About Femoro Distal Bypass
Key Highlights
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Effective limb salvage procedure to prevent amputation.Restores blood flow to relieve severe leg pain (rest pain) and promote healing.Can utilize the patient's own vein (autograft) for better long-term patency.Improves mobility and overall quality of life for patients with advanced PAD.Performed by specialized vascular surgeons using precise surgical techniques.
Who is this surgery for?
- Critical Limb Ischemia (CLI) characterized by rest pain, non-healing ulcers, or gangrene.
- Severe claudication (leg pain while walking) that does not improve with medication or lifestyle changes.
- Failed or unsuitable results from less invasive procedures like angioplasty or stenting.
- Acute limb ischemia due to a sudden blockage of a leg artery.
- To preserve limb function and viability when amputation is the only other alternative.
How to prepare
- Comprehensive vascular assessment including angiography (CT, MR, or conventional) to map blood flow.
- Pre-operative blood tests, ECG, and chest X-ray to assess overall health.
- Management of co-existing conditions like diabetes, hypertension, and heart disease.
- Discussion of anesthesia options (typically general anesthesia) and surgical plan with the vascular team.
- Fasting for 8-12 hours before the surgery as instructed.
- Possible ultrasound mapping of leg veins to identify a suitable graft if an autograft is planned.
Risks & possible complications
- Bleeding or hematoma at the surgical site.
- Infection of the incision or, rarely, the graft itself.
- Blood clots (thrombosis) within the graft, leading to re-blockage.
- Graft failure over time, requiring further intervention.
- Swelling (edema) in the operated leg.
- Nerve injury causing numbness or weakness.
- Cardiac events (like heart attack) due to the stress of surgery.
- Kidney problems from contrast dye used in pre-operative imaging.
Recovery & hospital stay
- Initial hospital stay for monitoring of the graft, leg circulation, and pain management.
- Incision care instructions to keep wounds clean and dry.
- Gradual resumption of walking with assistance, often starting the day after surgery.
- Prescription of antiplatelet medications (like aspirin or clopidogrel) to prevent clotting.
- Regular follow-up appointments for ultrasound scans to check graft function.
- Lifestyle modifications: strict smoking cessation, healthy diet, and controlled management of diabetes and cholesterol.
- A structured exercise program to improve walking distance and overall cardiovascular health.
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Typical hospital stay: 5-10 days
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Expected recovery time: 6-12 weeks
Frequently Asked Questions
If you are considering femoro distal bypass in India, these questions and answers can help you make a confident, informed decision.
Top-rated hospitals in India with vascular surgery departments and experienced surgeons are ideal for this procedure. Use MediFyr to compare facilities, reviews, and doctor profiles before you decide.
Look at the doctor’s years of experience, hospital association, patient reviews, and how often they perform femoro distal bypass. MediFyr helps you compare vascular surgeons and book consultations online.
The overall cost depends on hospital category, surgeon’s experience, room type, implant or device used (if any), length of stay, tests, and post-operative care. Our team can help you get cost estimates from multiple hospitals before you decide.
Procedure cost in other countries
Here is an overview of how the estimated cost, hospital stay, and recovery time for femoro distal bypass compare across other countries where we have data.
Sai Johnson, a 68-year-old retired postal...
Sai Johnson, a 68-year-old retired postal worker and avid gardener, had been struggling for over a year. A former smoker, he first noticed a deep, aching pain in his right calf when walking to his mailbox. Soon, he could only manage a few steps in his beloved garden before the crippling pain forced him to stop. His foot often felt cold, and a small sore on his toe refused to heal. His primary care doctor referred him to a vascular surgeon, Dr. Evans, who diagnosed severe peripheral artery disease (PAD). An angiogram revealed a complete blockage in his superficial femoral artery. "Your leg is starving for blood, Sai," Dr. Evans explained. "A femoro-distal bypass will reroute blood around that blockage, using a vein from your other leg." Terrified of losing his mobility and independence, Sai agreed. The surgery lasted four hours. Waking up, his first sensation was warmth returning to his foot. Recovery in the hospital was tough, with careful monitoring of the graft and intense pain management. He began walking with assistance the next day. After two weeks of inpatient rehab, Sai went home. Six months later, after dedicated physical therapy, he walks a mile daily and is back to tending his roses. Emotionally, he journeyed from a deep fear of becoming housebound and a burden to his family, to profound gratitude and a renewed sense of vitality. He feels he's been given a second chance at an active life.
Vascular surgeons for Femoro Distal Bypass
Explore experienced vascular surgeons who regularly perform femoro distal bypass and provide pre- and post-operative care in India.
- 21 Years Experience
- Interventional Radiologist
Miot Hospital Chennai, Chennai
- 21 Years Experience
- Vascular surgeon
Miot Hospital Chennai, Chennai
- 17 Years Experience
- Vascular surgeon
Manipal Hospital Yeshwanthpur, Bangalore
- 27 Years Experience
- Vascular surgeon
Manipal Hospital Sarjapur Road, Bangalore
- 19 Years Experience
- Vascular surgeon
Manipal Hospital Sarjapur Road, Bangalore
- 8 Years Experience
- Vascular surgeon
Manipal Hospital Sarjapur Road, Bangalore
- 12 Years Experience
- Vascular surgeon
Manipal Hospital Sarjapur Road, Bangalore
- 11 Years Experience
- Vascular surgeon
Manipal Hospital Whitefield, Bangalore
- 23 Years Experience
- Vascular surgeon
Manipal Hospital Old Airport Road, Bangalore
- 21 Years Experience
- Vascular surgeon
Manipal Hospital Old Airport Road, Bangalore
- 27 Years Experience
- Vascular surgeon
Manipal Hospital Old Airport Road, Bangalore
- 12 Years Experience
- Vascular surgeon
Manipal Hospital Patiala, Patiala
- 30 Years Experience
- Vascular surgeon
Manipal Hospital Malleshwaram, Bangalore
- 23 Years Experience
- Vascular surgeon
Manipal Hospital Malleshwaram, Bangalore
- 11 Years Experience
- Vascular surgeon
Manipal Hospital Malleshwaram, Bangalore
- 16 Years Experience
- Vascular surgeon
Manipal Hospital Kharadi, Pune
- 15 Years Experience
- Vascular surgeon
Manipal Hospital Kharadi, Pune
- 25 Years Experience
- Vascular surgeon
Manipal Hospital Jayanagar, Bangalore
- 26 Years Experience
- Vascular surgeon
SIMS Hospital Vadapalani, Chennai
- 10 Years Experience
- Vascular surgeon
SIMS Hospital Vadapalani, Chennai