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Dr. Pravin Narkhede - Vascular Surgeon, Nashik

Dr. Pravin Narkhede

91 (117 ratings)
MBBS, DNB - Peripheral Vascular Surgery, DNB - General Surgery, MNAMS

Vascular Surgeon, Nashik

12 Years Experience  ·  800 at clinic  ·  ₹400 online
Book appointment and get ₹125 LybrateCash (Lybrate Wallet) after your visit
Dr. Pravin Narkhede 91% (117 ratings) MBBS, DNB - Peripheral Vascular Surgery, DNB - General Su... Vascular Surgeon, Nashik
12 Years Experience  ·  800 at clinic  ·  ₹400 online
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Personal Statement

I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care....more
I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care.
More about Dr. Pravin Narkhede
He has over 10 years of experience as a Vascular Surgeon. He studied and completed MBBS Bachelor of Medicine and Bachelor of Surgery, DNB (Peripheral Vascular Surgery), DNB (General Surgery), MNAMS. Don?t wait in a queue, book an instant appointment online with Dr. Pravin Sakharam Narkhede on Lybrate.com.

Lybrate.com has a nexus of the most experienced Vascular Surgeons in India. You will find Vascular Surgeons with more than 42 years of experience on Lybrate.com. You can view profiles of all Vascular Surgeons online in Nashik. View the profile of medical specialists and their reviews from other patients to make an informed decision.

Info

Specialty
Education
MBBS - B.J. Medical College Pune - 2007
DNB - Peripheral Vascular Surgery - Jain Institute Of Vascular Sciences Bengaluru - 2016
DNB - General Surgery - Jubilee Mission Medical College & Research Institute, Thrissur - 2011
...more
MNAMS - National Board of Education - 2012
Languages spoken
English
Hindi
Kannada
...more
Malayalam
Marathi
Awards and Recognitions
Annual VSI Best Original research Oral Presentation
Annual VSI best Poster Presentation
PRESIDENT GOLD MEDAL
Professional Memberships
Life Member - Vascular Society of India

Location

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Pravin Sakharam Narkhede

Ground floor, Suyojit modern point Above kalakruti sadi centre Near Rajiv gandhi bhavan sharanpur road Tilakwadi 0253-2318072 7030074740Nashik Get Directions
  4.6  (117 ratings)
800 at clinic
...more
  4.6  (117 ratings)
800 at clinic
...more
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"Prompt" 1 review "Very helpful" 9 reviews "Professional" 3 reviews "knowledgeable" 5 reviews "Thorough" 2 reviews "Inspiring" 1 review "Sensible" 3 reviews "Practical" 3 reviews "Well-reasoned" 2 reviews

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Revascularization In PAD - All You Should Know!

MBBS, DNB - Peripheral Vascular Surgery, DNB - General Surgery, MNAMS
Vascular Surgeon, Nashik
Revascularization In PAD - All You Should Know!

Peripheral artery disease (PAD) is a disorder of your body’s circulatory system that prevents extremities like your legs from getting the required amount of blood for healthy functioning. This leads to problems such as pain in the legs when performing daily activities like walking or running.

This disease is detectable by a variety of symptoms. They are:

• Pain and discomfort, cramp-like formations in your legs, calf muscles and related body parts like the hips.
• Slower body hair growth in your leg area, or above certain spots on the legs.
• Change in the colour or smoothness of your skin in the leg area.
• A red or blue tinge in the skin of the leg area.
• Sores or wounds in the leg area.

Risk Factors: What Makes You More Vulnerable to PAD?

There are certain factors and reasons that make people more susceptible to catching PAD than the normal population. They are:

• Being above medically accepted levels of body weight for your height and age, or being clinically obese.
Smoking cigarettes.
• The onset of old age. People who are 50 years and above are highly susceptible to this condition.
• Levels of cholesterol or blood pressure that range higher than the clinically prescribed levels.
• A lineage that shows PAD in several cases in the immediate or nearly related family.

Treating PAD: Why is Revascularization Your Best Option?

The goal of PAD treatment is to check your symptoms and keep them from debilitating your life. There are several ways you can do this. These methods include:

1. Lifestyle changes: You may be advised to make some lifestyle changes by your doctor, such as Quit smoking, Get more exercise, Eat a healthy diet, Take care of your feet, Manage your other health problems, such as diabetes and high blood pressure.

2. Medical management: In some cases, lifestyle do not give the desired results. In such cases, the doctor prescribes some medicines to decrease your chance of heart attack or stroke, prevent blood clots, provide more blood flow to your legs and feet and lower your cholesterol.

