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General

Disclaimer

Important Notice

Guy Nash excludes and hereby expressly disclaims all express and implied warranties or conditions unless they are clearly stated on this site as being contractually binding on Guy Nash and so far as such exclusion is or disclaimer is permitted by law.

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Antibacterial Watch

Antibacterial watch


Infection is one of the biggest preventable causes of morbidity and mortality for patients and anything that comes into contact with healthcare workers may act as a vehicle to transmit this infection. The wrist watch, though useful to take patients pulse rate, may act to transmit infection or restrict thorough hand washing.

In 2007 I suggested a watch that harbours minimal bacteria as it can be washed in alcohol, has limited crevices for bacteria to hide and is made from a bacteria inhibiting material (sliver, copper and some plastics have impregnated antibacterial properties).

 

Example of my prototype antibacterial watch (“anti-I watch”) pat pend

   

Publications

The publications below are almost all initiated and/or written by me and they relate to the subjects found in this website. I have worked with many co-workers in the last dozen years producing these papers and would like to thank them here.

For further information about these papers please contact me.

 

Surgical Training


Clinical Surgery in General Surgery Nash GF,;1997: 1, s2

A regional survey of emergency surgery: the trainees' perspective Nash GF, Reddy MK, Bloom IT   Annals of Royal College of Surgeons 2000 82;2: 95-6

The General Surgery Intercollegiate exam and courses Nash GF, Thodiyil PA. Annals of Royal College of Surgeons 2000 ;82:s199

Research plans for current basic surgical trainees: still publish or perish? Nash GF, Walsh DC. Annals of the Royal College of Surgeons (Eng) 2000; 82: s336-337

A survey of basic surgical training: are we moving forwards? Nash GF, Sains PS, Reddy KM, Isaac DL, Bloom IT. Annals of the Royal College of Surgeons 2001; 83: s18-19

Analysis of statistics by trainees Nash GF, Kalsi V, Hamman J. Annals of the Royal College of Surgeons of England June 2002 84; s200-201

Modernising medical careers and the British surgeons of the future. Chand M, Faruque M, Dabbas N, Nash GF. Br J Hosp Med (Lond). 2010 May;71(5):282-5.

 

Surgical Safety


How and why do we measure surgical risk? J R Soc Med. 2007 Nov ;100 (11):508-12  Manish Chand, Tom Armstrong, Greg Britton, Guy F Nash

Exposure of healthcare workers to bloodborne viruses Nash GF   BMJ 2001; 323: 169

Patient to surgeon infections-fact or fiction (letter) Nash GF The British Journal of Surgery  2004; 91(2): 315-316

Current attitudes to needlestick injuries Nash GF, Goon P. Annals of the Royal College of Surgeons (Eng) 2000; 82: s236-237

Knowledge and the internet  Nash GF, Donnelly N, Nash EF, Turner LF. Journal of the Royal Society of Medicine 2001; 94: 53

Surgeons’ Sharps: The risks of sharps injuries and viral infection to surgeons and healthcare workers. Nash GF. International Journal of Medicine June 2002; 4: 75-7

Are current surgical trainees preventing future adhesion complications?  Nash GF, Pullen A. Adhesions Journal 2002 June ; 9

Attitudes to adhesions Nash GF. Journal of the Royal Society of Medicine 2001; 94(10):555.

Surgical sharps injuries and viral risks to surgeons Nash GF. Journal of the Royal Society of Medicine: AIDS & Hepatitis Digest July 2001: s6-7

Preoperative electrocardiograph examination Nash GF, Cunnick G, Allen S, Cook C, Turner LF. Annals of the Royal College of Surgeons of England. Nov 2001

Magnetic resonance imaging and the acute abdomen (Br J Surg 2008; 95: 1193-1194). Br J Surg. 2009 Jan;96(1):119; Alexander RJ, Lee-Elliott C, Nash GF.

