Colorectal and Gastrointestinal Surgery in Berkshire, Buckinghamshire, Surrey and West London

tebala

Giovanni Domenico Tebala, MD MS FRCS FACS
Born in Reggio Calabria (Italy) on November 2nd, 1967

The Surgeon should operate in three cases:
To join separate things
To separate the things that are joined against nature
To eliminate the superfluous”
(Bruno of Longobucco, 13th cent)

Contents:

Workplace Address

Career Statement

Education and Qualifications

Career History

Private Practice

Clinical Skills and Experience

Main surgical skills and interests:

Management and Leadership Experience

Courses Attended

Main Research Experiences

Audits

Presentations

Publications

Workplace Address

Surgical Division, Wexham Park Hospital
Frimley Health NHS Foundation Trust
Wexham Street
Slough, Berkshire (UK)
SL2 4HL

Phone#:
+44 (0) 1753 633000 – +44 (0) 1753 633352 (secretary Mrs Amna Jahangir)

tebala

Career Statement

I have been trained as an abdominal surgeon since my first years at the Catholic University School of Medicine. Early in my university course I started attending the Department of General Surgery of the “A. Gemelli” University Hospital, in Rome, Italy. I graduated in 1992 and achieved the specialization degree (MS – CCT) in General Surgery in 1999 at the same University.

During my surgical training, and afterwards, I obtained advanced training in colorectal surgery, upper gastrointestinal surgery, hepatobiliary surgery, laparoscopic surgery, proctology and pelvic floor surgery, emergency and trauma surgery, upper and lower gastrointestinal endoscopy. Furthermore, I had a good experience in urologic and gynaecological surgery.

My main scientific interest has always been the treatment of colorectal cancer and inflammatory bowel diseases, but also malignant conditions of the upper GI and the hepatobiliary systems and benign abdominal conditions such as biliary stones and gastro-oesophageal reflux disease.

From 1999 to 2013 I worked as a Consultant Surgeon at the Aurelia Hospital in Rome, where I have been in charge of the Digestive and LaparoEndoscopic Surgery Unit from 2007 to 2013.

Following my deep aspirations and my continuous search for something new and better for myself, my career, my professionalism and my family, I registered to the General Medical Council (UK) as a Specialist in General Surgery and in march 2013 I have been appointed as a Consultant Gastrointestinal, Laparoscopic and General Surgeon and Colorectal Lead at the Noble’s Hospital, Isle of Man, where I restarted colorectal surgery, implemented a Laparoscopic Colorectal Surgery programme and an Enhanced Recovery After Colorectal Surgery Programme. The utterly positive results obtained in colorectal surgery and in advanced laparoscopic surgery allowed me to be awarded with the Freedom of the City of London in 2017.

After 5 years at the Noble’s, I felt the need to play an active role in the wider surgical UK community and to work in a bigger hospital, so I accepted the offer of a post as a Consultant Colorectal and Emergency Surgeon at the East Kent Hospitals University NHS Foundation Trust, William Harvey Hospital, in Ashford, Kent, but in November 2018 moved again to take up a post of Consultant Colorectal and Gastrointestinal Surgeon at Frimley Health NHS Foundation Trust, Wexham Park Hospital, Slough, Berkshire.

I enjoy working in the hospital environment, and patients and their health and safety come always first for me, also in my managerial role. However, I strongly believe that our job has also an educational and public role, working with and for the local population in order to increase public awareness and knowledge on healthcare issues and prevention and to create a safer environment to live in.

My leadership style is variable. Normally, it could be defined as ‘couching’ or ‘affiliative’, but sometimes can turn to assertive when an important quick decision should be taken, in particular when patient safety is at risk. I aim to build up personal one-to-one relation with each one of my team, in order to create with him/her a development agreement where their personal expectations and values can fit into the wide team project and job.

My job doesn’t start and finish with the clinical care and direct relation with patients, but research – either clinical or basic – has a central role, to improve the global healthcare, to contribute to the advancement of knowledge and to feel part of the wide medical community. I firmly believe that relying only on rigid standardized pathways may hamper progress and improvement; on the contrary, doctors should start thinking laterally to find new and better ways to maintain and improve healthcare. Although I have always been interested in academic medicine and surgery, I strongly feel that research and improvement should not be confined only to universities and academy. On the contrary, also general hospital trusts have the right and moral obligation to stimulate and implement clinical research and trials.

Albeit working hard and usually beyond the normal working time, I have always tried to have a good work-life balance. I enjoy spending time with my family and my friends and being involved in social activities.

Education and Qualifications

  • Maturità Scientifica (High School Diploma) in 1985 at the Liceo Scientifico Leonardo Da Vinci in Reggio Calabria (Italy).
  • Medical School from 1985 to 1992 at the Catholic University, “A. Gemelli” General Hospital, School of Medicine, in Rome. Medical Degree (MD) (Laurea in Medicina e Chirurgia) certificate in July 1992 (magna – 110/110 – cum laude). Dissertation on “Tissue adhesives and techniques of anastomosis in bowel surgery. Experimental evaluation.”
  • Italian medical license to practice in 1992 at the Catholic University, “A. Gemelli” General Hospital, School of Medicine, in Rome (score 85/90).
  • Registration to the Medical Council (Ordine dei Medici) of Reggio Calabria in 1992 (n. 6764).
  • UK medical license to practice and full registration to the General Medical Council in the Specialist Register (General Surgery) in 2011 (n. 7211387).
  • Training in General Surgery from 1993 to 1999 at the Catholic University, “A. Gemelli” General Hospital, School of Medicine and Surgery, in Rome. Certificate of Completion of Training (MS) (Specializzazione) in November 1999 (magna – 50/50 – cum laude). Dissertation on “Intestinal ostomies, current techniques and future perspectives.”
  • Fellowship in Hepatobiliary Surgery in 1996 at the Catholic University, “A. Gemelli” General Hospital, School of Medicine, in Rome.
  • Fellowship in Laparoscopic Surgery in 2004 at the Special School of the Italian Association of Hospital Surgeon (ACOI: Associazione dei Chirurghi Ospedalieri Italiani).
  • Advanced Trauma Life Support qualification in 1999.
  • Basic Life Support – Defibrillation qualification in 2002.
  • ATLS instructor qualification in 2011 (American College of Surgeons) and in 2016 (Royal College of Surgeons of England).
  • BLSD instructor qualification in 2007.
  • Fellow of the Royal College of Surgeons of England since 2013, n. 9056127
  • Fellow of the American College of Surgeons since 2015, n. 03257356

