Peripheral Bypass Surgery

What is Peripheral Bypass Surgery?

Widespread ischemia begins in the extremities as a result of atherosclerotic occlusion of the arteries feeding the lower and upper extremities. Sometimes a nail or finger necrosis occurs. It usually occurs when the wound caused by nail cutting does not heal and becomes infected, and the pain that occurs while walking is defined as claudication and has a very important place in diagnosis. By performing peripheral computed tomographic angiography, the occluded artery is detected and intervention is planned. This intervention takes the form of endarterectomy or bypass surgery with artificial vascular graft if the blocked segment is short. Atherosclerotic lesions can sometimes completely occlude the artery, and as a result, if this has developed over many years, collaterals form from other branches to the area it feeds and may not cause symptoms or foot pain may occur after walking long distances. It is detected incidentally during examination or tomographic angiography. 

The Importance of Early Diagnosis in Peripheral Bypass Surgery

Diabetes, hypercholesterolemia, smoking, obesity, sedentary life (inactive) and genetic structure increase the risk of peripheral artery disease. These patients must have an arterial ultrasound check to prevent delays. Well peripheral bypass surgery Detection before ischemia occurs in the extremity reduces the risk of surgery and provides more benefits from surgery.

Peripheral Bypass Surgery How To

Today peripheral bypass surgery Depending on the location of the lesioned artery, it is easily performed with minimally invasive incisions and advanced Dacron artificial grafts. However, surgical experience and the transition location and shape of the graft are very important. The aim is to provide blood flow distal to (after) the lesion in the artery. The vascular anastomosis (suture) technique, together with the quality of the grafts, ensures that patency rates last for many years.

Peripheral Bypass Surgery Aftermath

Peripheral bypass surgery Early mobilization and exercise should be provided afterwards. For this reason, the patient, who is usually discharged after 3-4 days of hospitalization, should not skip daily exercises such as walking, but should not overdo it when tired.

Peripheral bypass surgery Afterwards, one should also avoid foods rich in cholesterol and should never smoke. Diabetics should maintain blood sugar control. Monthly check-ups should not be missed. In addition to all these, the use of anticoagulant and antiplatelet drugs should not be interrupted.