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Dr. Robert Vorhies

Vascular Surgery
Springfield, MO
26 years experience male

Locations

Office

Springfield, MO

Address

3800 S. National Ave., Springfield, MO
Directions

About

Bio

A Midwesterner with training in Iowa and Kansas before vascular surgery fellowship in Massachusetts, I am now practicing in Springfield, Missouri with the Ferrell-Duncan Clinic at Cox Health. My two partners and I are the only board certified Vascular and Endovascular Surgeons in Southwest Missouri and provide advanced endovascular therapy for regional and national referrals. Our Endovenous Therapy and Vein Aesthetics Clinic is well recognized as a leader in the region and our services are supplemented by the only board certified Vascular Medicine Specialist in the region. It is our goal to provide superlative vascular, endovascular, and venous therapies in order to maintain or restore mobility, function and confidence for our patients using the most advanced technology available

Specialties
Doctors may have more than one area of specialty interest. Board certification in a specialty area means the doctor has completed formal training and has practice experience in that specialty, and has passed the certification examination from the corresponding accredited medical specialty board.

Vascular Surgery

Doctor Q&A

69 Answers
51 Agrees
The number of answers this doctor has agreed with.
A 42-year-old member asked:
Dr. Robert Vorhies
Vascular Surgery 26 years experience
Decreased endurance: Decreased exercise endurance is one of the long term complications of pe. Pulmonary hypertension is also seen in more severe cases. It all depends o... Read More
A 46-year-old member asked:
Dr. Robert Vorhies
Vascular Surgery 26 years experience
Very soon. : Pulmonary embolism occurs on a wide spectrum. If your daily exercise tolerance is reasonably good and you do not require supplementary oxygen, you sho... Read More
A 35-year-old member asked:
Dr. Robert Vorhies
Vascular Surgery 26 years experience
Depends: Depends on how obese the patient is. In a patient with a normal weight for their height (bmi), the femoral artery usually lies about 2-3 cm beneath t... Read More
A 32-year-old member asked:
Dr. Robert Vorhies
Vascular Surgery 26 years experience
Treat both: Hypertension should not alter the treatment plan for dvt. Systemic anticoagulation for 3-6 months is a minimum recomendation, and dont forget the com... Read More
A 34-year-old member asked:
Dr. Robert Vorhies
Vascular Surgery 26 years experience
Depends, of course: Depends on what procedure was done. Many vascular procedures are now done with wires and catheters and allow treatment as an outpatient. I recommend... Read More
A 41-year-old member asked:
Dr. Robert Vorhies
Vascular Surgery 26 years experience
Penfield Elevator: Open endarterectomy is done through a surgical incision with an instrument that looks like a spatula with a small rounded end. The plaque is held with... Read More
A 43-year-old member asked:
Dr. Robert Vorhies
Vascular Surgery 26 years experience
Several theories: Most common belief is that aneurysms develop due to some inherent weakness in the artery's muscular layer due to an imbalance of collagen metabolism o... Read More
A 41-year-old member asked:
Dr. Robert Vorhies
Vascular Surgery 26 years experience
Stent grafts: Special stent graft techniques are being researched to allow for preservation of the aortic arch branches and avoid a more invasive chest incision. Tr... Read More
A 43-year-old member asked:
Dr. Robert Vorhies
Vascular Surgery 26 years experience
Yes but uncommonly: Seen in very select patients who often have some underlying collagen disease.
A 45-year-old member asked:
Dr. Robert Vorhies
Vascular Surgery 26 years experience
Maybe : Coarctation of the aorta is a narrowing of the aorta usually present from birth. It is most often treated with open surgery but endovascular stent gr... Read More
A 46-year-old member asked:
Dr. Robert Vorhies
Vascular Surgery 26 years experience
2-4 weeks: If treated while asymptomatic, popliteal artery aneurysm repair is accomplished with a fem-pop bypass and tying off the aneurysm above and below the a... Read More
A 36-year-old member asked:
Dr. Robert Vorhies
Vascular Surgery 26 years experience
Yes. : Pulmonary embolism is often fatal but it really depends on the size of the clot that travels to the lung. Small clots may not even be noticed but lar... Read More
A 32-year-old member asked:
Dr. Robert Vorhies
Vascular Surgery 26 years experience
No: Despite aggressive attempts decrease plaque burden with medication alone, results have been unsatisfying. The risk of high dose medications to achiev... Read More
A 30-year-old member asked:
Dr. Robert Vorhies
Vascular Surgery 26 years experience
4-6 weeks: Agree with others, but i often have patients ready for sutures out in 3-4 weeks and send them on to prosthetic fitting. It depends on swelling and ove... Read More
A 43-year-old member asked:
Dr. Robert Vorhies
Vascular Surgery 26 years experience
