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
MB BS (Lond) 1974
FRCS (Eng) 1978
Rashid HI, Osman HS, McIrvine AJ.
Thoracoscopic (upper thoracic) sympathectomy for primary palmar hyperhidrosis in
Int J Clin Pract. 1998 Nov-Dec;52(8):537-8.
Shaper NJ, McIrvine AJ, Thomas DM, Thebe P.
Intra-abdominal haemorrhage from mesenteric angiosarcoma.
J R Soc Med. 1996 Nov;89(11):644-5.
McIrvine AJ, Higman DJ, Franks PJ.
Managing transient ischaemic attack and ischaemic stroke.
BMJ. 1992 Dec 12;305(6867):1498.
Examinations in surgery.
Lancet. 1990 Jan 6;335(8680):52.
Lancet. 1988 May 7;1(8593):1054.
Immelman EJ, Jeffery PC, Clifford P, McIrvine A, Martell RW, Jacobs P.
Streptokinase-plasminogen activator complex (BRL 26921) in the treatment of
Thromb Res Suppl. 1988 Mar 15;49(6):635-42.
Stringer MD, Michell M, McIrvine AJ.
Inferior vena caval thrombosis complicating acute pancreatitis. Case report.
Acta Chir Scand. 1988 Feb;154(2):161-3.
Stringer MD, Greenfield S, McIrvine AJ.
Stercoral perforation of the colon following postoperative analgesia.
J R Soc Med. 1987 Feb;80(2):115-6.
Corbett CR, McIrvine AJ, Aston NO, Jamieson CW, Thomas ML.
The use of varicography to identify the sources of incompetence in recurrent
Ann R Coll Surg Engl. 1984 Nov;66(6):412-5
O'Mahony JB, Palder SB, Wood JJ, McIrvine A, Rodrick ML, Demling RH,
Depression of cellular immunity after multiple trauma in the absence of sepsis.
J Trauma. 1984 Oct;24(10):869-75.
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.
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.
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.
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.
McIrvine AJ, Mannick JA.
Lymphocyte function in the critically ill surgical patient.
Surg Clin North Am. 1983 Apr;63(2):245-61. Review.
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.
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.
McIrvine A, Wolfe J.
Depression of cellular immunity as an index of malnutrition in surgical
Br Med J (Clin Res Ed). 1981 May 16;282(6276):1629.