Cheltenham Vascular Unit

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Publications
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2015
Howard JK, Slim FJA, Wakely MC, Emerson LG, Davies CE, Kulkarni SR, Bulbu;ia RA, Whyman MR, Poskitt KR
Recanalisation and ulcer recurrence rates following ultrasound-guided foam sclerotherapy
.
Phlebology 2015 July 29 (Epub ahead of print)

Incidental Non-Inguinals Hernias in Totally Extra-Peritoneal Hernia Repair

Old OJ, Hardy TJ, Slim FJA, Emerson LG, Bulbulia RA, Whyman MR, Poskitt KR
The Annals of The Royal College of Surgeons of England Volume :97 Issue:  2,  March 2015 pp120-124


2012
Kulkarni SR, Messenger DE, Slim FJA, Emerson LG, Bulbulia RA, Whyman MR, Poskitt KR. The incidence and characterisation of deep vein thrombosis following ultrasound guided foam sclerotherapy in 1000 legs with superficial venous reflux. Journal of Vascular Surgery: Venous and Lymphatic disorders. In press October 2012.


R Darwood, JJ Earnshaw, G Turton, E Shaw, M Whyman, K Poskitt, C Rodd, B Heather. Gloucester and Cheltenham.
Twenty-year review of abdominal aortic aneurysm screening in men in the county of Gloucestershire, United Kingdom. Journal of Vascular Surgery. 56; 1: 8-13

Kulkarni SR, Slim FJA, Emerson LG, Davies C, Bulbulia RA, Whyman MR, Poskitt KR.
The effect of foam sclerotherapy on healing and long-term recurrence in chronic venous leg ulcers. Phlebology. 2012 Mar 15. [Epub ahead of print]
:
2010

R A Bulbulia and K R Poskitt. The need for a National Service Framework for leg ulcers.
Phlebology. 25; 1: 68-72
                                             
Kulkarni SR, Fletcher E, McConnell A, Poskitt KR, Whyman MR. Pre-operative inspiratory muscle training preserves postoperative inspiratory muscle strength following major abdominal surgery - a randomised pilot study.  
Ann R Coll Surg Engl. 2010 92; 700-705.

2009

Kulkarni SR, Gohel MS, Bulbulia RA, Whyman MR, Poskitt KR. Significance of early carotid endarterectomy in symptomatic patients. Ann R Coll Surg Engl. 2009;91(3):210-3

2008

Gohel MS, Windhaber RA, Tarlton JF, Whyman MR, Poskitt KR. The relationship between cytokine concentrations and wound healing in chronic venous ulceration. J Vasc Surg. 2008;48(5):1272-7. Epub 2008.

Kulkarni SR, Gohel M, Whyman MR, Poskitt KR. The significance of limb trauma as an initiating factor in chronic leg ulceration.Phlebology 2008; 23(3):130-136. (PMID – 18467622)

Kulkarni SR, Bulbulia RA, Slim F, Emerson L, Wakely C, Minor J, Poskitt KR. Foam sclerotherapy improves venous function in limbs with chronic venous ulceration. Br J Surgery 2008; 95(S1): 9

2007
MS Gohel, JR Barwell, M Taylor, T Chant, BP Heather, JJ Earnshaw, DC Mitchell, MR Whyman, KR Poskitt. Superficial venous surgery reduces venous ulcer recurrence: long-term results from the ESCHAR trial Br Med J 2007; 335: 83-87

SR Kulkarni, MS Gohel, C Wakely, M Taylor, MR Whyman, KR Poskitt. Ulcerated leg severity assessment (ULSA) score: a new tool to predict healing in venous leg ulceration. Br J Surg 2007; 94: 189-193

MS Gohel, JR Barwell, M Taylor, C Wakely, J Minor, K Harvey, JJ Earnshaw, BP Heather, MR Whyman, KR Poskitt.
The predictive value of haemodynamic assessment in chronic venous leg ulceration.  Eur J Vasc Endovasc Surg 2007; 33: 742-746

ML Humphreys, AHR Stewart, MS Gohel, M Taylor, MR Whyman, KR Poskitt. Management of mixed arterial and venous leg ulcers. Br J Surg 2007; 94: 1104-1107

DR Titcomb, FJA Slim, L Emerson, MS Gohel, AHR Stewart, MR Whyman, KR Poskitt. The influence of manpower on operative efficiency in varicose vein surgery. J One-Day Surg 2007; 17: 49-52

Kulkarni SR, Barwell J, Gohel M, Bulbulia RA, Whyman MR, Poskitt KR. Residual venous reflux after superficial venous surgery does not predict ulcer recurrence. Eur J Vasc Endovasc Surg. 2007; 34(1):107-111.

