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Dr. Himanshu Verma  - Vascular Surgeon, Delhi

Dr. Himanshu Verma

87 (10 ratings)
MBBS, MS - General Surgery, Fellowship in Vascular Surgery, Ted Rogers Fellow...

Vascular Surgeon, Delhi

12 Years Experience ₹300 online
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Dr. Himanshu Verma 87% (10 ratings) MBBS, MS - General Surgery, Fellowship in Vascular Surger... Vascular Surgeon, Delhi
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Hi, my name is Dr Hmanshu Verma. I am a Vascular and endovascular surgeon.<br/><br/>Dialysis aaj ...

Hi, my name is Dr Hmanshu Verma. I am a Vascular and endovascular surgeon.

Dialysis aaj kal bohot he common hai. Renal Failure aaj kal bohot he common hogya hai. Aur ek point pe kidneys certain damage ke beyond hojati hai to uske baad patient ko permanent dialysis ki zarurat hoti hai. Dialysis ke liye normally gale me line daal kar usse blood ko dialysis machine tak lejaya jata hai. Aur clean blood ko wapas body me daalte hai. Lekin unfortunately in lines ko bohot zada der tak body me nahi rehne dia ja sakta hai. Kyuki isse infection ka khatra rehta hai aur sath he yeh lines ander ki nerves ko block karne lagti hai. Iske liye AV Fistula surgery ki zarurat hoti hai. Ideally hume ek aisi khoon ki nass ki zarurat hoti hai jisse khoon ko body se nikal kar dialysis machine tak lejaya ja sake aur wahan se clena blood ko wapas body me daale.

Aisi koi khoon ki nass actual me exist nahi karti hai jiske lie 2 khoon ki artery or vein ko surgery karke aapas me jod dete hai. ise AV Fistula surgery kehte hai. Ek baar AV Fistula surgery karne ke baad 5-6 hafte me vein badi hojati hai size em aur usme khoon ka flow badh jata hai, tab yeh fistula taiyar hoti hai.

AV Fistula surgery baaki surgeries se isliye alag hoti hai kyuki yahan pe koi cheez bana ke dete hai apko jisk baar baar needle daal ke istemaal hota hai. Kisi bhi jagah hum bar bar needle daalte hai to wo 6 months ya saal bhar me damage hojati hai. Isliye we talk in terms of ki AV Fistula ki ek life hoti hai. Isliye agar AV Fistula agar fail hojati hai to doosri AV Fistula ki zarurat padti hai. Agar failed AV Fistula aap sahi samay pe pehchan jaae to fir usko bachaya bhi ja sakta hai. Ek chalti hui AV FSIstula me bhi kahi baar complications ho sakte hai.

AV Fistula ki wajah se kuch patients ko haath me swelling aane lag jati hai. Adhiktar humne dekha hai ki in patients ki jo chaati k ander ki jo nerves hoti hai, unme narrowing hoti hai. Un narrow nerves ki wajah se haath me swelling ane lag jati hai. Aise mareezo ke liye typically Angioplasty ki zarurat padti hai. Angioplasty ke results bohot he acche hote hai aur within 6-8 hours hath ekdam normal hojata hai.

Apne dekha hoga ki bohot baar patients ko yeh boldia jata hai ki apka Fistula nahi kia ja sakta. Hum is tarah ki expertise rakhte hai jin patients ko bata dia jata hai ki koi naya Fistula nahi kia ja sakta hai.

So, har wo patients jinhe AV Fistula ke options mana kardia jata hai, unme bhi kuch na kuch AV Fistula ke options bache hue hote hai, ye thode un common hote hai, normal fistula se thodi badi surgery hoti hai. But since AV Fistula ek Dialysis patient ki lifeline hot hai, un patients ke liye in options ko explore karna bohot he important hota hai.

Baisilic vein transposition and AV Graft, ye bohot he common procedure hai jinko in patients me kiya ja sakta hai. Agar aap in patients me se hai jisnke liye AV Fistula ke raste band ho chuke hai, aap hume contact kar sakte hai Lybrate ke through ya fir aap humare centre pe personal appointment ke liye bhi aa sakte hai.

