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Dr Kurian Mylankal

+61 8 8232 1293

Vascular Surgery

  • Endovascular Surgery, Varicose Veins, Carotid Artery Disease, Dialysis Access, Thoracic Outlet Syndrome, Abdominal Aortic Aneurysm, Thoracic Aortic Aneurysm, Peripheral Arterial Disease, Deep Vein Thrombosis, Venous Compression, Venous Thromboembolism, Chronic Venous Ulcers, Pelvic Venous Congestion, Chronic Lower Limb Ischaemia, Lower Limb Ulceration & Foot Care
Location(s):
  • Adelaide, SA, Australia
  • Toorak Gardens, SA, Australia
  • Whyalla, SA, Australia
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Dr Kurian Mylankal is a vascular and endovascular surgeon who specialises in complex open and minimally invasive endovascular surgical interventions. He practices as a specialist vascular surgeon at the Royal Adelaide Hospital and also consults at the Lyell McEwin Hospital and Wallaroo Hospital.

 

He is a dual trained British and Australian vascular and general surgeon. He trained in United Kingdom working at large tertiary referral centres and was subsequently selected for the prestigious National Endovascular Fellowship by the Royal College of Surgeons of England. He also worked as a Consultant Vascular Surgeon at Southampton University Hospital in England before emigrating to Australia. He has completed multiple vascular and endovascular fellowships in both United Kingdom and Australia and has extensive medical experience of over 20 years. With his vast experience in open and endovascular minimally invasive techniques, he strongly believes that he is able to give impartial and unbiased advice to his patients. He aims to provide the best quality of care for his patients and gives careful consideration between open surgical techniques and endovascular treatment when planning the treatment options

 

He is a fellow of the Royal Australasian College of Surgeons and also a fellow of the Royal College of Surgeons in Edinburgh. He has a post graduate certificate in Medical Ultrasound from the University of Leeds, UK and also an MD research degree from UK.

 

He enjoys academic work and has authored multiple publications and book chapters. He is a reviewer for the Australasian Journal of Surgery and was previously a reviewer for the European Journal of Vascular and Endovascular Surgery. He is also actively involved in training and supervision of trainee surgeons, junior doctors and medical students.

 

In his spare time, Kurian enjoys spending time with his wife and three children.

 

Qualifications & Memberships

Qualifications

  • FRACS Vascular Surgery, Australia 2016
  • MD, University of Hull, UK 2009
  • Postgraduate Certificate in Medical Ultrasound, Leeds University, UK 2009
  • FRCS - General Surgery 2008
  • FRCS Royal College of Surgeons of Edinburgh 1998

Professional Memberships

  • Royal Australasian College of Surgeons
  • Royal College of Surgeons of Edinburgh
  • European Society for Vascular Surgery
  • General Medical Council, UK

 

Teaching Commitments

Current and previous teaching roles

  • Training of vascular registrar through informal discussions in outpatient settings, ward rounds and operating theatre.
  • Tutorials for medical students from the University of South Australia.
  • Examiner – Adelaide Vascular Trials 2016, 2017
  • Examiner – Medical School, University of Adelaide.
  • Tutorials for medical students from the University of Western Australia
  • Coordinator Vascular Skills Course, Western Australia.
  • Lectures for Graduate Diploma in Perioperative Nursing course, University of Notre Dame, WA
  • Supervisor for fourth year medical Students from the University of Southampton
  • Tutorials for General Surgery registrars, Western Australia.
  • Coordinator, Suture Workshop Course, School of Surgery, University of Western Australia
  • Examiner for final year medical students from Newcastle University.
  • Instructor for Intercollegiate Basic Surgical Skills Course - Royal College of Surgeons of England, London.

