Original Research

Nurse-delivered endothermal venous ablation: 12 years’ experience at a single UK centre

October 30, 2024

Introduction Attention is currently being directed towards the care of patients with venous disease in the UK. Contemporary research supports early intervention of incompetent superficial truncal veins, especially beneficial to patients suffering from venous leg ulceration (VLU). However, there are significant difficulties in the delivery of venous services impeding the implementation of best practice. In…

Evaluation of the quality of phantom limb pain information on YouTube

August 29, 2024

Introduction Pain after amputation is an almost universal symptom in amputee patients with 95% reporting amputation-related pain.1 Of these, phantom limb pain (PLP) is the most prevalent at 80%.1 Increasing numbers of patients are undergoing amputations; an estimated prevalence rate in the UK is 26.3 per 100,000.2 PLP significantly reduces quality of life3 and has…

How do vascular surgery trainees optimise simulation-based learning? A qualitative study

August 27, 2024

Introduction Vascular surgery has significantly evolved since the turn of the 20th century with a much wider repertoire of increasingly complex procedures expected of the modern surgeon, thus leading to increasing specialisation. Traditionally, vascular surgery was a sub-speciality within general surgery but it has now evolved into its own distinct speciality. In tandem, operative exposure…

Understanding variation in the management of AAA in the UK: composition and function of multidisciplinary team meetings and information resources provided to patients

August 26, 2024

Introduction There is marked national1,2 and international3 variation in abdominal aortic aneurysm (AAA) repair practice and, more specifically, in the proportion of patients undergoing open surgical repair (OSR), endovascular aneurysm repair (EVAR) or no repair (conservative management). In 2022, the UK National Vascular Registry (NVR) reported that 59% of 2,744 patients undergoing repair of infrarenal…

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…