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In the legs, bypass grafting is used to treat peripheral vascular disease, acute limb ischemia, aneurysms and trauma.While there are many anatomical arrangements for vascular bypass grafts in the lower extremities depending on the location of the disease, the principle is the same: to restore blood flow to an area without normal flow.
The perineal artery (superficial perineal artery) arises from the internal pudendal artery, and turns upward, crossing either over or under the superficial transverse perineal muscle, and runs forward, parallel to the pubic arch, in the interspace between the bulbospongiosus and ischiocavernosus muscles, both of which it supplies, and finally divides into several posterior scrotal branches ...
Peripheral artery disease most commonly affects the legs, but other arteries may also be involved, such as those of the arms, neck, or kidneys. [4] [17] Peripheral artery disease (PAD) is a form of peripheral vascular disease. Vascular refers to both the arteries and veins within the body. PAD differs from peripheral veinous disease. PAD means ...
Femoropopliteal bypass surgery is mainly used to treat cases of femoral artery blockage that cause more severe symptoms that restrict completion of daily tasks such as peripheral artery disease and claudication, or cases that have not responded well to other treatment options . Before surgery is considered, adjustments are made to lifestyle ...
It supplies a perforating branch to both the lateral and anterior compartments of the leg; it also provides a nutrient artery to the fibula. Some sources claim that the fibular artery arises directly from the posterior tibial artery, but vascular and plastic surgeons note the clinical significance of the tibial-fibular trunk.
The internal pudendal artery branches off the internal iliac artery, the main artery of the pelvis, and supplies blood to the sex organs. [1] The internal pudendal artery gives rise to the perineal artery [2] and the inferior rectal artery. [1] The superficial external pudendal artery arises from the medial side of the femoral artery.
Treatment with compression stockings should be offered to patients with lower extremity superficial phlebitis, if not contraindicated (e.g., peripheral artery disease). Patients may find them helpful for reducing swelling and pain once the acute inflammation subsides.
Thus, the patient needs to be closely monitored and the etiology investigated. The initial management must include adequate fluid resuscitation. Treatment options for a retroperitoneal bleed may range from angiographic embolization to surgery in severe cases. [9]
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