About my research
I am a specialist venous surgeon who performed the first endovenous surgery for varicose veins in the UK in March 1999, the first TRLOP in the world in 2000, the first microwave closure of varicose veins one in the UK in 2019 and the first non-invasive HIFU closure of varicose veins in the UK in 2019.
All Stories
- Active perforator vein reflux points the way to reducing recurrence after varicose vein surgery
Article
- EVALUATION OF THE INDEPENDENT TEMPORARY EFFECTS OF INTELECT® RPW2 (RADIAL PRESSURE WAVE) AND CEFAR TENS (NMES) TREATMENTS ON THE LOCAL CIRCULATION OF HEALTHY VOLUNTEERS
Article
- Micro-EVLA – Micro-Endovenous laser ablation of bulging temporal and periorbital facial veins – a report of a new technique.
Article
- Preliminary investigation into the use of “micro-EVLA” endovenous surgery for bulging aesthetic veins using a 1940nm diode laser and 272-micron bare fibre in a porcine liver model
Article
- Cleaning the tip with povidone-iodine solution significantly reduces power output from a radial emission endovenous laser catheter using 1470 nm
- EVALUATION OF THE INDEPENDENT TEMPORARY EFFECTS OF INTELECT® RPW2 (RADIAL PRESSURE WAVE) AND CEFAR TENS (NMES) TREATMENTS ON THE LOCAL CIRCULATION OF HEALTHY VOLUNTEERS
Article
- Patient Satisfaction Following Phlebectomy for Prominent Temporal and Periorbital Facial Veins—Results From Our First Cohort of Patients
Article
- Rings and Power
Article
- Cleaning the tip with povidone-iodine solution significantly reduces power output from a radial emission endovenous laser catheter using 1470nm.
Article
- Total energy output from an endovenous laser ablation (EVLA) console does not vary between continuous or pulsed use, despite observed variations
- Patient Satisfaction Following Phlebectomy for Prominent Temporal and Periorbital Facial Veins – Results from Our First Cohort of Patients.
- Pelvic venous disorders (PeVD) are not well represented in obstetrics and gynaecology journals
- Total energy output from a diode endovenous laser ablation (EVLA) console does not vary depending on continuous or pulsed use – observed variations in power output may be due to sensor and power meter inertia.
- Varipads significantly improve cellulite compared to compression garments alone.
Article
- Pelvic Congestion Syndrome (PCS) and Pelvic Venous Disorders (PeVD) are not well represented in Obstetrics and Gynaecology Journals.
Article
- Guidelines for management of actual or suspected inadvertent intra-arterial injection of sclerosants
- The access and invasiveness-based classification of medical procedures to clarify non-invasive from different forms of minimally invasive and open surgery
Article
- A Retrospective Cohort Study of Patient Risk Factors and Pelvic Venous Reflux Patterns on Treatment Outcomes With Pelvic Vein Embolisation
Article
- ANATOMICAL CLASSIFICATION OF INCOMPETENT CALF PERFORATOR VEINS; ULTRASOUND ANALYSIS OF OVER 14,000 INDIVIDUAL VESSELS.
- Consensus Conference on Standardizing Terminology for Venous Leg Ulcers: Increasing Clarity and Communication in Clinical Practice
- Bending and coiling a coated radial endovenous laser fibre does not affect power delivery from the tip – a short report of a pilot study.
- Calf and forearm compression garments incorporating “AF pads” significantly increases reaction times for esports
- Defining the Parameters for Endovenous Microwave Ablation to Achieve Equivalence With Endovenous Laser Ablation, Using the Porcine Liver Model
- Pelvic Congestion Syndrome (PCS)
- THRomboprophylaxis in Individuals undergoing superficial endoVEnous treatment: a multi-centre, assessor blind, randomised controlled trial – THRIVE trial
- Removal of bulging vein on the forearm using endovenous laser: surgical technique
Article
- 899 serious adverse events including 13 deaths, 7 strokes, 211 thromboembolic events, and 482 immune reactions: The untold story of cyanoacrylate adhesive closure
- Participant Reported Improvement in Cellulite by Vari-Pad Apparel and Objective Measurements – A “First Use” Pilot Study
- Letting patients know how invasive their procedure is going to be - the AI Classification
Article
- Clarivein® might have a role in the treatment of truncal pelvic vein reflux, but not in the treatment of pelvic varicosities - results from an ovine model.
