Vascular surgery

What is Vascular surgery?

Vascular Surgery is branch in which mainly arteries and veins are manged by medical therapy.

Questions and answers on "Vascular surgery"

Hello Doctor... I am a heart patient and have already undo a cardio vascular surgery 3 years ago. Normally i am supposed to take warfarin of 6mgs and my INR is supposed to be 2.5. but today i have had a blood test where my sample was clotted and my INR has come to 1.2. can you please advice what is to be done to make my INR come to normal that is 2.5. Thank you in advance.

doctor1 MD

Hello,
INR should be very strictly kept within the target range. Your INR seems low, but the clotted sample means the report may be wrong. Blood taken for INR, should always be taken in the special voil for PT/INR (blue cap usually). And the sample must be filed upto the market, no more no less....

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my father is schedualed for vascular surgery on his right leg on friday and has been on warferin. his blood is thin, 4.6. he has stopped the medication til the surgery. would it help thicken his blood to now go ahead and eat green leafy vegetables, grapes, things with vitamin k?

doctor1 MD

Hello and welcome to HCM,
Green leafy vegetables are rich in iron so consumption of green leafy vegetables will lead to increase in iron content and improve the hemoglobin but will not affect the thickness of blood.
Warfarin is stopped before surgery to avoid excessive bleeding during surgery,...

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My mother is 93 and has very swollen and painful legs. Test show she has no circulation in one leg and very limited in another. She has a pace maker and I believe they feel a vascular surgeon would hesitate to strip veins due to the anesthesia and her age. Any suggestions??

doctor1 MD

Hello,
Thanks for posting your query.
Vascular surgery at her age with a pace maker fitted in her heart is XXXXXXX due to anaesthetic complications.
In such cases, going for a conservative management is the best approach. Mild cases of bad circulation usually require an aerobic exercise program,...

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i undergone tongue & jaw cancer surgery before 9 years .now i am totally disease free .because of radiation i am not able to wide open mouth .doctors suggesting reconstructive micro vascular surgery ,i want to know that who is the best doctor in india ?

doctor1 MD

hi,
Thanks for writing in.

If you have got treated for tongue and jaw cancer by surgery 9 years back and now are disease free then you are cured from the cancer.

Radiation has side effects like causing muscle contracture in the mouth. You might consult a plastic surgeon specialized in flap...

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Hi! I'm a MD too. Brazilian, surgeon, professor and researcher, 45 years old, married. My husband is a vascular surgeon and bipolar diagnosed 5 years ago. I've been struggling to understand, help and "save" my married despite so many crazy things that I've been living the last years. Recently I've noticed that I'm alone, not working... torturing myself... I can't see how to recover my own life

doctor1 MD

Have you ever looked into therapy for codependency? A good therapist can help you to reclaim your life by using therapies that include CBT, empowerment. Reading books from Melodie Beatty such as Codependent No More, etc. may shed some light into your situation. The Bipolar partner can breach any...

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ecg results from pre-op for knee surgery (no know heart problems) Do I proceed with the knee surgery or are these ecg results immediately of concern?

heart rate 68
P axis 80
I 40 Axis 85
T 40 Axis 98
QRS Axis 89
ST Axis 67
T Wave Axis 75
EKG Severity ABNORMAL ECG
EKG Impression SINUS RHYTHM
EKG Impression normal P axis, V-rate 50-99
EKG Impression ABNRM R PROG, CONSIDER ASMI OR LEAD PLACEMENT
EKG Impression Q>30mS, diminished R, V2

doctor1 MD

Hi there,
Thanks for writing in.
I am a qualified and certified cardiologist. I read your mail with diligence.
My reasonable guess is:
You are referring to cardiac clearance for a non-vascular surgery. It is not done on the basis of computer interpretation of EKG alone. Anesthesiologist, want...

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Hi, I m a 30 year old female and on January 9 th I had emergency surgery for perforated diverticulitis of the cecum . They removed my cecum, ileocecal valve , and appendix, luckily I do not have a colostomy they were able to reconnect everything without any problems. I did have a general surgeon who actually specializes in vascular surgery do the procedure because he was on call. I have been experiencing some difficulty sleeping since surgery. I will doze off and wake up feeling nauseated and lightheaded with a weird vibratory sensation throughout my chest. Also when I stand up my vision goes dark for a few seconds. I am eating 4-5 small meals a day and drinking one Gatorade and about 2 bottled water a day. My urine is light yellow and I am going about 5-6 times a day. BM s daily to every other day, no diarrhea. I haven t been taking any pain meds since I left the hospital on the 12 th. I take Zantac and Prevacid once daily. It may just be anxiety from the whole experience but I m just a little concerned. Thanks for any advice.

doctor1 MD

Hi.
I dont think it is related to surgery complication. It is procedure which can be well done by every general surgeon. It is always expected to feel some nonspecific gastrointestinal problems such as diarrhea or stomach cramps but symptoms you re saying dont seem to be serious. If you have...

