Evaluation of outcomes and utility of abdominal aortic aneurysm surveillance in octogenarians and nonagenarians.

Introduction: The aim of this study was to evaluate the utility of our regional abdominal aortic aneurysm (AAA) screening programme in octogenarians and nonagenarians. This was to help decide whether discontinuation might be appropriate in certain instances. Primary outcomes were the number of patients who reached threshold (5.

Conservative Treatment of Ruptured Abdominal Aortic Aneurysm.

Although nonsurgical management of ruptured abdominal aortic aneurysm (rAAA) is still used among a significant number of patients, survival after conservative treatment is extremely rare. We report a case of an 86-year-old female who presented with an rAAA that was confirmed clinically and radiologically via computed tomography angiography. Although the patient was not deemed a candidate for surgery owing to significant comorbidities and poor baseline function, she survived the episode with no surgical intervention.

Single-Stage Vascular Repair and Tissue Cover in Complex Ankle Injuries.

Infragenicular arterial trauma with associated soft-tissue defects presents a challenging scenario. Vascular reconstruction along with concurrent tissue cover may be necessary. We present our experience with six vascular injuries with associated tissue loss.

Effect of treated length in endovenous laser ablation of great saphenous vein on early outcomes.

Objective: The aim of this preliminary study was to document the effect of treated great saphenous vein (GSV) length on short-term outcomes using freedom from secondary intervention as a marker.

Methods: Analysis was performed of a prospective database of endovascular laser therapy (EVLT) procedures performed by a single surgeon in an NHS hospital setting using a standardized technique in a series of consecutive ambulatory patients. During a 2-year period, 131 episodes with sufficient data were recorded.

Phytobezoar: a rare cause of late upper gastrointestinal perforation following gastric bypass surgery.

Marginal ulcers are a well described complication following Roux-en-Y gastric bypass. These may be a cause for perforation. We describe a case of upper gastrointestinal perforation 18 months following a laparoscopic Roux-en-Y gastric bypass that appeared to be caused by a food bezoar.