 

Teaching Qualification and Courses

 

  • Training the Trainers course at the Royal College of Surgeons of England, London in 2006.
  • Teaching on the Run, Fremantle Hospital, WA, 2010

 

Research & Academic Interests

 

MD project

 

Dr Kurian Mylankal was appointed as a Research Fellow in Vascular Surgery under the supervision of Professor PT McCollum to investigate “The effect of 3-hydroxy-3-methylglutaryl coenzyme A reductase inhibitors on oxidative and hypoxic stress in the vascular Endothelium”. The project was designed out of a personal interest in the pleotropic effects of statin and involved learning new laboratory based skills of cell culture and propagation, apoptosis (TUNEL) assay, spectrophotometric proliferation assay, cellular RNA isolation and RT-PCR. He was awarded an MD for this work from the University of Hull.

 

Other academic interests

 

Reviewer for the ANZ Journal of Vascular Surgery 2016-current

 

Reviewer for the European Journal of Vascular and Endovascular Surgery 2009-2011

 

Awards & Grants

 

  • ESVS Educational Travel Grant 2010 - €1300
  • Medtronic Educational Grant 2010 - £1000
  • Royal College of Surgeons Endovascular Fellowship 2009 - £54,000
  • Best Abstract at Venous Forum, The Royal Society of Medicine - London, April 2008 - £250
  • Title: A randomised controlled trial of radiofrequency ablation and conventional surgery for primary long saphenous varicose veins.
  • Medtronic Educational Travel Grant for the ESVS 2007 - £500
  • Pfizer Scientific Research grant - £16,000
  • Title - “Role of Statins in Modulating the Local and Systemic Responses of Ischaemia Reperfusion Following Aortic Aneurysm Repair”.
  • Best poster at Yorkshire Vascular Surgical Day, Bradford 2003 - £500
  • Title -Closing the audit loop in the carotid patient with high serum cholesterol.
  • Finalist at “The Surgeons in Training Conference” at the Royal College of Surgeons of Edinburgh- Clinical and Scientific Meeting November 2003.
  • Title "Oxidative and Hypoxic Stress on the Vascular Endothelium – A Protective Role of Statins"

 

Publications

 