3. Endovascular surgery (Angioplasty/Stenting): When lifestyle changes and medicines do not work, then the doctor may go on to condult Angioplasty to widen the blocked artery and ensure more blood flow. Your surgeon may place a stent, or small mesh tube, in there to keep it open.

4. Surgery (Bypass with vein or graft): Bypass surgery can also be performed to give blood a different path around the blocked artery.

5. Hybrid (bypass and angioplasty or stenting)

Compared to other surgical procedures, revascularization offers the following advantages:

• Local compared to general anaesthesia use, reduces recovery time and risk of mortality.
• Short-term morbidity rates are markedly lesser.
• Hybrid revascularization procedures that are up and coming hold the potential for combining the long-staying effects of surgical revascularization and the lower risks associated with endovascular procedures, providing the patient with the best effects of both methods.

These pros overweigh some of the traditional cons associated with revascularization procedures in PAD treatment, like increased and increasing costs. Therefore, it emerges as the true best control/treatment procedure.

PAD is a condition that has the potential to degrade your quality of life with the toll it takes on walking and other healthy functions of your leg. However, help is at hand – there have been procedures devised which help keep the symptoms in control. Revascularization surgery is one such exemplary method.

1 person found this helpful

Mesentric Ischemia - Why Vascular Surgery Is The Answer?

MBBS, DNB - Peripheral Vascular Surgery, DNB - General Surgery, MNAMS
Vascular Surgeon, Nashik
Mesentric Ischemia - Why Vascular Surgery Is The Answer?

Mesenteric ischemia is the reduction of blood flow volume to important organs like the spleen and the intestines. It generally occurs in people above 60 years of age, and smokers and people with high cholesterol levels are more likely to be affected by it than others. The main cause of this disease is atherosclerosis, which involves deposition of fatty plaque deposits on the arterial walls, reducing blood flow to the heart.

There are two forms of this disease - acute, implying sudden and severe, and chronic, implying a slow-building but equally debilitating condition.

Symptoms: How do you know if you have mesenteric ischemia?

Following are the Signs You Should Look out For:

• Flatulence.
• Difficulty in, and reduced volume of, bowel movement, i.e. constipation
• Nauseous feelings.
• Sometimes, diarrhoea is also a symptom.
• Loss of weight.

Diagnostic tests: how can you be sure you have the disease?

Following are the Popular Methods For Diagnosing Mesenteric Ischemia:

• Angiograms: angiograms are basically x-rays of your blood vessels’ interiors. They help in detection of depositions or impairment of functioning and can help in additional treatments also like commencing the use of catheters.
• Doppler ultrasound: these use waves to detect the structure and current health of blood vessels, by making the waves hit and radiate off them. They can also detect if vessels are damaged, or if adequate blood is not passing through them.

Why is vascular surgery your best option for treatment?

1. Bypass surgery: the biggest benefit provided by this surgery is that the damaged part of the blood vessel is altogether discarded and a new vessel “bypasses” it to provide blood to the requisite organs. This ensures that functioning never stops due to a damaged body part coming in the way. The new vessel may come from another body part or may be artificial.

2. Stents and angioplasty: in this surgery, the benefit provided is that the blocked part of the vessel is repaired by inserting a balloon to clear the block, hence restoring normalcy in the body. With the help of a net-like stent, the vessel is kept dilated.

Mesenteric artery disease can be painful and even lethal if not checked in proper time. Therefore, you should look out carefully for the symptoms especially if you’re above 60. If you are diagnosed, you should immediately go for vascular surgery as the cure.

3127 people found this helpful

Non-Healing Ulcer And Wound Management!

MBBS, DNB - Peripheral Vascular Surgery, DNB - General Surgery, MNAMS
Vascular Surgeon, Nashik
Non-Healing Ulcer And Wound Management!

A non-healing wound can be any wound that does not show improvement after roughly a month and is not on the way to healing in about 2 months. There are several types of non-healing wounds, and ulcers are a major type. The other types include:

Surgery wounds that don’t seem to heal.
• Pressure related ulcers.
• Wounds that start healing but go back to square one several times.
• Wounds and ulcers caused due to disorders of body metabolism.

Symptoms: how do you understand a wound is of the non-healing variety?

Following are The Symptoms to Look Out For:

• Pain in the wound, either one that starts out after some time or one that was present from the very beginning but keeps increasing in magnitude.
• A foul smell surrounding the wound.
• An oozing sensation from the wound, or a feeling of liquid oozing from it.
• The wound becomes tender, and can turns red and hot.

Non-healing wounds are dangerous because the surface is exposed to the environment for a very long time, making it open passage for numerous bacterial germs in the atmosphere. This can lead to serious infection. The infection can get so bad that a limb might even have to be amputated.

