Iatrogenic Leg Ulcer after Subfascial Endoscopic Perforator Surger (SEPS)

1999 ◽  
Vol 14 (4) ◽  
pp. 167-168
Author(s):  
A. Huang ◽  
D. L. McWhinnie
Keyword(s):  
Case Report ◽  
Vascular Surgery ◽  
General Hospital ◽  
District General Hospital ◽  
Venous Ulcer ◽  
Leg Ulcer ◽  
Perforating Artery ◽  
Perforating Vein ◽  
Subfascial Endoscopic Perforator Surgery ◽  
Milton Keynes

Objective: To report a case of iatrogenic leg ulcer after subfascial endoscopic perforator surgery (SEPS). Design: Case report. Setting: Department of Vascular Surgery, Milton Keynes Hospital, a district general hospital. Patient, intervention and results: A 57-year-old woman underwent SEPS for a venous ulcer secondary to an incompetent perforating vein. Post-operatively she developed a new ulcer directly over the site of the divided perforator. The ulcer healed completely with conservative bandaging treatment after 4 months. Conclusion: We describe a complication of SEPS not previously reported. The perforating artery might have been divided inadvertently instead of the perforating vein. It is important to positively identify the perforating vein during SEPS before its division, especially in the presence of mixed arteriovenous disease.

scholarly journals Temporising an extradural haematoma by intraosseous needle craniostomy in the District General Hospital by non-neurosurgical doctors – A case report

2017 ◽  
Vol 19 (1) ◽  
pp. 76-79 ◽  
Author(s):  
Sahra Durnford ◽  
Harry Bulstrode ◽  
Andrew Durnford ◽  
Aabir Chakraborty ◽  
Nicholas T Tarmey
Keyword(s):  
Emergency Department ◽  
Case Report ◽  
Head Injury ◽  
General Hospital ◽  
Closed Head Injury ◽  
District General Hospital ◽  
Extradural Haematoma ◽  
Closed Head

We report the case of a 69-year-old man admitted to the emergency department of a UK district general hospital with an extradural haematoma following closed head injury. He deteriorated rapidly before transfer to the regional neurosurgical centre and was treated with decompression of the extradural haematoma through an EZ-IO™ intraosseous needle in our department, with telephone guidance from the neurosurgeon. We believe this to be the first reported use of this technique in a district general hospital.

scholarly journals Tropical rheumatology in a UK District General Hospital: a case report of leprosy presenting as acute vasculitis

Rheumatology ◽  
2009 ◽  
Vol 49 (4) ◽  
pp. 826-828 ◽  
Author(s):  
A. Soni ◽  
R. Manhas ◽  
L. John ◽  
L. Whittam ◽  
L. Williamson
Keyword(s):  
Case Report ◽  
General Hospital ◽  
District General Hospital

A case report of lumbar discitis, in a district general hospital

2006 ◽  
Vol 17 (1) ◽  
pp. 81-83
Author(s):  
G. A. Akra ◽  
A. N. Baqai ◽  
D. Das ◽  
M. Bashir
Keyword(s):  
Case Report ◽  
General Hospital ◽  
District General Hospital

scholarly journals Vascular Surgery within General Surgery: An Analysis of Workload 1989–2005

2007 ◽  
Vol 89 (7) ◽  
pp. 682-684 ◽  
Author(s):  
SQ Ashraf ◽  
A Bajwa ◽  
TR Magee ◽  
RB Galland
Keyword(s):  
Primary Care ◽  
Vascular Surgery ◽  
General Hospital ◽  
General Surgery ◽  
Varicose Vein ◽  
Primary Care Trust ◽  
District General Hospital ◽  
Considerable Debate ◽  
General Surgeons ◽  
Surgical Unit

INTRODUCTION There is considerable debate as to whether vascular surgery should be a subspecialty separate from general surgery. This study examines the changing relationship between general and vascular surgery in a district general surgical unit over 16 years. PATIENTS AND METHODS A detailed survey of referrals, admissions and operations to one unit was carried out over 3 months in 003. This was compared with similar surveys in 1989, 1990 and 1995. In addition a 3-month audit of operations performed was carried out in 2005 following a decision by the Primary Care Trust (PCT) to reduce varicose vein referrals. RESULTS There was a significant increase in the number of varicose vein and arterial referrals 1989–2003 (P = 0.0001 and P < 0.0001, respectively). This was reflected in increased number of vascular admissions (P < 0.0001). In 1989, 14% of the arterial cases were admitted as emergencies. This figure rose to 52% in 2003 (P < 0.0001). There was a significant increase in the number of arterial operations performed between 1989 and 1995; however, from 1995 to 2003 this number fell P < 0.0001). The number of varicose vein procedures increased significantly 1989–2003 (P < 0.0001), with a significant fall after the PCT decision (P < 0.0001). However, the number of operations carried out in 2005 increased slightly with the proportion of general surgical cases, mostly hernia repairs and laparoscopic cholecystectomies, increasing. CONCLUSIONS With increasing specialisation comes the risk that reduction in any aspect of a particular specialty may result in that unit becoming unsustainable. In vascular surgery this will inevitably lead to centralisation of services. In a large district general hospital having two general surgeons with a vascular interest, the general surgical component has maintained the workload of the unit following reduction in varicose vein referrals.

scholarly journals Diagnostic challenge of the non-specific presentation of adult intussusception

2019 ◽  
Vol 12 (11) ◽  
pp. e229931
Author(s):  
Kyla Lief ◽  
Gnananandan Janakan ◽  
Calum Clark ◽  
Duncan Coffey
Keyword(s):  
Abdominal Pain ◽  
Case Report ◽  
General Hospital ◽  
Closed Loop ◽  
District General Hospital ◽  
Right Hemicolectomy ◽  
Adult Intussusception ◽  
Colonic Adenocarcinoma ◽  
Diagnostic Challenge ◽  
Free Air

The following report will discuss the diagnosis and management of non-specific abdominal pain in a 77-year-old woman who presented to a district general hospital in South London. CT imaging demonstrated ileo-colic intussusception with free air and fluid indicating perforation. The images of the specimen clearly show the ileal tumour within the intussusception. Thus, the patient underwent an emergency right hemicolectomy and formation of a double-barrelled ileostomy. Histology subsequently confirmed this was secondary to a colonic adenocarcinoma. This case report is unique as it highlights that intussusception in adults is very difficult to accurately diagnose based on clinical features (due to non-specific findings) and even with radiology can be challenging. This is also the first documented case of the site of perforation not being directly involved with the site of intussusception. The perforation site was in fact distal to the intussusception. At the time of surgery, it was noted that the patient had significantly faecal loading up to her rectum. The resulting closed loop was the cause of her perforation.

Two-year audit of a nurse-supervised leg ulcer clinic in a district general hospital

1993 ◽  
Vol 2 (5) ◽  
pp. 289-292 ◽  
Author(s):  
M. Allen ◽  
B. Shorey ◽  
J. Ward ◽  
D.J.B. Thomas
Keyword(s):  
General Hospital ◽  
District General Hospital ◽  
Leg Ulcer

scholarly journals Incidentally detected renal oncocytoma treated with nephrectomy in a surgical unit of a district general hospital.

2021 ◽  
Author(s):  
Nuwan Masakorala ◽  
D.C Rajapakse
Keyword(s):  
Case Report ◽  
General Hospital ◽  
District General Hospital ◽  
Renal Oncocytoma ◽  
Surgical Unit ◽  
Epithelial Neoplasm

Renal oncocytoma is a benign renal epithelial neoplasm. In this case report we present a case of incidentally detected renal oncocytoma which was treated with nephrectomy.

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