Spasm vs obstruction: Poor circulation is a general term but commonly refers to arterial insufficiency due to vessel obstruction which is most commonly atherosclerotic dise... Read More
A 31-year-old member asked:
Dr. Robert Vorhies
Vascular Surgery 26 years experience
Contrast and access: Diabetics often have terrible veins to access for peripheral veinography. Ultrasound guided access can help greatly. Once access is obtained, concerns... Read More
A 34-year-old member asked:
Dr. Robert Vorhies
Vascular Surgery 26 years experience
Not serious : While perhaps personally concerning, a varicose vein on the scrotum is only cosmetic unless very large and painful. Surgical removal is possible as an... Read More
A 48-year-old member asked:
Dr. Robert Vorhies
Vascular Surgery 26 years experience
Risk of Lymphedema: Mastectomy often involves removing the axillary lymph nodes from the arm pit. It is believed that venopuncture and blood pressure measurements, especi... Read More
A 32-year-old member asked:
Dr. Robert Vorhies
Vascular Surgery 26 years experience
Yes: You have very little time to control bleeding from a transected femoral artery before exsanguination.
A 36-year-old member asked:
Dr. Robert Vorhies
Vascular Surgery 26 years experience
Excisional atherect : Rockhawk is a device used by endovascular surgeons that can remove plaque inside of arteries through small tubes called sheaths that are inserted thro... Read More
A 38-year-old member asked:
Dr. Robert Vorhies
Vascular Surgery 26 years experience
HTN VV and claudicat: Hypertension, claudication, and varicose veins are common circulatory disorders of midlife.
A 29-year-old member asked:
Dr. Robert Vorhies
Vascular Surgery 26 years experience
Yes: There is no clear evidence that a pressurized airplane cabin is of any detriment to thoracic aneurysms.
A 45-year-old member asked:
Dr. Robert Vorhies
Vascular Surgery 26 years experience
Probably not much: The clot inside of your subclavian vein should be quite sticky unless it is very new. The chance of dislodging the clot with exercise is not zero, but... Read More
A 48-year-old member asked:
Dr. Robert Vorhies
Vascular Surgery 26 years experience
Heart surgery or not: Most chest surgeons are cardiothoracic surgeons and perform all procedures involving organs of the chest cavity, but some choose to focus only on the ... Read More
A 43-year-old member asked:
Dr. Robert Vorhies
Vascular Surgery 26 years experience
Medications first : Carotid stenosis is often asymptomatic and treated with medication before considering surgery. When stroke symptoms occur, surgery is recommended when... Read More
A 37-year-old member asked:
Dr. Robert Vorhies
Vascular Surgery 26 years experience
Thrombolysis: Large DVT can be treated with chemicals to dissolve the clot. Used in combination with suction type devices, most of the clot can be removed. There ... Read More
A 35-year-old member asked:
Dr. Robert Vorhies
Vascular Surgery 26 years experience
Exam and ultrasound: A first visit for varicose veins includes a history of how the veins bother you then an exam of the size and location of the veins. Compression stocki... Read More
A 41-year-old member asked:
Dr. Robert Vorhies
Vascular Surgery 26 years experience
A serious problem: Popliteal aneurysms very rarely rupture, but instead they more commonly thrombose. When this occurs small pieces of clot shower downstream into all o... Read More
A 31-year-old member asked:
Dr. Robert Vorhies
Vascular Surgery 26 years experience
No worries: Venous stasis is very common and almost never life threatening or even limb threatening. It occurs most commonly when the valves of the leg veins br... Read More
A 38-year-old member asked:
Dr. Robert Vorhies
Vascular Surgery 26 years experience
Elevation/Compressio: Elevate legs above your heart when at rest. Blocks of wood under the foot of your bed. Compression stockings, 20-30mmhg gradient at all times wheneve... Read More
A 31-year-old member asked:
Dr. Robert Vorhies
Vascular Surgery 26 years experience
Less than a month. : It depends on the age of the transfused blood. The normal life span of a red blood cell is about 30 days before it is destroyed in the spleen. Trans... Read More
A 44-year-old member asked:
Dr. Robert Vorhies
Vascular Surgery 26 years experience
Depends on repair: If repaired by an experienced surgeon, the injured femoral artery should return to normal function. Long term, scar tissue can form around the repair... Read More
A 30-year-old member asked:
Dr. Robert Vorhies
Vascular Surgery 26 years experience
Very different : Venous thrombosis is often painful and can cause swelling in the legs, but is rarely life or limb threatening unless associated with pulmonary embolis... Read More
A 44-year-old member asked:
Dr. Robert Vorhies
Vascular Surgery 26 years experience
Clearly different : Arterial ulcerations appear necrotic. No evidence of pink healing tissue at the base and the wound edges are grey or black. Venous ulcers usually hav... Read More
A 47-year-old member asked:
Dr. Robert Vorhies
Vascular Surgery 26 years experience
Anticoagulation : Tibial vein DVT has been a controversial subject. Current recommendations call for systemic anticoagulation for 3 months (often started with Lovenox (... Read More
A 48-year-old member asked:
Dr. Robert Vorhies
Vascular Surgery 26 years experience
Not really: Aneurysms never really get any smaller as long as they are subject to arterial pressure. Stabilizing aneurysm growth may be possible with control of ... Read More
A 38-year-old member asked:
Dr. Robert Vorhies
Vascular Surgery 26 years experience
Depends: Depends on how obese the patient is. In a patient with a normal weight for their height (bmi), the femoral artery usually lies about 2-3 cm beneath t... Read More
A 40-year-old member asked:
Dr. Robert Vorhies
Vascular Surgery 26 years experience
Blood vessel surgery: Vascular surgery is a surgical specialty that focuses on abnormalities of the blood vessels. Some procedures are done with wires, catheters, balloons,... Read More
A 34-year-old member asked:
Dr. Robert Vorhies
Vascular Surgery 26 years experience
Why choose?: Prior to endovascular stent graft treatments of aneurysms, open thoracic aneurysm repair was definitely more risky than repair of the more common abdo... Read More
A 40-year-old member asked:
Dr. Robert Vorhies
Vascular Surgery 26 years experience
More likely than not: Popliteal artery aneurysms occur with a bilateral presentation in over 50% of patients. AAA is also diagnosed in around 50% of patients presenting wit... Read More
A 43-year-old member asked:
Dr. Robert Vorhies
Vascular Surgery 26 years experience
NO: Duplex ultrasound is an excellent screening tool for abdominal aortic aneurysm detection. Limitations such as a very large abdomen, overlying bowel g... Read More
A member asked:
Dr. Robert Vorhies
Vascular Surgery 26 years experience
NO: This is a radiology test that typically uses contrast dye injected into an IV in the arm. There is often a warm sensation in the arm but not truely s... Read More
A 41-year-old female asked:
Dr. Robert Vorhies
Vascular Surgery 26 years experience
No: Varicose veins are mostly an inherited problem that we think relates to the relative strength of the vein tissue and is made worse by prolonged exposu... Read More
A 36-year-old member asked:
Dr. Robert Vorhies
Vascular Surgery 26 years experience
Some are reversible: A strong family history of atherosclerosis ( stoke or heart attack at age less than 50) is the strongest risk factor, and along with age and your gend... Read More
A 31-year-old member asked:
Dr. Robert Vorhies
Vascular Surgery 26 years experience
Excellent: National statistical risk of stroke following carotid endarterectomy is quoted at 2-3%. If you have had stroke symptoms leading up to surgery, that ri... Read More
A 31-year-old member asked:
Dr. Robert Vorhies
Vascular Surgery 26 years experience
Greater than 65 : The incidence of carotid stenosis increases steadily as one ages. More common in men than women, and significantly after age 65.
A 36-year-old member asked:
Dr. Robert Vorhies
Vascular Surgery 26 years experience
Precisely : The pressure is generated by the heart and depends on several factors. Blood volume and hormonal influences also effect a person's blood pressure.
A 34-year-old member asked:
Dr. Robert Vorhies
Vascular Surgery 26 years experience
No, but good start: Staying active and choosing a healthy diet can go a long way toward preventing cardiovascular disease, but a strong family history of early atheroscle... Read More
A 47-year-old member asked:
Dr. Robert Vorhies
Vascular Surgery 26 years experience
Often related: Chronic venous insufficiency often results after suffering dvt. Even if the blood clot is cleared out by the body's natural defenses, the venous valv... Read More
A 29-year-old member asked:
Dr. Robert Vorhies
Vascular Surgery 26 years experience
Depends on: The severity of the narrowing. Many people are never diagnosed and simply live sedentary lives due to their nearly constant fatigue.

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Testimonials
Recommendations and Thank you notes are endorsements given from patients or other doctors.

2
Recommendations
136
Thank you notes
HealthTap member
Mar 30, 2015
Dr. Vorhies is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Mar 31, 2015
Dr. Vorhies is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Thank you, your answer was very helpful! Thank you for this clear answer! Much appreciated.
HealthTap member
Thanks for your quick reply! Thank you this makes perfect sense :)
HealthTap member
Thanks for your quick reply! Thanks for your info

Education & Training

Medical/Graduate school

The University of Iowa Roy J. and Lucille A. Carver College of Medicine, IA
Graduated 1996MD

Awards

HealthTap Founding Doctor

Affiliations

Society for Vascular Surgery
American College of Surgeons
90,000 U.S. doctors in 147 specialties are here to answer your questions, provide medical advice, write prescriptions, and more.
Answer emailed
in 24 hours or less