How to manage and cure these wounds?

There are Several Ways to Keep the Damage Under Control, and These are The Most Effective Methods:

The most important part of treatment is to investigate to know the cause for ulcer. Here are the investivative measures taken:

  1. Arterial: Evaulation of circulation to leg if reduce corrective measures like angioplasty/stenting/bypass and wound care.
  2. Venous: Correction of venous insufficiency with laser or vein surgery amd wound care.
  3. Neuropathic and treatemnt accordingly: Offloading shows and corrective measures.
  4. Skin Grafting

• Trans-cutaneous oximetry: this is a method that uses electrodes to achieve its objective. The electrode is attached to the skin and heats it up. The blood vessels just beneath the skin are also heated up, and they dilate. It also improves oxygen circulation in the area and provides a reading of the oxygen pressure. This apparatus also maintains a specific temperature at the site so as to not cause thermal trauma.

• Skin grafting: in this procedure, skin is removed from one part of the body and transplanted onto another. The skin is surgically removed from a part that is generally not exposed through clothes, like the thighs or buttocks. The procedure can involve removal of either the top layers or all the layers of a portion of the skin.

Non-healing wounds and ulcers are dangerous and infectious, and proper care must be taken to diagnose and heal them. If you spot one on your body, the best bet is to go for methods like skin grafting or transcutaneous oximetry, for complete cure.

2923 people found this helpful

Peripheral Arterial Disease & Its Burden Or Leg Attack!

MBBS, DNB - Peripheral Vascular Surgery, DNB - General Surgery, MNAMS
Vascular Surgeon, Nashik
Peripheral Arterial Disease & Its Burden Or Leg Attack!

The peripheral arterial disease is a circulatory disorder which affects the legs. It constricts the arteries and restricts the flow of blood to the legs. The peripheral arterial disorder is also linked to the deposit of excess fats along the walls of the arteries which clogs them up. Sometimes, it can be triggered by inflammation of the blood vessels caused by an injury.

What are the symptoms of Peripheral Arterial Disease?

The intensity of the symptoms varies from person to person. But if you suffer from the peripheral arterial disorder, these are the symptoms you need to look out for:

  • Cramps in one or both hips, calf muscles or along the thighs
  • Pain in the legs when you are climbing stairs or bending to pick something up
  • A feeling of coldness in one or both legs
  • A discolouration of the skin of the legs
  • Sores on your feet or soles
  • Erectile dysfunction (in men)

You should waste no time in consulting a doctor if you are over the age of 65 when you start witnessing these symptoms or if you are diabetic. The risk of getting peripheral arterial disorder goes up in people:

What are the risks associated with Peripheral Arterial Disease?

If the peripheral arterial disease is left untreated, a host of other complications may arise, some of them fatal-

  • Critical limb ischemia: wounds or sores on your feet or legs do not heal and fester. The open wounds become infected which spread and causes tissue death (gangrene).
  • Stroke or heart attack: if the arteries of your legs are blocked, it's quite possible that those of your heart might be as well. When this happens, the risk of stroke or heart attack goes up significantly.
  • The debilitating pain can inhibit your everyday activities
  • Sometimes peripheral arterial disorder can lead to bone and blood infection which can prove to be lethal.

Prevention of Peripheral Arterial Disease:

You can do the following if you want to ward off peripheral arterial disease-

  • Quit smoking
  • Eat a healthy diet comprising green vegetables, whole grains, fruits, dairy and lean meat.
  • Exercise regularly
  • Keep your blood pressure and cholesterol under control

Treatment of Peripheral Arterial Disease-

There is no treatment that can cure peripheral arterial disease. Medication aims to manage and control the effects of the disease. Your doctor may prescribe-

  • Cholesterol-lowering medicines to keep your heart healthy and reduce the risk of heart attack or strokes
  • High blood pressure medicine because by affecting the arteries of the heart, peripheral arterial disease messes up your blood pressure
  • Medicine for diabetes because if you have diabetes as it can exacerbate your leg pain
  • Medicines to prevent blood clots from forming

Surgery for Peripheral Arterial Disease-

If medication does not work, you might need surgery. Some surgery options are-

  • Angioplasty: A catheter is inserted into the blood vessel, the blockage is flattened and the blood flow is restored
  • Bypass surgery: The doctor will graft a bypass using a blood vessel from another part of your body to allow blood to flow around the clogged artery.
  • Thrombolytic therapy: The doctor injects a drug that dissolves the clot.

Peripheral arterial disease can be life-threatening. But with proper lifestyle choices and medication, its effects can be controlled.