Kulkarni SR, Gohel M, Wakely C, Minor J, Poskitt KR, Whyman MR. The Ulcerated Leg Severity Assessment score for prediction of venous leg ulcer healing.  Br J Surg. 2007Feb; 94(2):189-93.

MS, Barwell JR, Taylor M, Chant T, Earnshaw JJ, Heather BP, Mitchell DC, Whyman MR, Poskitt KR. Randomised controlled trial of compression therapy alone versus compression plus superficial venous surgery in chronic venous ulceration (ESCHAR study): long-term results. BMJ. 2007 Jul 14; 335(7610):83.

Kulkarni SR, Roidl M, Gohel MS, Whyman MR, Poskitt KR. The significance of limb trauma as an initiating factor in chronic leg ulceration. Br J Surgery 2007; 94(S2): 182 (abstract).

2006
Aning J. Surgical Care Practitioners are having a detrimental effect on surgical training. Off the fence:  BMJ Careers, September 9th 2006. (Debate Article)

Kulkarni SR, Gohel M, Wakely C, Minor J, Poskitt KR, Whyman MR. Ulcerated Leg Severity Assessment (ULSA) score- a new tool to predict healing in venous leg ulceration. Phlebology 2006; 21(3): 144 (abstract

2005

MS Gohel, JR Barwell, C Wakely, J Minor, K Harvey, JJ Earnshaw, BP Heather, MR Whyman, KR Poskitt. Haemodynamic and anatomic changes following compression and superficial venous surgery in chronic venous ulceration. Br J Surg 2005; 92: 291-297

MS Gohel, RA Bulbulia, FJA Slim, KR Poskitt, MR Whyman.  How to approach major surgery in patients who refuse blood transfusion (including Jehovah’s Witnesses). Ann R Coll Surg Eng 2005; 87: 3-14

MS Gohel, JR Barwell, C Wakely, J Minor, K Harvey, BP Heather, JJ Earnshaw, MR Whyman, KR Poskitt. The influence of superficial venous surgery on incompetent calf perforators in chronic venous ulceration. Eur J Vasc Endovasc Surg 2005; 29: 79-82

MS Gohel, M Taylor, JJ Earnshaw, BP Heather, KR Poskitt, MR Whyman.  Risk factors for delayed healing and recurrence of chronic venous leg ulceration - an analysis of 1324 legs. Eur J Vasc Endovasc Surg 2005: 29: 74-77

Davies, C.E., Turton, G., Woolfrey, G., Elley, R., Taylor, M. Exploring debridement options for chronic venous leg ulcers. British Journal of Nursing; 14: 7, 393-397

2004

MS Gohel, JR Barwell, KR Poskitt, MR Whyman. The role of superficial venous surgery in patients with combined superfical and segmental deep venous reflux. Eur J Vasc Endovasc Surg 2004; 27: 106-7

R Bulbulia, A Hollowood, M Gohel, D Titcomb.  Extra hands a plus in theatre. Hospital Doctor 2004 29th Apr 2004

Taylor JC, Shaw E, Whyman MR, Poskitt KR, Heather BP, Earnshaw JJ. Late survival after elective repair of aortic aneurysms detected by screening. Eur J Vasc Endovasc Surg. 2004 Sep;28(3):270-3.

Barwell JR, Davies CE, Deacon J, Harvey K, Minor J, Sassano A, Taylor M, Usher J, Wakely C, Earnshaw JJ, Heather BP, Mitchell DC, Whyman MR, Poskitt KR. Comparison of surgery and compression with compression alone in chronic venous ulceration (ESCHAR study): randomised controlled trial. Lancet. 2004 Jun 5;363(9424):1854-9.

Earnshaw JJ, Shaw E, Whyman MR, Poskitt KR, Heather BP. Screening for abdominal aortic aneurysms in men.
BMJ. 2004 May 8;328(7448):1122-4. No abstract available.

2003
McCarthy RJ, Shaw E, Whyman MR, Earnshaw JJ, Poskitt KR, Heather BP. Recommendations for screening intervals for small aortic aneurysms.Br J Surg. 2003 Jul;90(7):821-6.

MS Gohel, M Taylor, MR Whyman, KR Poskitt.  The well leg clinic. Phlebology 2003; 18: 49

2002
McIntosh J, Crook TJ, Poskitt KR, Whyman MR. Audit of attendance rates for an infra-inguinal graft surveillance programme-how complete is your graft surveillance? Ann R Coll Surg Engl. 2002 May;84(3):185-6.

2001
Crow P, Shaw E, Earnshaw JJ, Poskitt KR, Whyman MR, Heather BP.A single normal ultrasonographic scan at age 65 years rules out significant aneurysm disease for life in men. Br J Surg. 2001 Jul;88(7):941-4.