 

Minimal Access Surgery


NOTES: because we can or because we should?J R Soc Med. 2008 Apr ;101 (4):160-2 Manish Chand,  Guy F Nash

Randomized clinical trial evaluating elective laparoscopic appendicectomy for chronic right lower-quadrant pain Br J Surg 2008; 95 169-174.  S J Arnold, Guy F Nash

Minimally invasive long saphenous vein harvest  Hill SM, Nash, GF, Nott, DM.  British Journal of Surgery. 1998; 85(4):558

Therapeutic use of the Heald Silastic Anal Stent.Colorectal Dis. 2007 Mar ;9 (3):279-80  A Brent, T Armstrong, G F Nash, R J Heald

 

SEPSIS


Systemic inflammatory response predicts survival following curative resection of colorectal cancer (letter) Nash GF, Chopada A. British Journal of Surgery  2003; 90 : 215

Inflated 'non-leak' mortality compared to 1995 Wessex CRC Audit T Underwood, A Brent, A D Clarke, R W Talbot, G F Nash Colorectal Dis. 2008 Jan 22;

Perforated diverticulitis presenting as necrotising fasciitis World J E Surg. 2008; 3: 10 T Underwood, J Southgate, R Talbot, GF Nash

Anastomotic leakage after curative anterior resection results in a higher prevalence of local recurrence  (letter) Nash GF The British Journal of Surgery  2004; 91(1): 125-6

Systematic review and meta-analysis of the effectiveness of antibiotic prophylaxis in prevention of wound infection after mesh repair of abdominal wall hernia G F Nash Br J Surg. 2006 Jun 14;93 (7):891-892  

Influence of postoperative morbidity on long-term survival following liver resection for colorectal metastases (letter) Nash GF, Waller W. British journal of surgery 2003 ; 90 (12) : 1610-1

A simple case of appendicitis? An increasingly recognised pitfall. Chand M, Moore PJ, NASH GF   Ann R Coll Surg Engl. 2007 Oct;89(7):W1-3

Enterocutaneous fistula stent. Alexander RJ, Nash GF. Ann R Coll Surg Engl. 2009 Oct;91(7):619-20.

 

Perianal Conditions


Colorectal cancer and rectal bleeding in primary care: rectal bleeding needs attention in primary care. Christopher M Newman, Guy F Nash, Tom Armstrong, Kieren Darcy BMJ. 2006 Jul 22;333 (7560):201  

Haemorrhoidal artery ligation operation (HALO) for the treatment of symptomatic anorectal varices.Underwood TJ, Brent A, Nash GF.Colorectal Dis. 2008 Oct 25.

The management of haemorrhoids Manish Chand, Natalie Dabbas,  Guy F Nash, Br J Hosp Med (Lond). 2008 Jan ;69 (1):35-40.

GTN headaches and reduction of natural banding? NASH GF.  Colorectal Dis. Jul 2007 Vol 10, 96

The role of stomas in rectovaginal fistula surgery British Journal of Surgery 2003- s90; 1:83 Evans RM, Buchanan GN, Nash G.F, Cohen CRG.

Hollow seton for magnetic resonance imaging fistula visualization Colorectal Dis. 2006 Sep ;8 (7):615  .T Armstrong, D S Tarver, A D Clarke, R W Talbot, G F Nash

The long-term results of diltiazem treatment for anal fissure Int J Clin Pract. 2006 Aug 15; :.G F Nash, K Kapoor, K Saeb-Parsy, T Kunanadam, P M Dawson

Haemorrhoidal artery ligation operation for the treatment of symptomatic anorectal varices. Underwood TJ, Brent A, Nash GF. Colorectal Dis. 2010 Feb;12(2):148-9.

 

Clotting, Anticoagulation, Angiogenesis and Cancer


The coagulation System in Tumour Angiogenesis Nash GF, Walsh DC, Kakkar AK. The Lancet Oncology 2001 ; 2: 608-613

Platelets and Cancer Nash GF, Turner LF, Scully MF, Kakkar AK. The Lancet Oncology 2002; 3: 424-9

Tissue factor (TF) and vascular endothelial growth factor (VEGF) expression in colorectal cancer: relation with cancer recurrence. Guy F Nash  Colorectal Dis. 2007 May 10;   

Endostatin and VEGF are independent tumour angiogenic factors related to neutrophil and platelet counts respectively. Nash GF, Chopada A, Lall D, Kakkar AK. Blood  2001; 98(11): 46b

Synergistic Effect of Endostatin and Etoposide Inhibition in Endothelial Progenitor Cell Proliferation Nash GF, Scully MF, Kakkar AK. British Journal of Surgery  2001; 88 s13

Anticoagulation and cancer.  Guy Nash.  The Lancet 2001 ;357: 638

The coagulation characteristics of endothelial progenitor cells Nash GF, Lupu C, Scully MF, Kakkar AK. Blood  2001; 98(11); 118b

Overview of coagulation, fibrinolysis, and angiogenesis in cancer Nash GF BMJ 2003;326:39 (Fig)

Cyclo-oxygenase 2 inhibition in colorectal cancer therapy (letter). Nash GF  The British journal of surgery  2003 ; 90 (12): 1610

 

Anaemia and Blood Transfusion


Poor Sensitivity of Faecal Occult Blood Test in Colorectal Cancer  P Swan, K Darcy, GF Nash  Colorectal Disease July 2007 Vol 9 Issue s1

Serum VEGF, blood transfusion, and wound orientation Nash GF: Letter re: Belizon et al. Surg Endosc. 2008 Jan 18. Surg Endosc. 2008 Oct;22(10):2328.  

