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Medical Department

Vascular Surgery

Expert Care, Advanced Technology, Compassionate Service

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Department of Vascular Surgery

What is Vascular Surgery?

Vascular surgery is a surgical specialty that focuses on the diseases of the vascular system, which includes the body's arteries, veins, and lymphatic circulation. Vascular surgeons diagnose and manage all conditions affecting these vessels, except for those of the heart (managed by cardiologists) and brain (managed by neurosurgeons). They are trained in the full range of treatments, including medical therapy, minimally invasive endovascular procedures, and open surgical reconstruction. The primary goals are to treat diseases of the circulatory system, prevent major events like strokes and aneurysm ruptures, and save limbs threatened by poor circulation.

Common Conditions Managed

Vascular surgeons treat a variety of conditions that affect blood flow:

  • ✓Peripheral Artery Disease (PAD): A circulatory problem in which narrowed arteries reduce blood flow to the limbs, most commonly the legs.
  • ✓Aneurysms: A bulge or ballooning in the wall of a blood vessel, most commonly the aorta.
  • ✓Carotid Artery Disease: Narrowing of the arteries in the neck that supply blood to the brain, which is a major risk factor for stroke.
  • ✓Varicose Veins: Swollen, twisted veins that are visible just under the skin, usually in the legs.
  • ✓Deep Vein Thrombosis (DVT): A blood clot that forms in a deep vein, usually in the leg.
  • ✓Diabetic Foot: Foot ulcers and infections in diabetic patients, often related to poor circulation.
  • ✓Vascular Access for Dialysis: Creating and maintaining access points (like AV fistulas) for patients who need hemodialysis.

Diagnostic and Treatment Approaches

Diagnosis of vascular disease relies heavily on non-invasive imaging. A Doppler ultrasound is a key tool used to visualize blood vessels and measure the speed and direction of blood flow. CT Angiography (CTA) and MR Angiography (MRA) provide detailed 3D images of the blood vessels. Treatment options are broad. Medical management involves medications to control blood pressure, cholesterol, and prevent blood clots. For blockages, modern treatment often involves endovascular procedures. These are minimally invasive techniques performed inside the blood vessels using catheters, such as angioplasty (inflating a balloon to open a vessel) and stenting (placing a small mesh tube to keep it open). For large aneurysms or extensive blockages, traditional open surgery to bypass or repair the vessel may be necessary.

Frequently Asked Questions

Common questions about Vascular Surgery at SSS Hospital Erode

Our vascular surgery department treats varicose veins, deep vein thrombosis (DVT), peripheral artery disease (PAD), diabetic foot ulcers, gangrene, aortic aneurysm, carotid artery disease, leg ulcers, blood clots, poor circulation, and provides dialysis access surgery (AV fistula creation) for dialysis patients.
We offer comprehensive varicose vein treatment including compression therapy, sclerotherapy (injection treatment), laser treatment, and surgical stripping for severe cases. Our vascular specialist evaluates the severity using colour Doppler ultrasound and recommends the most appropriate treatment option.
Yes, our vascular surgery department performs AV fistula creation and AV graft procedures for dialysis access. These surgeries create a reliable blood vessel access point for haemodialysis patients. We work closely with our nephrology department to provide timely dialysis access for kidney failure patients.
Warning signs include leg pain while walking that improves with rest (claudication), cold feet or legs, colour changes in legs, slow-healing wounds on feet or legs, weak pulse in legs, hair loss on legs, and numbness or weakness. Diabetic patients are at higher risk and should get regular vascular screening.
Yes, our vascular surgery and plastic surgery departments work together to provide comprehensive diabetic foot care including wound management, vascular assessment, angioplasty for blocked leg arteries, bypass surgery, debridement, skin grafting, and limb salvage procedures. Early referral prevents amputations.