The Impact of Nutritional Condition and Compression Treatment on Venous Ulcer Recovery: A Systematic Review.

Venous ulcers are open wounds commonly associated with chronic venous insufficiency. Each patient's healing process is unique, and factors like nutrition and compression therapy can affect it. Compression therapy and optimal nutritional status can assist in improving venous blood circulation, decreasing swelling, and promoting wound healing.

Operative versus non-operative treatment in diabetic dry toe gangrene.

Background And Aim: Diabetic foot is a major comorbidity of diabetes, with 15-25% of diabetic patients developing diabetic foot ulcer during their lifetime. Other major diabetic foot complications include cellulitis, abscess, wet gangrene, dry gangrene, and necrotizing fasciitis. Dry gangrene involves tissue necrosis due to chronic ischemia whereby the tissue becomes numb, dry, wrinkled, and dead.

Autoamputation of diabetic toe with dry gangrene: a myth or a fact?

Diabetes is associated with various complications and reduced quality of life. Of the many complications, some are life-threatening. Among these, foot complications remain an important concern.

Evaluation of pain during endovenous laser ablation of the great saphenous vein with ultrasound-guided femoral nerve block.

Background: Endoluminal laser ablation is now considered the method of choice for treating greater saphenous vein insufficiency. General anesthesia and peripheral nerve blocks with sedation have the risk of post-procedural delay in discharge and prolonged immobilization with the risk of deep vein thrombosis. The main pain experienced by patients during the procedure is during the laser ablation and the multiple needle punctures given along and around the great saphenous vein.

Isolated large vulvar varicose veins in a non-pregnant woman.

Vulvar varicosities are often asymptomatic, and they may be associated with varicose veins of the lower extremity. Also, they may be a part of pelvic congestion syndrome and usually occur during pregnancy. We present a case of a huge isolated and disfiguring vulvar varicosities in a non-pregnant women managed successfully by combination of surgery and sclerotherapy.

Risk factors for amputation in extremity vascular injuries in Saudi Arabia.

Amputation is most closely associated with blunt, lower limb injuries associated with vascular trauma. These vascular injuries require a special attention to prevent life and limb loss. Patient outcomes can also be improved by organizing vascular trauma data into appropriate systems to facilitate future studies.

Leg ischemia post-varicocelectomy.

Varicocelectomy is the most commonly performed operation for the treatment of male infertility. Many surgical approaches are used as each of them has advantages over the other and is preferred by surgeons. Vascular injury has never been reported as a complication of varicocelectomy apart from testicular artery injury.

The need for faculty training programs in effective feedback provision.

An important aspect of professional teaching practice is a practitioner's ability to critically evaluate the performances of subordinates for whom he or she is responsible. This is a common practice within social sciences as well as for professionals from applied specialties. The literature on professional clinical expertise identifies reflective practice as perfect when they are thoroughly accepted by practitioners.

Barriers to feedback in undergraduate medical education. Male students' perspective in Central Saudi Arabia.

Objective: To explore the views of undergraduate medical students regarding the presence and sources of barriers to effective feedback in their setting.

Methods: This cross-sectional study was conducted at the College of Medicine, Department of Medical Education, King Saud bin Abdul-Aziz University for Health Sciences, Riyadh, Kingdom of Saudi Arabia from April to June 2010. A self-administered questionnaire was used to explore the objectives of the study.

Giant celiac artery aneurysm: Treatment by transcatheter coil embolization.

Celiac artery aneurysms (CAA) are one of the rarest forms of visceral artery aneurysms. Most patients are a symptomatic at the time of diagnosis and aneurysms are detected incidentally during diagnostic imaging for other diseases. We present the case of a 42-year-old man who had an asymptomatic giant CAA detected incidentally by an abdominal ultrasound investigating an abdominal pain.

Time to move away from damage control strategy in hemodialysis vascular access management: a view from Saudi Arabia.

For the last 40 years, most of the research and publications on hemodialysis access, has focused on the management of its complications e.g. thrombosis, infection, aneurysms.

Stent-grafts in the management of life-threatening hemorrhage following inadvertent femoral catheterization in high-risk patients: report of two cases and review of the literature.

Bleeding related to inadvertent femoral catheter insertion is an infrequent but morbid complication. We report two cases of acute life-threatening bleeding after attempts at femoral vein catheterization. Both patients were morbidly obese, had multiple comorbidities, and were at high risk for surgical intervention.

Impact of a diabetic foot care education program on lower limb amputation rate.

Background: Diabetic foot complications are a leading cause of lower extremity amputation. With the increasing incidence of diabetes mellitus in the Arab world, specifically in the Kingdom of Saudi Arabia, the rate of amputation will rise significantly. A diabetic foot care program was implemented at King Abdulaziz Medical City in Riyadh, Saudi Arabia, in 2002.

Axillofemoral bypass with local anesthesia: a way forward to enable limb salvage in high-risk patients.

For an active, ambulant patient with critical, lower limb ischemia, amputation can lead to a poor quality of life. A small group of older people with critical limb ischemia are considered at high risk for revascularization under conventional anesthesia owing to their comorbid conditions. In these cases, when endovascular therapy is not an option, the decision to amputate or revascularize presents a dilemma, especially in ambulant patients.

The diabetic foot. In the Arab world.

The literature is replete with diabetic foot problems throughout the world, but few has been written about the problem in the Middle East and even in the Arab world. After reviewing these discussions, we realized that the magnitude of the problem is not yet appreciated for many reasons. In this paper, we explained why it is more prevalent, less managed and has been associated with worse health outcomes in diabetic patients in the Arab world.