Articles

The incidence of surgical site infection following transmetatarsal amputation: a systematic review

August 18, 2024

Introduction Transmetatarsal amputations (TMAs) were first popularised in 1949 by McKittrick et al, who used this procedure as an alternative to more proximal amputations when addressing gangrene or infection.1 Its use has continued as an effective surgical approach in treating forefoot gangrene, infection and chronic ulceration, most commonly in patients with diabetic foot or vascular…

Thoracic outlet syndrome: a survey of operative practice amongst vascular surgeons

August 17, 2024

Introduction Surgical management for thoracic outlet syndrome (TOS) is undertaken in several surgical specialties including thoracic, plastic, vascular and neurosurgery.1 The reported incidence of TOS is approximately 1–3 per 100,000;2,3 however, despite the uncommon nature of this condition, it can have a significant impact on patients’ quality of life.4,5 Currently, there are no established guidelines…

A case study project to explore physiotherapists’ experiences of using removable rigid dressings with patients post transtibial amputation in the UK

August 16, 2024

Introduction Traditionally, post transtibial amputation (TTA) a soft dressing consisting of elasticated bandage and padding would be applied in theatre and kept on for up to five days. In 1969, Berlemont et al challenged the use of soft dressings with a rigid plaster replacement.1 Soft dressings have since been associated with pressure sores and persistent…

May 29, 2024

Welcome to the May 2024 edition of the Journal of Vascular Societies Great Britain and Ireland (JVSGBI). Professor Rob Sayers from Leicester opens this edition with a review of the current management of type B aortic dissection in the UK sign posting specifically the associated tool kit, the need for improved outcome data and the…