Vascular surgeon in Delhi NCR
Vascular surgeon in Delhi NCR
Dr. Rajiv Parekh
Chairman, Peripheral Vascular and Endovascular Sciences
Dr. Himanshu Verma
CONSULTANT VASCULAR SURGERY
Dr. Jaisom Chopra
MBBS, MS, FRCS
Dr. Kumud Mohan Rai
Dr. Prof Balakumar S
Consultant Vascular Surgeon, Fortis Malar
vascular surgery second opinion
Vascular system commonly known as circulatory system which consists of vessels like arteries and veins which carry blood and lymph throughout the body. This system can be termed as a sub system of cardiovascular system.
What is vascular surgery?
Vascular surgery is surgical procedure related to arteries, veins and lymphatic circulation which comprises the vascular system. Open surgery, minimally invasive techniques or endovascular techniques are used to treat the disease related to the vascular system. This surgery is often performed to treat conditions related to veins and arteries.
Our blood vessels carry oxygen and essential nutrients to the different parts, organs and cells of our body. Any obstruction or block in doing this will cause trouble. Majority of the vascular conditions (which must be treated) are treatable without surgery.
Here are some of the vascular conditions treated by surgery
Abdominal aortic aneurysm
When the walls of blood vessel weakens an aneurysm that is bulging is observed on the vessel. It happens in aorta, that is the largest blood vessel carrying blood to our legs. Bigger the size of the aneurysm greater the risk. With the help of surgery the bulged part (aneurysm) is removed and a stent or a graft is placed.
If someone from the deals with this conditions the member of the family has more chance of acquiring the same condition.
The aorta, the largest and the main vessel of the body consists of three layers and these layers experience tear which is called aortic dissection.
Aorta transports blood from heart to rest of the boy. Hence, any discrepancy in aorta must be eliminated as soon as possible. 3 out of 100000 patients develop this condition annually and both the sex are affected by it.
Aorta dissection can lead to rupture that could be life threatening.
Usually the treatment involves open surgery and repairing or replacing the affected part of the aorta.
Carotid artery disease
Carotid arteries are the one responsible for supplying blood to our brain and are located in our neck. A substance known as plaque, which is a substance formed out of fats which we intake, has a tendency of accumulating in the arteries.
The volume of accumulation determines the seriousness of the condition. The accumulation can also lead up to stroke in some cases.
It is caused with growing age or if you smoke or have conditions like high blood pressure, high cholesterol, diabetes or other heart related conditions. It is fairly common among the population.
Symptoms of this disease if often absent and is only discovered after a stroke or a mini stroke. In other words you can count stroke as its symptom. Weakness, slurred speech or numbness in one side of the body are some other symptoms during stroke.
Angioplasty and Stenting is a procedure that is used to treat this condition. This procedure is minimally invasive surgery to open up the artery. Medication for blood pressure, maintaining a healthy diets and exercise regularly can help you to avoid this disease.
Deep vein thrombosis
Occurs when blood thickens forming a lump or clot inside the blood vessel. If the clot breaks, it could travel to lungs causing breathing difficulties or could be fatal.
Symptoms are generally absent however you may experience pain, redness, or swelling along the affected vein.
Absence of physical activity in daily life like after a surgery.
Injury to veins due to external factors
Hormones also play a vital role in causes
medical history of blood pressure and other heart related conditions.
Anticoagulants also known as blood thinners is used for treating DVT. They prevent the blood’s ability to clot.
In some emergency cases thrombolytic therapy is used to instantly dissolve the clot but this also have high risk and hence is only used when truly necessary.
A filter known as IVC filter is also used to prevent the clot from entering our lungs. it does help in stopping the formation of clot.
Endoleaks occur when blood leaks into the bulged area of the blood vessel also known as aneurysm after a procedure called endovascular aneurysm repair (EVAR). The leaks is further classified into 5 types based on the cause of leaks.
Further surgery or an endovascular procedure is required to treat these leaks.
Lipids are chemical substance that are insoluble in water whereas soluble in alcohol, ether and chloroform. Lipids are fats, oils or vitamins extracted from the food we eat.
Hyperlipidemia is a genetic disorder where the concentration of lipids in our blood increases many fold. This increases the risk of stroke and it hinders the blood flow through the arteries.
Lymph is fluid made of particularly white blood known as lymphocytes who attacks the bacteria present in our blood. Lymphedema is a condition where the lymph gets accumulated in soft tissues resulting in swelling.
Lymphedema if left untreated can cause irreversible changes to the body and restricts mobility of the affected organ.
Symptoms include swelling, tightening of skin, itching sensation and heaviness of the affected limb or other body part with reduced mobility.
Causes for such disorder is attributed to premature or failed developed lymph nodes which may be present from the time of birth but symptoms could appear later in life.
Early treatment is the key to restrict the irreversible changes that may caused by this disease.
Hence the disease is divided into three stages. If it is treated at stage one then swelling can be controlled or reversed by the help of elevating the swollen limb or by use of compression garments.
At stage 2, and stage 3 the treatment is more based on reduction and maintenance therapy. It also includes some surgeries to extract the excess tissues but the results of these surgeries are mixed.
Mesenteric ischemia is a condition where the blood flow to organs like stomach, liver and intestine decreases due to blockages in the blood vessels.
It is a condition which could be sudden or appear gradually over time.
The affected patient can experience sudden stomach pain followed by vomiting. This is classified under acute mesenteric ischemia.
One may experience severe stomach pain an hour after eating followed by nausea feeling and vomiting.This type of symptom is observed as chronic mesentric ischemia.
Chronic mesentric ischemia could also lead you to lose weight due to stomach pain and not eating properly.
Acute mesenteric ischemia is caused by blood clot which then gets accumulated at a mesenteric arteries and hinders the blood flow.
Chronic mesenteric ischemia is caused due to tightening of arteries which hinders the blood flow. In some cases the arteries gets completely blocked due to formation and accumulation of plaques inside the arteries.
Medications, minimally invasive surgical techniques, balloon angioplasty and stenting and by pass surgery are some of the procedures that are undertaken to treat this condition.
Peripheral artery disease (PAD)
Gradually, the plaque keeps getting deposited on the walls of the artery due to poor lifestyle and high intake of fats which in turn obstruct the blood flow and even blocks the flow.
Surgeon use stents, scarping of plaques and balloon angioplasty to treat this condition.
Balloon angioplasty is a minimally invasive procedure in which a catheter is inserted which has a balloon at the end which helps in opening the blood vessel.
Varicose vein gets swollen which causes pain, itching, burning sensation and fatigue. A shower and minor shock can cause the vein to pop up and bleed.
A stocking which exerts pressure is used to treat this condition or injection injecting sclerosant , a chemical which initiates spasm in vein is also helpful in such cases.
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