Mr Gareth Bashir, BSc MEd FRCS(Gen. Surg.) - Consultant General & Colorectal Surgeon

Mr Gareth Bashir

BSc MEd FRCS(Gen. Surg.)

Consultant General & Colorectal Surgeon

London | United Kingdom

Main Specialties: Colon & Rectal Surgery, Surgery

Additional Specialties: Abdominal wall reconstruction

ORCID logohttps://orcid.org/0000-0002-8519-8612

Mr Gareth Bashir, BSc MEd FRCS(Gen. Surg.) - Consultant General & Colorectal Surgeon

Mr Gareth Bashir

BSc MEd FRCS(Gen. Surg.)

Introduction

Consultant General & Colorectal Surgeon
Medical Educator

Specialties:

Additional Specialties:

Research Interests:

Education

Sep 2007 - Nov 2009
Imperial College London
MEd (Surgical Education)
Jun 2009 - Jun 2009
Royal College of Surgeons of England
FRCS (Gen. Surg.)
Sep 1993 - Jun 1999
Barts and The London School of Medicine and Dentistry
MBBS
Jun 1997 - Jun 1998
Imperial College London
BSc (Cardiovascular Medicine)

Experience

Jan 2017
NASBO
Collaborator
Mar 2014
CholeS
Collaborator
Mar 2013
NELA
Surgical Lead (local)
Oct 2010
ROSSINI
Investigator

Publications

23Publications

149Reads

159Profile Views

The Cholecystectomy As A Day Case (CAAD) Score: A Validated Score of Preoperative Predictors of Successful Day-Case Cholecystectomy Using the CholeS Data Set.

World J Surg 2019 Apr 23. Epub 2019 Apr 23.

Trent Oesophago-Gastric Unit, Nottingham University Hospitals NHS Trust, Nottingham City Hospital, Hucknall Road, Nottingham, NG5 1PB, UK.

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http://link.springer.com/10.1007/s00268-019-04981-5
Publisher Site
http://dx.doi.org/10.1007/s00268-019-04981-5DOI Listing
April 2019
4 Reads
2.642 Impact Factor

Utilisation of an operative difficulty grading scale for laparoscopic cholecystectomy.

Surg Endosc 2019 Jan 28;33(1):110-121. Epub 2018 Jun 28.

Department of Surgery, University Hospital Monklands, Lanarkshire, Scotland, UK.

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http://link.springer.com/10.1007/s00464-018-6281-2
Publisher Site
http://dx.doi.org/10.1007/s00464-018-6281-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6336748PMC
January 2019
13 Reads
3.256 Impact Factor

The development and validation of a scoring tool to predict the operative duration of elective laparoscopic cholecystectomy.

Surg Endosc 2018 Jul 16;32(7):3149-3157. Epub 2018 Jan 16.

Institute of Cancer and Genomic Sciences, College of Medical and Dental Sciences, University of Birmingham, Birmingham, UK.

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http://dx.doi.org/10.1007/s00464-018-6030-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5988776PMC
July 2018
53 Reads
3.256 Impact Factor

Conservative management of migrated percutaneous endoscopic colostomy tube.

J Surg Case Rep 2017 Jan 6;2017(1). Epub 2017 Jan 6.

Department of General Surgery, North Middlesex University Hospital, Sterling Way, London, UK.

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https://academic.oup.com/jscr/article-lookup/doi/10.1093/jsc
Publisher Site
http://dx.doi.org/10.1093/jscr/rjw227DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5218994PMC
January 2017
12 Reads

Cost-effectiveness of emergency versus delayed laparoscopic cholecystectomy for acute gallbladder pathology.

Br J Surg 2017 Jan 20;104(1):98-107. Epub 2016 Oct 20.

Department of Upper Gastrointestinal Surgery, Queen Elizabeth Hospital, Birmingham, UK.

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http://dx.doi.org/10.1002/bjs.10317DOI Listing
January 2017
5 Reads
5.542 Impact Factor

Population-based cohort study of variation in the use of emergency cholecystectomy for benign gallbladder diseases.

Authors:

Br J Surg 2016 Nov 17;103(12):1716-1726. Epub 2016 Oct 17.

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http://dx.doi.org/10.1002/bjs.10288DOI Listing
November 2016
8 Reads
5.542 Impact Factor

Population-based cohort study of outcomes following cholecystectomy for benign gallbladder diseases.

Authors:

Br J Surg 2016 11 26;103(12):1704-1715. Epub 2016 Aug 26.

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http://dx.doi.org/10.1002/bjs.10287DOI Listing
November 2016
2 Reads
5.542 Impact Factor

Preoperative risk factors for conversion from laparoscopic to open cholecystectomy: a validated risk score derived from a prospective U.K. database of 8820 patients.

HPB (Oxford) 2016 11 31;18(11):922-928. Epub 2016 Aug 31.

