A5084392582- Diagnosis and Treatment of Venous Diseases
- Venous Thromboembolism Diagnosis and Management
- Dermatologic Treatments and Research
- Central Venous Catheters and Hemodialysis
- Vascular anomalies and interventions
- Cardiac, Anesthesia and Surgical Outcomes
- Peripheral Artery Disease Management
- Aortic aneurysm repair treatments
- Vascular Procedures and Complications
- Entomological Studies and Ecology
- Body Contouring and Surgery
- Pelvic floor disorders treatments
- Cerebrovascular and Carotid Artery Diseases
- Lymphatic System and Diseases
- Systemic Sclerosis and Related Diseases
- Aortic Disease and Treatment Approaches
- Hospital Admissions and Outcomes
- Appendicitis Diagnosis and Management
- Surgical Sutures and Adhesives
- Vascular Malformations and Hemangiomas
- Pressure Ulcer Prevention and Management
- Nuts composition and effects
- Heat Transfer Mechanisms
- Hemodynamic Monitoring and Therapy
- Cardiac and Coronary Surgery Techniques
Whiteley Clinic
2016-2025
Guildford College
2024
University of Surrey
2014-2023
White Clinic
2023
University of Stirling
2008-2015
Royal Surrey County Hospital
1999-2007
Royal Berkshire Hospital
1996-2000
John Radcliffe Hospital
1996-1999
University of Leicester
1999
Royal United Hospital
1993-1998
There is a need for an accurate measure of surgical outcomes so that hospitals and surgeons can be compared properly regardless case mix. POSSUM (Physiological Operative Severity Score the enUmeration Mortality morbidity) uses physiological score operative severity to calculate risks mortality morbidity. In previous small study it was found Portsmouth (P-POSSUM; modification system) provided more prediction mortality.Some 10000 general interventions (excluding paediatric day cases) were...
ObjectiveCyanoacrylate (CA) embolization of refluxing great saphenous veins (GSVs) has been previously described. The outcomes from a multicenter study are still lacking.MethodsA prospective was conducted in seven centers four European countries to abolish GSV reflux by endovenous CA embolization. Neither tumescent anesthesia nor postinterventional compression stockings were used. Varicose tributaries remained untreated until at least 3 months after the index treatment. Clinical examination,...
Abstract Background High levels of anxiety during surgery are associated with poorer post‐surgical outcomes. This prospective, non‐blinded randomized controlled trial aimed to compare the effectiveness four intraoperative distraction interventions for and pain management minimally invasive venous under local anaesthetic. Methods 407 patients presenting varicose veins at a private clinic, were one or treatment as usual. All participants received endovenous thermoablation and/or phlebectomies...
To assess the suitability of transvaginal duplex ultrasonography to identify pathological reflux in ovarian and internal iliac veins women.A retrospective study patients treated 2011 2012 was performed a specialised vein clinic. Diagnostic women presenting with symptoms or signs pelvic were compared outcomes treatment from embolisation. A repeat 6 weeks later by blinded observer any residual identified.Results 100 sequential analysed. Mean age 44.2 years (32-69) mode average parity 3 (0-5...
Objective The aim was to retrieve and analyse the serious adverse events of venous occlusion systems used in cyanoacrylate adhesive closure (CAC) submitted regulatory agencies. Methods Total Product Life Cycle (TPLC) database US Food Drug Administration (FDA), Database Adverse Event Notifications (DAEN) Australian Therapeutic Goods (TGA), Yellow Card UK Medicines Healthcare Products Regulatory Agency (MHRA) were reviewed. Three Freedom Information (FOI) requests had be MHRA obtain data....
Background Pelvic venous disorders (PeVD), previously “Pelvic congestion syndrome (PCS)” is usually defined as a female health problem. However, it our impression that gynaecologists rarely recognise this condition, and most of the research interest appears to be by vascular surgeons, radiologists. The aim study was investigate if there evidence support view. Methods An online search PubMed ® database performed using terms “pelvic congestion”, “PCS”, disorders” “PeVD”, filtered for relevance...
Objectives Mounting evidence suggests that pelvic vein reflux is an important contributing factor to recurrent varicose veins. We compared the incidence in our specialist private unit (Unit A) with of a District General Hospital B). Methods Results all female patient lower limb duplex ultrasound (LLDUS) and transvaginal (TVUS) scans performed over one-year period were retrospectively reviewed. Patients refluxing veins emanating from abdomen or pelvis on LLDUS (non-saphenous reflux) routinely...
Background: Prominent veins in the temporal and periorbital regions of face are a significant cosmetic concern, impacting self-confidence prompting patients to seek treatment. Aesthetic phlebology is gaining popularity, demand for facial vein treatments has increased. While transcutaneous laser effective treating flat or superficial veins, bulging often require surgical removal via phlebectomy. Despite growing interest treatments, there limited published research evaluating patient...
This randomized trial was undertaken to investigate the fate of incompetent perforating veins (IPVs) following saphenofemoral ligation and stripping great saphenous vein (GSV), with or without subfascial endoscopic perforator surgery (SEPS).Patients venous reflux (greater than 0.5 s) GSV additional IPVs were allocated randomly standard (saphenofemoral ligation, phlebectomies alone) addition SEPS. Patients ulceration, recurrent veins, deep reflux/thrombosis saphenopopliteal excluded. Duplex...
In 2000, we developed a percutaneous method of treating incompetent perforator veins (IPV) using ultrasound-guided radiofrequency ablation (RFA), which termed TRansluminal Occlusion Perforator (TRLOP).To audit the five-year outcome TRLOP technique as indicated by rate IPV closure on duplex ultrasound (DUS).Patients underwent DUS five years post-TRLOP. Experienced vascular technologists documented presence IPVs two co-ordinate system, blinded to previous results. Results were then compared...
Pelvic venous reflux is known to be associated with lower limb varicose veins in 20% of women a history at least one previous vaginal delivery. vein embolisation coils has been shown successful treatment the short term. The objective this study was ascertain long-term outcomes pelvic for reflux.Patients who had undergone 2005-2007 were invited back specialist unit transvaginal duplex ultrasonography summer 2013. A total 110 contacted. Pre-embolisation results compared those obtained six...