Volume 1 Issue 1
‘Real World’ Experience with EVAR - A Retrospective Cohort Study of 239 Endoluminal Grafts in a Scottish Vascular Centre
Bryce Renwick1*, Dominic Waugh2, Sandra Montgomery3, Colin Wood4, M. Mirghani5, Khalid Irshad6, Donald Bain7, Donald B. Reid8
Endovascular aneurysm repair (EVAR) for abdominal aortic aneurysm (AAA) continues to evolve. We present a review of Scottish and international data of perioperative and long-term mortality after AAA repair and detail our departmental experience for elective endoluminal grafting.
Target Vessel Patency and Patient Survival after Fenestrated Endovascular Aneurysm Repair
Bryce Renwick1*, Marta Mardurska2, Mirghani M Mirghani3, Dominic Waugh4, Khalid Irshad5,Donald J Bain6, Donald B Reid7
Endoluminal stent-grafting is well established as a treatment modality for abdominal aortic aneurysms. However many current available devices are limited by aneurysms with poor quality or short infrarenal necks, demanding 10-20mm of healthy aortic tissue between the lowermost renal artery and the aneurysm sac. Such short necked aneurysms are known to have higher rates of endoleak or late migration when repaired with standard Endovascular Aortic Repair (EVAR) devices. Moreover, these aneurysms are known to have higher rates of morbidity and mortality at open repair.
Learner Focused Skill Acquisition in Vascular Surgery
Sarah Jane Messeder1*, Bryce Renwick1, Diane Hildebrand1
Confidence has been strongly linked to performance. When patient care is involved, low self-confidence can lead to impaired patient safety. In our tertiary centre, the Acute General Surgical Receiving Team covers Vascular surgery ‘out of hours’. A questionnaire was created to determine how confident junior members of the surgical team felt in assessing the vascular patient ‘out of hours’. Individuals were then offered teaching to improve knowledge and practical procedures. The questionnaire was then repeated to determine whether there had been an improvement.
Combined lateral and midline ventral hernia recurrence after anterior component separation
Nikhil Agrawal1, Daniel K. Chang1, David S. Lee2, Konstantinos I. Makris 2*
Anterior component separation has been used for more than 20 years as an adjunct technique to provide autologous tissue coverage in the repair of large ventral hernias. When there is extensive scarring in the area of fascial release, it can be difficult to limit the release to a single fascial layer, leading to an increased risk for lateral hernia recurrence. This type of recurrence has been discussed in a limited fashion in the literature. We describe a patient with concurrent lateral and midline recurrent ventral hernias after previous anterior component separation. We describe the technique used and the favorable outcome, discuss the surgical considerations in operative planning and review the available literature on lateral or combined lateral-midline recurrences after previous anterior component separation.
Plumes Hazard Linked to Unpredictable and Abnormal Below-Surface Ablation Patterns During Treatment of Tumors by Using Pulsed CO2 Medical Lasers in Operating Room: A Combined Qualitative in-Vitro Study on PMMA Samples.
In the past years, only a few studies have attempted to quantify the risk of the exposure to the smoke generated by medical lasers used to remove malignant tumor tissue via sublimation. The invasive thermodynamic sublimation processes following beam-tissue interaction generate plume which also contain particles of tumor tissue not completely damaged by the laser beam itself. They still keep a certain degree of malignancy (mainly depending on the type of tumor) which could result in spreading metastasis in the respiratory system of the surgical staff members and of the patient himself following inhalation.
Complications in Patients Admitted Postoperatively in the ICU of a Regional Hospital in Spain.
Miguel Ángel García Garcia1* María Ángeles Rosero Arenas2, Alfonso Martínez Cornejo1, David Arizo León1, Manuel Palomo Navarro1, Elena Parreño Rodríguez1, Cristina Calabuig Guillén1
The intensive care unit is the specific hospital area with an specialized organization of health professionals in the care of the critically ill patients. There are few studies that describe the behavior of postoperative patients admitted to the ICU.