Consultants

Andrew

McIrvine

Clinical Director - Surgical Specialities

Although I trained in the era of general surgery the changes that have occurred in the last few years have resulted in further specialisation. I provide both the vascular and endocrine surgical service in Dartford, but I still continue with laparoscopic cholecystectomies, and more general surgery such as hernias.

 

I remain on the emergency rota dealing with trauma and all emergency general surgery.

 

I carry out a full range of peripheral vascular surgery with special interest in aortic and carotid procedures.

 

I have an interest in venous disease, especially the management of varicose veins but also management of the consequences of deep vein thrombosis, the post-phlebitic limb and venous ulceration

 

My endocrine practice is mainly associated with the thyroid and parathyroid.

 

I also service the surgical requirements of the haematology department, This involves all the splenectomies and insertion of vascular access lines such a Hickman/Groshong and Portacaths

 

Qualifications

MB BS (Lond) 1974
FRCS (Eng) 1978

Publications

1. Rashid HI, Osman HS, McIrvine AJ.
   Thoracoscopic (upper thoracic) sympathectomy for primary palmar hyperhidrosis in
   children.
   Int J Clin Pract. 1998 Nov-Dec;52(8):537-8.
2. Shaper NJ, McIrvine AJ, Thomas DM, Thebe P.
   Intra-abdominal haemorrhage from mesenteric angiosarcoma.
   J R Soc Med. 1996 Nov;89(11):644-5.
3. McIrvine AJ, Higman DJ, Franks PJ.
   Managing transient ischaemic attack and ischaemic stroke.
   BMJ. 1992 Dec 12;305(6867):1498.
4. McIrvine AJ.
   Examinations in surgery.
   Lancet. 1990 Jan 6;335(8680):52.
5. McIrvine AJ.
   Surgical training.
   Lancet. 1988 May 7;1(8593):1054.
6. Immelman EJ, Jeffery PC, Clifford P, McIrvine A, Martell RW, Jacobs P.
   Streptokinase-plasminogen activator complex (BRL 26921) in the treatment of
   venous thromboembolism.
   Thromb Res Suppl. 1988 Mar 15;49(6):635-42.
7. Stringer MD, Michell M, McIrvine AJ.
   Inferior vena caval thrombosis complicating acute pancreatitis. Case report.
   Acta Chir Scand. 1988 Feb;154(2):161-3.
8. Stringer MD, Greenfield S, McIrvine AJ.
   Stercoral perforation of the colon following postoperative analgesia.
   J R Soc Med. 1987 Feb;80(2):115-6.
9. Corbett CR, McIrvine AJ, Aston NO, Jamieson CW, Thomas ML.
   The use of varicography to identify the sources of incompetence in recurrent
   varicose veins.
   Ann R Coll Surg Engl. 1984 Nov;66(6):412-5
10. O'Mahony JB, Palder SB, Wood JJ, McIrvine A, Rodrick ML, Demling RH,
    Mannick JA.
    Depression of cellular immunity after multiple trauma in the absence of sepsis.
    J Trauma. 1984 Oct;24(10):869-75.
11. McIrvine AJ, Corbett CR, Aston NO, Sherriff EA, Wiseman PA, Jamieson CW.
    The demonstration of saphenofemoral incompetence; doppler ultrasound compared
    with standard clinical tests.
    Br J Surg. 1984 Jul;71(7):509-10.
12. O'Mahony JB, McIrvine AJ, Palder SB, See-Young L, Saporoschetz IB, Wilmore
    DW, Mannick JA.
    The effect of short term postoperative intravenous feeding upon cell-mediated
    immunity and serum suppressive activity in well nourished patients.
    Surg Gynecol Obstet. 1984 Jul;159(1):27-32.
    PMID: 6429872
13. McIrvine AJ, Wolfe JH, Collins K, Mannick JA.
    Fatal infection in mice after injection of immunosuppressive serum fractions
    from surgical patients.
    Br J Surg. 1983 Sep;70(9):558-61.
14. Couch NP, O'Mahony J, McIrvine A, Whittemore AD, Lombara JA, Mannick JA.
    The place of abdominal aortography in abdominal aortic aneurysm resection.
    Arch Surg. 1983 Sep;118(9):1029-34.
15. McIrvine AJ, Mannick JA.
    Lymphocyte function in the critically ill surgical patient.
    Surg Clin North Am. 1983 Apr;63(2):245-61. Review.
16. Krausz MM, Utsunomiya T, McIrvine AJ, Allen PD, Levine L, Mannick JA,
    Shepro D, Hechtman HB.
    Modulation of cardiovascular function and platelet survival by endogenous
    prostacyclin released during surgery.
    Surgery. 1983 Apr;93(4):554-9.
17. McIrvine AJ, O'Mahony JB, Saporoschetz I, Mannick JA.
    Depressed immune response in burn patients: use of monoclonal antibodies and
    functional assays to define the role of suppressor cells.
    Ann Surg. 1982 Sep;196(3):297-304.
18. McIrvine A, Wolfe J.
    Depression of cellular immunity as an index of malnutrition in surgical
    patients.
    Br Med J (Clin Res Ed). 1981 May 16;282(6276):1629.

Please ask your GP to refer you either in writing or electronically.

Remember patients must be referred by their General Practitioners. If you would like to be seen by one of our Health Professionals please ask your GP to provide a referral letter.

 

Please contact my Secretary Jane Sweeting or the appointments office.

 

jane.sweeting@dvh.nhs.uk

01322 428625

Dartford and Gravesham NHS Trust
Darent Valley Hospital
Darenth Wood Road
Dartford
Kent DA2 8DA

Electronic mail

Please note I am unable to provide healthcare advice via email at this time. Please arrange an appointment to be seen personally.

Becoming a Private Patient

Mr McIrvine practices privately at Darent Valley Hospital. For information please contact the Private Patients Manager on 01322 428369 or you can contact my secretary, Sandra Payne, if you need advice or to organise a private patient appointment.

smp-ajm@talk21.com
01474 874245 or 01474 879900
01474 875630 (Fax Line)


Useful links

The following websites provide useful patient information.
Patient information from the British Vascular Foundation

www.bvf.org.uk

Vascular Society of GB & I
British Association of Endocrine Surgeons

www.vsgbi.org