Diabetic lower limb arterial bypass surgery

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Diabetes is a major cause for amputations in the UK. This is because diabetic patients have leg problems caused by an impairment of the peripheral nerves (neuropathy), blockages in the arteries (arteriopathy) and an increased risk of infection (immunopathy). Diabetic foot complications cause loss of sensation, foot shape deformity, ulcers, gangrene and potentially limb loss. It is vital that patients with diabetes learn about foot care from their podiatrist or GP.

Patients who have diabetic foot vascular complications will be evaluated with a transcutaneous oximeter and ankle brachial pressure index readings in the clinic. Further special investigations such as an arterial duplex scan, a MR Angiogram or a CT Angiogram may be required. Most patients can be treated with minimally invasive techniques such as angioplasty or stenting. These procedures are often done as day cases or require overnight stays. However it may not be possible to treat all patients with extensive or recurrent arterial disease with minimally invasive techniques. Suitable patients with extensive arterial disease will be assessed for arterial bypass surgery. Patients undergoing arterial bypass surgery stay 7 to 14 days in hospital and often require input from tissue viability nurses, physiotherapists and occupational therapists as part of their recovery programme.   

Mr. Chong provides vascular surgical expertise to the multidisciplinary diabetic limb salvage clinic at Frimley Park Hospital. In this service, he works with colleagues in diabetes medicine, orthopaedic foot and ankle surgery, podiatry, tissue viability services and microbiology to preserve limb function in high risk patients so that they achieve the best quality of life possible. 

Multidisciplinary Diabetic Limb Salvage Team at FPH

Mr.Chong has trained in leading UK multidisciplinary diabetic limb salvage units at Kings College Hospital and at St. Mary's Hospital and has extensive experience of complex arterial bypass surgery techniques. Mr. Chong is the clinical lead for North East Hampshire and Farnham CCG Diabetic Foot Services and a member of the South Central Region Steering Group for Diabetic Foot Services. In 2012 a national report showed that Surrey patients had one of the lowest rates of major amputation in the UK. In 2013 the North East Hampshire and Farnham CCG and Surrey Heath CCG patients with diabetic foot disease demonstrated the lowest limb loss rates (0.5 major amputations per 1000 patients with diabetes) in the whole of Surrey, Kent and Sussex.

Mr. Chong performs lower limb arterial reconstructions exclusively at his Parkside Suite base.

The information contained in this website is not a substitute for medical advice or treatment. The Surrey Vascular Clinic recommends consultation with your doctor or healthcare professional.

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