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Pero me soojan ek aam samasya hai. Hindustan me mahilaayo me, saree pehenne ki wajah se to adhikt...

Pero me soojan ek aam samasya hai. Hindustan me mahilaayo me, saree pehenne ki wajah se to adhiktam soojan hoti hai, or kisi samsyaaein hai jo ya to shuruaat me ignore ki jaati hai or dheere dheere problem tab he present hoti hai jab unki condition kharab ho jaati hai. Humara ek initiative hai, "hiding underneath the saree", jisme hum patients ko, specially un mahilaao ko jinko pero me soojan rehti hai. Unko hum regular consultations provide karte hai patients ko, aur free health tips dete hai ki kese pero ki soojan ko sahi samay se pehchana ja sakta hai.

Varicose vein pero ki soojan ka ek aam kaaram hai. pero me 2 prakar ki khoon ki nass hoti hai, jisme ek hoti h artery aur vein. Artery heart se khoon ko pero me lekar aata hai or vein se khoon wapas pero se heart tak jata hai.Varicose vein, veins ki problem hai. Isme khoon pero se wapas heart ki taraf nahi ja pata hai, or isme kuch leakage points develop hojate hai, jisse ki khoon pero me he leak kar jata hai or ek closed loop form hojata hai.

Agar kisko is prakar ki problem hai, jese pero me dikhti hui veins hai, ya fir koi ghaav jo bohot dino se nahi bhar raha hai. Me un patients ko pero k ultrasound ki salah dunga jisko hum duplex ultrasound kehte hai. Isme jisko pero me leakage aata hai use Great saphenous Veins, GSV kehte h.

Great Saphenous Veins mein agar koi leakage aata hai to use bina kisi surgery ke, injection dwara treat kiya jata hai. Is method ko hum Radio ablation ya Radio frequency ablation bhi kehte hai. Is process me hum khoon ki nass ko hum injection dwara garam kardete hai or band kar dete hai. Iska koi side effect nahi hota hai. Khoon ki nass band karne se koi problem bhi nahi hoti hai. Is surgery k lie patients same day surgery ke bad he discharge hojate hai. But patients ko 6 weeks tak stokines pehenni zaruri hoti hai. 6 hafte k bad hum fir se ek ultrasound karte hai leakag check karne k lie. Aur leakage band hote he aap ek normal life jee sakte hai.

Har varicose vein ko laser ya radiofrequency surgery ki zarurat nahi hoti hai. pero me agar swelling hai, specially agr dono pero me swelling hai to varicose diagnose ki jagah liver, heart ya kidney ka cheup hone zaruri hota hai. Kyuki agar koi bhi major organ me problem aati hai to starting condition me pero me soojan kar sakta hai.

Agar apke ghar parivar me kisiko is prakaar ki samasya hai. Ya pero me hari ya neeli veins dikhti hai to uske lie aap varicose vein ka check up karwa sakte hai.

Aap mujhe lybrate k through contact kar sakte hai. Nahi to aap humare clinic pe appointment book kar sakte h

Thank you.

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Personal Statement

Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; a......more
Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; as a health provider being ethical is not just a remembered value, but a strongly observed one.
More about Dr. Himanshu Verma
He has had many happy patients in his 10 years of journey as a General Surgeon in Gulabi Bagh, Delhi. He has completed MBBS, MS - General Surgery. Save your time and book an appointment online with Dr. Himanshu Verma on Lybrate.com.

Find numerous General Surgeons in India from the comfort of your home on Lybrate.com. You will find General Surgeons with more than 32 years of experience on Lybrate.com. Find the best General Surgeons online in Delhi. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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Education
MBBS - IMS BHU - Varanasi - 2006
MS - General Surgery - IMS BHU - Varanasi - 2011
Fellowship in Vascular Surgery - Rajiv Gandhi University of Health Sciences - Bangalore - 2013
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Ted Rogers Fellowship - Mayo Clinic - USA - 2016
Professional Memberships
Vascular Society Of India
Association of Surgeons of India
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Lymphedema - Vascularized Lymph Node Transfer Surgery!

MBBS, MS - General Surgery, Fellowship in Vascular Surgery, Ted Rogers Fellowship
Vascular Surgeon, Delhi
Lymphedema - Vascularized Lymph Node Transfer Surgery!

