Vascular surgery 585708 222229342 2008-06-28T05:46:49Z Wenli 3573589 Reverted edits by [[Special:Contributions/67.173.164.244|67.173.164.244]] ([[User talk:67.173.164.244|talk]]) to last version by Detaildoc '''Vascular surgery''' is a specialty of surgery in which diseases of the vascular system, or [[artery|arteries]] and [[vein]]s, are managed by medical therapy, minimally-invasive catheter procedures, and surgical reconstruction. The specialty evolved from general and cardiac surgery. Edwin Wylie of San Francisco was one of the early pioneers in the specialty who developed and fostered advanced training in vascular surgery and pushed for its recognition as a specialty in the United States in the 1960's and 1970's. The vascular surgeon is trained in the diagnosis and management of diseases affecting all parts of the vascular system except that of the heart and brain. Cardiothoracic surgeons manage surgical disease of the [[heart]] and its vessels. Neurosurgeons manage surgical disease of the vessels in the [[brain]] (eg intracranial aneurysms). ==Breadth of discipline== *Arterial diseases ( especially in Diabetics ) **[[Aneurysm]]s **[[Ischemia]] ***Limb ischemia ****Acute limb ischemia *****Thrombectomies *****Embolectomies *****Anti-coagulation and [[Thrombolysis]] ****Chronic limb ischemia *****see [[intermittent claudication]] and [[peripheral artery occlusive disease]] *****Diabetic foot ulcers ***Mesenteric ischemia ***[[Renal ischemia]] **Extracranial [[cerebrovascular disease]] ***[[Carotid Endarterectomy]] and other carotid surgery ***Surgery of the vertebral system *Venous disease **[[Deep Vein Thrombosis]] **[[Thrombophelebitis]] **[[Varicose Veins]] and [[Varicosities]] **[[Venous malformations]] *Lymphatic disease **[[Lymphoedema]] *Vascular Medicine **Medical disorders with a significant vascular components, for example: ***[[Raynaud's syndrome]] ***[[Scleroderma]] ==Training== Previously considered a field within [[general surgery]], it is now considered a specialty in its own right. As a result, training has been, or is being re-structured from previously having to complete full general surgery training followed by a period of further vascular surgery training, to being trained in vascular surgery alone from start to finish. Programs of training are slightly different depending on the region of the world one is in. {| class="wikitable" style="margin: 1em auto 1em auto" width="75%" |- ! width="20%"|Country ! width="30%"|Standards body ! width="30%"|Professional representation ! width="20%"|Minimum Length of training (post intern) |- | [[Australia]] and [[New Zealand]] | [[Royal Australasian College of Surgeons]] | Australian & New Zealand Society of Vascular Surgery (ANZSVS) | 6 years |- | [[United Kingdom]] | [[Royal College of Surgeons of England]], [[Royal College of Surgeons of Edinburgh]] | Vascular Society of Great Britain and Ireland | 8 years |- | [[USA]] | [[Accreditation Council for Graduate Medical Education]] (ACGME), [[American Board of Surgery]] | [[American College of Surgeons]] Multiple vascular societies | 8 years |- |} ==Surgical Procedures== By no means exhaustive, but below are a number of common procedures and indications for vascular surgeons. {| class="wikitable" style="margin: 1em auto 1em auto" width="75%" |- ! width="33%"|Indication/disease ! width="33%"|Procedure |- | [[Abdominal Aortic Aneurysm]] | Open AAA repair [[Endoluminal AAA repair]] (EVAR) |- | [[Carotid stenosis]] | [[Carotid endarterectomy]] [[Carotid stenting]] |- | [[Varicose veins]] | [[Vein stripping]] [[Sclerotherapy]] and Foam [[sclerotherapy]] Om [[Laser ablation]] [[Ambulatory phlebectomy]] |- | [[Peripheral arterial occlusive disease]] | [[Angioplasty]] with/out [[Stenting]] [[Bypass surgery]] |- | Acute limb ischaemia | Balloon [[embolectomy]] [[Thrombectomy]] [[Bypass surgery]] |- | [[Aortic dissection]] | Open repair [[Thoracic stent graft]] |- |} ==External links== * [http://www.articleworld.org/Vascular_surgery Vascular surgery] Material on arterial and venous surgery. * [http://www.vascularweb.org Society for Vascular Surgery] (U.S.) *[http://www.ejves.com/ European Journal of Vascular and Endovascular Surgery: the official journal of the European Society for Vascular Surgery.] {{treatment-stub}} {{Vascular surgery}} [[Category:Vascular surgery| ]] [[Category:Surgical specialties]] [[bn:রক্তনালী-সম্বন্ধীয় শল্যচিকিৎসা]] [[de:Gefäßchirurgie]] [[el:Αγγειοχειρουργική]] [[fr:Chirurgie vasculaire]] [[it:Chirurgia vascolare]] [[nl:Vaatchirurgie]] [[ne:धमनी शल्यचिकित्सा]] [[pl:Chirurgia naczyniowa]] [[pt:Cirurgia vascular]]