Aorto-Bifemoral Bypass Graft - Informed Consent скачать в хорошем качестве

Aorto-Bifemoral Bypass Graft - Informed Consent

#AortoBifemoralBypass #VascularSurgery #Atherosclerosis #LegPainRelief #InformedConsent #SurgicalRecovery #PatientEducation #BloodFlowRestoration #AmputationPrevention #DrGregoryWeir This video details aorto-bifemoral bypass surgery, a major intervention for severe arterial blockages. It primarily addresses atherosclerosis, a fatty buildup narrowing arteries, causing debilitating leg pain (claudication, limiting walking to 200m), rest pain, non-healing ulcers, or gangrene. This condition is systemic, linked to heart disease and stroke, with risk factors like smoking, high blood pressure, and diabetes. Before surgery, alternatives like exercise or angioplasty are considered, but may be insufficient. Declining surgery risks worsening pain, ulcers, and potential amputation. Preparation is crucial: immediately stopping smoking significantly improves outcomes, along with fluid intake, managing blood thinners under medical advice, healthy weight, and infection prevention. The complex surgery, under general anesthetic (90 mins-7 hours), involves creating a synthetic Y-shaped graft (Dacron/PTFE) to reroute blood flow around blocked abdominal aorta and femoral arteries. Extensive monitoring and antibiotics are used. Risks include general surgical complications (bleeding, infection, kidney injury, DVT, PE, chest infections) and specific bypass risks: graft failure (1 in 3 long-term), false aneurysm, graft infection (1 in 10 long-term), nerve damage, rare spinal cord ischemia, and erection problems in men (often pre-existing). A crucial risk of death is 1 in 20 (5%). Recovery involves 1-2 days in ICU, 7-10 days hospital stay, and typically 6 weeks for full recovery. Long-term success requires blood clot prevention and lifelong blood thinning medication. The video stresses informed decision-making and personal responsibility in managing health.