Lymphedema is a condition that typically affects the arms and legs. The most common cause of this condition is damage to the lymph nodes or their removal as part of a cancer treatment program. There is no known cure for this condition. However, surgeries such as Vascularized lymph node transfer surgery may help deal with it better.

Vascularized lymph node transfer surgery involves replacing the affected lymph nodes with healthy lymph nodes from other parts of the body. This allows blood to flow more easily and restores or augments the lymphatic drainage system. In most cases, the healthy lymph nodes are harvested from the patient’s groin. This procedure is relatively new, and its limits are still being explored by doctors. In cases of breast cancer that causes lymphedema in the upper limbs, this procedure may be performed along with breast reconstruction.

To be a viable candidate for this procedure the patient must have maximized control over lymphedema through other forms of lymphedema therapy. This therapy will need to be restarted after the surgery to ensure good results. The lymphedema diagnosis should also be less than 5 years old such that the patient’s lymphedema is in its early stages.

As with any other surgical procedure, there are certain risks associated with this procedure. These can include

  1. Reaction to anesthesia
  2. Bleeding
  3. Infection
  4. Scarring at the site and poor healing
  5. Damage to adjacent blood vessels
  6. Nerve damage that can cause a temporary loss of sensation
  7. Muscle weakness
  8. Numbness ta the sites from where healthy lymph nodes were harvested
  9. Risk of Lymphedema in the area where the lymph nodes were harvested from

After the surgery, the patient will need to keep pressure off the site where the lymph nodes have been transferred. The surgery site may be bandaged but compression garments will not need to be worn. On being discharged the patient may resume normal activities such as driving and work. High-intensity exercises that involve the use of the operated limb should be avoided for at least a month after the surgery. Compression garments should not be used until recommended by the doctor or a minimum of 2 weeks post-surgery. They will also need to schedule review consultations with the doctor. The schedule followed usually involves check-ups after 2 weeks, 1 month, 3 months, 6 months, 9 months and 1 year. In case you have a concern or query you can always consult an expert & get answers to your questions!

3111 people found this helpful

AV Fistula - Why It Is Used In Dialysis Process?

MBBS, MS - General Surgery, Fellowship in Vascular Surgery, Ted Rogers Fellowship
Vascular Surgeon, Delhi
AV Fistula - Why It Is Used In Dialysis Process?

The human circulatory system is a highly complex and well-orchestrated system designed with two sets of channels. The arteries are a chain of vessels which carry oxygenated blood to all parts of the body from the heart. The venous system, on the other hand, carries impure or deoxygenated blood from each of the end organs to the heart. These start from minute branches in the distant parts of the body and gradually grow in size until they reach the heart.

These two channels do not interact unless either created artificially or in disease conditions. Naturally, these could be due to developmental anomalies or as a result of an aneurysm and would require a surgical correction. The AV fistula is, however, commonly created naturally in people who have to undergo hemodialysis.

Why an AV fistula: Generally, an artery in the forearm is sewn into a vein in the forearm. This AV fistula may take about 4 months to heal or mature, and a needle is then inserted into the vein during dialysis. When an AV fistula is created, there is a decrease in the peripheral resistance as the blood does not have to exert as much pressure as before, and there is an easy movement of blood into the veins.

How to care for it:

  1. There could be initial limitations on the amount of weight that can be lifted
  2. Keep the dressing in place for 1 to 2 days
  3. Do not sleep on the fistula arm
  4. Do not wear jewelry on the arm
  5. Always wash hands before touching the access
  6. Avoid lifting heavy objects using the hand
  7. Avoiding damage to the arm like cuts or bruises
  8. Regular checking for the pulse or thrill in the arm
  9. Monitoring for signs of infection (redness, blood clots, swelling, pus formation, etc.)

