Chronic Venous Insufficiency and Ulceration
Excessive Sweating (Hyperhidrosis)
Bypass Surgery for Peripheral Arterial Disease (PAD)
Due to technical difficulties and potential complications this procedure is generally reserved for patients with severe PAD who experience pain in the leg or foot whilst at rest, or who have ulceration or gangrene of the foot due to lack of blood.
This procedure usually involves a stay in hospital of between 7 and 14 days. It is usually performed under general anaesthetic and / or epidural and involves several incisions in the leg.
By choice the graft used is the patient's own vein as this works best in the long term, however when the patient does not have a suitable vein a 'plastic' tube graft might be used.
These grafts have a finite life expectancy and it is essential that patients have stopped smoking and are established on Best Medical Therapy before surgery to maximise the chance of long term success.