  1. Kurian Mylankal and Rob Fitridge, Inferior vena cava filters: recent controversies. ANZ Journal of Surgery, 6Mar 2018 DOI:10.111/ans.14235
  2. Aniket Pradhan, Kurian J Mylankal, Rob Fitridge. Assessment and Management of Peripheral Arterial Disease. Cardiology Today 2016; 6(3): 6-12
  3. Kurian J Mylankal, Michael G Wyatt. Control of Major Haemorrhage and damage control surgery. Surgery (Oxford) 01/2013; 31(11):574–581
  4. Zoë Hyde1,2, Kurian J Mylankal3, Graeme J. Hankey2,4, Leon Flicker1,2, Paul E Norman3 Peripheral arterial disease and subsequent hip fracture in older men. The Health In Men Study, Osteoporos Int. 2013 May;24(5):1683-8
  5. BM Stanley, K Mylankal, J Tibballs, D Hartley. Branched thoracic stent graft for arch aneurysms, ANZ J Surg; 2012; 82(5): 348-351
  6. KJ Mylankal, BF Johnson, DF Ettles. Iatrogenic arteriovenous fistula as a cause for leg ulcers. Ann Vasc Dis; 4 (2011) , No. 2 pp.139-142
  7. KJ Mylankal, MG Wyatt. Control of Major Haemorrhage. Surgery 11/2010; 28 (11): 556-562
  8. KJ Mylankal, Z Baxter, E P Perry. Common Iliac aneurysm rupture after previous aortic aneurysm resection. Ann of Vasc Dis; 2010; 3(1):74-76.
  9. Chetter IC, Mylankal KJ; Hughes H, FitridgeR. Randomized clinical trial comparing multiple stab incision phlebectomy and transilluminated powered phlebectomy for varicose veins. Br J Surg 2006; 93:169-174.
  10. P Ray B, Mylankal KJ, Li C, Bryce J, Lee HLD, Heng MST, Robinson GR, Ettles D, Chetter IC, Ettelaie C, McCollum PT. Plasma tissue factor, a predictor for restenosis following percutaneous transluminal angioplasty. Br J Surg 2005; 92: 498-513.
  11. Venkatasubramaniam AK, Mehta T, Fagan M, Mylankal KJ, Kuhan G, Ray B, Chetter IC, McCollum PT. A Comparative Study of Aortic Wall Stress using finite element analysis for ruptured and non-ruptured abdominal Aortic Aneurysm. Eur J Vasc 2004; 28(2):168-76.
  12. T Mehta, I Chetter, A Venkatasubramaniam, K Mylankal, B Ray, P McCollum. The Appropriate Use of the Duplex Scan in the Carotid Artery Disease. Phlebolym 2004; 46 pS1-S115.
  13. T Mehta, I Chetter, A Venkatasubramaniam, K Mylankal, B Ray, P McCollum. Disease Specific Quality of Life Analysis in Intermittetnt Claudication, is it really necessary? Phlebolym 2004; 46 pS1-S115.
  14. T Mehta, I Chetter, A Venkatasubramaniam, K Mylankal, B Ray, P McCollum.Treating Claudication: angioplasty and exercise, not angioplasty or exercise. Phlebolym 2004; 46 pS1-S115.
  15. Mylankal K J; Hughes, H; Subremanian, P; Spark I; Beneveuiste G; Fitridge R; Chetter I C. A Randomised Controlled Trial to compare Hook Phlebectomy with Transilluminated Powered Phlebectomy. Br J Surg 2004; 91: 1077-1088.
  16. Mylankal K J; Ray B; Venkatasubramaniam A K; Mehta T; Pradier A; Ettelaie C; Chetter I C;McCollum P T. Oxidative and Hypoxic Stress on the Vascular Endothelium – A Protective Role of Statins. Br J Surg 2004; 91: 1077-1088.
  17. Mehta, T; Chetter, I C; Venkatasubramaniam, A; Mylankal, K; Ray, B; McCollum, P. Treating claudication – a randomised controlled trial. Br J Surg 2004; 91: 1077-1088.
  18. K Mylankal, A Prader, B Ray,A K Venkatatsubramaniam, T Mehta, I Chetter, C Ettalaie, P T McCollum. Statins offer a protective role against Oxidative and Hypoxic stress induced vascular endothelial apoptosis. Atheroscler 2003; 170: S13.
  19. KJ Mylankal, A Pradier, B Ray, C Ettelaie, IC Chetter, PT McCollum. Effect of Statins on the Expression of Bax, cyclin D and tissue factor in response to stress. Iri J of Med Sci, 2003, 173 (1) p19.
  20. A Pradier, GA Frentzou, NJ James, C Li, CG Wood, KJ Mylankal, PT McCollum, KR Bruckdorfer, C Ettelaie. Differential Expression of VEGF in Endothelial Cells in Response to Tissue Factor (CD142). Atheroscler 2003; 170: S14.
  21. T Mehta, I C Chetter, A Venkatasubramaniam, K Mylankal, P T McCollum. A novel disease specific quality of life questionnaire for intermittent claudication. Br J Surg 2003; 90: 603-604.
  22. T Mehta, D Murray, J Bryce, A Venkatatsubramaniam, K Mylankal, M Walker, McCollum P T. Has the endovascular aneurysm repair (EVAR) trial caused a delay in the definitive treatment of patients with AAA? Br J Surg 2003; 90: 632-633.
  23. Gilliam AD; Davidson N; Mylankal K; Ziegler D; Perry EP; Harrison JD. Abdominal pain following laparoscopic cholecystectomy. Gut 2002; 50: A106-A107.
  24. D R Morgan, KJ Mylankal, N El Barghouti, M F Dickson. Small bowel heamangioma with local lymph node involvement presenting as intussusception. J Clin Pathol 2000; 53: 552-553.