Advantages:

  1. Uses the body’s own blood vessels, no artificial material (as in catheter for instance)
  2. Reduced chances of clotting
  3. It provides good blood flow for dialysis
  4. Is more effective than other types of access (graft or catheter)
  5. Lesser complications compared to other access types
  6. Is done on an outpatient basis and are less expensive
  7. Usually last longer than other access methods

Disadvantages:

  1. Longer maturity time (sometimes up to 4 months), so are not available for ready use
  2. Stenosis or narrowing of the vessels is common, sometimes leading to blood clots.
  3. If they fail to mature, a fresh fistula may need to be created
  4. Usually created on the forearm, so are quite visible

In case you have a concern or query you can always consult an expert & get answers to your questions!

3127 people found this helpful

Renovascular Hypertension - What Is It?

MBBS, MS - General Surgery, Fellowship in Vascular Surgery, Ted Rogers Fellowship
Vascular Surgeon, Delhi
Renovascular Hypertension - What Is It?

Renovascular hypertension is also known as renal hypertension. This can be defined as a rise in blood pressure because of partial or complete blockage of the renal arteries. It may be caused by a blockage in only one artery or multiple arteries. This condition does not usually exhibit any symptoms unless it is a long-standing condition. Renovascular hypertension may be caused by a narrowing of one or both renal arteries or fibromuscular dysplasia. It can also be affected by kidney disease.

Without treatment, renal hypertension can affect a number of other organs. In extreme cases, it can even be fatal by causing kidney failure, heart attacks or a stroke. Hence, an early diagnosis and treatment is a must. Medication is usually the first form of treatment advised by a person. This takes the form of ACE inhibitors and angiotensin II receptor blockers. However, in some cases, taking both types of medication may still not be enough to reduce renal hypertension. In such cases, surgical procedures may be required. Surgery has longer lasting results and it helps control hypertension to a much higher degree as compared to medication. The results of a surgical procedure are also quicker.

The most common surgical procedures used to treat this condition include:

  1. Angioplasty: This is a minimally invasive procedure that does not always require hospitalization. The procedure involves threading a catheter through a large artery in the groin and taking it to the renal artery. The catheter is then used to inflate a balloon in the renal artery for a few minutes. This helps widen the artery and increase the blood flow rate.
  2. Stenting: This can be considered an extension of an angioplasty. Along with the balloon, a wire mesh stent is also expanded in the renal artery. Though the balloon is later deflated and removed the wire mesh is left in place. This helps keep the artery open and improves blood flow.
  3. Bypass SurgeryThis procedure is an open abdominal procedure for which the patient is put under general anesthesia. A bypass surgery is usually considered only if an angioplasty and stenting are not viable forms of treatment. This procedure involves sewing a healthy blood vessel in place beside the renal artery and redirecting blood flow to this blood vessel. This blood vessel may be harvested as part of the aorta. Bypass surgery is the most effective form of treatment and has the longest lasting results. In case you have a concern or query you can always consult an expert & get answers to your questions!
3074 people found this helpful

Varicose Veins - 9 Signs You Are Suffering From It!

MBBS, MS - General Surgery, Fellowship in Vascular Surgery, Ted Rogers Fellowship
Vascular Surgeon, Delhi
Varicose Veins - 9 Signs You Are Suffering From It!

The veins are a type of blood vessels which collect impure blood from all parts of the body and return it to the heart. The veins in the legs especially are quite thick and need to exert extra pressure to pump blood against gravity towards the heart. In quite a few people, these veins could be engorged, swollen, and twisted, which are known medically as varicose veins.

Causes:
Defective or damaged valves in the blood vessels. Normally, the blood flow is controlled by valves which ensure blood flows in the desirable direction. When these valves are not able to control the flow of blood, then varicose veins can return
Thin vein walls can lead to improper flow of blood, resulting in varicose veins

Risk factors:

  1. Prolonged standing
  2. Obesity
  3. Pregnancy
  4. Smoking
  5. Surgery in the leg, which could have hampered the values or veins
  6. Age, as the elasticity of the vessels, reduces with age and can impede normal blood flow
  7. Family history

Symptoms:

  1. Blue, swollen veins in the legs which are thin and ropy
  2. Pain with prolonged standing followed by pain and tenderness
  3. Itching and heaviness in the legs
  4. Cramping in the night
  5. Blood clots in the superficial vessels
  6. Severe varicose veins can cause bleeding
  7. The area around the leg feels firm and/or hard
  8. There could be skin changes like scaling, dryness, and color changes
  9. Increased propensity to bleed in the affected leg