Career History

  • From November 2018Consultant Colorectal and Gastrointestinal Surgeon, Wexham Park Hospital, Frimley Health NHS Foundation Trust, Slough, Berkshire (UK)
  • I am covering both Colorectal and Upper GI surgery, running theatre sessions and endoscopy sessions at Wexham Park Hospital in Slough and at Heatherwood Hospital in Ascot and clinics also at King Edward VII Hospital in Windsor and at St.Mark’s Hospital in Maidenhead. My oncall commitment is 1:10. My main interest is the management of colorectal conditions, but also gastro-oesophageal reflux disease and benign biliary diseases.
    The Wexham Park Hospital is a District General Hospital and is part of the Frimley Health NHS Foundation Trust, which serves a population of about 800,000 in Surrey, Berkshire, Hampshire and Buckinghamshire.
  • From April to November 2018 – Consultant in Colorectal and Emergency Surgery, Surgical Division, William Harvey Hospital, East Kent Hospitals University NHS Foundation Trust.
    My job plan entailed colorectal surgery for 75% of my time and emergency surgery for the remaining 25%. I ran theatre sessions and clinics at the William Harvey Hospital and at the other hospitals of the trust. I had an endoscopic session a week and was in the rota for hot gallbladder surgery. My main clinical interest is the management of colon and rectal cancer, but my job plan included also upper GI surgery, specifically antireflux surgery and benign biliary surgery.
    The William Harvey Hospital is a 476-bed Teaching Hospital with all the major surgical and medical specialties of a District General Hospital. It is part of one of the largest hospital trusts in England with five hospitals and community clinics, serving a local population of about 650,000.
  • From March 2013 to March 2018Consultant in General Surgery with special interest in Gastrointestinal and Laparoscopic Surgery and Colorectal Lead, Surgical Division, Noble’s Hospital, NHS IOM, Douglas (Isle of Man) – Chairman of the Colorectal Cancer Multidisciplinary Team – Lead Consultant Surgeon for the Bowel Cancer Screening Programme of the Isle of Man.
    Since my appointment as Consultant in 2013, I restarted Colorectal Surgery at the Noble’s, which had been stopped in 2012, set up a Colorectal MDT and implemented a Laparoscopic Colorectal Surgery Programme and an Enhanced Recovery Programme.I produced the hospital policies on the Treatment of Colorectal Cancer and on the Enhanced Recovery in Colorectal Surgery Programme.
    I have also brought improvements to the legibility of clinical notes by introducing typed operative reports in general surgery.
    I had 3 theatre sessions a week and 6 endoscopy sessions (1 performed directly by me and 5 by other members of my team). I often performed extra theatre or endoscopy sessions for urgent cancer patients. I participated in a 1:4 oncall rota for emergency surgery and in a 1:7 rota for emergency endoscopy. I performed upper and lower GI endoscopies on regular basis and most of my cases were of advanced endoscopy (EMR, stenting, bleeding control).
    I mainly dealt with colorectal and gastrointestinal conditions both in election and in emergency. My main interest is the management of colonic and rectal cancersbut I also worked closely with the Consultant Gastroenterologist for the management of patients with inflammatory bowel diseases and with the Gynaecologists and Urologists for the management of complex pelvic conditions.
    My other interests are trauma and emergency surgery and upper GI surgery. I developed a particular experience in the treatment of gastric cancers – including a number of GISTs – and GORD.
    I managed to obtain support from one of the local charities to buy an ultrasoundmachine for the use of the division of general surgery and I am in the process of implementing a proper surgical ultrasound service.
    I have also been working very closely to the Public Health Department and I was Lead Clinician for the Bowel Cancer Screening Programme, Isle of Man.
    I am clinical and educational supervisor for medical students, junior doctors and surgical trainees and I was appointed as honorary surgical tutor for the University of Edinburgh.
    I tutored and supervised surgical trainees from the Universities of Rome “Sapienza” and “Tor Vergata” spending long periods of training at the Noble’s and developing here their final dissertations.
    I set up a laparoscopic skills training lab at the Noble’s and I was appointed as trainer of the School of Laparoscopic Surgery of the Italian Association of Hospital Surgeons.
    I am also ATLS instructor(American College of Surgeons and Royal College of Surgeons of England).
    During this period I have been very active in the Community, participating to several radio talks and press conferences and organized a public meeting in Douglas “Bowel Cancer Awareness Evening” on the 24th march 2015.
    Main results in colorectal surgery March 2013 – March 2018:
    – 231 resections – 68% laparoscopic – 173 for cancer
    – 190 elective (75.1% laparoscopic) – 41 urgent
    – 69 rectal resections
    – 90-day morbidity 12.1% (Clavien-Dindo >2)
    – 90-day mortality 2.6% (2% in elective cases)
    – median postop stay 6 days for elective resections
    – median postop stay 4 days (34% within day 3) for lap resections.
    The Noble’s Hospital is a 314-bed teaching hospital with a Surgical Directorate (General Surgery, Colorectal and Gastrointestinal Surgery, Vascular Surgery, Breast Surgery, Urology, Orthopedics, ENT, Ophtalmology, Orthodontics and Maxillo-Facial Surgery, Intensive Care Unit, Emergency Department), a Medical Directorate (General Medicine, Oncology, Nephrology, Gastroenterology, Rheumatology, Endocrinology, Cardiology, Pneumology, Geriatrics and Stroke Unit), Gynaecology and Obstetrics, Paediatrics, Radiology, Pathology, Rehabilitation and Ancillary Services.