Article
- Cellulite – Satisfaction Improved by Vari-Pad™ Compression
Article
- Syncope (fainting on standing from squatting) due to massive venous reflux into lower limb varicose veins.
- Histopathological and immunohistochemical investigation of primary avalvular varicose anomalies (PAVA) in a patient with primary varicose veins and PAVA
- Vein wall thickness (VWT) and catheter size are more important than vein diameter in optimising endovenous thermal ablation (EVTA) – results of a mathematical model of how VWT changes when veins constrict under tumescence.
- Endovenous surgery for varicose veins - results from many previous laboratory studies now in doubt
Article
- Sclerotherapy of lower limb veins: Indications, contraindications and treatment strategies to prevent complications – A consensus document of the International Union of Phlebology-2023
- Linear endovenous energy density (LEED) should always be quoted with the power used in endovenous thermal ablation – results from an in-vitro porcine liver model study
- Syncope (fainting on standing from squatting) due to massive venous reflux into lower limb varicose veins – Case report
- Linear Endovenous Energy Density (LEED) Should Always be Quoted with the Power Used, in Endovenous Thermal Ablation - Results from an In-Vitro Porcine Liver Model Study.
- Pelvic Congestion Syndrome affects nulliparous and post-menopausal women, and the treatment of internal iliac vein reflux is critical: A retrospective cohort study looking at treatment outcomes following Pelvic Vein Embolisation.
- Comparison of detergent and osmotic sclerotherapy agent action on ex-vivo human vein – a histological and immunocytochemical analysis
- One-year results of treatment of incompetent truncal veins and incompetent perforators using 8 and 4 second pulses of High Intensity Focused Ultrasound (HIFU)
- Defining the parameters for endovenous microwave ablation to achieve equivalence with endovenous laser ablation, using the porcine liver model.
- Defining the parameters for endovenous microwave ablation to achieve equivalence with endovenous laser ablation, using the porcine liver model.
- Defining the parameters for endovenous microwave ablation to achieve equivalence with endovenous laser ablation, using the porcine liver model.
- Aneurysm of the Giacomini vein
- The best ways to treat varicose veins
Article
- Endovenous Laser Ablation (EVLA) for Treatment of Varicose Veins: A Comparison of EVLA with 1470 nm and 1940 nm Lasers
- Non-thrombotic superficial venous phlebitis secondary to Covid-19 vaccine or subsequent Covid-19 infection
- New ways to treat bulging veins on the face and forehead
Article
- Doctors should diagnose Pelvic Congestion (PCS) without excluding every other condition first
Article
- 1940nm laser has no advantage for leg varicose veins but advantages for cosmetic veins on the face
Article
- Quantification of groin neovascular tissue with three-dimensional ultrasound before and after endovenous laser ablation using the hedgehog technique
- A new technique to remove bulging arteries from the temple forehead
Article
- A new way to pass a laser into varicose veins in difficult cases where varicose veins need treatment
Article
- Clinical dilemma of management: Cardiac arrest after microsclerotherapy for lower limb telangiectasia with liquid 0.3% aethoxysklerol or idiopathic cardiac arrest?
- Testicular vein thrombosis mimicking epididymo-orchitis after suspected Covid-19 infection
- Pattern of thermal damage and tissue carbonisation from endovenous radiofrequency ablation catheter – Using an in vitro porcine liver model
- Comparison of laser power output from the fiber tip during EVLA against displayed power and the “first treatment” effect.
- New treatment for vertical forehead veins
Article
- Do we need another modality for truncal vein ablation?
- Three-year follow-up results of the prospective European Multicenter Cohort Study on Cyanoacrylate Embolization for treatment of refluxing great saphenous veins
- Is It Time to Dip More than a Toe in the Water?
- A new way to treat varicose veins completely non-invasively.
Article
- Diagnosis and treatment of pelvic congestion syndrome: UIP consensus document
- If it Looks Like a Duck, Swims Like a Duck, and Quacks Like a Duck, Then it Probably is a Duck. What “The Duck Test” Tells us About Systematic Reviews and Meta-Analyses of LEED and Other EVLA Parameters
- Is Size Important? The French Experience
- Histopathologic differences in the endovenous laser ablation between jacketed and radial fibers, in an ex vivo dominant extrafascial tributary of the great saphenous vein in an in vitro model, using histology and immunohistochemistry
- Having a voice and raising the profile of lower limb healthcare!