Department of Upper Gastrointestinal Surgery, University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK.

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http://dx.doi.org/10.1016/j.hpb.2016.07.015DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5094477PMC
November 2016
16 Reads
2.050 Impact Factor

Paintball-related traumatic liver injury.

BMJ Case Rep 2016 Apr 27;2016. Epub 2016 Apr 27.

Department of General Surgery, North Middlesex University Hospital, London, UK.

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http://dx.doi.org/10.1136/bcr-2015-213780DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4854160PMC
April 2016
9 Reads

Metastatic breast cancer: an unusual cause of diplopia.

J Cancer Metastatic Treat 2016 Mar 28; 2:123

Journal of Cancer Metastatic Treatment

ABSTRACT

While secondary solid cancer into the eye orbit is rare, it is the most common site for primary metastasis in female breast cancer. We report a case of a sixty-six years old woman presenting to her optician with complaints of double vision. Magnetic resonanceimaging revealed an invasive lesion in the superior and medial rectus muscles of the right orbit, biopsy of which confirmed this as an infiltrating breast carcinoma. Investigation of the primary lesion showed an advanced invasive ductal carcinoma of the right breast. She was then treated with radiotherapy to the orbit and a non steroidal aromatase inhibitor Anastrozol (Arimidex®). We herein review and discuss the literature, epidemiology, mechanism of tumor spread, the “seed and soil” theory, clinical presentation, pathology, and management of this uncommon presentation.

Key words: Metastatic breast cancer; diplopia; ocular metastasis

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March 2016
1 Read

The cost-effectiveness of wound-edge protection devices compared to standard care in reducing surgical site infection after laparotomy: an economic evaluation alongside the ROSSINI trial.

PLoS One 2014 18;9(4):e95595. Epub 2014 Apr 18.

Primary Care Clinical Sciences, University of Birmingham, Birmingham, United Kingdom; West Midlands Research Collaborative, Birmingham, United Kingdom.

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http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0095595PLOS
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3991705PMC
May 2015
12 Reads
3.234 Impact Factor

Synchronous metastatic omental melanoma and colonic adenocarcinoma: a case report.

BMC Res Notes 2015 Apr 3;8:125. Epub 2015 Apr 3.

North Middlesex University Hospital NHS Trust, Sterling Way, London, N18 1QX, UK.

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http://dx.doi.org/10.1186/s13104-015-1099-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4391278PMC
April 2015
3 Reads

Medical Education: A Dictionary of Quotations [DICTIONARY ENTRY]

Authors:
Walsh K

CRC Press, 2012

Dictionary entry


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May 2012
4 Reads

First report of endoscopic closure of a gastrocolic fistula using an over-the-scope clip system (with video).

Gastrointest Endosc 2012 Apr 31;75(4):893; discussion 894. Epub 2012 Jan 31.

Wolfson Unit for Endoscopy, St Mark's Hospital and Academic Institute, Imperial College London, London, UK.

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http://dx.doi.org/10.1016/j.gie.2011.12.013DOI Listing
April 2012
2 Reads
5.369 Impact Factor

Localised Ileocaecal Crohn's Disease [BOOK CHAPTER]

tfm Publishing 2012

in Inflammatory Bowel Disease - an Evidence-based Practical Guide (Edited by Hart A & Ng S)

Chapter overview


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January 2012
2 Reads

Technology and medicine: the evolution of virtual reality simulation in laparoscopic training.

Authors:
Gareth Bashir

Med Teach 2010 ;32(7):558-61

Queen's Hospital, Essex, UK.

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http://www.tandfonline.com/doi/full/10.3109/0142159090344770
Publisher Site
http://dx.doi.org/10.3109/01421590903447708DOI Listing
December 2010
4 Reads
2.045 Impact Factor

An Audit of Appendicectomy in a District General Hospital Comparing Laparoscopic With Open Surgery [ABSTRACT]

Surg Endosc 2009; 23: pS59

Surgical Endoscopy

AN AUDIT OF APPENDICECTOMY IN A DISTRICT GENERAL HOSPITAL COMPARING LAPAROSCOPIC WITH OPEN SURGERY
G.M. Bashir, M. Abu-Bakr, S. Purkiss

Whipps Cross University Hospital, LONDON, United Kingdom

Method: Demographic data, ASA grade, utilisation of preoperative ultrasound, operative findings and time, technique of appendicectomy, grade of surgeon and severity of appendicitis were collected in addition to overall length of hospital stay and complication rates.

