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Vascular Surgery Leg Bypass Questions
Depends on surgery: It really depends on type of surgery and the technique used. Endo techniques typically have a much shorter recovery time. Open techniques recovery dependent on how many incisions and what procedure. It also depends on what type of shape the patient is to begin with. Older, frail patients may have a much longer recovery time. ...Read more
Depends on procedure: Recovery after any surgical procedure is variable in duration and difficulty. The biggest factors that affect recovery are the procedure itself, your overall health and physical condition, your nutritional status. Some vascular surgery leg procedures are done in an outpatient setting with recovery expected to be less than a week. Some require hospital stay and rehab for recovery. ...Read more
Briefly,: Vascular surgery is a medical discipline that deals with the diagnosis and treatment of diseases and problems of the arterial, venous and lymphatic systems, exclusive of the heart. Interventional treatment can be both surgical and non-surgical (i.e. Catheter based and minimally invasive) and as such, make vascular surgeons uniquely qualified to provide unbiased recommendations for patients. ...Read more
Depends: Leg bypasses are typically done when someone has pain or a non-healing wound from poor circulation. If the bypass is open then it will be effective at healing wounds and improving pain. How long bypasses work is another loaded question and depends in many factors. Some include, smoking status, is vein used as a conduit or synthetic material, is the bypass to an above or belw knee artery. ...Read more
Yes: Revascularization is common due to the progressive nature of peripheral vascular disease. After an original bypass, scar tissue or intimal hyperplasia forms at the proximal and distal ends of the pipe limiting flow. Ultimately this scarring may shut the bypass down requiring a "new" one. However, as the disease progresses options for further bypasses may become more limited. ...Read more
Best leg stent?: That depends on the length of the stenosis. If it is short, then just angioplasty should suffice. If it is the length of your leg, then pending on how good the outflow vessels are, bypass would be a better option. ...Read more
Had aorta bifemoral bypass surgery in december. Am having leg and back pain like before surgery could this be happening again so fast?
Arterial blockages..: In the legs are treated with angioplasty +/- stenting. The traditional approach is bypass around the blockage as you describe. A vascular surgeon usually does this surgery. Some cardiovascular surgeons still do this, a few general surgeons in ares limited to specialists and urgent situations may also do this. Vasculary surgery is it's own specialty and they are best to deal with this in most cases. ...Read more
I am a diabetic that has already had a full leg bypass surgery to improve circulation. Now I am having tunneling in the largest wound?
Foot swelling: Lower extremity swelling not unusual after saphenous vein harvesting. May need support hose, get wound checked to be sure no infection. ...Read more
Risk vs Benefit: There is risk with all surgeries even those done with wires manipulated through the arteries (angiography/angioplasty). In experienced hands, these risks are minimal. However, pad if untreated can lead to severe pain, open ischemic ulcers, gangrene and loss of your limb. Given the choice, if you are having symptoms, then treatment is safer than waiting. ...Read more
It depends: ... Mostly on how you are doing. If you can walk, sit, and move around, and if your wound is healing well, you should be able to fly after your discharge from the hospital. ...Read more
PVD: Patients who need arterial bypass for PVD usually have coronary artery disease, hypertension and often diabetes. This combination or individually raises the risk of any surgery. When we do PVD surgery it is usually because a limb is threatened, saving a limb is a pretty prominent benefit in most people's risk/benefit equation. ...Read more
No: Bowing of your legs is due, most likely, to arthritis, not to the gastric surgery. Increased weight can cause increased joint wear and changes in your mechanical axis. The weight reduction likely is currently reducing your symptoms, but arthritis and mechanical axis malalignment is common in the general population in your age group. ...Read more
Possibly: Can be related to the bypass surgery, especially if your leg veins were used for the bypass. .. But if persists or worsens, or if your leg is swollen, should get checked by your cardiologist or cardiac surgeon. .. ...Read more
What's after a full leg brace? I had vascular surgery and my meniscus is still ripped. What comes after this? Will I walk with a torn meniscus?
Varies: It varies in part on the reason for the brace. A brace is not a standard treatment for your meniscal tear, so you may be wearing the brace for other reasons. Typical treatment for most meniscal tears is arthroscopic repair verses debridement, but you might not be a candidate for this based upon a recent vascular surgery. I would certainly discuss specifics of your case with your surgeons. ...Read more
Depends, of course: Open bypass surgery usually requires 2-3 days in the hospital to regain adequate activity to go home, then again a slow return to regular activity in 2-4 weeks. Air travel should be ok within 2 weeks after surgery, depending on one's activity level. ...Read more
I will be traveling for femoral artery (leg) bypass surgery. How long before I would be able to fly back home?
Depends: A lot hinges on how you do. Once you are walking, eating, voiding, and your incision looks good, there is no reason for you to stay. You will be on Aspirin and probably plavix, (clopidogrel) so travel should not be a problem. If you are concerned, there should be a vascular surgeon closer to you who could do the surgery. ...Read more
Meniscus tear, ligament tear, and vascular surgery. I'm on a full leg brace, what comes after this? Will I walk with a torn meniscus?
I have a family member who will be undergoing cardiac bypass surgery soon. How is the leg vessel "fixed" after a portion is removed for the surgery?
Collaterals: Often if multiple bypasses are needed, veins are harvested from the leg for use. Post operatively part of rehab is walking and may require compression hose to prevent swelling in the leg till the body replaces the removed vein with new small veins that will take over the job of returning blood to the central circulation. Walking and exercise will encourage the growth that may take multiple months. ...Read more