  • From june 2015 to october 2016 Clinical Director, Division of General and Specialist Surgery, Noble’s Hospital, Douglas (Isle of Man).
    Management and leadership role, dealing with all the aspect of organization, clinical governance, finance, quality assessment and control, patients’ safety of the Division of Surgery. Management of all medical personnel (eight independent clinical units, theatre, endoscopy). This was an interim role I covered for a limited period.
  • From 2000 to 2013Consultant in General Surgery and Lead of the Digestive and Laparoendoscopic Surgery Unit from 2007 to 2013, Aurelia Hospital, Rome (Italy).
    Main duties were care of patients in the surgical wards, clinics, theatre and endoscopy, A&E. During this period I implemented advanced laparoscopic surgery at the Aurelia Hospital and set up a Laparoscopic Surgery Service that was active 24/7 for elective and emergency cases. I also managed to boost the Digestive Endoscopy Service by performing advanced therapeutic endoscopy (lower and upper GI). I started a Coloproctology Clinic and implemented a Laparoscopic Colorectal Surgery Programme. Big part of my job was also in trauma and emergency surgery. In fact, the Aurelia Hospital is a very busy hospital in particular for emergencies and traumas, being very close to one of the main highways around Rome and having a Level I Trauma Centre (Level II for pelvic injuries). I refined my techniques in trauma surgery, both as damage control and definitive treatment, and worked very closely with the intensivists, orthopaedics (mostly pelvic surgeons) and neurosurgeons in the management of complex traumas. I implemented the use of ultrasound scanning in emergency and trauma and became ATLS instructor. In the same period, I was also Visiting Consultant Abdominal Surgeon at the CardioVascular Centre of the European Hospital in Rome and worked closely with cardiosurgeons and intensivists for the management of abdominal conditions related to cardiac surgery, both in emergency and as elective cases. During those 13 years I managed to continue my researches on digestive surgery topics and was clinical supervisor and tutor for students, junior doctors and surgical trainees. I was also involved in medical education at the University of Rome “Tor Vergata”, Division of Surgery, and performed clinical and lab researches with both the Universities of Rome “Tor Vergata” and “La Sapienza”.
    The Aurelia Hospital is a 250-bed District General Hospital with a Trauma Center and the major surgical and medical specialties (General Surgery, Vascular Surgery, Neurosurgery, Plastic Surgery, Chest Surgery, Urology, Orthopaedics, Traumatology, Gynaecology and Obstetrics, General Medicine, Pneumology, Endocrinology, Nephrology and Haemodyalisis, Cardiology with CCU and Haemodynamics, Intensive Care Unit) alongside with Radiology, Pathology and Laboratory, and is part of a wider Trust with 6 hospitals in Rome and 4 in the rest of Italy. Aurelia Hospital is a teaching hospital strictly linked with the University of Rome “Tor Vergata”.
  • From 2001 to 2009 – Various posts of Visiting Professor of Human Anatomy and General Surgery (see Teaching)
    – Catholic University of Rome
    – Catholic University of Campobasso
    – University of Rome “Tor Vergata”
    – “Claudiana” School, Bolzano
  • From 1999 to 2000Locum Consultant in General Surgery at the General Surgery Department of the “L’Immacolata” Hospital, Celano (Italy).My main duties were: care of patients in the surgical wards, theatre and endoscopy, audits, quality improvement activities.
    I implemented an advanced endoscopy programme and initiated pilot projects in laparoscopic surgery and use of laser in digestive and urologic endoscopy.
    My main interest was (and still is) Coloproctology, so I set up a specialist Coloproctology clinic and implemented new techniques in Coloproctologic surgery.
    I was in the group who implemented the Bowel cancer screening programme for the town of Celano, using an innovative immunochemical test instead of the ‘old’ guaiac test.
    L’Immacolata is a 90-bed rural hospital with General Surgery, General Medicine and Pathology, located in a small town in the very centre of Italy (Abruzzo).
  • From 1994 to 1999 Trainee in General Surgery at the Hepatobiliary and Digestive Surgery Unit and the General Surgery Unit of the Catholic University, “A.Gemelli” Hospital, Rome.
    Main duties were: care of patients in the surgical wards, theatre, endoscopy, clinic, A&E, clinical and basic research, audits, training for junior doctors and medical students.
    During this period I gradually got clinical and surgical autonomy, under the supervision and tutorship of the Unit Lead, in general, colorectal, upper GI and HPB surgery (Prof Gennaro Nuzzo, prof Aurelio Picciocchi). I was in the steering group for the implementation of a programme of basic and advanced laparoscopic surgery and of advanced liver and biliary surgery. I was also in the multidisciplinary clinical and scientific team for the treatment of colorectal cancer and liver metastases. I had the responsibility to implement the Liver Resections Registry and the Colorectal Cancer Liver Metastases Registry. I performed clinical and experimental researches on hepatobiliary and digestive surgery. My final research and dissertation was on “Intestinal Stomas: experimental evaluation of new techniques”.
    The “Agostino Gemelli” University Hospital is a 1200-bed university hospital in Rome, associated with the Catholic University School of Medicine and Surgery, with all the medical and surgical specialties and subspecialties, a busy Level III Trauma Centre and research facilities.

