Dr Hemanth Kumar Pandharpurkar is a Consultant Vascular & Endovascular surgeon at the Manipal Hospital, HAL airport Road, Bangalore, from October 2017. Prior to this, he was the Professor & Head of Vascular Surgery at the St John’s Medical College Hospital, Bangalore (1998 – 2014) and then Consultant Vascular Surgeon at the Sir P D Hinduja National Hospital, Mahim & Hinduja Healthcare Surgical ,Khar, Mumbai from June 2014 to Oct. 2017), before moving back to Bangalore.
What is Vascular Surgery?
It is a field of Modern Allopathic system of Medicine that deals with disorders related to the vascular system i.e., disorders of the arterial, venous or lymphatic system.
Arteries
Arteries are specialised blood vessels that carry oxygenated blood from the heart and distribute it to various parts of the body.
Common arterial disorders include acute (sudden) and chronic (slow onset and worsening) upper & lower limb ischemia (lack of arterial blood supply) leading pain on exercise, pain at rest and eventually ulceration / gangrene. Abnormal dilatation ( aneurysm) of the arteries leading to their rupture is another not-so-rare disorder seen.
Veins
Common venous disorders include Chronic Venous insufficiency leading to Varicose veins, pain, swelling, discoloration, eczema and ulceration in the lower legs and feet. Sudden (Acute) clot formation (thrombosis) in the superficial veins ( Superficial Vein Thrombosis – SVT) or Deep veins ( Deep vein thrombosis – DVT) are the other not so rare conditions.
Lymphatic vessels
Common lymphatic disorders are lymphoedema ( protein rich lymphatic fluid collection in the limbs- either of unknown cause or post-surgery or radiation), Lymphangio-adenitis ( soft tissue painful red swelling – Cellulitis).
Vascular malformations
Vascular malformations (arterial, venous or lymphatic – slow or fast flow malformations, many being a combination) are other disorders which are abnormal growth of blood vessels.
Diabetic foot
Diabetic foot related problems like infections, ulcers and gangrene are other common disorders covered by Vascular Surgeons.
Chronic Kidney Disease (CKD)
Patients suffering from Chronic Kidney Disease (CKD) requiring creation of a vascular access procedure like an arterio- venous fistula – AVF or an arterio-venous graft fistula – AVG, are one of the commonest that are seen and managed by Vascular Surgeons..
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