Diagnosis:

  1. Usually easily diagnosed in clinical examination
  2. The above-listed features are very characteristic and help in identifying them
  3. Further testing may be done to identify the problematic valve, usually using a tourniquet
  4. Doppler ultrasound, scanning, and MRI may be required to confirm diagnosis, which are quite rarely used

Prevention/Treatment:

  1. Keep the legs elevated as much as possible. During working hours, take short breaks where you are able to elevate the legs
  2. Even in prolonged journeys, try to take a break which will improve circulation
  3. Quit smoking
  4. Compression stocking (Ted hose or Jobst stocking) can be used to improve circulation. They also help in controlling pain and are very commonly recommended to treat varicose veins
  5. Avoiding alcohol, which leads to venous dilation
  6. Weight management, as being overweight is a big risk factor
  7. Do not cross legs when sitting, as it puts constant pressure on the valves
  8. Avoid tight clothing which can put pressure on the veins and/or valves
  9. Keep a regular exercise regimen like walking to improve blood flow
  10. Surgical treatment options include sclerotherapy, laser treatment, and stripping off the vein, but are not usually required.

In case you have a concern or query you can always consult an expert & get answers to your questions!

2966 people found this helpful

Renal Dialysis

MBBS, MS - General Surgery, Fellowship in Vascular Surgery, Ted Rogers Fellowship
Vascular Surgeon, Delhi
Play video

Hi, my name is Dr Hmanshu Verma. I am a Vascular and endovascular surgeon.

Dialysis aaj kal bohot he common hai. Renal Failure aaj kal bohot he common hogya hai. Aur ek point pe kidneys certain damage ke beyond hojati hai to uske baad patient ko permanent dialysis ki zarurat hoti hai. Dialysis ke liye normally gale me line daal kar usse blood ko dialysis machine tak lejaya jata hai. Aur clean blood ko wapas body me daalte hai. Lekin unfortunately in lines ko bohot zada der tak body me nahi rehne dia ja sakta hai. Kyuki isse infection ka khatra rehta hai aur sath he yeh lines ander ki nerves ko block karne lagti hai. Iske liye AV Fistula surgery ki zarurat hoti hai. Ideally hume ek aisi khoon ki nass ki zarurat hoti hai jisse khoon ko body se nikal kar dialysis machine tak lejaya ja sake aur wahan se clena blood ko wapas body me daale.

Aisi koi khoon ki nass actual me exist nahi karti hai jiske lie 2 khoon ki artery or vein ko surgery karke aapas me jod dete hai. ise AV Fistula surgery kehte hai. Ek baar AV Fistula surgery karne ke baad 5-6 hafte me vein badi hojati hai size em aur usme khoon ka flow badh jata hai, tab yeh fistula taiyar hoti hai.

AV Fistula surgery baaki surgeries se isliye alag hoti hai kyuki yahan pe koi cheez bana ke dete hai apko jisk baar baar needle daal ke istemaal hota hai. Kisi bhi jagah hum bar bar needle daalte hai to wo 6 months ya saal bhar me damage hojati hai. Isliye we talk in terms of ki AV Fistula ki ek life hoti hai. Isliye agar AV Fistula agar fail hojati hai to doosri AV Fistula ki zarurat padti hai. Agar failed AV Fistula aap sahi samay pe pehchan jaae to fir usko bachaya bhi ja sakta hai. Ek chalti hui AV FSIstula me bhi kahi baar complications ho sakte hai.

AV Fistula ki wajah se kuch patients ko haath me swelling aane lag jati hai. Adhiktar humne dekha hai ki in patients ki jo chaati k ander ki jo nerves hoti hai, unme narrowing hoti hai. Un narrow nerves ki wajah se haath me swelling ane lag jati hai. Aise mareezo ke liye typically Angioplasty ki zarurat padti hai. Angioplasty ke results bohot he acche hote hai aur within 6-8 hours hath ekdam normal hojata hai.