Main training topics/areas:
– surgical oncology
– colorectal surgery
– upper GI surgery
– hepatobiliopancreatic surgery
– laparoscopic surgery
– digestive endoscopy
– general surgery
– emergency and trauma surgery
– chest surgery
– thoracic surgery
– urology
– pediatric surgery
– endocrine and breast surgery
– vascular surgery
– gynaecology
– anaesthesia and critical care
– diagnostic and interventional radiology

  • From 1993 to 1994 Head of the Medical Services of the 8th Support Division (8° Reparto Rifornimenti) of the Italian Army.
    Care of the medical needs of the military and civil employees working in that Division.  Daily clinic. Minor operations.
    Environmental health of buildings, premises and facilities of the Division.  Legal medicine. Preventive medicine and health education for the military and civil employees.  On-call rota at the Military Hospital of Rome.
  • From 1992 to 1994Attending Doctor at the Hepatobiliary and Digestive Surgery Unit of the Catholic University, “A.Gemelli” Hospital, Rome.
    During this period I was committed to the care of patients in the surgical wards, theatre, endoscopy, A&E.
    Under the supervision of the Unit Lead, I played an active role in the implementation of laparoscopic surgery in that hospital and in the improvement of techniques, protocols and policies in hepatobiliary surgery. Meanwhile, I performed clinical and experimental researches on hepatobiliary and digestive surgery.
  • From 1985 to 1992 Master Degree in Medicine and Surgery, Catholic University, “A. Gemelli” General Hospital, School of Medicine, Rome.
    46 main subjects studied and examinations.
    Final dissertation: “Tissue adhesives and techniques of anastomosis in bowel surgery: experimental evaluation.”
    Internships/Elective (total 6 years):
    – Human Anatomy – Year 2 and 3 – anatomical dissections on whole bodies and parties, tutorship to junior students. During this period I was anatomical demonstrator for medical students and was involved in anatomical research.
    – Surgery – Year 4 to 7 – patients’ care in the surgical wards, theatre, endoscopy, haemodialysis, A&E, clinical and experimental researches.
    (The ‘elective’ in Italy is not disjoined from the normal period of teaching and study. During his/her elective, the medical student usually attends the teaching on the morning and the chosen ward/department in the afternoon or vice-versa. Duration of each ‘elective’ is at least 1 year. This kind of ‘elective’ is generally not compulsory but strongly suggested. Duties of the student during the ‘elective’ were to shadow one of the doctors of the ward in his/her daily jobs – sometimes they could overlap the duties of a Foundation Year 1 doctor. Changes have been introduced into the medical internship after I graduated.)
    Compulsory general training (similar to the Foundation Programme) (total 6 months after the graduation, necessary to get registration to the Italian Medical Council and License to practice):
    – General Surgery
    – General Medicine
    – Gynaecology and Obstetrics
    (Compulsory general training was a 6-month practical training encompassing Surgery, Medicine and one other chosen specialty.)

Private Practice

I have been granted privileges at the following private Hospitals:

  • Noble’s Hospital Private Wing (Isle of Man)
  • European Hospital (Rome)
  • Villa Stuart (Rome)
  • Casa di Cura Quisisana (Rome)
  • Casa di Cura Villa S.Anna (Reggio Calabria)

Clinical Skills and Experience

Since the ending of my training in General Surgery, I performed more than 7000 surgical operations, mostly of abdominal and pelvic surgery, but also urologic, gynaecologic, endocrine and breast surgery. More than half of all the abdominal and pelvic procedures have been performed laparoscopically. Many operations have been performed in emergency.

I performed also a number of low level operations (such as removal of skin or subcutaneous lesions, drainage of abscesses, chest tubes, abdominal decompressions…) and endoscopic procedures (upper and lower g.i. endoscopies, polypectomies, oesophageal varices banding, mucosectomies, percutaneous endoscopic gastrostomies, endoscopic stents and endoscopic hemostasis), that are not considered in the previous numbers.

Main surgical skills and interests:

 

  • Laparoscopic and open treatment of colorectal diseases, both malignant and benign, with particular interest in the laparoscopic treatment of colon and rectal cancer (i.e., colectomies, rectal resections, abdominoperineal resection, multivisceral resections, J-pouch surgery, intersphincteric resection…). I am particularly interested in the treatment of advanced colonic and rectal cancer.
  • Laparoscopic and open emergency general surgery and trauma surgery (damage control and definitive treatment).
  • Laparoscopic and open treatment of proctologic and pelvic floor diseases (prolassectomies, haemorrhoidectomies, treatment of anal fissures and fistulae, transanal rectal resections, laparoscopic ventral rectopexy…)
  • Laparoscopic and open treatment of upper gastrointestinal and hepatobiliary diseases, both malignant and benign (i.e., gastrectomy, vagotomy, small bowel resection, splenectomy, pancreasectomies, liver resections…)
  • Laparoscopic and open treatment of gastro-oesophageal junction diseases (gastro-oesophageal reflux, hiatus hernia and achalasia by open and lps hernia reduction and fundoplication or myotomy and fundoplication, treatment of cancer of the cardia)
  • Laparoscopic and open treatment of biliary stones (open and lps cholecystectomy, with or without bile duct exploration)
  • Laparoscopic and open treatment of abdominal wall defects (inguinal, femoral, umbilical, ventral and incisional hernias, rare hernias)
  • Laparoscopic and open treatment of other abdominal and pelvic conditions, both malignant and benign (treatment of abdominal disasters, multivisceral resections, hysterectomy, annessectomy, nephrectomy, adrenalectomy, bladder resections, simple prostatectomy)
  • Upper and lower gastrointestinal diagnostic and operative endoscopy (polipectomy, banding, haemostasis, endoscopic mucosal/submucosal resection, oesophageal and colonic stenting, percutaneous endoscopic gastrostromy)
  • Use of Ultrasound scanning in emergency, on elective patients (clinics) and in theatre (intraoperative sonography)

Management and Leadership Experience

I have a long lasting experience in management and leadership. I have often worked as the team leader in many occasions of my career.

In particular:

  • From November 2018 – Consultant Colorectal and Gastrointestinal Surgeon, Frimley Health NHS Foundation Trust, Wexham Park Hospital, Slough (UK)
  • From April 2018 to November 2018 – Consultant Colorectal and Emergency Surgeon, East Kent Hospitals University NHS Foundation Trust, William Harvey Hospital, Ashford (UK)
  • From March 2013 to March 2018 – Consultant Gastrointestinal and Laparoscopic Surgeon, Surgical Division, Noble’s Hospital, Douglas (Isle of Man)

Restarted Colorectal Surgery (no colorectal surgery was done at the Noble’s before my arrival).
Implemented the Colorectal Cancer MDT and wrote the Noble’s Hospital policy for the Treatment of Colorectal Cancer and the policy for Enhanced Recovery in Colorectal Surgery.
I am Colorectal Lead and chair the Colorectal Cancer MDT and lead clinician for the Bowel Cancer Screening Programme of the Isle of Man

Implemented the Enhanced Recovery in Colorectal Surgery Programme

Set up the Laparoscopic Skills Training Lab

  • From June 2015 to November 2016 – Clinical Director of the Division of General and Specialist Surgery, Noble’s Hospital, Douglas (Isle of Man) (interim)

Quality improvement plan for the Division of Surgery

Job planning

Recruitment plan

  • From 2007 to 2013 – Head of the Digestive and Laparoendoscopic Surgery Unit, Aurelia Hospital, Rome (Italy)

Implemented the new Endoscopy Service

Implemented the Laparoscopic Surgery Service

Implemented the Coloproctology Clinic

  • From 1993 to 1994 – Head of the Medical Services of the 8thSupport Division of the Italian Army, Rome (Italy)

 

In my career I have tutored the training of a number of young students and residents and helped them with their clinical and research activities.