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good afternoon sir, my mother s foot have some ulcer type problem( in hindi it called gorkhul ) it happen first time one and again it increase the number what it is called in medical term i dont no but it create pain when my mom walk what i should do for that to overcome this problem thanks and regards abhay

doctor1 MD

Hello.Ulcers on the feet and legs are very common in older people related
with chronic venous insufficiency, diabetes ...
Your mother should be seen as soon as possible by an specialist in vascular surgery.He will examine your mother and will establish appropriate treatment.
I wish you good...

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Hi, I'm a 65-year-old male with CAD. I've had one NSTEMI and seven coronary angiography procedures with multiple stents and one balloon angioplasty. For several years now I've had many episodes of livedo reticularis, with purple toe, focal painful foot lesions, ulcerations, and dry gangrene of two distal toes. Cholesterol embolization syndrome was FINALLY diagnosed after seeing five physicians (yes, five: FP, cardiology, vascular surgery, rheumatology, and hematology--the hematologist was the one guy who knew immediately what the problem was.) In recent months I've had several episodes of abrupt onset of crippling pain in one or both knees, plus in one ankle that have spontaneously resolved after about 18-36 hours. The latest ankle pain was followed by a nerve palsy that gave me foot drop for about a week, then resolved. The most recent knee problem was bilateral, with the left knee being swollen, pink, and warm, plus I had a fever. My question: Are these sudden and unpredictable joint pains a result of my CES? Hardly any physician I've spoken with knows anything about this issue. Thank you.

doctor1 MD

Brief Answer:
Yes sir, not directly, but can be due to CES

Detailed Answer:
Hello sir and welcome.

Thank you for writing to us.

First of all, my sincere apologies for your most recent health-related issues, and I apologies on behalf of all the medical doctors who could not make an early...

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I had surgery 20 years ago, one of many.It was supposed to be a 45 minute laporoscopy. I woke up in ICU 8 hours later. The doctor cut a main artery and had to wait for a vascular surgeon to be flown in from another hospital. He took a vein from my ankle and patched me up.They kept telling me the pain would subside after e few years. Here I am 20 years later still in cronic pain.

doctor1 MD

Hello,
Thanks for posting your query on health care magic.
Chronic pain is not due to the artery being cut.
It could be due to adhesion caused due to operation.
Adhesiolysis can help in relieving your symptoms of pain.
Hope this helps.
regards,
Dr Nilofer

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Recent questions on  Vascular surgery

doctor1 MD

Dear Dr., I had varicose veins operation 7 years ago. After that my legs pain. My doctor told it is neurological pain. He prescribed me Lyrica 75 mg 1 OD. But still my legs pain. I am unable to walk too long. Can U please help me. My age is 47, wt: 60 kg, ht: 5.7 ft, No diabetics, No BP. No other illness. Thank you.

doctor1 MD

Hi I have visible swollen veins on the side of scrotum I have no pain I've had varicose veins removed from left leg some years ago what is the procedure in my situationMy age is 45 I'm 180 cm and 90 kg I'm active at work up and down the ladder all day

doctor1 MD

My right ankle keeps swelling up through the day and it has now started to itch. I also have a red rash on both legs coming up to my knees. I do have a few varicose veins in the back of my knee joint and I ve tried support knee socks but they must bruise my leg at the knee and make my legs very hot.

doctor1 MD

My brother is have a leg pain below his left know. We did ultrasound and it was not a varicose. Pain is such that he cant even Walk. Doctors have referred to Spine clinic. When doctor said spine , Iam very worried. My brother is 52 Yrs old, and he is liver transplant patient , ( Transplant was done 5 years back.)

doctor1 MD

I had vascular surgery on my right leg seven months ago. My leg is still swollen. to touch it it feels hard. Ive been back to surgeon and he says he's never seen this before. Gave me perscription of water pills but that hasn't helped at all. What...

doctor1 MD

My father is 81 yrs old ,hypertensive, having BPH had Ml in 2005 .Two months back he had paresis of right side and diagnosed left CCA blockade.(66%).Is vascular surgery possible in his case?If yes, suggest me in CMC.

doctor1 MD

1. Today I was exercising in cold weather & I noticed that my left hand was much colder than my right hand; 2. I continued to exercise & 20 minutes later my right hand became warm (presumably from the exercise) but my left hand remained cold; 3....

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