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Surgical Site Infections in Major Lower Limb Amputation – Transmetatarsal Extension (SIMBA-T): an international multicentre audit: study protocol

Alawattegama LH on behalf of the SIMBA-T Study Group*

| October 29, 2025

Introduction Background and rationale In patients with chronic limb threatening ischaemia (CLTI) or diabetes related foot complications, transmetatarsal amputation (TMA) is often required to treat serious infection or remove gangrenous digits to promote a healing wound. This is often accompanied by an attempt at revascularisation of the limb. TMA preserves limb length as well…

Spinal cord infarction due to immune thrombocytopenic purpura following aorto-bifemoral bypass surgery: a rare complication

Ragobar C, Sanadi C, Ghoneim B

| October 16, 2025

Abstract Spinal cord infarction is a rare but devastating complication following aorto-bifemoral bypass surgery, particularly in patients without typical risk factors. We report a unique case of a 68-year-old female who developed acute spinal cord infarction in the setting of newly diagnosed immune thrombocytopenic purpura (ITP) after undergoing elective aorto-bifemoral bypass surgery for chronic aorto-occlusive…

The first confirmed isolation of Dermabacter vaginalis from a mycotic abdominal aortic aneurysm

Williams SN,¹ Wangrangsimakul T,² Howard DPJ^3,4

| September 16, 2025

Abstract Dermabacter vaginalis is a recently identified extremely rare bacterial species not previously implicated as an agent in any disease process. This report covers the first recorded case of D. vaginalis isolated from periaortic fluid during surgical repair of a mycotic abdominal aortic aneurysm. The patient was successfully treated with a surgical approach combined with…