I organized and co-organized the following scientific events:

  • 3rdand 4thCourse of Hepatobiliary Surgery of the Catholic University, Rome, 1997, 1998
  • 1stSurgical Congress at the Celano Castle “Up-to-date in Senology”, Celano, 1999
  • 2ndSurgical Congress at the Celano Castle “Biliary lithiasis and its complications”, Celano, 2000
  • 1stand 2ndCourse on “Surgery and New Technologies”, Rome, 2005
  • 1stCourse of Basic Laparoscopic Surgery, Rome, 2006
  • Many courses of Basic Life Support – Defibrillations, since 2007
  • Courses of Basic and Advanced Laparoscopic Surgery, Milan, 2008
  • Congress on “Update on trauma and major urgencies”, Rome, 2008
  • 7thRegional Congress of the Italian Society of Private Surgery “Non-palpable breast lesions: treatment strategies”, Rome, 2008

 

I am a Scout Master and a Scoutmasters Instructor in the Italian Association of Catholic Boy Scouts and Girl Guides (AGESCI – Associazione Guide e Scout Cattolici Italiani), belonging to the World Organization of the Scout Movement and the World Association of Girl Guides and Girl Scouts.

As a Scoutmaster, I have been responsible for the organization and implementation of a yearly national gathering of boy scouts and girl guides at the National Scout Base in Bracciano (near Rome). Under my leadership and guidance, those kids spent 7 days in exploration and trekking in the forests of the centre of Italy. After many years, I changed to a different activity for boys and girls, that is 7 days with training and practical activities on medical emergency, search and rescue, fire management.

I founded two scientific societies, registered charities. One of them (AIPRO – see later) was devoted to cancer prevention and treatment, whereas the “Ulixes Association” (see later) has the aim of sharing basic medical knowledge, health preservation and disease prevention and to teach non-medical people how to deal with medical emergencies in the workplace, at school, in family. “Ulixes” organized courses of BLSD and emergency in hospitals, schools, gyms, churches.

Courses Attended

  • 2017, 6 october – PERT (Pre-Hospital and Emergency Department Resuscitative Thoracotomy Course), RCSE, Surgical Skills and Simulation Centre, Manchester
  • 2017, 18-19 september – LapCoTT (Laparoscopic Colorectal Surgery – Train the Trainers Course), ICENI Centre, Colchester
  • 2016, 22-25 november – Frontiers in Intestinal and Colorectal Diseases, Lecture Course, St. Mark’s Hospital and Academic Institute, London
  • 2016, 8 days from january to july – Applied Leadership. Clinical Leadership Programme, Noble’s Hospital, NHS Leadership Academy
  • 2016, 15 june – Multidisciplinary approach to the pelvis, NVEC Masterclass, EAES Course, Amsterdam
  • 2015, 24-27 november – Frontiers in Intestinal and Colorectal Diseases, Lecture Course, St. Mark’s Hospital and Academic Institute, London
  • 2015, 23-24 february – Training the Trainers: Developing Teaching Skills, Royal College of Surgeons, London
  • 2014, 24-26 november – Good Clinical Practice, online course, University of Oxford
  • 2014, 19 september – Career support skills for educational supervisors, Health Education North-West, Noble’s Hospital, Isle of Man
  • 2014, 23-24 january – Advanced Laparoscopic Biliary Surgery, Royal Infirmary of Edinburgh
  • 2014, 15 january – Clinical and Educational Supervisors Workshop, NHS North-West, Liverpool Medical Institution
  • 2013, 26-29 november – Frontiers in Intestinal and Colorectal Diseases, Lecture Course, St. Mark’s Hospital and Academic Institute, London
  • 2012, 18-19 april – Hands-On Course on “Laparoscopic Ventral Rectopexy”, Gateshead Hospital
  • 2011, 14-15 april – Advanced Trauma Life Support Instructor Course of the American College of Surgeons, Turin
  • 2010, 1-3 july – Advanced Trauma Life Support Course of the American College of Surgeons, Catholic University, Rome
  • 2010, 10-11 may – 19th Course of Trauma Surgery, National Medical Academy, Ospedale Maggiore, Bologna
  • 2009, 18-22 may – 22nd Course on Laparoscopic Surgery, General and Laparoscopic Surgery Unit, Castelfranco Veneto
  • 2008, 12-13 november – Course on “Surgery of the Pelvic Floor – live office, live diagnostics and live surgery”, Pelvic Floor Unit, Montecchio Emilia
  • 2008, 9-11 june – Course on Advanced Laparoscopic Surgery, Aesculap Academia, Tuttlingen
  • 2008, 27-29 march – Advanced Trauma Life Support Course of the American College of Surgeons, Catholic University, Rome
  • 2007, 16-18 november – Course for Instructor and Course Director of BLSD
  • 2007, 18 october – Course on “Operative Techniques in Digestive Endoscopy”, Catholic University, Rome
  • 2006, 5-6 june – Course on “Surgery and Associate Treatments of Locally Advanced Abdominal Tumors”, Catholic University, Rome
  • 2006, 24-26 january – Course on “Surgical Treatment of Obstructed Defecation Syndrome”, KH St Elisabeth, Wien
  • 2005, 23-24 may – Masterclass Colorectal Course, Tyco Healthcare Center of Excellence, Elancourt
  • 2004, may to november – Special School of Laparoscopic Surgery of the Italian Association of Hospital Surgeons, Modena and Grosseto.
  • 2003, 9-11 december – 1st Course of Laparoscopic Colorectal Surgery, S.Giovanni Hospital, Rome. After this course, 15 days clinical attachment at the Division of General Surgery of the S.Giovanni Hospital, Rome
  • 2003, 6-7 february – Laparoscopic Colorectal Surgery Course, European Surgical Institute, Hamburg
  • 2002, 28 december – Basic Life Support – Defibrillation Course, World Emergency Society, Aurelia Hospital, Rome
  • 2002, 12 february – Course of Ultrasonography for Trauma, Aurelia Hospital, Rome
  • 2000, 14-16 september – Course of Ultrasonography of the Italian Society of Ultrasound in Medicine and Biology, Anagni
  • 2000, 8-12 may – Advanced Course on Coloproctology, Colorectal Eporediensis Center, Ivrea
  • 2000, 19-20 april – “Ultrasonography for Surgeons”, Montecatini Terme
  • 1999, 7-11 june – Basic Course on Coloproctology, Colorectal Eporediensis Center, Ivrea
  • 1999, 28 may – 2nd International Coloproctology Course “Pelvic Floor Disorders: multidisciplinary approach, diagnostic and therapeutic” of the Italian Society of Coloproctology, Desenzano del Garda
  • 1999, 11-13 march – Advanced Trauma Life Support Course of the American College of Surgeons, Catholic University, Rome
  • 1998, 1-4 april – 1st Course on Liver Surgery of the Italian Association of the Hospital Surgeons, Mauriziano Hospital, Turin
  • 1996, january to march – 2nd Course on Hepatobiliary Surgery, Catholic University, Rome
  • 1996, 11-13 march – Updating course on Endocrine Surgery “Thyroid diseases”, Catholic University, Rome
  • 1996, january to may – Oncology course, Medical Constantinian Academy, Rome
  • 1995, february to april – 1st Course of Hepatobiliary Surgery, Catholic University, Rome
  • 1994, 21-23 april – Updating course on Endocrine Surgery “Thyroid cancer”, Catholic University, Rome

