About Necrotizing Cutaneous Vasculitis
Key Highlights
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Halts the progression of tissue necrosis and prevents limb loss.Removes infected or dead tissue (debridement) to promote healing.May involve revascularization procedures to restore critical blood flow.Helps control severe pain associated with ulcerative skin lesions.Reduces the risk of systemic infection (sepsis) from open wounds.Performed by specialists skilled in managing complex vascular and skin conditions./ul
Who is this surgery for?
- Extensive skin ulceration or necrosis that fails to respond to medical therapy (e.g., corticosteroids, immunosuppressants).
- Development of gangrene (tissue death) in the fingers, toes, or limbs.
- Severe, debilitating pain from vasculitic lesions.
- Secondary bacterial infection of skin ulcers posing a risk of sepsis.
- Diagnostic biopsy requiring a larger tissue sample to confirm the type and severity of vasculitis.
- Impending or actual tissue loss threatening limb viability.
How to prepare
- Comprehensive evaluation by a vascular surgeon and often a rheumatologist.
- Blood tests to assess inflammation levels, kidney function, and autoimmune markers.
- Imaging studies like angiography or Doppler ultrasound to map blood vessel damage.
- Optimization of medical therapy for the underlying vasculitis, if possible.
- Discussion of anesthesia options (local, regional, or general).
- Fasting as instructed before the procedure if anesthesia is required.
- Temporary adjustment or cessation of certain medications like blood thinners, as advised.
Risks & possible complications
- Bleeding or hematoma at the surgical site.
- Surgical wound infection or delayed healing.
- Damage to surrounding nerves, leading to numbness or tingling.
- Recurrence of vasculitis lesions in the same or new areas.
- Poor cosmetic outcome or significant scarring.
- Risks associated with anesthesia (e.g., allergic reaction, respiratory issues).
- Potential need for further or more extensive surgery, including amputation in severe cases.
Recovery & hospital stay
- Initial hospital stay for wound monitoring, pain management, and IV antibiotics if needed.
- Meticulous wound care with regular dressing changes as per surgeon's instructions.
- Elevation of the affected limb to reduce swelling.
- Continued management of the underlying systemic vasculitis with medications.
- Physical therapy may be recommended to maintain mobility and strength.
- Avoidance of smoking, which severely impairs healing.
- Follow-up appointments to monitor healing, assess for recurrence, and remove sutures.
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Typical hospital stay: 3-7 days
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Expected recovery time: 3-6 weeks for initial healing; full recovery may take several months
Frequently Asked Questions
If you are considering necrotizing cutaneous vasculitis 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 necrotizing cutaneous vasculitis. 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 necrotizing cutaneous vasculitis compare across other countries where we have data.
| Country | Estimated cost range | Typical stay | Recovery time | View details |
|---|---|---|---|---|
| India | INR 80 Thousand – 300 Thousand | 3-7 days | ~ 3-6 weeks for initial healing; full recovery may take several months | Know More |
| Turkey | TRY 280 Thousand – 1.05 Million | 3-7 days | ~ 3-6 weeks for initial healing; full recovery may take several months | Know More |
Saanvi Iyer, a 42-year-old software engineer...
Saanvi Iyer, a 42-year-old software engineer and mother of two, had always been active and healthy. Her life changed when painful, dark purple ulcers began erupting on her lower legs, refusing to heal. Initially dismissed as stubborn insect bites, the lesions grew larger and more necrotic, becoming exquisitely tender. A biopsy confirmed the frightening diagnosis: Necrotizing Cutaneous Vasculitis, likely triggered by an underlying autoimmune flare. Her vascular surgeon, Dr. Mehta, explained that the diseased tissue was preventing healing and posed a serious infection risk. He recommended surgical debridement to remove the necrotic tissue, a crucial step to allow for grafting and control the vasculitis. The procedure was emotionally daunting, but Saanvi felt a sense of necessary action. The recovery was slow and required meticulous wound care and immunosuppressive therapy. While she bears scars, the wounds finally closed, and the relentless pain subsided. Emotionally, she journeyed from fear and frustration over her failing body to profound gratitude for the relief surgery brought, though she remains cautiously optimistic, managing her condition day by day.
Vascular surgeons for Necrotizing Cutaneous Vasculitis
Explore experienced vascular surgeons who regularly perform necrotizing cutaneous vasculitis and provide pre- and post-operative care in India.
- 21 Years Experience
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Miot Hospital Chennai, Chennai
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Miot Hospital Chennai, Chennai
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Manipal Hospital Yeshwanthpur, Bangalore
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Manipal Hospital Sarjapur Road, Bangalore
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Manipal Hospital Sarjapur Road, Bangalore
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Manipal Hospital Sarjapur Road, Bangalore
- 12 Years Experience
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Manipal Hospital Sarjapur Road, Bangalore
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Manipal Hospital Whitefield, Bangalore
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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
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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
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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