 

Oral Presentations

 

  1. A national survey by the Vascular Surgical Fellows of Primary Care Trust criteria for intervention for varicose veins - a postcode lottery? Drinkwater S, Corfield L, Mylankal KJ; Vascular Society Annual Meeting - Liverpool, Nov 2009.
  2. A randomised controlled trial of radiofrequency ablation and conventional surgery for primary long saphenous varicose veins; Balakrishnan A, Mylankal K, Nalachandran S, Subramonia S, Lees T ; Venous Forum, The Royal Society of Medicine -  London , April 2008.
  3. Risk factors for MRSA isolation in the vascular patient – A Prospective trial; K Mylankal, T Gatenby, B Rai, I Nichol, A Parry; European Society for Vascular Surgery (ESVS) – Madrid, Sept 2007.
  4. Plasma tissue factor, a predictor for restenosis following percutaneous transluminal Angioplasty; Ray B, Mylankal KJ, Li C, Bryce J, Lee HLD, Heng MST,  Robinson GR, Ettles D, Chetter IC, Ettelaie C,  McCollum PT; Vascular Surgical Society of Great Britain & Ireland (VSSGBI) – Harrogate,  November 2004.
  5. Acute Statin Withdrawal and its effect on the Vascular Endothelium. KJ Mylankal, A Pradier, B Ray, C Ettelaie, IC Chetter, PT McCollum XXIXth Sir Peter Freyer Memorial Lecture and Surgical Symposium Galway, September 2004. 
  6. Early experience on Copying letters to patients. Mylankal KJ, Ray B, Spencer M, Webster D, Chetter IC, McCollum PT. XXIXth Sir Peter Freyer Memorial Lecture and Surgical Symposium Galway, September 2004. 
  7. The Appropriate Use of the Duplex Scan in the Carotid Artery Disease. T Mehta, I Chetter, A Venkatasubramaniam, K Mylankal, B Ray, P McCollum, 21st World Congress of the International Union of Angiology, Rome, May 2004.
  8. Disease Specific Quality of Life Analysis in Intermittetnt Claudication, is it really necessary? T Mehta, I Chetter, A Venkatasubramaniam, K Mylankal, B Ray, P McCollum, 21st World Congress of the International Union of Angiology, Rome, May 2004.
  9. Treating Claudication: angioplasty and exercise, not angioplasty or exercise.T Mehta, I Chetter, A Venkatasubramaniam, K Mylankal, B Ray, P McCollum, 21st World Congress of the International Union of Angiology, Rome, May 2004.
  10. Acute Statin Withdrawal and its effect on the Vascular Endothelium.KJ Mylankal, A Pradier, B Ray, C Ettelaie, IC Chetter, PT McCollumYorkshire Vascular Surgical Day, Hull, May 2004.
  11. Copying Letters to Patients - Is it worthwhile? Mylankal KJ, Ray B, Spencer M, Webster D, Chetter IC, McCollum PT Yorkshire Vascular Surgical Day, Hull, May 2004.
  12. Effect of Statins on the Expression of Bax, cyclin D and tissue factor in response to stress.KJ Mylankal, A Pradier, B Ray, C Ettelaie, IC Chetter, PT McCollum Sylvester O’Halloran Surgical Scientific Meeting, Limerick, Ireland, March 2004.
  13. Hook Phlebectomy vs Transilluminated Powered Phlebectomy for Varicose Veins – A Randomised Controlled trial. KJ Mylankal, H Hughes, I Spark, Firtridge, IC Chetter, Peripheral Vascular Surgical Society, Steamboat Springs, USA, January 2004.
  14. Abdominal Aortic Aneurysm(AAA) Geometry and Systemic Blood Pressure are the Principal Determinants of Rupture Risk in AAA. A Venkatasubramian, MJ Fagan, IC Chetter, B Ray, KJ Mylankal, T Mehta, PT McCollum, Peripheral Vascular Surgical Society, Steamboat Springs, USA, January 2004.