Apne dekha hoga ki bohot baar patients ko yeh boldia jata hai ki apka Fistula nahi kia ja sakta. Hum is tarah ki expertise rakhte hai jin patients ko bata dia jata hai ki koi naya Fistula nahi kia ja sakta hai.

So, har wo patients jinhe AV Fistula ke options mana kardia jata hai, unme bhi kuch na kuch AV Fistula ke options bache hue hote hai, ye thode un common hote hai, normal fistula se thodi badi surgery hoti hai. But since AV Fistula ek Dialysis patient ki lifeline hot hai, un patients ke liye in options ko explore karna bohot he important hota hai.

Baisilic vein transposition and AV Graft, ye bohot he common procedure hai jinko in patients me kiya ja sakta hai. Agar aap in patients me se hai jisnke liye AV Fistula ke raste band ho chuke hai, aap hume contact kar sakte hai Lybrate ke through ya fir aap humare centre pe personal appointment ke liye bhi aa sakte hai.

2765 people found this helpful

Leg Swelling

MBBS, MS - General Surgery, Fellowship in Vascular Surgery, Ted Rogers Fellowship
Vascular Surgeon, Delhi
Play video

Pero me soojan ek aam samasya hai. Hindustan me mahilaayo me, saree pehenne ki wajah se to adhiktam soojan hoti hai, or kisi samsyaaein hai jo ya to shuruaat me ignore ki jaati hai or dheere dheere problem tab he present hoti hai jab unki condition kharab ho jaati hai. Humara ek initiative hai, "hiding underneath the saree", jisme hum patients ko, specially un mahilaao ko jinko pero me soojan rehti hai. Unko hum regular consultations provide karte hai patients ko, aur free health tips dete hai ki kese pero ki soojan ko sahi samay se pehchana ja sakta hai.

Varicose vein pero ki soojan ka ek aam kaaram hai. pero me 2 prakar ki khoon ki nass hoti hai, jisme ek hoti h artery aur vein. Artery heart se khoon ko pero me lekar aata hai or vein se khoon wapas pero se heart tak jata hai.Varicose vein, veins ki problem hai. Isme khoon pero se wapas heart ki taraf nahi ja pata hai, or isme kuch leakage points develop hojate hai, jisse ki khoon pero me he leak kar jata hai or ek closed loop form hojata hai.

Agar kisko is prakar ki problem hai, jese pero me dikhti hui veins hai, ya fir koi ghaav jo bohot dino se nahi bhar raha hai. Me un patients ko pero k ultrasound ki salah dunga jisko hum duplex ultrasound kehte hai. Isme jisko pero me leakage aata hai use Great saphenous Veins, GSV kehte h.

Great Saphenous Veins mein agar koi leakage aata hai to use bina kisi surgery ke, injection dwara treat kiya jata hai. Is method ko hum Radio ablation ya Radio frequency ablation bhi kehte hai. Is process me hum khoon ki nass ko hum injection dwara garam kardete hai or band kar dete hai. Iska koi side effect nahi hota hai. Khoon ki nass band karne se koi problem bhi nahi hoti hai. Is surgery k lie patients same day surgery ke bad he discharge hojate hai. But patients ko 6 weeks tak stokines pehenni zaruri hoti hai. 6 hafte k bad hum fir se ek ultrasound karte hai leakag check karne k lie. Aur leakage band hote he aap ek normal life jee sakte hai.

Har varicose vein ko laser ya radiofrequency surgery ki zarurat nahi hoti hai. pero me agar swelling hai, specially agr dono pero me swelling hai to varicose diagnose ki jagah liver, heart ya kidney ka cheup hone zaruri hota hai. Kyuki agar koi bhi major organ me problem aati hai to starting condition me pero me soojan kar sakta hai.

Agar apke ghar parivar me kisiko is prakaar ki samasya hai. Ya pero me hari ya neeli veins dikhti hai to uske lie aap varicose vein ka check up karwa sakte hai.

Aap mujhe lybrate k through contact kar sakte hai. Nahi to aap humare clinic pe appointment book kar sakte h

Thank you.

3083 people found this helpful

Diabetic Foot - How It Can Be Prevented & Treated?

MBBS, MS - General Surgery, Fellowship in Vascular Surgery, Ted Rogers Fellowship
Vascular Surgeon, Delhi
Diabetic Foot - How It Can Be Prevented & Treated?

