vascular

An audit of Global Vascular Guidelines implementation at two large teaching hospitals in differing healthcare settings

August 28, 2025

Introduction Chronic limb-threatening ischaemia (CLTI) is the most severe form of peripheral arterial disease, associated with high rates of morbidity, mortality, and limb loss.1 CLTI creates significant costs to healthcare systems across the globe. Between 2020 and 2021 alone, the financial burden of non-elective amputations cost the National Health Service (NHS) over £115 million.2 Therefore,…

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…

A quality improvement project on operative records

November 16, 2023

Background Accurate and legible operative notes are critical for providing high-quality postoperative care and they also serve a crucial role for medicolegal disputes.1,2 The General Medical Council (GMC) has emphasised the importance of good documentation as part of good medical practice.3 Additionally, the Royal College of Surgeons of England (RCSEng) has developed a guideline that…

Research priorities for vascular services: results of the UK Vascular James Lind Alliance Priority Setting Process

November 21, 2022

Background Vascular disease covers a broad spectrum of conditions and treatments, with over 40,000 vascular surgical procedures performed in England each year.1 It is one of the largest contributors to morbidity and mortality globally, accounting for 40% of deaths in the UK and estimated heath and care costs of £9 billion annually.2 Work conducted under…

Research priorities for venous conditions: results of the UK Vascular James Lind Alliance Priority Setting Process

November 21, 2022

Background Venous disease encompasses a range of conditions that vary in severity and, if left unmanaged, can lead to serious conditions such as leg ulcers. This presents a huge economic burden to the NHS, estimated to be between £1bn and £3bn per year for ulcers alone.1–3 Venous disease can negatively impact on quality of life…