  15. Oxidative and Hypoxic Stress on the Vascular Endothelium – A Protective Role of Statins. Mylankal K J; Ray B; Venkatasubramaniam A K; Mehta T; Pradier A; Ettelaie C; Chetter I C; McCollum P T; Vascular Surgical Society of Great Britain & Ireland (VSSGBI) – Glasgow, November 2003.
  16. A randomised controlled trial to compare Hook Phlebectomy with Transilluminated Powered Phlebectomy. Mylankal K J; Hughes, H; Subremanian, P; Spark I; Beneveuiste G; Fitridge R; Chetter I C; Vascular Surgical Society of Great Britain & Ireland (VSSGBI) – Glasgow, November 2003.
  17. Treating claudication – a randomised controlled trial Mehta, T; Chetter, I C; Venkatasubramaniam, A; Mylankal, K; Ray, B; McCollum, P, Academic Vascular Unit, Hull Royal Infirmary, Hull, Vascular Surgical Society of Great Britain & Ireland (VSSGBI), Glasgow, November 2003.
  18. Oxidative and Hypoxic Stress on the Vascular Endothelium – A Protective Role of Statins. Mylankal K J; Ray B; Venkatasubramaniam A K; Mehta T; Pradier A; Ettelaie C; Chetter I C; McCollum P T; Royal College of Surgeons of Edinburgh Clinical and Scientific Meeting, November 2003.
  19. Is disease specific quality of life analysis necessary in intermittent claudication? Mehta T, Venkatasubramaniam AK, Mylankal KJ, Ray B, Chetter IC, McCollum PT, XXVIIIth  Sir Peter Freyer Memorial Lecture and Surgical Symposium meeting, Ireland 2003.
  20. Are we doing enough for the Carotid Patient with High Serum Cholesterol? Mylankal KJ, Venkatasubramaniam AK, Mehta T, Ray B, Chetter IC, McCollum P, Vascular Society of India, Goa, Oct 2003.
  21. A Randomised Controlled Trial to compare Hook Phlebectomy with Transilluminated Powered Phlebectomy; KJ Mylankal, H Hughes, P Subremanian, I Spark, G Benveuiste, R Fitridge, IC Chetter, PT McCollum; Vascular Society of India, Goa, Oct 2003.
  22. A novel disease specific quality of life questionnaire for intermittent claudication. Mehta T, Venkatasubramaniam AK, Mylankal KJ, Ray B, Chetter IC, McCollum PT, Society of Academic & Research Surgeons (SARS) – Leeds, January 2003.
  23. A comparative study of aortic wall stress using finite element analysis for ruptured and non- ruptured abdominal aortic aneurysms. Venkatasubramaniam AK, Mehta T, Mylankal KJ, Ray B, Chetter IC, McCollum PT; Midland Vascular Surgical Society, Birmingham March 2003.
  24. Psychological consequences of screening for AAA by self-examination. Venkatasubramaniam AK, Mehta T, Mylankal KJ, Ray B, Chetter IC, McCollum PT, Leeds Regional Surgical Club, Leeds 2003.
  25. Has the EVAR trial caused a delay in the definitive treatment of patients with elective AAA? Mehta T, Venkatasubramaniam AK, Mylankal KJ, Ray B, Chetter IC, McCollum PT, Vascular Surgical Society of Great Britain & Ireland (VSSGBI) – Belfast, November 2002.
  26. Phalangeal Ultrasonometry in Elderly Hip Fractures vs. Osteoarthritis. L Funk, KJ Mylankal, M Azzabi, JG Bradley, Joint Meeting of the Royal College of Surgeons & Physicians of Edinburgh and the College of Medicine of South Africa, Edinburgh, Feb 1999.
  27. A Placebo Controlled Trial of Per-operative Bupivacaine and Peri-operative Diclofenac in Post- operative pain control after Laparoscopic Cholecystectomy. A Gilliam, KJ Mylankal, EP Perry, JD Harrison, Yorkshire Regional Surgical Club, Huddersfield, Oct 1998.