Diabetes alters the metabolism and functioning of almost entire body system. The most important targets are the circulatory and nervous system, leading to peripheral vascular disease and neuropathy. Diabetic foot is the result of a combination of these two factors in the feet – altered/reduced blood flow to the feet combined with reduced sensation.

  1. Neuropathy: When the sugar levels are poorly controlled, then the nerves in the legs are damaged, leading to reduced or absence of sensation. The patient cannot feel pain/heat/cold. Sensory neuropathy causes loss of protective sennsation leaving the foot at risk to repetative unnoticed trauma.
  2. Peripheral vascular disease: The blood vessels which are away from the heart are affected, leading to poor blood flow from the legs to the heart. Proper blood flow is essential for overall health, and when this is affected, the peripheral foot health is affected.

Some of the common foot problems encountered in diabetics are listed below:

  1. Fungal infections: Whether a person wears shoes regularly or not, they become more prone to fungal infections. The nails become discoloured, brittle, and break off. They are difficult to treat and may require oral medications.
  2. Ulcers: Diabetic ulcers are very common. The combined effect of reduced sensation and reduced blood flow leads to ulcers, which are not painful (due to lack of sensation) and therefore are ignored and not treated promptly. They can progress and become severe, even sometimes leading to amputation. Fungal ulcer are most common in between toes and in creases of a diabetic patients
  3. Corns: Diabetics are more prone to develop corns which are thick masses of skin near the bony area of a toe. This could be in areas where the shoes rub against the toes or between the toes where there is a lot of friction. Home care includes smoothing it with a pumice stone. The person should not try to remove them on their own.  Warts, bunions, ingrown toenails, hammertoes, etc., are also very common in diabetics.

Prevention/Treatment:

  1. The first and most important step is to monitor and regulate the blood sugar levels within ranges ideal for you.
  2. Warm water to be used for washing feet, and then to be dried well, to not leave a moist area between toes
  3. Regular feet care to check for blisters, ulcers, wounds, etc.
  4. Check toenails for overall health
  5. Preferably wear closed toe shoes
  6. Wear stockings or socks and shoes that fit well
  7. Moisturise the skin well to avoid drying
  8. Avoid exposing feet to extreme weather
  9. Quit smoking
  10. Ensure blood flow is maintained by not standing or sitting for prolonged periods and with regular exercise

If you wish to discuss about any specific problem, you can consult a doctor.

2848 people found this helpful

Is their any after effect after laser treatment for varicose vein in legs viz. From thigh to knee./or any bad effect.

MBBS, MS - General Surgery, Fellowship in Vascular Surgery, Ted Rogers Fellowship
Vascular Surgeon, Delhi
No really .of performed well laser treatment virtually has no side effects.<3 %patients get some paresthesia, numbness in inner side of legs, that also resolves in few weeks. Risk of DVT in this treatment is<1%
2 people found this helpful
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5 Common Vascular Disorders

MBBS, MS - General Surgery, Fellowship in Vascular Surgery, Ted Rogers Fellowship
Vascular Surgeon, Delhi
5 Common Vascular Disorders

Vascular disorders are disorders of the vessels in your body that carry either blood or waste products. The vascular system consists of the arteries (that carry blood away from the heart), veins (that carry blood to the heart) and lymph vessels (that carry waste products to be excreted from the body). The various diseases of the vascular or circulatory system are:

  1. Peripheral Artery Disease: Peripheral arteries carry blood to the various organs and tissues in the body. Accumulation of cholesterol and fat in the vessels narrow the pathway for the blood to flow. This can impair blood flow to the tissues in the body and cause complications. Various medications used to lower cholesterol and blood pressure can also be used for peripheral artery disease.
  2. Buerger's Disease: This disease causes obstructions in the veins and arteries in the legs. This can hamper blood supply in the toes and the feet. It causes pain and may require amputation in severe cases. Treatments for this disease include smoking cessation and medications to dilute blood vessels.
  3. Aneurysm: An aneurysm is swelling in the blood vessel walls; it usually occurs in the aorta. The artery walls become fragile and are placed under a lot of stress; this may lead to a sudden rupture of the aortic vessels. This disorder is usually treated by surgical procedures.
  4. Peripheral Venous Disease: Peripheral venous disease is characterized by damage to the valves that allows blood to flow in a single direction. Damaged valves can cause blood to flow backwards and therefore, accumulate. Treatments for this disorder are incorporating certain lifestyle habits such as quitting smoking and alcohol.
  5. Blood clots in the veins: Blood clots may occur in the veins present inside the muscles of the thighs and lower legs which lead to deep vein thrombosis. You may be prescribed anti-coagulants, also known as blood thinners, to treat this disorder.

