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Journals and Conferences
OBJECTIVE Endovenous techniques are, at present, the recommended choice for truncal vein treatment. However, the thermal techniques require tumescent anaesthesia, which can be uncomfortable during administration. Non-tumescent, non-thermal techniques would, therefore, have potential benefits. This randomised controlled trial is being carried out to compare… (More)
A case of torsion of the gallbladder with gangrene in a 75-year-old woman is described. The diagnosis was established at laparotomy. The clinical features were suggestive of intestinal obstruction, while abdominal radiographs aroused suspicion of appendicitis and appendicular abscess; difficulty in preoperative diagnosis is emphasized.
BACKGROUND Management of limb and other malperfusion syndromes is controversial in acute type A aortic dissection. We assessed our hypothesis that urgent proximal aortic repair resolves most cases of limb ischemia without additional peripheral revascularization. METHODS We retrospectively reviewed operative cases of acute type A aortic dissection from… (More)
OBJECTIVES The Anaconda fenestrated stent graft (Vascutek, Inchinnan, United Kingdom) is a new device that can easily be repositioned during deployment. This study evaluated its feasibility for treating abdominal aortic aneurysms with inadequate infrarenal sealing zones. METHODS Patients undergoing stent graft placement at two institutions in the United… (More)
OBJECTIVE To evaluate the burden and impact of depression in patients with symptomatic varicose veins. METHODS Patients with varicose veins referred to the vascular surgeons for further management, were invited to complete a validated questionnaire relating to quality of life, using the Aberdeen Varicose Veins Questionnaire (AVVQ), EuroQol-5D… (More)
OBJECTIVE To assess the patterns of referral for chronic venous disease (CVD). METHOD General practitioners (GPs) were invited by an email to complete a validated online survey evaluating the referral and community management of CVD. RESULTS A total of 138 participants were recruited. Most GPs (85%) saw fewer than 50 patients with CVD a year. Thirty-one… (More)
OBJECTIVES Superficial venous thrombosis is common and traditionally considered a benign condition requiring only symptomatic treatment. Recent evidence, however, advocates more aggressive management. Extensive guidance is available but actual practice is unknown. This study aimed to assess the management of superficial venous thrombosis by general… (More)
The management of the polytrauma patient is still a great challenge and trauma remains the leading cause of death in people under 40 years of age in the developed world (Keel and Trentz, 2005). The pattern of death following injury is classically described as having a trimodal distribution.
Background Endovenous thermal ablation has revolutionised varicose vein treatment. New non-thermal techniques such as mechanical occlusion chemically assisted endovenous ablation (MOCA) allow treatment of entire trunks with single anaesthetic injections. Previous non-randomised work has shown reduced pain post-operatively with MOCA. This study presents a… (More)