Initial Experience of Complex Peripheral Bypass Surgery at Dhulikhel Hospital, Kathmandu University Hospital

Area of Science:

• Vascular Surgery
• Public Health
• Cardiovascular Medicine

Background:

• Peripheral arterial disease (PAD) is a serious condition with potentially severe limb and life consequences.
• PAD often progresses silently from asymptomatic stages to intermittent claudication and critical limb ischemia.
• Effective treatment is crucial for managing advanced PAD and preventing adverse outcomes.

Purpose of the Study:

• To present initial cases of peripheral bypass surgery for advanced peripheral arterial disease.
• To highlight the technical demands and outcomes of these complex surgical procedures.
• To demonstrate the efficacy of peripheral bypass surgery in limb salvage.

Main Methods:

• Retrospective review of initial peripheral bypass surgery cases.
• Detailed description of surgical techniques employed for technically demanding procedures.
• Assessment of limb salvage rates at follow-up.

Main Results:

• All presented cases involved technically demanding peripheral bypass surgeries.
• Successful limb salvage was achieved in all cases up to the current follow-up.
• The study demonstrates positive outcomes in complex PAD interventions.

Conclusions:

• Peripheral bypass surgery is an established and effective treatment for peripheral arterial disease.
• Complex peripheral bypass procedures can lead to successful limb salvage.
• Surgical intervention is a critical option for patients with advanced PAD unresponsive to conservative management.