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VASCULAR SURGERY

STAR Hospitals provides world class vascular care and promotes collaboration among the different specialities involved. Vascular surgeons at STAR Hospitals are trained in the diagnosis and management of conditions affecting the circulation, including disease of the arteries, veins and lymphatic vessels. Many vascular conditions can be treated without surgery, radiology or invasive procedures. The vascular surgeon often has a preventative role and may advise the patient to adopt a healthy lifestyle including a suitable diet and regular exercise.

If at all surgery is necessary, endovascular surgery is performed utilising minimally invasive techniques. Vascular surgeons or interventional radiologists both provide these treatments such as angioplasty (widening narrowed or obstructed arteries) and inserting stents. For example, during angioplasty an empty and collapsed tiny balloon is inserted into narrowed areas of the vessel and inflated using water pressure to improve blood flow. A stent (a tiny metal cylinder) may also be inserted to ensure the vessel remains open. The aim of these techniques is to restore normal blood flow. Endovascular surgery has some advantages over open surgery including shorter recovery periods both in and outside the hospital, less pain and scarring.

Vascular surgeons at STAR Hospitals treat a wide variety of conditions including:

  • aortic aneurysms – dilation of a blood vessel, which can lead to rupture and death
  • carotid artery disease – a waxy substance called plaque builds up inside the carotid arteries that carry blood to the neck and head and can cause a stroke
  • critical limb ischemia – severe blockage in the arteries of the lower extremities which seriously reduces blood flow and in serious cases may result in limb amputation
  • deep vein thrombosis – occurs when blood thickens in a clump that becomes solid, forming a clot
  • lymphedema – swelling caused by accumulation of fluid in the body’s tissues
  • peripheral arterial disease – where plaque builds up in the arteries to the legs limiting the blood flow or blocking it altogether
  • venous disease – where veins become abnormal or diseased, including the treatment of varicose veins
  • Vascular surgery is actually quite varied and most operations have to be tailored to the individual patient. Urgent intervention is required for conditions such as ruptured aortic aneurysms and vascular trauma following road accidents and other accidents.

    Common vascular and endovascular procedures performed by STAR Hospitals’ vascular surgeons include:

    • open and endovascular repair of aortic aneurysms and peripheral artery aneurysms
    • balloon angioplasty and stenting in all vascular areas
    • carotid artery surgery to prevent stroke – to remove the build-up of plaque
    • lower limb revascularisation – restoration of blood flow to the legs and feet of patients with clogged arteries due to peripheral vascular disease
    • limb amputation – as a last resort when other treatments have failed
    • treatment of varicose veins – usually using minimally invasive procedures
    • diabetic foot and non-healing ulcers
    • all sorts of dialysis access

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