Causes
People with diseases such diabetes, high blood pressure, or kidney failure can be more likely to have vessel problems. Working with vibrating tools, being in cold temperatures, and smoking can worsen vascular problems. Causes of vascular disorders usually fit into one of 5 groups:

  1. Traumatic, which occur after injury
  2. Compressive, which occur when the pipes flatten
  3. Occlusive, which occur when pipes are blocked
  4. Tumors (growths) or malformations (deformed, tangled pipes), which may or may not be present at birth
  5. Vessel spasms, which occur when abnormal control of vessels causes them to narrow

Symptoms
Symptoms of vascular disorders can include:

  1. Pain
  2. Abnormal color changes in the fingertips
  3. Ulcers or wounds that do not heal
  4. Hand problems when in cold temperatures or locations
  5. Numbness or tingling of the fingertips
  6. Swelling
  7. Cool or cold fingers and/or hands 

    If you wish to discuss about any specific problem, you can consult a doctor.

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Weakening of Blood Vessels - Understanding the Types!

MBBS, MS - General Surgery, Fellowship in Vascular Surgery, Ted Rogers Fellowship
Vascular Surgeon, Delhi
Weakening of Blood Vessels - Understanding the Types!

What is Aortic aneurysm?
The heart is the most important muscle in your body, and its primary job is to pump the blood across. The aorta is the largest blood vessel of the human body and is used by the heart to push the blood along. The Aorta is also one of the strongest vessels, but in some cases, due to the wear and tear condition the walls can weaken and bulge in what is called an aortic aneurysm. This can cause a rupture of the vessels as a result of which, blood gets leaked into the body.

Types of Aortic aneurysm:
There are two known types of aortic aneurysms. One of which is located in the chest and is known as the thoracic aortic aneurysm, and the one which forms in the abdomen is called an abdominal aortic aneurysm.

Thoracic aortic aneurysm
There are many causes of the Thoracic aortic aneurysm. Genes play a significant role in increasing the chances. The other factors can include high blood pressure, high cholesterol, infections and blockages in the arteries. Sometimes a traumatic injury due to an accident can also lead to the condition. The biggest disadvantage of the disease is that the symptoms do not occur in the early stages and only in their chronic stages they appear. Some of the symptoms include chest or back pain, difficulty in breathing, shortness of a breath and persistent cough. Diagnosis can be made by an X-ray, CT scan, and ultrasound. Medications can help to an extent in relieving the pain and symptoms but however, in some extreme cases surgery is required. During the surgery, a synthetic tube replaces the damaged artery- as a result of which the blood gets channelled without any hindrances.


Abdominal aortic aneurysm
In the case of an abdominal aortic aneurysm, the aorta that passes through your abdomen gets damaged. As in the event of the Thoracic aortic aneurysm, there are no visible symptoms initially. Symptoms if they appear can include a deep back pain and persistent pain the side of the abdomen. Dizziness and weightlessness can also be other factors. Once again as in the case of the Thoracic aortic aneurysm, high blood pressure and cholesterol levels can be the risk factors. The problem also gets aggravated when the person is a frequent smoker and drinker. The diagnosis can happen through an X-ray, CT scan or an ultrasound. Once diagnosed, medications can heal the symptoms to an extent. Routine checkups are usually done to check the condition. In the cases where the bulge is bigger, surgeries are done to relieve the damaged part.

As with many cases, a good lifestyle change and healthy habits can keep many of the conditions in check. The same goes for an aortic aneurysm too. If you wish to discuss about any specific problem, you can consult a doctor.

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