Main Research Experiences

  • 1988 – 1992 Use of biological glues in abdominal surgery, Catholic University, Rome
  • 1992 – 1998 Liver ischemia in hepatic resections, Catholic University, Rome
  • 1992 – 1998 Metabolic effects of liver surgery, Catholic University, Rome
  • 1994 – 1996 Studies and researches on the normothermic ischemia of the liver, grant of the University Center of the Italian Catholic Episcopal Conference (Conferenza Episcopale Italiana), Rome
  • 1995 – 2007 Pathophysiology of the gallbladder, Catholic University, “La Sapienza” University and Aurelia Hospital, Rome
  • 1998 – 2000 Prognostic factors in emergency colorectal surgery, Catholic University, Rome
  • 1998 – 1999 Postoperative pain control, Catholic University, Rome
  • 2014 – ongoing Oxygen extraction as a prognostic factor in major gastrointestinal surgery, Noble’s Hospital, Isle of Man

Audits

  • 1992 – 1998 Short and long term results of hepatobiliary surgery, Catholic University, Rome
  • 1992 – 1998 Surgical treatment of liver metastases, Catholic University, Rome
  • 1992 – 2012 Technique and complications of laparoscopic cholecystectomy, Catholic University and Aurelia Hospital, Rome
  • 2007 – 2012 Effectiveness and safety of laparoscopic surgery in emergency, Aurelia Hospital, Rome
  • 2013 Laparoscopic surgery in emergency, Noble’s Hospital, Isle of Man
  • 2013 – 2017 Management of Colorectal Cancer, Noble’s Hospital, Isle of Man (yearly audit)
  • 2014 – 2016 Readability of operative reports, Noble’s Hospital, Isle of Man
  • 2015 – Rate of negative appendicectomies, Noble’s Hospital, Isle of Man
  • 2017 – Management of colorectal cancer presenting as an emergency, Noble’s Hospital, Isle of Man

Presentations

  • FollowUp after curative bowel resection for cancer, 3rd Hepatobiliary Surgery Course, A.Gemelli University Hospital, Rome, january 23-25 and february 20-22, 1997
  • Preoperative portal vein embolization, 4th Hepatobiliary Surgery Course, A.Gemelli University Hospital, Rome, january 22-24 and february 19-21, 1998
  • New technologies in basic and advanced laparoscopic surgery, Course for doctors and nurses, Aurelia Hospital, Rome, 9 april 2005 and European Hospital, Rome, may 13, 2005
  • Laparoscopic emergency surgery, 1st Course on Basic Laparoscopic Surgery, Rome, march 29-31, 2006
  • Laparoscopic emergency cholecystectomy, 1st Course on Basic Laparoscopic Surgery, Rome, march 29-31, 2006
  • Techniques and Technology of Blood-Saving in General Surgery, Accademia Lancisiana Symposium on “Bloodless Surgery in the 3rd Millennium”, Rome, january 22, 2008
  • Colon Cancer, Conference on “Faecal Occult Blood screening for the prevention and the early diagnosis of colorectal cancers”, Ripi, may 10, 2008
  • Laparoscopic Surgery as an Excellence Performance in a Suburban Hospital, 110th Congress of the Italian Society of Surgery, Rome, october 19-22, 2008
  • Anatomical and Functional Aspects of the Posterior Compartment Prolapse, European Hospital, Rome, November 16, 2009
  • Staging of the prolapse and surgical indications, European Hospital, Rome, November 16, 2009
  • Laparoscopic Repair of Incisional Hernia: state of the art, Workshop “Technological innovations in Abdominal Wall Surgery”, POIT-INMI “Lazzaro Spallanzani”, Rome, june 8, 2010
  • Laparoscopic Learning Curve of the Resident: Laparoscopic Cholecystectomy. The Teacher. 22nd National Congress of VideoSurgery, Castelvolturno, june 7-9,2012
  • History of Colorectal Surgery from the Ancient Egyptians to the Surgical Robot. (Part 1 and 2). Grand Round Lecture, Keyill Darree, Noble’s Hospital, may 23rd and june 27th, 2014
  • Gastro-Oesophageal Reflux Disease: are we acting in the best interest of our patients? Grand Round Lecture, Keyll Darree, Noble’s Hospital, March 13th, 2015
  • The Emperor’s New Clothes. A critical appraisal of Evidence Based Medicine. Grand Round Lecture, Keyll Darree, Noble’s Hospital, January 20th, 2017
  • Colorectal Surgery at the Noble’s 2013-2017. Patient Safety and Quality Forum, Keyll Darree, Noble’s Hospital, March 15th, 2017
  • ERAS in Colorectal Surgery: management of complications. Lecture at the 119th Congress of the Italian Society of Surgery, Neaples, October 18th, 2017