Barwell, J.R., Taylor, M., Deacon, J., Davies, C., Whyman, M.R., Poskitt, K.R.  Ankle motility is a risk factor for healing of chronic venous leg ulcers. Phlebology; 16: 1, 38-40

Davies, C. The use of Doppler ultrasound in leg ulcer assessment. Nursing Standard; 15:44, 72-74

2000
Irvine CD, Shaw E, Poskitt KR, Whyman MR, Earnshaw JJ, Heather BP.A comparison of the mortality rate after elective repair of aortic aneurysms detected either by screening or incidentally. Eur J Vasc Endovasc Surg. 2000 Oct;20(4):374-8.

Barwell JR, Taylor M, Deacon J, Ghauri AS, Wakely C, Phillips LK, Whyman MR, Poskitt KR. Surgical correction of isolated superficial venous reflux reduces long-term recurrence rate in chronic venous leg ulcers. Eur J Vasc Endovasc Surg. 2000;20(4):363-8.

Ghauri ASK, Taylor MC,  Deacon JE, Whyman MR, Earnshaw JJ, Heather BP,  Poskitt KR. Influence of a specialized leg ulcer service on management and outcome. Br J Surg 2000; 87: 1048-56

Heather B, Poskitt K, Earnshaw J,Whyman M, Shaw E. Population screening reduces the mortality from aortic aneurysms in men. Br J Surg 2000; 87: 750-3

1999

Davies, C. Cleansing rites and wrongs. Nursing Times; 95: 43, 71-75

1998
Ghauri AS, Nyamekye I, Grabs AJ, Farndon JR, Poskitt KR. The diagnosis and management of mixed arterial/venous leg ulcers in community-based clinics. Eur J Vasc Endovasc Surg. 1998 Oct;16(4):350-5.

Ghauri AS, Nyamekye I, Grabs AJ, Farndon JR, Whyman MR, Poskitt KR. Influence of a specialised leg ulcer service and venous surgery on the outcome of venous leg ulcers. Eur J Vasc Endovasc Surg. 1998 Sep;16(3):238-44.

Sayeed RA, Nyamekye I, Ghauri AS, Poskitt KR. Quality of life after transthoracic endoscopic sympathectomy for upper limb hyperhidrosis. Eur J Surg Suppl. 1998;(580):39-42.

1997

Lucarotti ME, Heather BP, Shaw E, Poskitt KR. Psychological morbidity associated with abdominal aortic aneurysm screening.
Eur J Vasc Endovasc Surg. 1997 Dec;14(6):

Ghauri AS, Poskitt KR. Single-visit venous ulcer assessment clinic: the first year. Br J Surg. 1997 Sep;84(9):1323

Sayeed RA, Ghauri AS, Nyamekye I, Poskitt KR. Assessment of outcome after thoracoscopic sympathectomy for hyperhidrosis in a specialized unit. J R Coll Surg Edinb. 1997 Aug;42(4):287-8

Davies B, Braithwaite BD, Birch PA, Poskitt KR, Heather BP, Earnshaw JJ. Acute leg ischaemia in Gloucestershire.Br J Surg. 1997 Apr;84(4):504-8.

1996
Ghauri S. Nyamekye I.  Poskitt K. Community leg ulcer clinics. Early vascular assessment should be carried out
Br Med J 1996; 313(7062): 943.

Grabs AJ. Wakely MC. Nyamekye I. Ghauri AS.  Poskitt KR. Colour duplex ultrasonography in the rational management of chronic venous leg ulcers. Br J Surg.  1996; 83(10):1380-2.

Whyman MR. Fowkes FG. Kerracher EM. Gillespie IN. Lee AJ. Housley E. Ruckley CV. Randomised controlled trial of percutaneous transluminal angioplasty for intermittent claudication. Eur J Vasc Endovasc Surg.  1996; 12(2):167-72.

Ghauri AS. Grabs AJ. Nyamekye I. Poskitt KR. Comparison of venous reflux in the affected and non-affected leg in patients with unilateral venous ulceration .Br J Surg. 1996; 83(9):1305.

Whyman MR. Wilkins DC. A simple method of achieving rapid haemostasis in PTFE grafts after on-table angiography.
Ann R Coll Surg Engl 1996; 78(4):388-9.

Galloway SW, Blazeby JM, Tulloh BR, Poskitt KR. Selective cholangiography with laparoscopic cholecystectomy: review of a protocol. Eur J Surg. 1996 May;162(5):373-8.