2871 people found this helpful

Diabetic Foot & Revascularization In Them!

MBBS, DNB - Peripheral Vascular Surgery, DNB - General Surgery, MNAMS
Vascular Surgeon, Nashik
Diabetic Foot & Revascularization In Them!

When you have diabetes, your body does not produce enough insulin or loses the ability to utilize it. When this happens, your blood sugar level goes up. Diabetes can affect all organs of the body. Your feet are no exception.

How does diabetes affect the foot?

There are two ways in which the foot may be affected by diabetes -

  1. Diabetic neuropathyDiabetes can damage the nerves of the feet so that you lose all sensations in your extremities. So you can no longer feel any irritation or pain in your feet. If sores/cuts/blisters develop on your feet, you won’t know and they may fester and get infected.
  2. Peripheral vascular disease: This disorder affects the blood vessels of your limbs. Fatty deposits clog the blood vessels that carry blood from your feet to your heart. So blood flow is cut off to the feet. This may lead to pain, numbness, swelling, slow healing of wounds or infection.
  3. Ischemic foot: When blood flow to the feet is interrupted, you may develop an ischemic foot, which is characterized by cold skin, loss of hair from the legs and discoloration. In extreme cases, the affected foot may have to be amputated.

What are the symptoms of diabetic foot?
The range of symptoms depend on the intensity of the disorder and vary from one patient to another-

  • Tingling sensation in the feet
  • Numbness of the feet
  • Blisters or wounds that refuse to heal
  • Discoloration of the skin of the feet
  • Stains on the inside of your socks
  • Deformed feet

If an infection has set in, some symptoms that will manifest are-

  • Trembling of the limbs and arms
  • Spiking blood sugar
  • Shock
  • Redness and swelling of the feet

Complications
The complications that may arise out of diabetic foot are-

  • Ulcers of the foot
  • Abscesses
  • Gangrene and death of tissues
  • Charcot’s Foot or fractures and dislocations of the bones of the feet
  • Deformity of the feet

Revascularization for diabetic foot

Chronic diabetic foot can be treated with multiple revascularization methods like synthetic conduits, endarterectomy, balloon angioplasty, arteriovenous reversal, muscle flap transfer or atherectomy. These procedures eliminate the need for limb amputation. The aim of a revascularization procedure is to fix up the blood vessels that were blocked by bypassing the affected blood vessel so that blood can normally flow to your feet.

Along with revascularization, your doctor will recommend exercises like walking to increase supply of blood to the feet as well as medicines that will deal with the pain and swelling.

Diabetic foot can be a serious health threat that could lead to the limb being amputated. But with revascularization, you can get back on your feet in no time and resume your daily activities

2744 people found this helpful

क्रोनिक पल्मोनरी एम्बोलिज्म एवं डीप वेन थ्रोम्बोसिस ठीक होने में कितना समय लगता है। मैं dabigatran 110 mg with homochek 1 साल से खा रहा हूँ।

MBBS, DNB - Peripheral Vascular Surgery, DNB - General Surgery, MNAMS
Vascular Surgeon, Nashik
क्रोनिक पल्मोनरी एम्बोलिज्म एवं डीप वेन थ्रोम्बोसिस ठीक होने में कितना समय लगता है। मैं dabigatran 110 mg with homoch...
Hi if you able to find any cause for thrombosis. U can stop that. And need to evaluate any blood clotting disorder you have.in that case plan will change. It better to consult vascular surgeon their can be difficult scenarios where you might stop or continue dabigatra.

Why varicose veins is occur? What is reason behind it and what problem occur due to this?

MBBS, DNB - Peripheral Vascular Surgery, DNB - General Surgery, MNAMS
Vascular Surgeon, Nashik
Varicose veins is failure of vein valves to push impure blood towards heart..which result in enlargement veins of legs which are seen as blue colour strips in legs...is very common and in severe stages can progress to ulcer which are weeping and nonhealing
1 person found this helpful

Hi, I have varicose veins n suggested for surgery, I want to know if it can be treated without surgery only by medication ,I have consulted vascular surgeon but m scared of getting surgery done n not sure whether it is 100%cure for this problem as it comes again, I am having osteoarthritis, n xray shows osteophytes, pl suggest me ,what should I do, thanx.

MBBS, DNB - Peripheral Vascular Surgery, DNB - General Surgery, MNAMS
Vascular Surgeon, Nashik
You have options of laser/RFA and other endovascular procedures..which are painless...about your recurrence some do reccure...if all symptoms are due to varicose vein than arthritis consider for intervention..u already consulted vascular surgeon..best person for varicose veins..
1 person found this helpful
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