Attending the 49th ASIT Annual Surgical Conference in Belfast was an incredible opportunity to share my research on the optimal surgical approach for acute left-sided colitis - a condition where part of the large intestine becomes severely inflamed. Our team’s research tackled a key question: Is removing the entire colon (total abdominal colectomy, or TAC) always necessary, or could less invasive procedures work just as well?
We reviewed over 6,600 studies but found no clear comparisons between surgical techniques. TAC, the current standard, involves removing the whole colon - even healthy sections - and carries significant risks. We explored alternatives, like rescue diverting loop ileostomy (RDLI), where a temporary stoma is created to divert stool, allowing the bowel to rest. RDLI prevented the need for major surgery in over 90% of cases. It is now endorsed by the American Society of Colon and Rectal Surgeons. In contrast, segmental colectomy - where only the diseased portion of the colon is removed - had high relapse rates and frequent reoperations, highlighting the need for more research into safer, effective alternatives.
Presenting at ASiT was both rewarding and eye-opening. Engaging with surgeons and researchers revealed diverse perspectives on balancing radical treatment with preserving patients’ quality of life. Beyond colitis management, I was introduced to new and innovative techniques from other surgical specialties. I was fascinated by the advances in robotic-assisted microsurgery, which offer enhanced precision and improved outcomes in delicate procedures, such as lymphatic and nerve repair. Seeing these cutting-edge techniques firsthand left me inspired by the future of surgical technology and its potential to transform patient care.
Beyond medicine, ASiT showcased the multifaceted lives of healthcare professionals. One of the most remarkable stories I heard was from a consultant surgeon training to be an astronaut, aiming to combine her surgical expertise with aviation medicine. Her journey highlighted the limitless possibilities of merging personal passions with professional expertise, demonstrating that medicine can extend far beyond the operating room.
Overall, attending ASiT’s conference fuelled my passion for academic surgery. I was able to share our findings, gain valuable feedback, and broaden my understanding of current challenges and innovations across surgical specialties. I am grateful to my supervisor, Mr George Ramsay, and the rest of the team without whom this project would not have been possible. I am also thankful to the University of Aberdeen for their generous support, which made it possible for me to attend this event.
