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Vascular Surgery

Vascular Surgery

Vascular Surgery is the medical specialty that deals with the diagnosis and management of abnormalities of blood vessels namely the arteries, veins and capillaries, or the lymphatic system, or a combination of both. A vascular surgeon specializes in open surgery and endovascular treatment and can also efficiently manage vascular disorders with non-interventional methods.

 

Approach

  • Atherosclerosis: It is the most common vascular disease process, and also the prime mortality factor in the West, contributing to a multitude of cardiac and cerebrovascular deaths. Predominantly affects the aorta, coronaries, carotid, mesenteric and lower limbs. Contributing risk factors are male gender, advancing age, smoking, dyslipidemia, diabetes mellitus and hypertension.
  • Neointimal (Myointimal) Hyperplasia: It is leading cause of vessel stenosis occurring during and after vascular intervention, angioplasty or stent insertion; thus complicating  30-50% of vascular treatments. It  exhibits dual peaks, an acute phase occurring between 2 months; and a chronic remodeling phase occurring at 2 years.
  • Arteriosclerosis: Sclerosis or hardening of the arteries can be of two types- Arteriosclerosis Obliterans- commonly affects the medium and large arteries of the lower extremities. Involves tunica intima and media. Medial calcific sclerosis or Monkeberg’s arteriosclerosis- commonly affects the extremities with advancing age. Involves tunica media without intimal involvement.
  • Ischaemia-Reperfusion injury: It occurs after restoration of vascular flow following ischaemia, further leading to tissue damage due to the reperfusion.
  • Aneurysmal degeneration: Degeneration of vasculature walls caused by dysregulation and abnormal production of metalloproteinase. A preponderance of male gender has also been found.

Opening Hours

Mon – Fri

08.00 AM -8.00 PM

Sat – Sun

09.00 AM -5.00 PM

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Vascular surgery encompasses  surgery of the aorta,carotid arteries, and lower extremities, including the iliac, femoral, and tibial arteries. Vascular surgery also involves surgery of veins, for conditions such as May–Thurner syndrome and for varicose veins.
Avoid standing for long periods or sitting with your feet down (elevate your feet whenever you sit). Expect a full recovery in approximately 4 to 8 weeks.
Like all surgeries, vascular surgery poses some risks of complications, which increase if the patient smokes, is obese, and has other serious conditions like chronic lung disease. There is additional risk when the surgeon operates on the chest or a major blood vessel.
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