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Vascular Surgery

What is Vascular Surgery?

Vascular surgery is a surgical subspecialty in which diseases of the vascular system, or arteries and veins, are managed by medical therapy, minimally-invasive catheter procedures, and surgical reconstruction. The specialty evolved from general and cardiac surgery as well as minimally invasive techniques pioneered by interventional radiology. The vascular surgeon is trained in the diagnosis and management of diseases affecting all parts of the vascular system except those of the heart and brain. Cardiothoracic surgeons and interventional cardiologists manage disease of vessels of the heart. Neurosurgeons and interventional neuroradiologists manage surgical disease of the vessels in the brain.

Vascular Surgeon at BRMS has expertise and experience in diagnosing and treating common, complex and rare vascular diseases.

In the UAE, which has a high rate of diabetes, obesity and a sizable smoking population, PAD is a cause of worry.

Who is at risk?

  1. Diabetics
  2. People beyond the age of 55-60
  3. Males are more prone than females
  4. Hypertensive patients
  5. Diabetics who lose nerve function and in many cases are unaware of pain or poor circulation in their limbs
  6. Smokers
  7. People with high cholesterol
  8. Obese individuals
  9. People with family history of vascular problems

Symptoms:

  1. Pain in the legs
  2. Difficulty in walking
  3. Resting pain in the foot at night
  4. Non-healing sores or infections in foot and toes

Diagnosis and treatment

A simple non-invasive Doppler test in a vascular laboratory at a hospital can help measure the transcutaneous oxygen levels in the limbs, ankles and toes.

Lymphedema:

Lymphedema management and treatment has become available at BRMS. What this means is that a vascular surgery assessment and subsequent lymphatic massage are all done at the same facility and at the same visit. This is especially focused on patients with breast cancer who have had their axillary nodes removed. The first such facility to do so in the country. Each treatment session of lymphatic massage shall be preceded and followed by a measure of the entire limb – from skin texture to size and then be mapped using the latest software to see the progress.

Each patient is guided with clinical diagnosis, radiologic imaging (lymphoscintigraphy – if needed), and most importantly in lifestyle changes and precautions, care guidelines, manual lymphatic drainage (MLD), compression bandaging, education in lymphedema self-management.

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Specialist – Vascular Surgery Clinical Assistant Professor – Surgery Columbia University College of Physicians and Surgeons New York, NY, U.S.A

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