- Addressing social isolation in lower-limb management
- Pelvic veins can cause leg varicose veins in males and should be treated when they do
- Re. “Comments to: Histological and Immunofluorescent Analysis of the Large Tributary of the Great Saphenous Vein Treated With a 1920 nm Endovenous Laser: Preliminary Findings”
- Histological and Immunofluorescent Analysis of a Large Tributary of the Great Saphenous Vein Treated with a 1920 nm Endovenous Laser: Preliminary Findings
- Response to Pelvic venous reflux in male: Varicocele?
- Symptomatic recurrent varicose veins due to primary avalvular varicose anomalies (PAVA): A previously unreported cause of recurrence
- The current overview of pelvic congestion syndrome and pelvic vein reflux
- Recurrent Varicose Veins
Article
- Letter Re: Evaluation of sodium tetradecyl sulfate and polidocanol as sclerosants for leg telangiectasia based on histological evaluation with clinical correlation
- Varicose vein appearance caused by perforating vein incompetence detected after intense cycling
- Spontaneous cerebrospinal fluid leak from the optic canal
- Diagnosis of stenosis within the popliteal–femoral venous segment upon clinical presentation with a venous ulcer and subsequent successful treatment with venoplasty
- Anatomical abnormalities of the pelvic venous system and their implications for endovascular management of pelvic venous reflux
- Pelvic congestion syndrome can be treated safely under local anaesthetic
- New varicose veins treatments successful even after 15 years
- No varicose vein is too large to be treated by endovenous laser ablation - the Smile Sign
- Leg varicose veins can come from pelvic varicose veins in 3% of men
Article
- Suprapubic varicose vein formation during pregnancy following pre-pregnancy pelvic vein embolisation with coils, without any residual pelvic venous reflux or obstruction
- New varicose vein surgery now proved effective and popular over 15 years
- Objective measurements of pelvic venous reflux and stratification of severity of venous reflux in pelvic congestion syndrome due to pelvic venous reflux
- Exacerbation of alopecia areata: A possible complication of sodium tetradecyl sulphate foam sclerotherapy treatment for varicose veins
- Implication of foam sclerosant inactivation by human whole blood in a laboratory setting
- Mechanochemical ablation causes endothelial and medial damage to the vein wall resulting in deeper penetration of sclerosant compared with sclerotherapy alone in extrafascial great saphenous vein using an ex vivo model
- Response to letter: Long-term follow-up results of patients undergoing transjugular coil embolisation
- One-year results of the use of endovenous radiofrequency ablation utilising an optimised radiofrequency-induced thermotherapy protocol for the treatment of truncal superficial venous reflux
- Radiofrequency-induced thermotherapy (RFiTT) in a porcine liver model and ex vivo great saphenous vein
- Male Patterns of Pelvic Venous Reflux can be Investigated with Duplex Ultrasound and Treated with Coil Embolization
- Letter regarding the role of radical surgery in the management of CEAP C5/6 and lipodermatosclerosis
- Pelvic vein embolization - effect of pregnancy after embolization
- Long-term results of transjugular coil embolisation for pelvic vein reflux – Results of the abolition of venous reflux at 6–8 years
- Letter regarding embolization is not essential in the treatment of leg varices due to pelvic venous insufficiency
- Optimal LEED for ablating varicose veins
- Media Damage Following Detergent Sclerotherapy Appears to be Secondary to the Induction of Inflammation and Apoptosis: An Immunohistochemical Study Elucidating Previous Histological Observations
- Media Damage Following Detergent Sclerotherapy Appears to be Secondary to the Induction of Inflammation and Apoptosis: An Immunohistochemical Study Elucidating Previous Histological Observations
- Pelvic congestion syndrome masquerading as osteoarthritis of the hip
- The impact of hand reflexology on pain, anxiety and satisfaction during minimally invasive surgery under local anaesthetic: A randomised controlled trial
- Glue, steam and Clarivein - Best practice techniques and evidence
- Treatment of xanthelasma palpebrarum using radiofrequency advanced electrolysis
- The effects of environmental and compositional manipulations on the longevity of Tessari-made foam for sclerotherapy
- The comparative impact of conservative treatment versus superficial venous surgery, for the treatment of venous leg ulcers: A systematic review of the impact on patients’ quality of life
- Randomized controlled trial to compare the effect of simple distraction interventions on pain and anxiety experienced during conscious surgery
