries Sustained In Gaelic Games over 35 Years
R Courtney, P Sexton, T Barry
Department of Oral and Maxillofacial Surgery, Galway University Hospital Galway, Galway, Ireland
32. Use of Nottingham Hip Fracture Score as a Clinical Tool: Audit in the Over 65's
J Gibbons, A Owens, D Kelly, C Hurson
Department of Orthopaedic Surgery, St Vincent's University Hospital, Elm Park, Dublin 4, Ireland
33. The Impact of Trabecular Metal on Hip Centre of Rotation in Revision Total Hip Arthroplasty
C OBrien, C Keogh, J Harty
Department of Orthopedic and Trauma Surgery, University College Cork, Wilton, Cork, Ireland
34. Alcohol-Related Spinal Injury Referrals to The NSIU, Mater Misericordiae University Hospital, Dublin:
How Severe Is The Headache?
C Rotaru, D Cawley, N Cassidy
Department of Orthopaedic & Spinal Surgery, Mater Misericordiae Hospital, Eccles Street, Dublin 7, Ireland

PLASTIC SURGERY
35. Hand Injuries in Tag Rugby: A Five-Year Study
CW Joyce1, JFC Woods2, S Murphy3, S Bollard3, JL Kelly2, SM Carroll3, M OShaughnessy1
(1) Department of Plastic Surgery and Hand Surgery, Cork University Hospital, Cork, Ireland
(2) Department of Plastic Surgery and Hand Surgery, University Hospital Galway, Ireland
(3) Department of Plastic Surgery and Hand Surgery, St Vincents University Hospital, Dublin, Ireland
36. Litigation in Surgery: Analysing Public Perception
S Shaharan2,C Rolle1, A Egan2, L Rabbitt2, K Joyce2, JCY Chan2, V Malesevic1, M Hynes1, JL Kelly2
(1) School of Political Science & Sociology, National University of Ireland Galway, Galway, Ireland
(2) Department of Plastic and Reconstructive Surgery, Galway University Hospital, Galway, Ireland
37. Paediatric Malignant Melanoma in Ireland 1994-2014
C Quinlan1, J Woods1, M Capra2, P Ormond3, M Dempsey1
(1) Department of Plastic and Reconstructive Surgery, Our Lady's Children's Hospital Crumlin, Dublin 12, Ireland;
(2) Department of Medical Oncology, Our Lady's Children's Hospital Crumlin, Dublin 12, Ireland;
(3) Department of Dermatology, St James' Hospital, James Street, Dublin 8, Ireland
38. Spectrum of Advanced Presentation of Malignant Melanoma to a Non-Specialist Unit
M Salman1, M Irfan2, F Bennani3, P Donnellan4, W Khan2, K Barry2
(1) Department of Mayo Medical Academy, National University of Ireland, Galway, Ireland;
(2) Department of Surgery, Mayo University Hospital, Ireland;
(3) Department of Pathology, Mayo University Hospital, Ireland;
(4) Department of Medical Oncology, Mayo University Hospital, Ireland

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TRAINING AND EDUCATION

39. Case Based Teaching versus Bedside Teaching As A Teaching Resource In MSK Clinical Skill Training:
An RCT
M Kelly1, I Feeley1, F Boland2, J O'Byrne1
(1) Department of Orthopaedic Surgery, RCSI Professorial Unit, Cappagh National Orthopaedic Hospital, Dublin,
Ireland;
(2) Department of General Practice, RCSI, Beaux Lane House, St Stephens Green, Ireland
40. Allied Healthcare Professionals and The Surgical Profession-Can We Do Better?
O Cullivan1, I Khan2, W Khan2, R Waldron2, K Barry2
(1) Department of Medicine, Mayo Medical Academy, Castlebar, Mayo, Ireland;
(2) Department of Surgery, Mayo University Hospital, Castlebar, Mayo, Ireland
41. Can We Reduce the Mortality Associated with Thyroidectomy?
M Cassar1, T Moran2, H Rowley2
(1) Department of Surgery, UCD MMUH, Catherine McAuley Centre, Nelson Street, Dublin 7, Ireland;
(2) Department of ENT, Mater Misericordiae University Hospital, Eccles Street, Dublin, Ireland

UPPER GASTROINTESTINAL
42. Risk Factors for Loss of Bone Mineral Density after Curative Oesophagectomy
JA Elliott1, S Casey1, S King1, NG Docherty2, N Ravi1, P Beddy3, JV Reynolds1, CW le Roux2
(1) Department of Surgery, St. James's Hospital, Dublin, Ireland;
(2) Metabolic Medicine Research Group, Conway Institute, University College Dublin, Dublin, Ireland;
(3) Department of Radiology, St. James's Hospital, Dublin, Ireland

UROLOGY
43. Model-Predicted Life-Expectancy in Non-Prostate Urological Cancers: A Systematic Review and Survey
N Bhatt, N Davis, H Flood, S Giri
Department of Urology, University Hospital Limerick, Limerick, Ireland
44. The Movember Campaign- Promoting Hairiness but Not Raising Awareness
J Khan1, P Wrafter1, J Kelly1, N Papa2, E Rogers1, P O'Malley1, G Durkan 1, C Dowling1, F Darcy1
(1) Department of Urology, University Hospital Galway, Galway, Ireland;
(2) Department of Urology, Austin Health, Melbourne, Victoria, Australia
45. Outcomes after Urinary Diversion for Non-Malignant Disease
M Hegazy, M Broe, E Bolton, F O'Kelly, T Murray, J Forde, T Creagh
Department of Urology and Transplantation, Beaumont Hospital, Beaumont Road, Dublin 9, Ireland
46. Should Standard Magnetic Resonance Imaging (MRI) Be Advocated In Planning Robotic Assisted Radical
Prostatectomy (RARP)?
Y Braz1, A Walsh2, G Durkan2, P O'Malley2, J Greally3, D Bouchier Hayes1
(1) Department of Urology, Galway Clinic, Doughiska, Galway, Ireland
(2) Department of Urology, Galway University Hospital, Galway, Ireland
(3) Department of Pathology, Galway Clinic, Doughiska, Galway, Ireland

VASCULAR
47. Anatomical Suitability of Ruptured Infra Renal Abdominal Aortic Aneurysm For Endovascular Repair
as a First Option
M Elkassaby, M Tubassam
Department of Vascular Surgery, Galway University Hospital, Galway, Ireland
48. Treatment of Popliteal Artery Aneurysm by Open and Endovascular Surgery
E Smithwick1, M Dulai1, M Elsherif1, S Sultan2
(1) Department of Vascular Surgery, Western Vascular Institute, Galway University Hospital, Galway, Ireland;
(2) Department of Vascular and Endovascular Surgery, Galway Clinic, Doughiska, Galway, Ireland

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