Medico-legal

Peter Willson has been an Expert Witness for over 15 years including acting as a Coroner's Expert Witness.

His specialist areas are;
Benign Upper GI surgery (not bariatric)
Key words: Gastroesophageal reflux, hiatus hernia, GORD, Fundoplication, achalasia, cardiomyotomy, Heller's, splenectomy
 Benign Biliary Surgery
Key Words: Gallstones, cholecystitis, cholecystectomy, common bile duct, cholangitis, bile duct stricture, obstructive jaundice, bile duct exploration
Laparoscopic Surgery
Key Words: Keyhole surgery, port access, pneumoperitoneum, Veress needle, diagnostic laparoscopy, adhesyolysis, adhesions
Hernia Surgery
Key Words: Inguinal hernia, femoral hernia, umbilical hernia, epigastric hernia, incisional hernia, Spigelian hernia, ventral hernia, TAPP, TEP, grain pain
Acute Abdominal Emergencies (not vascular)
Key Words: Appendicitis, bowel obstruction, bowel perforation, diverticulitis, pancreatitis
Surgical Energy
Key Words: Diathermy, electrosurgery, fire, ignition, burns, harmonic, ultrasonic, vessel sealing, plasma

To discuss a case please get in touch using the information on the contact page. 

For data security Mr Willson can offer encrypted email and encrypted large file transfer.

He is listed on the Expert Witness and Action Against Medical Accidents Data Bases



Redacted Reports:

Click on any of the following for examples of my reports


 

Risk Management

Electrosurgery Risk Management and Training

Electrosurgery or surgical diathermy has been used in surgical practice since 1926. It involves the use of high frequency alternating current to obtain haemostasis or cutting during surgery. The current technology in this field bears little resemblance to the original electrosurgical generator invented by William Bovie. Multiple machines and accessories with applications as diverse as laparoscopy and neurosurgery requires an appreciation of this technology to prevent patient injury.

I have been training theatre personnel, Biomedics and junior doctors in electrosurgery for over 20 years and have run educational and risk management courses in this field for individual hospital departments, teaching hospitals, multinational companies and the Royal College of Surgeons. I was an adviser to CEDAR, the government agency responsible for the review of electrosurgical devices before it was closed and am familiar with;


  • Basic concepts in surgical diathermy.
  • Electrosurgical techniques
  • Patient safety and electrosurgical circuits.
  • Interactions with clinical devices.
  • Patient plates and their safety.
  • Interactions in laparoscopy.
  • Vessel sealing and feedback circuits.
  • Smoke and flammable hazards.
  • Comparisons with other technology eg laser, ultrasonics and microwave

For further information or commissions please get in touch using the information on the contact page.