Publications by authors named "R A MURCHISON"

Background: Surgical approaches to the correction of pelvic organ prolapse include abdominal, vaginal, and obliterative approaches. These approaches require vastly different anatomical dissections, surgical techniques, and operative times and are often selected by the patient and surgeon to match preoperative multimorbidity and ability of the patient to tolerate the stress of surgery.

Objective: We sought to describe the occurrence of postoperative complications occurring after 3 different surgical approaches to treat pelvic organ prolapse: vaginal, abdominal, and obliterative.

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Article Synopsis
  • Weight loss medications and surgeries are increasingly accessible for people with diabetes, potentially leading to diabetes remission and improved health markers.
  • Despite significant weight loss and better diabetes management, some complications, like peripheral neuropathy, may persist and can lead to conditions such as Charcot foot.
  • Individuals who have lost substantial weight should remain vigilant about foot health since the risk of foot disease continues, even with improved diabetes status.
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Article Synopsis
  • Podiatrists play a crucial role in managing diabetic foot complications as part of a multidisciplinary team, but a 7-month loss of half their non-operative team in 2010 led to significant challenges.
  • Analysis of data indicated that this loss resulted in a notable increase in hospital admissions and longer stays, leading to nearly £90,000 in additional costs associated with inpatient care.
  • The findings emphasize the importance of specialist non-operative podiatrists in preventing unnecessary hospitalizations and highlight the potential financial benefits of effective outpatient management for diabetic foot patients.
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Aims: To develop an antibiotic foot formulary for the empirical treatment of diabetes-related foot infections presenting to our service. Subsequently, to asses costs associated with the introduction of our protocol, in particular to assess the effect on admissions avoidance and any cost savings achieved.

Methods: We reviewed several existing antibiotic protocols.

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