surgical site infection

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…

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Surgical Site Infections in Major Lower Limb Amputation: An International Multicentre Audit (SIMBA): Study Protocol

February 29, 2024

Introduction Background and rationale Surgical site infection (SSI) is a significant potential complication of any surgical procedure, acknowledged by the National Institute of Health and Care Excellence (NICE) as a leading cause of in-hospital morbidity and mortality.1 In vascular surgery, patients undergoing major lower limb amputation (MLLA) may be at an increased risk of developing…

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A feasibility survey to inform trial design investigating surgical site infection prevention in vascular surgery

February 29, 2024

Introduction Surgical site infection (SSI) is common following vascular surgery, complicating up to 40% of groin incisions and major lower limb amputations (MLLA).1–3 SSI significantly impairs quality of life due to associated pain, reduced mobility, depression and anxiety.4 SSI results in a fourfold increase in the risk of readmission and substantially increases healthcare costs, estimated…

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Management of lower limb ischaemia using hybrid techniques: a single-centre experience

January 24, 2023

Introduction Peripheral arterial disease (PAD) is recognised as an increasing global healthcare issue.1 Chronic limb-threatening ischaemia (CLTI) resulting from PAD is the term adopted in the 2019 Global Vascular Guidelines. It is defined as ‘a broader and more heterogeneous group of patients with varying degrees of ischemia that may delay wound healing and increase amputation…

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