Results: 60 open (OA) and 43 laparoscopic appendicectomies (LA) were performed. OA was predominantly applied in males (43 M : 17F) as compared to LA (11 M : 32F). There was no significant difference in mean age (OA 26.0 years; LA 27.6 years), preoperative ASA grade or use of preoperative imaging. Middle grade surgeons were the principal operating surgeons in both groups (OA 53%; LA 74%). Basic surgical trainees were more likely to be the principal operating surgeon in OA 43%]) as compared to LA (7%). A greater proportion of OA (55%) was performed out of hours as compared to LA (28%). Average length of hospital stay was significantly longer for OA (3.3 days) compared to LA (1.7 days) and OA patients were more likely to suffer complications such as wound infection (17%) as compared to LA, which was associated with just one complication during the study period. Macroscopically normal appendices were found in 13 patients (OA 4; LA 9). Analysis of these specimens revealed inflammation in 2 (OA 1; LA 1).

Conclusions: Data indicate that OA is more likely to be performed out of hours by basic surgical trainees on patients with more complicated appendicitis as compared to LA. Patients undergoing OA had longer inpatient stays and more complications. LA was successfully applied in small numbers of patients with severe appendicitis with low morbidity in contrast to reports elsewhere where higher complication rates have been reported. LA has an established and successful role in patient care in a significant proportion (42%) of patients. Data also identify those middle grade surgeons with more experience at routine laparoscopic surgery are choosing to perform LA as an emergency and this change in surgical training is likely to have an impact on the emergency surgical care of patients with acute appendicitis. We recommend that the macroscopically normal appendix be resected at LA because of 'missed' inflammation.

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January 2009
1 Read

Clinical Effectiveness: A Structured Teaching Approach for Junior Doctors.

Clinical Governance 2015; 10:15-23

Clinical Governance: An International Journal

Purpose – To formulate an effective teaching programme in the principles of clinical effectiveness for junior doctors, with simultaneous participation in a clinical audit project during their six‐month period of employment.
Findings – The structured teaching programme resulted in a good understanding of the clinical effectiveness process amongst the A&E SHOs, as demonstrated by their ability to perform a clinical audit project which ultimately improved practice.
Practical Implications – With appropriate guidance and support, junior doctors are able to perform meaningful clinical effectiveness exercises at an early stage in their careers and within the constraints of short periods of employment. The structured teaching approach could be considered as a template which other institutions may wish to adopt to educate their own juniors.
Originality – Despite the increasing importance of clinical audit in modern practice, the authors are not aware of any published teaching programmes which provide junior doctors with the necessary understanding of and skills required to take part in the clinical effectiveness process.

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January 2005
1 Read

Is radiotherapy needed after breast conservation for small invasive breast cancers?

Eur J Surg Oncol 2002 Jun;28(4):379-82

St Bartholomew's Hospital, West Smithfield, London, UK.

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June 2002
6 Reads
3.009 Impact Factor

Correlation between PlA2 platelet membrane GPIIIa allele and platelet function for subjects with and without coronary artery disease [ABSTRACT]

Clin Sci 1999; 96(S40): 3P.3-3-P

Clinical Science

CORRELATION BETWEEN THE PlA' PLATELET MEMBRANE GpIIIa ALLELE AND PLATELET FUNCTION FOR SUBJECTS WITH AND WITHOUT CORONARY ARTERY DISEASE.

G BASHIR, A BAKHAI, HE GENDI, M SUMIYA, NA FLORES, AG VIOLARIS, J SUMMERFIELD, DJ SHERIDAN

Academic Cardiology Unit, National Heart and Lung Institute, Imperial College School of Medicine at St Mary's Hospital, London W2 1NY

Activation of the platelet receptor glycoprotein (GP) IIbAIIa mediates platelet aggregation via the binding of fibrinogen, and is the final common pathway in both the haemostatic and thrombotic processes. The GPIIIa gene has multiple polymorphisms and the PlA2 variant has been reported as a risk factor for coronary artery disease (CAD).

The purpose of this study was to compare the prevalence of the P1 genotypes between CAD patients and controls, and to correlate the genotype with the degree of GPIIbilIIa expression on platelets at baseline and after in vitro ADP stimulation. In this way, the genotype could be linked to a phenotypic mechanism of action on which only limited data exists.

In 54 patients (15 age matched controls and 39 angiographically significant CAD patients) EDTA and citrate anticoagulated blood samples were obtained. PI genotypes were determined by PCR restriction fragment length assays and GPIIbillIa receptor expression was determined by whole blood flow cytometric analysis.

The prevalence of the PIA2 allele was significantly higher among CAD patients compared with controls (41.0% vs 13.3%, fl.05). Although baseline values were not significantly different on comparing P1A2 positive vs negative subjects, a significantly higher expression of GPIlbilIIa receptors was found following IOpol ADP stimulation (75.2~~68.7%,P=0.04).

These results indicate that the PIA2 polymorphism may be particularly relevant in the pathophysiology of acute coronary syndromes and that patients with CAD and this polymorphism have the potential for an exaggerated platelet aggregation deserving more aggressive and specific anti-platelet therapy such as GPIIbAIIa receptor inhibitors. Further workis needed to validate this in vivo.

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January 1999