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  1. Article ; Online: Wound healing: potential therapeutic options.

    Bosanquet, D C / Harding, K G

    The British journal of dermatology

    2021  Volume 187, Issue 2, Page(s) 149–158

    Abstract: This review highlights the range of therapeutic options available to clinicians treating difficult-to-heal wounds. While certain treatments are established in daily clinical practice, most therapeutic interventions lack robust and rigorous data regarding ...

    Abstract This review highlights the range of therapeutic options available to clinicians treating difficult-to-heal wounds. While certain treatments are established in daily clinical practice, most therapeutic interventions lack robust and rigorous data regarding their efficacy, which would help to determine when, and for whom, they should be used. The purpose of this review is to give a broad overview of the available interventions, with a brief summary of the evidence base for each intervention.
    MeSH term(s) Humans ; Wound Healing
    Language English
    Publishing date 2021-11-02
    Publishing country England
    Document type Journal Article ; Review
    ZDB-ID 80076-4
    ISSN 1365-2133 ; 0007-0963
    ISSN (online) 1365-2133
    ISSN 0007-0963
    DOI 10.1111/bjd.20772
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  2. Article ; Online: How to Engage in Trainee-led Multicentre Collaborative Vascular Research: The Vascular and Endovascular Research Network (VERN).

    Bosanquet, D C

    European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery

    2016  Volume 52, Issue 3, Page(s) 392

    MeSH term(s) Competitive Behavior ; Education, Medical, Graduate/methods ; Endovascular Procedures/education ; Health Services Research/methods ; Humans ; Interinstitutional Relations ; Internship and Residency ; Intersectoral Collaboration ; Leadership ; United Kingdom ; Vascular Surgical Procedures/education
    Language English
    Publishing date 2016-09
    Publishing country England
    Document type Editorial
    ZDB-ID 1225869-6
    ISSN 1532-2165 ; 1078-5884
    ISSN (online) 1532-2165
    ISSN 1078-5884
    DOI 10.1016/j.ejvs.2016.07.001
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  3. Article ; Online: Surgical Techniques for Performing a Through-Knee Amputation: A Systematic Review and Development of an Operative Descriptive System.

    Dewi, M / Gwilym, B L / Coxon, A H / Carradice, D / Bosanquet, D C

    Annals of vascular surgery

    2023  Volume 93, Page(s) 428–436

    Abstract: Background: Through-knee amputation (TKA) carries potential biomechanical advantages over above knee amputation (AKA) in patients unsuitable for a below-knee amputation. However, concerns regarding prosthetic fit, cosmesis and wound healing have ... ...

    Abstract Background: Through-knee amputation (TKA) carries potential biomechanical advantages over above knee amputation (AKA) in patients unsuitable for a below-knee amputation. However, concerns regarding prosthetic fit, cosmesis and wound healing have tempered enthusiasm for the operation. Furthermore, there are many described surgical techniques for performing a TKA. This frustrates attempts to compare past and future comparative data, limiting the opportunity to identify which procedure is associated with the best patient centered outcomes. The aim of this systematic review is to identify all the recognized operative TKA techniques described in the literature and to develop a clear descriptive system to support future research in this area.
    Methods: A systematic review was performed, searching the OVID, PubMed, and Cochrane Library databases, according to Cochrane and PRISMA guidelines. Papers of any design were included if they described an operative technique for a TKA. Key operative descriptions were captured and used to design a classification system for surgical techniques.
    Results: A total of 906 papers were identified, of which 28 are included. The most important distinctions in operative technique were the level of division of the femur (disarticulation without bone division, transcondylar amputation, with or without shaving of the medial, lateral, and posterior condyles and supracondylar amputation), management of the patella (kept whole, partially preserved, completely removed), use of a muscular gastrocnaemius flap, and skin incisions. A 4-component classification system was developed to be able to describe TKA operative techniques. A suggested shorthand nomenclature uses the first letter of each component (FPMS; Femur, Patella, Muscular flap, Skin incision), followed by a number, to describe the operation. Patient outcomes were poorly reported, and therefore outcomes for different types of TKA are not addressed in this review.
    Conclusions: A novel descriptive system for describing different techniques for performing a TKA has been developed. This classification system will help in reporting, comparing, and interpreting past and future studies of patients undergoing TKA.
    MeSH term(s) Humans ; Disarticulation/methods ; Treatment Outcome ; Amputation, Surgical ; Lower Extremity/surgery ; Reoperation ; Knee Joint/surgery
    Language English
    Publishing date 2023-01-26
    Publishing country Netherlands
    Document type Systematic Review ; Journal Article ; Review
    ZDB-ID 1027366-9
    ISSN 1615-5947 ; 0890-5096
    ISSN (online) 1615-5947
    ISSN 0890-5096
    DOI 10.1016/j.avsg.2022.12.089
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  4. Article ; Online: Gastrocnemius suture myodesis for skew flap amputations.