Stored blood products stimulate cancer . Nash GF, Chopada A, Patel H, Kakkar AK. British Journal of Surgery  2002; 89 s19

Pica; a woolly diagnosis of anaemia Nash GF, Evans RM, Cohen CRG Journal of the Royal Society of Medicine 2003; 96: 571

Leucocyte depletion of perioperative blood transfusion does not affect long-term survival and recurrence in patients with gastrointestinal cancer. Nash G. Br J Surg. 2009 Nov;96(11):1371

 

Colorectal Cancer


Intussusception in colorectal cancer Clin Colorectal Cancer 2008;7(3):204-5 Chand M, Bradford L, Nash GF

Perianal recurrence in colonic cancer Nash GF, Reddy KM, Booth RAD.  Journal of the Royal Society of Medicine 1999 ;92: 469

Should indeterminate lung lesions reported on staging CT scans influence the management of patients with colorectal cancer? A Brent, R Talbot, J Coyne,  G NASH   Colorectal Disease  Volume 9 Issue 9; 816-818, Nov 2007

Heparin for colorectal cancer.  Guy Nash.  Journal of the Royal Society of Medicine 2000; 93: 554

Tissue factor (TF) and vascular endothelial growth factor (VEGF) expression in colorectal cancer: relation with cancer recurrence GF NASH Surg Endosc  Vol 9 Issue 9 Page 858-859, Nov 2007

Faecal occult blood test-based screening programme with high compliance for colonoscopy has a strong clinical impact on colorectal cancer (Br J Surg 2009; 96: 533-540).Nash GF. Br J Surg. 2009 Aug;96(8):956-7

Carbon may spot primary and lymphatic colorectal cancer spread. Alexander RJ, Nash GF. Surg Endosc. 2009 Jun 11

Atypical Presentation of a Common Disease; Intussuscepting Colorectal Cancers  Open Colorectal Cancer Journal 2008, 1 p1-3  M Chand, J Coyne, GF. Nash

   

Guy Nash - Consultant Colorectal Surgeon

Mr GF Nash - Consultant Colorectal Surgeon

Mr Guy F Nash MD MBBS FRCS (Eng)
Consultant Surgeon, Assoc. Professor (St Georges, Gren) Research Fellow (Bournemouth University)

Welcome to my website which aims to inform patients and colleagues about Surgery. I came to the Poole and Bournemouth area from St. Mark’s Hospital in London and as a Consultant Surgeon have published and presented results from my clinical work, some of these are included within this website. Feel free to use the Search box at the top right for the condition of your interest, especially those in bold text below.

I offer a wide range of General Surgical services for patients presenting with both elective and emergency problems. This includes Laparoscopic abdominal operations, gall bladder operations, hernia surgery of all types, excision of skin lesions, vasectomies, scrotal and groin lumps in addition to the Colorectal (gut) operations below.

My Colorectal practice includes patients with minor colorectal problems like itching, incontinence, haemorrhoids (piles), fistulas and fissures. Rectal bleeding affects up to 20% of the adult population per year and reassuringly it is usually due to a simple cause, but it is important to rule out other causes. I have a special interest in Anal Cancer and AIN which may precede it.

I manage patients requiring surgery for inflammatory bowel disease and those requiring major operations for bowel cancer. When clinically appropriate I offer laparoscopic (key hole) colorectal surgery. I have helped develop SILS (single incision laparoscopic surgery) which I offer for suitable cases. For early rectal cancer and polyps I also offer Transanal Endoscopic Microscopic Surgery (TEMS) using highly specialized equipment that is available in Poole.

Away from Surgery I am married with four lovely children, play golf (handicap 9), support West Ham; contributing to Bobby Moore’s biography and I collect the graphic works of Salvador Dali.

   

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The Harbour Hospital

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