 

Poster Presentations

 

  1. Prognostic Implications of Plasma Tissue factor and Tissue Factor Pathway Inhibitor in Restenosis Following Percutanenous Transluminal angioplasty; Ray B, Mylankal KJ, Li C, Bryce J, Lee HLD, Heng MST,  Robinson GR, Ettles D, Chetter IC, Ettelaie C,  McCollum PT;  SARS; 
  2. Evaluation of Vascular Possum (V-POSSUM), Ruptured Aortic Aneurysm Possum (R-POSSUM) and Glasgow Aneurysm Score (GAS) in Predicting Mortality for Abdominal Aortic Aneurysm repair; Ray B, Mylankal KJ, Li C, Bryce J, Lee HLD, Heng MST,  Robinson GR, Ettles D, Chetter IC, Ettelaie C,  McCollum PT;  SARS; 
  3. Expression of Cellular Mediators in Response to Oxidative and Hypoxic Stress- Role for Statins?Mylankal KJ, Pradier A*, Ray B, Ettelaie C*, Chetter IC, PT McCollum. Association of Surgeons of Great Britain and Ireland, Harrogate April 2004.
  4. Statins Offer A Protective Role Against Oxidative and Hypoxic Stress Induced Vascular Endothelial Apoptosis. Mylankal KJ, Ray B, Pradier A, Chetter IC, Ettelaie C, McCollum PT, Joint BAS/BSHT Meeting, UK, Sept 2003.
  5. Differential Expression of VEGF in Endothelial Cells in Response to Tissue Factor (CD142) A Pradier, GA Frentzou, NJ James, C Li, CG Wood, KJ Mylankal, PT McCollum, KR Bruckdorfer, C Ettelaie Joint BAS / BSHT meeting, UK, Sept 2003.
  6. Role of Statins in the Proliferation and Apoptosis of Vascular Endothelial Cells. Mylankal KJ, Mehta T, Venkatasubramaniam AK, Ray B, Chetter IC, McCollum PT XXVIIIth Sir Peter Freyer Memorial Lecture and Surgical Symposium meeting, Ireland, Sept 2003.
  7. Closing the audit loop in the carotid patient with high serum cholesterol. Mylankal KJ, Mehta T, Ray B, Venkatasubramaniam AK, Chetter IC, McCollum PT. XXVIIIth Sir Peter Freyer Memorial Lecture and Surgical Symposium meeting, Ireland, Sept 2003.
  8. Closing the audit loop in the carotid patient with high serum cholesterol. Mylankal KJ, Ray B, Venkatasubramaniam AK, Mehta T, Chetter IC, McCollum P. Yorkshire Vascular Surgical Day, Bradford 2003.

 

Book Chapter Contributions

 

  • Vascular and Endovascular Surgery: A Companion to Specialist Surgical Practice, 6e; Assessment of chronic lower limb ischaemia. Kurian Mylankal, Rob Fitridge.
  • Vascular and Endovascular Controversies: Roger M Greenhalgh (Author)
  • Is diabetic atheroma different from non-diabetic vascular disease? K Mylankal MD FRCS. Consultant     Vascular Surgeon, CP Shearman BSc FRCS MS. Professor of Vascular Surgery March 2012
  • Recent Advances in Surgery: Johnson/Taylor (Author)
  • Management of Diabetic Foot. K Mylankal MD FRCS. Consultant Vascular Surgeon, CP Shearman BSc FRCS MS. Professor of Vascular Surgery May 2012

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*Reference

  1. Susannah Fox. Pew Internet: Health. Pew Research Center's Internet & American Life Project. Dec 16, 2013. https://www.pewinternet.org/Commentary/2011/November/Pew-Internet-Health.aspx. Accessed on January 15, 2014.
  2. Pew Research Center's Internet & American Life Project Spring Tracking Survey, April 17-May 19, 2013.
  3. Delivery Systems Should Know Their Patients' 'Scores'. Health Affairs. February 2013;32 (2):216-222