Publications

    1. Ceriati F., Tebala G.D., Netri G., Lemmo G.F.: Usefulness of n-butil-2-cyanoacrylate as a support in “high risk” intestinal anastomoses. Poster, 4th World Congress of the International Gastro-Surgical Club, Madrid, 27-30 October 1993.
    2. Nuzzo G., Cavicchioni C., Giuliante F., Tebala G.D., Clemente G.: Biliary tract surgery for lithiasis in cirrhotic patients: a review of 57 cases. Hepatogastroenterology 1993;40(S1): 660-664. [IF 0.68]
    3. Giuliante F., Tebala G.D., Marmiroli L., Cavicchioni C., Nuzzo G.: Transcatheter arterial chemoembolization in the treatment of hepatocellular carcinoma: our experience. Hepatogastroenterology 1993;40(S1): 625-628. [IF 0.68]
    4. Nuzzo G., Giuliante F., Giovannini I., Murazio M., Cavicchioni C., Tebala G.D.: Routine hepatic pedicle camping (HPC) during liver resection: a comparative study. Inaugural World Congress of the International Hepato-Pancreato-Biliary Association, Boston, 31 May – 3 June 1994, Abstract book, P214, pag. 159
    5. Nuzzo G., Giovannini I., Giuliante F., Boldrini G., Chiarla C., Tebala G.D.: Il rischio operatorio delle resezioni epatiche per neoplasia nel paziente anziano. Chir Ital 1994;46(1):23-29. (Surgical risk of liver resection for cancer in elderly patients)
    6. Tebala G.D., Ceriati F., Miani N., Nori S., Piantelli M., Ceriati E., Cotroneo A.: Polymeric glues in intestinal surgery. Eur Rev Med Pharmacol Sci 1994;16:13-20. [IF 1.089]
    7. Nuzzo G., Giuliante F., Murazio M., Giovannini I., Tebala G.D., De Cosmo G.: Il clampaggio del peduncolo portale nelle resezioni epatiche. Chirurgia 1994;7:576-582. (Hepatic pedicle clamping in liver resections)
    8. Nuzzo G., Aronne O., Clemente G., Tebala G.D.: Il problema delle deiscenze nella chirurgia resettiva colorettale per cancro. Proceedings 96th Congress of the Italian Society of Surgery, Rome, 16-19 October 1994, 2° vol. Comunicazioni, 1815-1818. (The concern of dehiscences in resective colorectal surgery for cancer)
    9. Nuzzo G., Giovannini I., Giuliante F., Boldrini G., Chiarla C., Tebala G.D., Vellone M.: Le resezioni epatiche nel paziente anziano. Proceedings 96th Congress of the Italian Society of Surgery, Rome, 16-19 October 1994, 2° vol. Proceedings, 1805-1809. (Liver resections in elderly patients)
    10. Nuzzo G., Cavicchioni C., Giuliante F., Clemente G., Tebala G.D., Vellone M.: Le complicanze intra- e post-operatorie della colecistectomia laparoscopica: nostra esperienza. Proceedings 96th Congress of the Italian Society of Surgery, Rome, 16-19 October 1994, 2° vol. Proceedings, 1833-1836. (Intra and postoperative complications of laparoscopic cholecystectomy: our experience)
    11. Ceriati F., Tebala G.D., Cavicchioni C., Aronne O., Proietti R., Pennisi M.: Our experience with Acetate-Free Biofiltration. Int J Artif Organs 1995; 4(18):231-232. [IF 1.448]
    12. Nuzzo G., Giuliante F., Cavicchioni C., Tebala G.D., Giovannini I., Clemente G.: Complicanze da trocar in chirurgia laparoscopica: impiego routinario della tecnica di Hasson. 9th Congress of the Italian Chapter of the American College of Surgeons, Rome, 21-23 may 1995. (Trocar complications in laparoscopic surgery: routine use of the Hasson technique)
    13. Nuzzo G., Giovannini I., Giuliante F., Boldrini G., Chiarla C., Cavicchioni C., Tebala G.D., Vellone M.: Liver resection in advanced age. Proceedings European I.H.P.B.A. Congress, Athens, May 25-28, 1995; 727-731.
    14. Tebala G.D., Giuliante F., Nuzzo G.: La colecistectomia laparoscopica: indicazioni, tecniche, risultati. Considerazioni su esperienze personali. Giornale di Medicina Militare 1995; 2:184-192. (Laparoscopic cholecystectomy: indications, techniques and results. Considerations on personal experiences)
    15. Nuzzo G., Giuliante F., Tebala G.D., Giovannini I., Cavicchioni C., Clemente G., Vellone M.: Surgical treatment of colorectal cancer liver metastases. Proceedings of the 36th World Congress of Surgery, Lisbona, 27 August – 2 September 1995, Abstract Book, pag. 77.
    16. Nuzzo G., Giuliante F., Giovannini I., Tebala G.D., Clemente G., De Cosmo G.: Liver ischemia for hepatic resections: analysis of 61 cases. in “Selected topics of HPB surgery and medicine”, Forni E., Meriggi F. Editors, Pavia, 1995, pag. 71-78.
    17. Nuzzo G., Giuliante F., Giovannini I., Tebala G.D., Vellone M.: Liver resections for metastases. Int J Surg Sci 1995;2:94-99.
    18. Nuzzo G., Giuliante F., Tebala G.D., Vellone M.: Esclusione vascolare totale del fegato: aspetti fisiopatologici. Proceedings IX National Congress of the Italian Society of Surgical Physiopathology, Padova, 22-24 June 1995, 129-138. (Liver total vascular exclusion: pathophysiologic aspects)
    19. Nuzzo G., Giovannini I., Giuliante F., Boldrini G., Chiarla C., Tebala G.D., Vellone M.: Le resezioni epatiche nel paziente anziano. Bollettino della Società Italiana di Chirurgia Geriatrica 1995;4(1):15-24. (Liver resection in elderly patients)
    20. Tebala G.D., Ceriati F., Ceriati E., Vecchioli A., Nori S.: The use of cyanoacrylate tissue adhesive in high risk intestinal anastomoses. Surg Today 1995; 25:1069-1072. [IF 1.208]
