Daniel Westby
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View article: Bone Cutter versus Oscillating Saw for Ray Amputation: A Protocol for Randomised Controlled Feasibility Trial comparing Outcomes between Metatarsal Methods of Transection (MetaMet)
Bone Cutter versus Oscillating Saw for Ray Amputation: A Protocol for Randomised Controlled Feasibility Trial comparing Outcomes between Metatarsal Methods of Transection (MetaMet) Open
Background Ray amputation is commonly performed for irretrievable digital infections and/or ischemia, particularly in diabetic foot disease. Re-ulceration and reoperation rates after toe amputation range from 43-65%. Numerous studies have …
View article: Axial Ablation versus Terminal Interruption of the Reflux Source (AAVTIRS): A Randomised Controlled Trial
Axial Ablation versus Terminal Interruption of the Reflux Source (AAVTIRS): A Randomised Controlled Trial Open
Introduction Treatment of reflux has been shown to improve time to healing of Venous Leg Ulcers (VLU). Terminal Interruption of the Reflux Source (TIRS) treats reflux within the plexus of veins around an active VLU using foam sclerotherapy…
View article: Review of Mixed Arterial Venous Leg Ulcers (MAVLU) Disease in Contemporary Practice
Review of Mixed Arterial Venous Leg Ulcers (MAVLU) Disease in Contemporary Practice Open
Background Mixed Arterial and Venous Leg Ulcers (MAVLU) are challenging. Clinical evidence specific to MAVLU management is scarce. We evaluated our recent experience with MAVLU patients and reviewed current data regarding MAVLU epidemiolog…
View article: The Wound Express System, A Potential Treatment for Patients with Ulcers and Non-Operable Arterial Disease: A Pilot Safety Study
The Wound Express System, A Potential Treatment for Patients with Ulcers and Non-Operable Arterial Disease: A Pilot Safety Study Open
Background: Intermittent pneumatic compression (IPC) devices apply intermittent compression to the thigh, which is thought to facilitate wound healing by improving wound perfusion in patients with chronic limb-threatening ischemia and no o…
View article: AB071. SOH23ABS_227. Caprini score risk calculator as a tool to guide anticoagulation post-endovenous ablation to minimize risk of venous thrombo-embolism
AB071. SOH23ABS_227. Caprini score risk calculator as a tool to guide anticoagulation post-endovenous ablation to minimize risk of venous thrombo-embolism Open
Background: Endovenous ablation is a commonly performed procedure to treat varicose veins. However, many of these patients have multiple co-morbidities and are at high risk for venous thrombo-embolism (VTE). We describe the outcome of a ca…
View article: AB067. SOH23ABS_182. Sodium tetradecyl sulphate vs. polidocanol: identifying the ideal sclerosant agent
AB067. SOH23ABS_182. Sodium tetradecyl sulphate vs. polidocanol: identifying the ideal sclerosant agent Open
Background: Sclerosant agents are used as an effective therapeutic modality for varicose veins both as foam and in mechanochemical ablation (MOCA). With no published randomized trials comparing sclerosant agents the aim of this study was t…
View article: Hyperbaric Oxygen as an Adjunct in the Treatment of Venous Ulcers: A Systematic Review
Hyperbaric Oxygen as an Adjunct in the Treatment of Venous Ulcers: A Systematic Review Open
Background The use of Hyperbaric Oxygen Therapy (HBOT) in diabetic wounds has been studied extensively. Even though venous insufficiency is the most common cause of lower limb ulceration, there is comparatively little evidence regarding th…
View article: Axial ablation versus terminal interruption of the reflux source (AAVTIRS): a randomised controlled trial
Axial ablation versus terminal interruption of the reflux source (AAVTIRS): a randomised controlled trial Open
Background Treatment of superficial venous reflux has been shown to improve ulcer healing time and reduce the risk of ulcer recurrence. Terminal ablation of the reflux source (TIRS) is an alternative to formal endovenous ablation or surger…
View article: AB182. SOH22ABS214. Diagnostic accuracy of venograms for assessment of chronic venous disease: a systematic review
AB182. SOH22ABS214. Diagnostic accuracy of venograms for assessment of chronic venous disease: a systematic review Open
Background: Patients with symptoms of chronic venous insufficiency may have proximal vein stenosis, limiting the success of surgical intervention. It is unclear whether routine evaluation of the deep veins aids patient management. Intravas…
View article: AB041. SOH22ABS228. Adipose-derived stem cells in patients with venous ulcers: systematic review
AB041. SOH22ABS228. Adipose-derived stem cells in patients with venous ulcers: systematic review Open
Background: Few studies have reported on the safety and durability of adipose-derived stem cells (ADSCs) to support healing in patients with venous leg ulcers (VLU). To establish if there is any evidence to support ADSC use in VLU patients…
View article: AB104. SOH22ABS156. Is there a role for an operative note proforma for common on call surgical procedures?—A clinical audit assessing the quality of operative notes in incision and drainage of pilonidal abscesses
AB104. SOH22ABS156. Is there a role for an operative note proforma for common on call surgical procedures?—A clinical audit assessing the quality of operative notes in incision and drainage of pilonidal abscesses Open
AB104. SOH22ABS156. Is there a role for an operative note proforma for common on call surgical procedures?—A clinical audit assessing the quality of operative notes in incision and drainage of pilonidal abscesses
View article: Pressures, indexes and peripheral arterial disease: Time to rethinkour approach?
Pressures, indexes and peripheral arterial disease: Time to rethinkour approach? Open
Most patients with peripheral arterial disease (PAD) are asymptomatic. Despite the absence of symptoms, these patients have a significantly increased risk of death and adverse vascular events.1 Early detection of individuals with asymptoma…
View article: AB091. 239. Treatment of otomycosis: a review
AB091. 239. Treatment of otomycosis: a review Open
Background: The incidence of fungal otitis externa in western Europe, has increased over the past number of decades. Clinically, it presents in a similar fashion to other pathologies, therefore, it can be often be misdiagnosed and treated …
View article: AB162. 234. Application of virtual and augmented reality to the visualisation of mesenteric anatomy
AB162. 234. Application of virtual and augmented reality to the visualisation of mesenteric anatomy Open
Background: Emerging applications of virtual (VR) and augmented reality (AR) show promise in the teaching of spatially challenging anatomical knowledge. The 3-dimensional (3D) orientation and mapping of mesenteric anatomy remains a difficu…
View article: AB046. 100. Robotic assisted colorectal surgery at University Hospital Limerick
AB046. 100. Robotic assisted colorectal surgery at University Hospital Limerick Open
Background: Minimally invasive surgery has revolutionized surgical procedures for the past three decades. The department of surgery at the University Hospital Limerick (UHL) has taken the next step with the implementation of a robotic assi…
View article: AB065. 229. On the growth and form of the mesentery
AB065. 229. On the growth and form of the mesentery Open
Background: Systematic study of the mesentery has demonstrated that it is both continuous and spiral in nature from duodenum to rectum. Embryological planes are commonly exploited during abdominal surgery; however, the exact morphogenesis …
View article: AB083. 230. A review of the treatments for otomycosis
AB083. 230. A review of the treatments for otomycosis Open
Background: The incidence of fungal otitis externa, also known as otomycosis, has increased in Western Europe over the past number of decades. Clinically, it presents like otitis media, cholesteatoma, and chronic suppurative otitis media (…