THE AREAS OF PRACTICE
Improvement of life quality is a major focus of our work.
We treat a wide variety of problems, specialising in venous disease.
Arteries deliver oxygenated blood to the legs and vein deliver the deoxygenated blood back to heart. Both arteries and veins must have no obstruction in them in order to work well.
The image on the left below shows legs with brown pigmentation (specially the left leg). This is caused by an obstruction in the veins (see the white arrows suggesting pelvic vein obstruction ONE OF THE TWO WE SHOULD REMOVE). Obstruction (or compression of the vein) causes also other symptoms and signs like pain, swelling, ulcer and chronic leg infection (see the other photographs). Varicose veins (on the photograph marked before surgery) are common and most of the time they are uncomplicated, but in some cases they also deserve detailed assessment as they may be associated with a deep vein pathology.
Traditional management of those patients with venous blockages involved the bandaging of their legs. Every day for life. Ulcers could heal after many months of bandaging but they would unfortunately come back in the majority of people.
A New approach:
The new treatment approach is to get rid of the blockage in the veins in the similar way that we fix arteries, by putting a spring into the vein to keep it open. This allows the blood to flow through freely and allows the leg to go back to a normal shape whilst the tissue starts to heal.
While very few Doctors in Australia use this new approach, we have a large group of patients already successfully treated. Everyone with some of the shown signs of chronic venous disease should know that their problems can be treated. It is mostly a day case not even requiring a single stitch!
An aortic aneurysm can occur in the chest (thoracic aortic aneurysm) or the abdomen (abdominal aortic aneurysm)
An arteriovenous (AV) fistula is an abnormal connection between an artery and a vein.
Peripheral arterial disease (PAD) is a condition in which arteries in the legs, and less often elsewhere is blocked by plaque.
TOS is a condition whereby symptoms are produced from compression of nerves or blood vessels (or both) due to an inadequate passageway through an outlet between the base of the neck and the armpit.
Varicose veins are superficial limb veins that have become stretched and swollen with blood.
CVD covers the whole spectrum of venous disorders from small telangiectasia to the venous ulcer. The most common presentation is primary varicose veins.