    Tang, A / Massey, I / Bosanquet, D C

    Annals of the Royal College of Surgeons of England

    2021  Volume 103, Issue 3, Page(s) 1–2

    MeSH term(s) Amputation/instrumentation ; Amputation/methods ; Humans ; Muscle, Skeletal/surgery ; Surgical Flaps/surgery ; Suture Anchors ; Tibia/surgery
    Language English
    Publishing date 2021-02-28
    Publishing country England
    Document type Journal Article
    ZDB-ID 80044-2
    ISSN 1478-7083 ; 0035-8843
    ISSN (online) 1478-7083
    ISSN 0035-8843
    DOI 10.1308/rcsann.2020.7056
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  5. Article ; Online: Systematic review and narrative synthesis of surgeons' perception of postoperative outcomes and risk.

    Dilaver, N M / Gwilym, B L / Preece, R / Twine, C P / Bosanquet, D C

    BJS open

    2019  Volume 4, Issue 1, Page(s) 16–26

    Abstract: Background: The accuracy with which surgeons can predict outcomes following surgery has not been explored in a systematic way. The aim of this review was to determine how accurately a surgeon's 'gut feeling' or perception of risk correlates with patient ...

    Abstract Background: The accuracy with which surgeons can predict outcomes following surgery has not been explored in a systematic way. The aim of this review was to determine how accurately a surgeon's 'gut feeling' or perception of risk correlates with patient outcomes and available risk scoring systems.
    Methods: A systematic review was undertaken in accordance with PRISMA guidelines. A narrative synthesis was performed in accordance with the Guidance on the Conduct of Narrative Synthesis In Systematic Reviews. Studies comparing surgeons' preoperative or postoperative assessment of patient outcomes were included. Studies that made comparisons with risk scoring tools were also included. Outcomes evaluated were postoperative mortality, general and operation-specific morbidity and long-term outcomes.
    Results: Twenty-seven studies comprising 20 898 patients undergoing general, gastrointestinal, cardiothoracic, orthopaedic, vascular, urology, endocrine and neurosurgical operations were included. Surgeons consistently overpredicted mortality rates and were outperformed by existing risk scoring tools in six of seven studies comparing area under receiver operating characteristic (ROC) curves (AUC). Surgeons' prediction of general morbidity was good, and was equivalent to, or better than, pre-existing risk prediction models. Long-term outcomes were poorly predicted by surgeons, with AUC values ranging from 0·51 to 0·75. Four of five studies found postoperative risk estimates to be more accurate than those made before surgery.
    Conclusion: Surgeons consistently overestimate mortality risk and are outperformed by pre-existing tools; prediction of longer-term outcomes is also poor. Surgeons should consider the use of risk prediction tools when available to inform clinical decision-making.
    MeSH term(s) Humans ; Morbidity ; Postoperative Complications/etiology ; Postoperative Complications/mortality ; Risk Assessment ; Risk Factors ; Surgeons ; Surgical Procedures, Operative/adverse effects ; Surgical Procedures, Operative/mortality
    Language English
    Publishing date 2019-11-26
    Publishing country England
    Document type Journal Article ; Systematic Review
    ISSN 2474-9842
    ISSN (online) 2474-9842
    DOI 10.1002/bjs5.50233
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  6. Article ; Online: Late mesh sepsis: how late is late?

    Bosanquet, D C / Vaughan, S / Stephenson, B M

    Hernia : the journal of hernias and abdominal wall surgery

    2015  Volume 19, Issue 6, Page(s) 1035–1036

    Language English
    Publishing date 2015-12
    Publishing country France
    Document type Letter
    ZDB-ID 1388125-5
    ISSN 1248-9204 ; 1265-4906
    ISSN (online) 1248-9204
    ISSN 1265-4906
    DOI 10.1007/s10029-015-1364-7
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    Zs.A 5390: Show issues Location:
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  7. Article ; Online: Treatment of symptomatic coral reef aorta with an uncovered stent graft.

    Bosanquet, D C / Wood, A / Williams, I M

    Vascular

    2015  Volume 23, Issue 5, Page(s) 555–557

    Abstract: Coral reef aorta is a rare condition characterised by extreme calcific growths affecting the juxta and suprarenal aorta. It can cause symptoms due to visceral ischaemia, lower limb hypoperfusion, and distal embolisation. We present a case of a 61-year- ... ...

