Consultant: Emergency General, Trauma, Biliary, Hernia Surgery. Liverpool University Hospitals. UK TARN. IHME Collaborator (US). Editor-in-Chief, ECM, MDPI (CH)
Joined June 2016
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It is a summary of existing guidelines or state-of-the-art reviews, with a 210-word discussion.
May 31
No puedes perderte este 🧵⤵️
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A modern model of behaviour and professionalism by 2026: Members of Parliament continue to give AI-written speeches. Discovered today. So, what is happening in all other institutions, academia, and the press?
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NB!
💡 Although neurological complications of dengue are uncommon, this case adds to growing evidence that dengue infection may increase stroke risk.
🔗 brnw.ch/21x2rvy
📌 #dengue #ischemicstroke #neurology #MRA #cerebrovascular #stroke
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Raimundas Lunevicius retweeted
Apr 16
Laparoscopic adhesiolysis for #SmallBowelObstruction was not superior to open surgery for long-term recurrence, incisional hernia incidence, or quality of life at 5-year follow-up, confirming both as viable options. ja.ma/3Qnrpi7
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Dear JAMA: What is traditional large-bites technique? This concept does not exist. Speak to people please.
Apr 1
Small-bites fascial closure after elective midline laparotomy reduced long-term risk and size of incisional hernia vs traditional large-bites technique, supporting small bites as standard practice for abdominal closure.
ja.ma/4di06iV
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Valid audit question, method, reporting, and conclusion. Thank you.
Feb 26
Among patients with severe blunt splenic injury and multiple trauma, nonoperative management with angioembolization or observation reduced mortality, complications, and hospital stay compared with splenectomy.
ja.ma/46oTcUR
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I have directed attention to this paper: Sharing #article
Understanding E-Consent in Anaesthesia: A Review of Clinical, Legal, and Ethical Dimensions imrpress.com/journal/BJHM/87…
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Raimundas Lunevicius retweeted
💥Excited for the publication: "Does the Use of Prehospital Emergency Care Units in Inter-Hospital Transfers Affect Regional Prehospital Emergency Care Readiness?—A Finnish Pilot Study"
🔗brnw.ch/21wZzTD
📌 #paramedic #medicalservice #EMS #prehospitalemergencycare
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The event beyond my multi-toned annual appraisals: A clinic session I will remember forever. At the start of the discussion about biliary surgery for chronic gallbladder disease, the patient said to me, quietly, softly, explicitly, “One of the ITU nurses recommended you.”
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Raimundas Lunevicius retweeted
Jan 19
When I saw this letter, I literally thought, “This is too stupid even for him.” I should have known better.
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31 Dec 2025
However, participants completing more than 75% of prescribed exercises reported significantly lower disability scores with home-based prehabilitation despite the fact that there was no significant difference in complications. To conclude: it works.
30 Dec 2025
RCT: Among older adults with frailty scheduled for surgery, assignment to home-based prehabilitation before surgery did not improve postoperative disability scores or reduce complications.
ja.ma/4jrAMrF
ALT JAMA Surgery infographic: RCT on home-based prehabilitation for older surgical patients with frailty. Population: 395 males, 452 females. Intervention: 847 randomized. Findings: no significant difference in disability scores. Complications: prehabilitation 50.1%, usual care 47.7%.
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24 Nov 2025
Q: What is the most wonderful thing that happened today?
Morning tea with honey/lemon; meeting with 6 colleagues at 8am; reviewing 25 patients in the wards; performing 2 gallbladder surgeries, providing education/clinical supervision; and a most peaceful call to my heart at 6pm.
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15 Nov 2025
Firearm Injuries: A Review of Wound Ballistics and Related Emergency Management Considerations mdpi.com/3585456 #mdpiecm via @MDPIOpenAccess
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22 Oct 2025
Conclusion: STC, as this surgical procedure reduces BDI rates.
21 Oct 2025
Long-term data show subtotal cholecystectomy and open conversion both carry tradeoffs, but subtotal techniques reduce bile duct injury without compromising overall survival.
journals.lww.com/annalsofsur…
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15 Oct 2025
As an academic editor, I received 2 printed copies of my newest (7th) book titled ‘Hepatobiliary Medicine and Surgery – Gallbladder’ today: intechopen.com/books/1004634. Special thanks to 19 co-authors. Some concepts described are unique: essential reads for my residents in Liverpool.
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14 Oct 2025
Anatomy for emergency general and trauma surgeons. Also, what an accurate language: lienal vein (from Latin: vena lienalis).
13 Oct 2025
Anatomy of the duodenum and pancreas from 1918 edition of Gray's Anatomy by Henry Vandyke Carter #histmed #historyofmedicine #anatomy #pastmedicalhistory
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14 Oct 2025
Emergency Care and Medicine: mdpi.com/2813-7914/2/4 #mdpiecm via @MDPIOpenAccess In-hospital cardiac arrest: structured multidisciplinary response was associated with ROSC rates notably higher than predicted by validated models. (Structure is a keyword)
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29 Sep 2025
I am pleased to announce the publication of the 7th issue of 'Emergency Care and Medicine': 18 articles. Emergency Care and Medicine | September 2025 - Browse Articles @MDPIOpenAccess
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