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Last updated: 22 Apr 2020
- Vascular surgery
My background as a general surgeon (including laparoscopic work) and then as a vascular surgeon has enabled me to build up a complex vascular practice. Whilst the first 10 years as a consultant was spent dealing with abdominal, extremity and carotid surgery, my focus is now on managing the complex condition of thoracic outlet syndrome (TOS).
I offer a full range of services which commences with a comprehensive neuro-vascular assessment followed be movement impairment evaluation. I supervise physical therapy, investigate and offer surgical intervention where appropriate. All three approaches to thoracic outlet decompression are performed, i.e. supraclavicular, paraclavicular and transaxillary. The transaxillary approach is conducted in Spire Manchester hospital using a high-definition video-assisted system. Subclavian vein reconstruction is regularly offered where appropriate.
This is a high volume practice and patients contribute to their own reported outcome measures. My results are audited, presented & subject to peer review on a regular basis which is discussed with my patients. This is a specialised neurovascular practice and I collaborate with other similar specialists from the United States to ensure up to date practice. I have certification for continuing professional development in this complex field to assure my patients that they are receiving best practice.
I also see patients with TOS related chronic regional pain syndrome (CRPS) and offer treatment of hyperhidrosis and facial flushing.
Areas of interest
Thoracic Outlet Syndrome; Cervical ribs; Paget Schroetter Syndrome; Hyperhidrosis, Facial flushing; Diabetic foot care; VBI or vertebrobasilar insufficiency; Aneurysms; Carotid surgery / endarterectomy; Leg bypass surgery; Claudication; Nerve entrapment; Vascular entrapment; Vasospasm; Varicose veins; Deep Vein Thrombosis; Amputation management
- Louise Rule
- Wirral University Teaching Hospital Arrowe Park Hospital Arrowe Park Road WIRRAL CH49 5PE
- 0151 604 7530
- 0151 604 7481
Anaesthetists worked with
- Dr Ajmal Eusuf Fee Assured
Current NHS consultant posts held
1. Consultant Vascular & General Surgeon at Wirral University NHS Trust, Arrowe Park Hospital, Wirral.
2. Consultant Vascular Surgeon at the South Mersey Arterial Network based at the Countess of Chester Hospital, Chester.
1. Cerebral hypoxia and altitude medicine
2. Diabetic Feet
Outcomes (checked and approved by medical professional body)
Please click on this link if you would like to see information about this healthcare professional’s performance compared to their peers, as published by their medical professional body.http://www.vsqip.org.uk/surgeon-outcomes/
Successful thoracic outlet surgery: 66-88% of patients.
Successfult carotid stenting: 0% stroke rate.
- FRCS (General Surgery) London 2004
Reference number 4074485
Post treatment communication
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