- A thematic analysis of experiences of varicose veins and minimally invasive surgery under local anaesthesia
- Histologic findings after mechanochemical ablation in a caprine model with use of ClariVein
- The European multicenter cohort study on cyanoacrylate embolization of refluxing great saphenous veins
- Ovarian Vein Diameter Cannot Be Used as an Indicator of Ovarian Venous Reflux
- THE ROLE OF INTIMAL INFLAMMATION AND OXIDATIVE STRESS IN HUMAN VEIN STRUCTURE DAMAGE
- Transvaginal duplex ultrasonography appears to be the gold standard investigation for the haemodynamic evaluation of pelvic venous reflux in the ovarian and internal iliac veins in women
- Modified Tessari Tourbillon technique for making foam sclerotherapy with silicone-free syringes
- Pelvic venous reflux is a major contributory cause of recurrent varicose veins in more than a quarter of women
- Primary avalvular varicose anomalies are a naturally occurring phenomenon that might be misdiagnosed as neovascular tissue in recurrent varicose veins
- An in vitro study to optimise treatment of varicose veins with radiofrequency-induced thermo therapy
- Successful varicose vein surgery needs to include the treatment of perforating veins
Article
- Why patients with varicose veins need to have their perforators treated
- Evaluating the success of Nd: YAG laser ablation in the treatment of recalcitrant verruca plantaris and a cautionary note about local anaesthesia on the plantar aspect of the foot
- Strip-tract revascularization as a source of recurrent venous reflux following high saphenous tie and stripping: results at 5-8 years after surgery
- Haemorrhoids are associated with internal iliac vein reflux in up to one-third of women presenting with varicose veins associated with pelvic vein reflux
- Endovenous surgery for recurrent varicose veins with a one-year follow up in a patient with Ehlers Danlos syndrome type IV
- The Effects of Altitude, Temperature, Gas to Sclerosant Ratio, Air Versus 50:50 Mixture of CO2 and O2, Foam Volume, Presence of Silicone, and Consecutive Uses of Syringes on the Longevity of Tessari-Made Foam for Sclerotherapy
- Twelve-Month Follow-up of the European Multicenter Study on Cyanoacrylate Embolization of Incompetent Great Saphenous Veins
- Arterial false aneurysm in the groin following endovenous laser ablation
- Endovenous radiofrequency ablation and combined foam sclerotherapy treatment of multiple refluxing perforator veins in a Klippel-Trenaunay syndrome patient
- Healing rates following venous surgery for chronic venous leg ulcers in an independent specialist vein unit
- Pelvic Venous Reflux is a Major Contributory Cause of Recurrent Varicose Veins in more than a Quarter of Women
- The European Multicenter Study on Cyanoacrylate Embolization of Refluxing Great Saphenous Veins without Tumescent Anesthesia and without Compression Therapy
- Letter regarding: 'The role of perforators in chronic venous insufficiency' by TF O'Donnell. Phlebology 2010;25:3-10
- Deep Vein Thrombosis (DVT) after Venous Thermoablation Techniques: Rates of Endovenous Heat-induced Thrombosis (EHIT) and Classical DVT after Radiofrequency and Endovenous Laser Ablation in a Single Centre
- One-year outcomes of radiofrequency ablation of incompetent perforator veins using the radiofrequency stylet device
- Pelvic vein reflux in female patients with varicose veins: comparison of incidence between a specialist private vein clinic and the vascular department of a National Health Service district general hospital
- Five-year results of incompetent perforator vein closure using TRans-Luminal Occlusion of Perforator
- It is Possible to Cause Damage to a Laser Fibre during Delivery of Tumescent Anaesthesia for Endovenous Laser Ablation (EVLA)
- Pelvic Vein Embolisation in the Management of Varicose Veins
- Randomized Clinical Trial of the Effect of Adding Subfascial Endoscopic Perforator Surgery to Standard Great Saphenous Vein Stripping
- Coil Protruding into the Common Femoral Vein Following Pelvic Venous Embolization
- Prevalence and management of ovarian venous insufficiency in the presence of leg venous insufficiency
- Strip-track revascularization after stripping of the great saphenous vein
- Randomized clinical trial of the effect of adding subfascial endoscopic perforator surgery to standard great saphenous vein stripping
- Minimally invasive technique for ligation and stripping of the small saphenous vein guided by intra-operative duplex ultrasound
- Radiofrequency ablation (VNUS closure®) does not cause neo-vascularisation at the groin at one year: Results of a case controlled study
