ফেমোরোপলিটাল বাইপাস সার্জারি

পদ্ধতির আগে

আপনার ডাক্তার সম্ভবত নিম্নলিখিতগুলি করবেন:

• রক্ত পরীক্ষা
• Electrocardiogram (ECG, EKG)—a test that records the heart’s activity by measuring electrical currents through the heart muscle
• Chest x-ray —a test that uses radiation to take pictures of structures inside the body
• Ultrasound—a test that uses soundwaves to make an image

Leading up to the surgery:

• আপনার ওষুধ সম্পর্কে আপনার ডাক্তারের সাথে কথা বলুন। পদ্ধতির এক সপ্তাহ আগে আপনাকে কিছু ওষুধ খাওয়া বন্ধ করতে বলা হতে পারে, যেমন:
  • প্রদাহ বিরোধী ওষুধ (যেমন, অ্যাসপিরিন)
  • Blood thinners, like clopidogrel (Plavix) or warfarin (Coumadin)
• If advised by your doctor, take antibiotics to prevent an infection.
• Arrange for help at home after the surgery.
• The night before the surgery, have a light dinner. Do not eat or drink anything after midnight.

এনেস্থেশিয়া

You may be given:

• General anesthesia (almost always used)—blocks pain and keeps you asleep through the surgery
• Spinal anesthesia —the area from the chest down to the legs is numbed; given as an injection in the back

পদ্ধতির বর্ণনা

The doctor will make a cut in the skin on the leg. Through this cut, the doctor will take out a vein that will be used to make the bypass. If the vein cannot be used, then an artificial vein is used.

Next, an incision will be made in the groin to expose the femoral artery. This is the artery in the thigh. The doctor will make another incision at the back of the knee to expose another artery. This is called the popliteal artery.

The doctor will use clamps to block the flow of blood through these two arteries. One end of the new bypass vein will be stitched into the femoral artery, and the other end will be stitched into the popliteal artery. Once attached, blood will be passed through the graft to check for leaks. If leaks are found, the doctor will repair them. The clamps will then be removed. This will allow blood to flow through the graft to the lower leg. The doctor will use stitches to close the incisions.

In some cases, a vein in the thigh will be used as a graft while left in place. This is called in situ. In this procedure, the valves inside the vein will be removed with a small scope and a small cutting tool. The vein will then be attached to the arteries to form a graft.

অবিলম্বে প্রক্রিয়া পরে

• For the first 24-48 hours, fluids and pain medicines may be given by IV.
• You may need to wear an oxygen mask for the first 10-12 hours.
• An epidural in your back (to numb the site and relieve pain) may be left in place for the first 3-5 days. Once this is removed, your doctor will give you pain medicine.

কতক্ষণ এটা লাগবে?

1-3 hours

এটা কতটা আঘাত করবে?

As you heal and the swelling in your leg subsides, you may have pain for weeks or even months. Ask your doctor about medicine to help with the pain. Keep in mind that it is normal for your leg to remain swollen for 2-3 months.

গড় হাসপাতালে থাকার

7-10 days

পোস্ট-প্রক্রিয়া যত্ন