    21. Ginanni Corradini S., Della Guardia P., Tebala G.D., Ripani C., Giovannelli L., Nuzzo G., Capocaccia L.: Validation of a novel in vitro isolated perfused pig gallbladder (IPPG) model to quantitate gallbladder mucosa lipid absorption from bile. Annual Congress of the Biliary Club “Intrahepatic and extrahepatic cholestasis. Mechanisms, diagnosis and therapy “, Catania 15-16 December 1995, Abstract Book, pg.7.
    22. Tebala G.D., Ceriati E., Ceriati F., Giuliante F., Nuzzo G.: N-butil-2-cianoacrilato nelle anastomosi intestinali a rischio di deiscenza. Selected communication to the Congress “Polispecialistic Surgery”, La Sapienza University, Rome, 11, 18, 25 November, 2 December 1995, Proceedings, pg. 151-154. (N-butil-2-cyanoacrilate in intestinal anastomoses at risk for dehiscence)
    23. Ginanni Corradini S., Della Guardia P., Tebala G.D., Ripani C., Giovannelli L., Lomanto D., Corsi A., Nuzzo G., Capocaccia L.: Development and validation of the isolated perfused pig gallbladder system. Application in the investigation of absorptive processes by the gallbladder mucosa. Gastroenterology 1996;110(4):A1196. [IF 12.951]
    24. Ginanni Corradini S., Della Guardia P., Giovannelli L., Ripani C., Lucandri G., Tebala G.D., Nuzzo G., Capocaccia L., Ziparo V.: Evidence for significant biliary lipid absorption by the gallbladder mucosa. A study in the isolated in vitro perfused human gallbladder. Gastroenterology 1996;110(4):A1197. [IF 12.951]
    25. Nuzzo G., Giovannini I., Boldrini G., Giuliante F., Chiarla C., Tebala G.D., Vellone M.: Patterns of recovery after liver resection. HPB Surgery 1996;9(S2):105
    26. Nuzzo G., Giuliante F., Vellone M., Tebala G.D.: Hepatic resections in normothermic ischemia. HPB Surgery 1996;9(S2):105
    27. Ginanni Corradini S., Della Guardia P., Tebala G.D., Ripani C., Giovannelli L., Quartini A., Elisei W., Codacci Pisanelli M., Nuzzo G., Capocaccia L.: Development and validation of the isolated perfused pig gallbladder system to study mucosal function. J Hepatology 1996;25(S1): P/C16/207. [IF 9.557]
    28. Della Guardia P., Tebala G.D., Ripani C., Giovannelli L., Quartini A., Elisei W., Nuzzo G., Capocaccia L., Ginanni Corradini S.: Development and validation of the isolated perfused pig gallbladder system. A new tool to study absorptive processes by the gallbladder mucosa. Abstract Book, International Falk Workshop “Vanishing Bile Duct Syndrome: Pathophysiology and Treatment”, Spoleto, May 30 – June 1, 1996, pg. 6.
    29. Nuzzo G., Giuliante F., Giovannini I., Tebala G.D., De Cosmo G.: Hepatic resections in normothermic ischemia. Surgery 1996; 120(5):852-858. [IF 3.545]
    30. Giuliante F., Giovannini I., Tebala G.D., Ponzano C., Vellone M., Murazio M., Cavicchioni C., Nuzzo G.: Resezioni epatiche per metastasi da cancro del colon-retto: analisi dei fattori prognostici. Chirurgia 1996; 9(6): 510-516. (Liver resection for colorectal cancer metastases: analysis of prognostic factors)
    31. Nuzzo G., Giuliante F., Tebala G.D., Vellone M., Cavicchioni C.: Routine use of the open technique in laparoscopic operations. J Am Coll Surg 1997;184:58-62. [IF 4.640]
    32. Nuzzo G., Giuliante F., Giovannini I., Tebala G.D., Clemente G., Vellone M.: Resections of hepatic metastases from colorectal cancer. Hepatogastroenterology 1997;44:751-759. [IF 0.68]
    33. Nuzzo G., Giuliante F., Tebala G.D., Vellone M., Clemente G.: Efficacy and safety of normothermic ischemia for liver resections: a retrospective study on 80 cases. Poster 82nd Annual Clinical Congress of American College of Surgeons, S.Francisco, October 6-11, 1996; Proceedings book, 209.
    34. Nuzzo G., Giovannini I., Boldrini G., Chiarla C., Giuliante F., Lemmo G., Tebala G.D., Vellone M.: Hypophosphatemia (Hypo-P) after liver resections. European Congress of the International Hepato-Pancreato-Biliary Association, Hamburg, June 8-12, 1997; HPB 1997;1(Suppl.1):47 [IF 2.05]
    35. Nuzzo G., Giovannini I., Boldrini G., Giuliante F., Chiarla C., Lemmo G., Tebala G.D., Vellone M.: Low cholesterol and outcome after hepatectomy. European Congress of the International Hepato-Pancreato-Biliary Association, Hamburg, June 8-12, 1997; HPB 1997;1(Suppl.1):48 [IF 2.05]
    36. Giovannini I., Nuzzo G., Boldrini G., Chiarla C., Giuliante F., Lemmo G., Vellone M., Tebala G.D.: Hepatectomy and plasma cholinesterase evolution. European Congress of the International Hepato-Pancreato-Biliary Association, Hamburg, June 8-12, 1997; HPB 1997;1(Suppl.1):47 [IF 2.05]
    37. Nuzzo G., Giuliante F., Tebala G.D., Vellone M.: Laparoscopic management of cholecystogastric fistula. Endoscopy 1997;29:226 [IF 5.196]
    38. Nuzzo G., Giuliante F., Giovannini I., Vellone M., Tebala G.D.: Il rischio operatorio delle resezioni epatiche negli ultrasettantenni. Osp Ital Chir 1997;5:411-415 (Surgical risk of hepatic resections in over-70)
    39. Nuzzo G., Giovannini I., Boldrini G., Chiarla C., Giuliante F., Lemmo G.F., Vellone M., Tebala G.D.: Clinical relevance and correlates of hypophosphatemia in liver resection patients. 37th World Congress o
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