A very experienced surgeon, Dr. Tarun Grover is the Director, Peripheral Vascular and Endovascular Sciences, at Medanta Gurugram. Widely acknowledged for the excellence of his interventions, Dr Grover has been honoured as “The First Fellow in Vascular and Endovascular surgery’, by the National Board of Examinations.

This week on #CrediTalk we’ll let you know the views of Dr Tarun Grover on common vascular problems and how they are misinterpreted because of certain reasons are mentioned below.

Question & Answer On Vascular Problems

Here is the common question on the vascular problem:

Question 1. Peripheral vascular diseases mostly affect the lower limb sections. Symptoms also include difficulty in walking, pain, and weakness. Do patients misunderstand this condition as an orthopaedic problem? If so, what would you like to tell such patients to differentiate and identification of PVD?

Answer. Usually, when people have pain in their legs, they either consult an Orthopaedic or visit a general physician. This is because they are not able to find out the exact cause of such kind of pain. Normally when we talk about vascular surgery, we have two types of blood vessels in our body. The arteries and the veins.

The main problem is that when the artery gets clogged, the patient starts having pain upon walking. This is because of a mismatch between demand and supply of blood. When we walk, the arteries need an increased blood supply. In this case, the patient has an insufficient supply of blood which causes pain in their legs.

Doctors evaluate such conditions by using a doppler scan for the arteries. The problem related to veins, on the other hand, is a common problem when the blood is not able to return from the legs to the heart. Usually, the symptoms include difficulty in walking, rest pain, and weakness. They feel very tired very early, especially after standing for a long duration.

Question 2. What is meant by hybrid technique and what is its role in the treatment of peripheral vascular diseases?

Answer. We have been moving towards the minimally invasive procedures. Most of these surgical interventions have been brought down to key-hole surgery or robotic surgeries. The vascular intervention has been advanced to endovascular, therefore everyone is aware of coronary artery stenting.

Similarly, now we don’t require bypass surgeries. There are a lot of advanced techniques which are available that can open the blocked arteries. This means we do not make any cuts. There are a variety of ways to tackle diseases. When we combine a small surgery with these procedures then this is called Hydrate.

These procedures have reduced the morbidity of patients. If these patients are subjected to large incisions, they have to stay at the hospital for a longer time. They need to stay in the ICU. But once we subject them to hybrid procedures, the incision will be reduced to a very small size.

Medanta is the first hospital to have the most advanced Hydrate lab in the country.

Question 3. You are also an expert in uterine artery embolization for fibroids. How effective is this method? What are the long-run benefits compared to surgical removal of uterine fibroids?

Answer. Young women who had large fibroids, if subjected to open surgery, may not be able to conceive. The uterine artery embolization means without making any cut angiographically we supply blood to the fibroids. Over a while, these fibroids shrink. This means we can remove the fibroids in a non-surgical way.

Question 4. How does PVD in diabetic patients differ from those in non-diabetic patients?

Answer. Usually, patients with diabetes develop neuropathy which means they become insensitive. In many cases, patients come in very late, because of which the specialists are unable to save their leg. To avoid such situations, all diabetic patients are advised to have a regular evaluation of their feet.

The most important thing is prevention. We have always been saying that prevention is better than cure, but we never pay attention to prevention. The preventive measures are very important for a diabetic patient. The patient with diabetes should have proper footwear (patient should not suffer from a shoe bite) and provide regular care to the toes to avoid fungal infections.

So these are some specific points that a diabetic patient needs to keep in mind.

Question 5. There is a growing incidence of vascular diseases among the Indian population. How can we combat and prevent this disease? What would be your advice?

Answer. The recent increase in vascular disease is not different from the reason for an increase in other diseases. This is related to lifestyle. Stress is increasing, people are devoting less time to themselves, their dietary habits are unhealthy, they don’t take care of their health, and they avoid regular health checkups.

As we all know that India is considered as the diabetic capital of the world, alcohol and smoking, along with the above factors, are contributing a lot towards such a condition.

Check out all the article in #CrediTalk series here.

About The Doctor

Dr Tarun GroverDr. Tarun Grover is the very experienced surgeon and the Director of Peripheral Vascular and Endovascular Sciences at Medanta – The Medicity, Gurugram. He has over 22 years of rich experience in his field. He completed his MBBS from G.R. Medical College, Gwalior in 1995, DNB in General Surgery from Sir Ganga Ram Hospital, New Delhi (National Board Examination) in 1998 and FNBE in Peripheral Vascular & Endovascular Surgery from Sir Ganga Ram Hospital, New Delhi in 2003.

For a priority appointment or more information, contact us at +91 8010994994 or book an appointment with Dr. Tarun Grover here

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