Published abstracts

2009
R. J. Winterborn, F. Taiwo, F. J. A. Slim, M. R. Whyman, K. R. Poskitt.  The incidence of deep vein thrombosis following ultrasound-guided foam sclerotherapy. Br J Surgery 2009; 96(S1): 10. (abstract) 

Bulbulia RA, Kulkarni SR, Winterborn RJ, Slim FJA, Emerson LG, Visser L, Whyman MR, Poskitt KR.  Laparoscopic aortic surgery - early experience from a single vascular centre. Br J Surgery 2009; 96(S4): 25. (abstract)

2007
Kulkarni SR, Roidl M, Gohel MS, Whyman MR, Poskitt KR. The importance of early carotid endarterectomy.
Br J Surg 2007

2006

M Roidl, MS Gohel, DC Mitchell, JJ Earnshaw, BP Heather, MR Whyman, KR Poskitt. Venous ulcer recurrence after superficial venous surgery may not be due to residual venous reflux. Br J Surg 2006

Kulkarni SR, Roidl M, Gohel MS, Whyman MR, Poskitt KR. The significance of limb trauma as an initiating factor in chronic leg ulceration. Br J Surgery 2007; 94(S2): 182 (abstract).

Kulkarni SR, Gohel M, Wakely C, Minor J, Poskitt KR, Whyman MR.  Ulcerated Leg Severity Assessment (ULSA) score- a new tool to predict healing in venous leg ulceration. Phlebology 2006; 21(3): 144 (abstract)

2005

RAJ Windhaber, JF Tarlton, MS Gohel, KR Poskitt, JJ Earnshaw, DC Mitchell. Biomechanical fatigue in aneursymal abdominal aorta: a physical model of rupture. Br J Surg 2005

MS Gohel, R Windhaber, M Taylor, JF Tarlton, MR Whyman, KR Poskitt. Venous ulcer healing is associated with an increase in TGFß1 in wound exudates. Br J Surg 2005

MS Gohel, JR Barwell, M Taylor, T Chant, JJ Earnshaw, BP Heather, DC Mitchell, MR Whyman, KR Poskitt.  Superficial venous surgery reduces venous ulcer recurrence: 3 year findings from the ESCHAR study. Br J Surg 2005; 92: 509-510

2004

AHR Stewart, L Humphreys, MS Gohel, M Taylor, MR Whyman, KR Poskitt.  Prospective assessment of an ulcer management protocol for mixed arterial / venous leg ulcers. Br J Surg 2004

MS Gohel, JR Barwell, C Wakely, J Minor, K Harvey, A Sassano, M Taylor, D Mitchell, J Earnshaw, B Heather, M
Whyman, K Poskitt. Haemodynamic assessment is predictive of healing and recurrence in chronic venous leg ulceration. Phlebology 2004

MS Gohel, JR Barwell, JJ Earnshaw, BP Heather, DC Mitchell, MR Whyman, KR Poskitt.  Duplex changes after compression and superficial venous surgery in chronic venous ulceration. Phlebology 2004

B Whitman, M Gohel, J Barwell, C Davies, M Taylor, J Earnshaw, B Heather, M Whyman, K Poskitt. Cost benefits and quality of life changes after superficial venous surgery in venous ulceration: 1 year results from the ESCHAR trial.
Phlebology 2004

2003
MS Gohel, AP Willis, JR Barwell, JJ Earnshaw, BP Heather, MR Whyman, KR Poskitt. Chronic Venous Ulceration: Incompetent calf perforators abolished by superficial venous surgery. Br J Surg 2003; 90(Sup 1): 64


Book Chapters

2012
Davies, C., Poskitt, K. (2012) The importance of vascular investigation and intervention in leg ulcer management. In: Mani, R., Romanelli, M., Shukla, V. (Eds)  Measurements in Wound Healing: Science and Practice. Springer-Verlag: London, ISBN-10: 1447129865

2007
MS Gohel, JR Barwell, MR Whyman, KR Poskitt. Results comparing compression alone vs compression plus surgery in treating venous ulceration In: Venous ulcers 2007. Ed:  Bergan, Shortell (Academic Press)

2006
Manj Gohel, Mark Whyman, Keith Poskitt. Venous leg ulcer services: organization, diagnosis and role of surgery
In: Venous diseases 2006. Ed: Davies, Lane (TFM Publishing)

RA Bulbulia, MS Gohel, FJA Slim, MR Whyman, KR Poskitt. Surgical practitioners - current roles and future prospects
In: Recent advances in surgery 27. Ed: Johnson (RSM press, London)

Gohel MS, Barwell JR, Whyman MR, Poskitt KR. Results Comparing Compression Alone vs. Compression and Surgery in Treating Venous Ulceration.  Venous Ulcers, 2006 (Ed. J J Bergan)

2005
Taylor M, Slim F. The role of Nurse-led clinics. Venous disease simplified. 2006 June; 191-202 (Ed. A Davies)

MS Gohel, KR Poskitt, I Nyamekye. How I / We manage venous ulcers In: Imperatives in Vascular Surgery, 2005

2003
MS Gohel, KR Poskitt. Risk assessment prior to surgery In: Basic surgical skills for non-medically qualified practitioners 2003