    Abstract Coral reef aorta is a rare condition characterised by extreme calcific growths affecting the juxta and suprarenal aorta. It can cause symptoms due to visceral ischaemia, lower limb hypoperfusion, and distal embolisation. We present a case of a 61-year-old man with unresponsive hypertension, who was found to have an occluded right renal artery, and an extensive coral reef aorta with a marked pressure gradient across the lesion. Renal hypoperfusion secondary to aortic coral reef aorta was thought to be the cause for his hypertension. Endovascular placement of a balloon expandable uncovered stent resolved his hypertension within one month, with no adverse effects noted at subsequent follow-up. Endovascular treatment of coral reef aorta is technically possible and avoids a major vascular procedure.
    MeSH term(s) Angioplasty, Balloon/instrumentation ; Aorta/physiopathology ; Aorta/surgery ; Aortic Diseases/complications ; Aortic Diseases/diagnosis ; Aortic Diseases/physiopathology ; Aortic Diseases/surgery ; Aortography/methods ; Arterial Pressure ; Atherosclerosis/complications ; Atherosclerosis/diagnosis ; Atherosclerosis/physiopathology ; Atherosclerosis/surgery ; Blood Vessel Prosthesis ; Blood Vessel Prosthesis Implantation/instrumentation ; Humans ; Hypertension/etiology ; Hypertension/physiopathology ; Male ; Middle Aged ; Plaque, Atherosclerotic ; Prosthesis Design ; Stents ; Tomography, X-Ray Computed ; Treatment Outcome
    Language English
    Publishing date 2015-10
    Publishing country England
    Document type Case Reports ; Journal Article ; Review
    ZDB-ID 2137151-9
    ISSN 1708-539X ; 1708-5381
    ISSN (online) 1708-539X
    ISSN 1708-5381
    DOI 10.1177/1708538114559325
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    Zs.A 4277: Show issues Location:
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    Zs.MO 590: Show issues

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  8. Article ; Online: Angiosome Specific Revascularisation: Does the Evidence Support It?

    Stimpson, A L / Dilaver, N / Bosanquet, D C / Ambler, G K / Twine, C P

    European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery

    2018  Volume 57, Issue 2, Page(s) 311–317

    Abstract: Objective: To explain the angiosome concept and explore the practical application of the angiosome literature to a clinical scenario, in this case a tibial angioplasty for critical ischaemia.: Methods: Clinical vignette with explanation of the ... ...

    Abstract Objective: To explain the angiosome concept and explore the practical application of the angiosome literature to a clinical scenario, in this case a tibial angioplasty for critical ischaemia.
    Methods: Clinical vignette with explanation of the decisions made and subsequent clinical results based on the theory of the angiosome concept and the literature on angiosomal revascularisation; in this case the results of our group's recent update to a systematic review and meta-analysis.
    Results: Endovascular combined or direct angiosomal revascularisation if superior to indirect revascularisation. This was borne out in the clinical scenario, where an indirect peroneal reperfusion of the AT angiosome resulted in major amputation. Open surgery is less dependent on the angiosome concept. The presence of adequate collateralisation into a foot arch seems to be the most important factor predicting success of indirect revascularisation. The evidence for both suffers from selection bias and many of the findings in the literature are wholly due to selection bias.
    Conclusion: The angiosome concept is useful during both open and endovascular tibial revascularisation. However, the runoff in the foot is critical to success and may not follow the 'classic' angiosome model in diabetes.
    MeSH term(s) Angioplasty/methods ; Clinical Decision-Making ; Endovascular Procedures/methods ; Evidence-Based Medicine ; Humans ; Middle Aged ; Practice Guidelines as Topic ; Tibia/blood supply ; Tibia/surgery ; Treatment Outcome
    Language English
    Publishing date 2018-08-29
    Publishing country England
    Document type Case Reports ; Journal Article ; Review
    ZDB-ID 1225869-6
    ISSN 1532-2165 ; 1078-5884
    ISSN (online) 1532-2165
    ISSN 1078-5884
    DOI 10.1016/j.ejvs.2018.07.027
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  9. Article ; Online: Lack of association between inguinal hernia and abdominal aortic aneurysm in a population-based male cohort (Br J Surg 2013; 100: 1478-1482).

    Bosanquet, D C / Twine, C P / Williams, I M

    The British journal of surgery

    2014  Volume 101, Issue 3, Page(s) 290–291

    MeSH term(s) Aortic Aneurysm, Abdominal/complications ; Hernia, Inguinal/complications ; Humans ; Male
    Language English
    Publishing date 2014-02
    Publishing country England
    Document type Comment ; Letter
    ZDB-ID 2985-3
    ISSN 1365-2168 ; 0263-1202 ; 0007-1323 ; 1355-7688
    ISSN (online) 1365-2168
    ISSN 0263-1202 ; 0007-1323 ; 1355-7688
    DOI 10.1002/bjs.9428
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  10. Article ; Online: Authors' reply: systematic review and meta-analysis of intraoperative peritoneal lavage for colorectal cancer staging (Br J Surg 2013; 100: 853-862).

    Bosanquet, D C / Harris, D A / Beynon, E J

    The British journal of surgery

    2013  Volume 100, Issue 10, Page(s) 1398

    MeSH term(s) Colorectal Neoplasms/surgery ; Female ; Humans ; Male ; Peritoneal Lavage/methods ; Peritoneal Neoplasms/secondary
    Language English
    Publishing date 2013-09
    Publishing country England
    Document type Comment ; Letter
    ZDB-ID 2985-3
    ISSN 1365-2168 ; 0263-1202 ; 0007-1323 ; 1355-7688
    ISSN (online) 1365-2168
    ISSN 0263-1202 ; 0007-1323 ; 1355-7688
    DOI 10.1002/bjs.9249
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