The best laparoscopic surgical facility in town, lahore -- pakistan

It offers surgery involving arteries & veins of the limbs, neck and abdomen, used for:

Vascular Surgery Clinics

Aortoiliac Occlusive disease

Blockage of Iliac artries resulting in pain, cramping fatigue in the lower body while walking or exercising, pain is in buttoks, thighs and legs (intermittent claudication). Some men may experience erectile dysfunction, sever pain, coldness and numness in a limb, sores on toes, heals or lower legs. Dry, scaly cracked skin on the foot, weakened muscles in the leg and ultimate gangrene.
Treatment is stenting or bypass grafting.

Leg artery disease

Symptoms are of intermittent claudication. Feeling of tightness, heaviness, crampting or weakness in the leg with activity especially after a quick walk or walking uphill. Pain in the feet at rest, coolness of legs and feet, poor healing of wounds, ulcers on the feet and legs, complicated infections and gangrene.
Treatment is with medication , walking exercise, stenting and bypass surgery/endarterectomy.

Arm artery disease

Symptoms are of discomfort/pain in the arms on activity. intermittent claudication. Sensitivity to cold, fingers turning blue or pale, slow growing finger nails, slow growing arm hairs, sore on the fingers and evantually gangrene if not treated.
Treatment is with medication , exercise, stenting and bypass surgery/endarterectomy.

Carotid Artery disease

Carotid Artery disease may not cause symptoms in it's early stages, however when symptomatic, there's feeling of weakness, numness or a tingling sensation on one side of the body, e.g in an arm or a leg, being unable to control the movement of an arm or a leg, loosing vision in one eye, being unable to speak clearly. If these symptoms go within 24 hours, it is a transient ischemic attack and if it persist beyond 24 hours, it is a full blown stroke. Investigations needed are carotid duplex ultrasound, CT angiography, magnetic resonance angiography etc. Treatment is Carotid Endarterectomy

Peripheral Aneurysms

When a weak area of a blood vessel expands or buldges significantly it is called an Aneurysm. The concerns of a vascular surgeon about the aneurysms are the rupture and distal ischemia due to thromboembolism. The most encountered aneurysms are:

Abdominal Aortic Aneurysm

Patient may present with a vague pain in the abdomen, might feel a pulsation in the abdomen, sever backache or signs of leg artery disease because of thromboembolism. The symptoms of a ruptured aneurysm include a sudden intense back or abdominal pain or signs of shock, such as Shaking, Dizziness, Fainting, Sweating, Rapid heartbeat and sudden weakness. Diagnosis is by ultrasound, angiography, CT scan and MRI scan. Treatment is watcheful observation or if greater than 5 cm in diameter, a surgical synthetic graft repair is done.

Femoral, Popliteal and Arm Artery Aneurysms

Symptoms are pulsating lump, leg or arm pain with exercise or at rest, painful sores or ulceration involving the toes or fingers, nerve compression pains, gangrene or tissue death in case of blockage of distal blood flow. In case of complications or immenent rupture pheripheral aneurysms are treated with a surgical bypass or replacement.

Deals with spectrum of venous diseases inclusive of:

Varicose Veins

Varicose veins are swollen, dialated veins that can be seen through the skin. They often look blue, bulging and twisted. If left un-treated may worsen over time. Symptoms are, legs may feel heavy, tired, restless or achy especially on sitting or long standing. May even give night cramps. Treatment is with Sclerotherapy, Ablation and Vein Stripping.

Deep Vein Thrombosis (DVT)

DVT is a blood clot in one of the deep veins usually in the pelvis, thigh or calf, but it can also occur less commonly in the arm, chest or abdomen. It causes sudden swelling, pain and a sensation of warmth. It is dangerous because if the clot breaks free from the deep veins, it can lodge in the lungs by travelling through the blood stream. The clot can block blood flow in the lungs and can be fatal in a short time. DVT is caused by major surgery, prolonged travel, inherited blood clotting abnormalities and cancer. Diagnosis is made clinically and duplex ultrasound and sometimes Venography. It is treated with anti-coaglants and elastic compression stockings.

Chronic Venous Insufficiency & Venous Ulcers

When the leg veins can't pump enough blood back to the heart, the condition is called Chronic Vebous Insufficiency. The symptoms are swollen ankles and feeling of tightness in the calves. The legs may also feel heavy, tired, restless and achy. There's feeling of pain while walking or shortly after stopping. Chronic Venous Insufficiency may be associated with Varicose Veins. The causes are Deep Venous Thrombosis and Phlebitis, both of which cause elevated pressure in the veins by obstructing free flow of blood through the veins. Factors that increase the risk of CVI include the family history of Varicose Veins, being Overweight, being Pregnant, not exercising enough, smoking, standing or sitting for long period of time. If left un-treated, may result in ulceration around the ankle called venous ulcer which can be a challenge to heal. Diagnosis is by a duplex ultrasound or sometimes venogrpahy. Treatment is through compression stockings, Sclerotherapy, Ablation, Vein Stripping, Bypass venous surgery and Valve repair. For venous ulcers we can use Unnaboots, transparent or hydrocolloid compression dressings and growth factors.

Dialysis Access

Dialysis Access is an entaranceway into the blood stream that lies completely beneath the skin and is easy to use. The access is usually in the arm but sometimes in the leg, it allows bllod to be removed and returned quickly, efficiently and safely during dialysis. The access portal is made by a fistula which is constructed by joining an artery to a vein or a graft which is a man-made tube that is inserted under the skin to connect an artery to a vein. This results in increased blood flow through the vein. In response the vein stretches and becomes strenghened (Arterilization of the vein). This is used as an access for Hemo Dialysis. Protecting the dialysis access is crucial. Following are the tips:
Check several times a day for the thrill.
Monitor any bleeding after dialysis.
Don't carry heavy items with the arm that has the access.
Don't sleep on that arm.
Don't wear any clothing or jewelry that binds the arm
Don't let anyone draw blood or measure blood pressure from that arm.
Don't allow injections to be given into the fistula or graft
Keep the fistula site clean
Look for any swealling or redness (infection)
Don't use any creams or lotions over the site of fistula or graft.