- Bowel preparation
- Endoluminal radiofrequency ablation of the long saphenous vein (VNUS closure) -- a minimally invasive management of varicose veins
- Endoluminal radiofrequency ablation of the long saphenous vein (VNUS closure) -- a minimally invasive management of varicose veins
- The saphenofemoral valve: Gate keeper turned into rear guard
- Incompetent Perforating Veins are Associated with Recurrent Varicose Veins
- Inferior Vena Cava Reconstruction Using Internal Jugular Vein
- Inferior Vena Cava Reconstruction Using Internal Jugular Vein
- Maintenance of patency following remote superficial femoral artery endarterectomy
- Remote Superficial Femoral Artery Endarterectomy: Medium-term Results
- Retraction
- The Effect of Autoclave Resterilisation on Polyester Vascular Grafts
- Physiological comparison of open and endovascular aneurysm repair
- Endovascular aortic aneurysm repair reduces mortality: a physiological analysis
- Prevention of Recurrence of Varicose Veins
- Acute upper limb ischemia: a complication of coronary artery bypass grafting
- Assessing arterial inflow before infra-inguinal bypass grafting: a survey of the members of the Vascular Surgical Society of Great Britain and Ireland
- Re: Aortic thrombosis following laparoscopic cholecystectomy
- Assessing Arterial Inflow before Infra-Inguinal Bypass Grafting: A Survey of the Members of the Vascular Surgical Society of Great Britain and Ireland
- POSSUM and Portsmouth POSSUM for predicting mortality
- Minimally invasive superficial femoral artery endarterectomy: Early experience with a modified technique
- Book Review
- The fate of patients undergoing surveillance of small abdominal aortic aneurysms
- Scoring systems
- Full-dose and half-dose klean prep produce clearer images with iliac duplex examination than picolax
- Tibial nerve damage during subfascial endoscopic perforator vein surgery
- Tibial nerve damage during subfascial endoscopic perforator vein surgery
- Regarding "Presidential address: Vascular surgery—Comparing outcomes"
- Abnormal suntanning following transthoracic endoscopic sympathectomy
- Tumor Necrosis Factor Receptor:Fc Fusion Protein in Septic Shock
- An evaluation of the POSSUM surgical scoring system
- Comparison of magnetic resonance imaging measurements of abdominal aortic aneurysms with measurements obtained by other imaging techniques and intraoperative measurements: Possible implications for endovascular grafting
- An evaluation of the POSSUM surgical scoring system
- General surgery with a special interest in vascular surgery: Changing patterns of workload
- Changing patterns in aortoiliac reconstruction: A 7-year audit
- An evaluation of the POSSUM surgical scoring system
- Diagnosis of arterial disease of the lower extremities with duplex ultrasonography
- Diagnosis of arterial disease of the lower extremities with duplex ultrasonography
- Aortoiliac segment examination with colour flow duplex — a pilot study using klean prep. to improve the image quality
- The Glastonbury Festival 1993: pattern of attendances and admissions to an NHS Trust.
- Comparative audit of colorectal resection with the POSSUM scoring system
- A Comparison of the Cost Effectiveness in Venous Ulcer Management Between Current Methods in the Community and Treatment with a Multilayer Compression Bandage System
- Bowel preparation
- Raised serum CA125 level in leiomyoma and leiomyosarcoma of gastrointestinal origin
- Ruptured renal artery aneurysm in the first trimester of pregnancy
- An Unusual Complication of Laparoscopic Cholecystectomy
- Raised serum CA 125 level in leiomyoma and leiomyosarcoma of gastrointestinal origin
- Colour Duplex imaging through wound dressings
- Herniation at the site of cannula insertion after laparoscopic cholecystectomy
- Randomized study of the value of laparoscopy before appendicectomy
- Medical treatment at Glastonbury Festival.
- Annual influx of temporary residents. To the Glastonbury Festival...
- Herniation at the site of cannula insertion after laparoscopic cholecystectomy
- Hypoglycaemia in a diabetic patient, associated with ciprofloxacin therapy
- Involvement of the axillary artery within fracture callus
- Participant evaluation of parent‐tutored and peer‐tutored projects in reading
- Bystander resuscitation: is the public enthusiastic?
- A randomised controlled trial investigating the role of subfascial endoscopic perforator vein surgery (SEPS) in the prevention of recurrence in recurrent long saphenous varicose veins
- A randomised controlled trial investigating the role of subfascial endoscopic perforator vein surgery (SEPS) in the prevention of recurrence in primary long saphenous varicose veins