VASCULAR-SURGERY - FMH

VASCULAR SURGERY

The hospital offers vascular surgery which is a specialty of surgery in which diseases of the vascular system, or arteries and veins, are managed by medical therapy, minimally invasive cath-eter procedures, and surgical reconstruction.

The specialty evolved from general and cardiac surgery as well as minimally invasive tech-niques pioneered by intern-ational rad-iology.

It offers surgery involving art-eries & veins of the limbs, neck and abdomen, used for repairing arteries after trauma opening narrowed arteries or by-passing them after athero-sclerotic insult to prevent chronic limb ischemia (limb wasting).Taking out clot from the arteries after a heart attack to prevent acute limb ischemia (limb amputation)

ATHEROSCLEROSIS CLINIC AORTOILIAC OCCLUSIVE DISEASE

Blockage of Iliac arteries resul-ting in pain, Cramping, fatigue in the lower body while walking or exercising, pain is in buttocks, thighs and legs (intermittent claudicating).
Some men may experience erectile dysfunction, sever pain, coldness and numbness in a limb, sores on toes, heals or lower legs. Dry, scaly cracked skin on the foot, weakened muscles in the leg and ultimately gangrenes. Treatment is stunting or bypass grafting.

LEG ARTERY DISEASE

Feeling of tightness, heaviness, cramping or weakness in the leg with activity especially after a quick walk or walking uphill. Pain in the feet at rest, cold legs and feet, poor healing of wounds, ulcers on the feet and legs, complicated infections and gangrene.

Treatment is with medication, walking exercise, stunting and bypass surgery/endarterectomy.

ARM ARTERY DISEASE

Pain in the arms on activity. Intermittent claudicating. Sensi-tivity to cold, fingers turning blue or pale, slow growing finger nails, slow growing arm hairs, sore on the fingers and eventually gangrene if not treated.

Treatment is with medication, exercise, stunting and bypass surgery/endarterectomy

CAROTID ARTERY DISEASE

Carotid Artery disease may not cause symptoms in it’s early stages, however when sympto-matic, there’s feeling of weakness, numbness or a tingling sensation on one side of the body, e.g in an arm or a leg, being unable to control the movement of an arm or a leg, losing vision n one eye, being unable to speak clearly. If these symptoms go within 24 hours, it is a transient ischemic attack and if it persist beyond 24 hours, it is a full blown stroke. Investi-gations needed are carotid duplex ultrasound, CT angio-graphy, magnetic resonance angio-graphy etc. Treatment is Carotid Endarterectomy

PERIPHERAL ANEURYSMS

When a weak area of a blood vessel expands or bulges signi-ficantly it is called an Aneurysm. The concerns of a vascular surgeon about the aneurysms are the rupture and distal ischemia due to thrombo-embolism.

TO BOOK AN APPOINTMENT:
UAN : +92 42-111-555-600,
Ext. 347/380/361

VENOUS DISEASES CLINIC

Deals with spectrum of venous diseases inclusive of Varicose Veins are swollen, dilated veins that can be seen through the skin. They often look blue, bulging and twisted. If left un-treated may worsen over time.

DEEP VEIN THROMBOSIS (DVT)

DVT is a blood clot in one of the deep veins usually in the pelvis, thigh or calf, but it can also occur less commonly in the arm, chest or abdomen. It causes sudden swelling, pain and a sensation of warmth. It is dangerous because if the clot breaks. Free from the deep veins, it can lodge in the lungs by traveling through the blood stream. The clot can block.

Blood flow in the lungs and can be fatal in a short time. DVT is caused by major surgery, prolonged travel, inherited blood clotting abnormalities and cancer. Diagnosis is made clinically and duplex ultrasound and sometimes venography. It is treated with anti­coagulants and elastic compression stockings.

CHRONIC VENOUS INSUFFICIENCY & VENOUS ULEER

When the leg veins can’t pump enough blood back to the heart, the condition is called Chronic Venous Insufficiency. The Sympt-oms are swollen ankles and feeling of tightness in the calves.

The legs may also feel heavy, tired, restless and achy. There’s feeling of pain while walking or shortly after stopping. Chronic Venous Insufficiency may be associated with Varicose Veins. The causes are Deep Venous Thrombosis and Phlebitis, both of which cause elevated pressure in the veins by obstructing free flow of blood through the veins. Factors that increase the risk of CVI include the family history of • Varicose Veins, being Overw-eight, being Pregnant, not exercising enough, smoking, standing or sitting for long period of time. If left un-treated, may result in ulceration around the ankle called venous ulcer which can be a challenge to heal. Diagnosisis by a
duplex ultrasound or sometimes venogrpahy. Treatmentis throug-h compression stockings, Scler-otherapy, Ablation, Vein Stripping, Bypass venous surgery and Valve repair. For venous ulcers we can use Unnaboots, transparent or hydrocolloid compression dressings and growth factors.

DIALYSIS ACCESS

Dialysis Access is an entrance way into the blood stream that lies usually in the arm but sometimes in the leg, it allows blood to be completely beneath the skin and is easy to use. The access is removed and returned quickly, efficiently and safely dialysis. The access portal is made by a fistula which s constructed by joining an artery to a vein or a graft which is a man-made tube that is inserted under the skin to connect an artery to a vein.

CONSULTANTS AVAILABLE:

Professor Dr. Aasim Malik

Head Of Department

Dr. Jamshed Ahmad Rehmani

Associate Professor

Dr. Javed Shakir

Head Of Unit 2

Associate Professor

Dr. Junaid Khan Lodhi

Assistant Professor

Dr. Ahsan Masud Chaudhry

Assistant Professor

Dr. Zeeshan Ahmad

Assistant Professor

Dr. Raza Akram

Assistant Professor

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