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LETTER TO THE EDITOR
Year : 2016  |  Volume : 3  |  Issue : 1  |  Page : 37

Patterns of vascular referrals in 3 months of completion of training at a tertiary care center in North India


Department of General Surgery, Vascular Unit, Christian Medical College, Ludhiana, Punjab, India

Date of Web Publication13-Apr-2016

Correspondence Address:
Amit Mahajan
Department of General Surgery, Vascular Unit, Christian Medical College, Ludhiana, Punjab
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0972-0820.180225

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How to cite this article:
Mahajan A. Patterns of vascular referrals in 3 months of completion of training at a tertiary care center in North India. Indian J Vasc Endovasc Surg 2016;3:37

How to cite this URL:
Mahajan A. Patterns of vascular referrals in 3 months of completion of training at a tertiary care center in North India. Indian J Vasc Endovasc Surg [serial online] 2016 [cited 2019 Aug 22];3:37. Available from: http://www.indjvascsurg.org/text.asp?2016/3/1/37/180225

With a steadily increasing population of the elderly in India due to better health care, there has been a concomitant increase in caseload for the vascular specialists. The severity of the vascular disease and the length of time it goes untreated can make a tremendous difference in the clinical outcome. The Christian Medical College and Hospital, Ludhiana, is a Tertiary Care Center in North India. Apart from this, there are 15-20 number of centers, which provide care for vascular patients in this region. Most of them are centered around Delhi with only a very few present in Punjab. The care of patients with vascular disease was so far handled by surgeons with a special interest in vascular surgery. Our unit manage a total of around 30 inpatients per month and 300 outpatients per month of which about 30-40% comprises patients with vascular problems. This letter is to acknowledge the benefits of dedicated training programs (even though short-term).

I completed my postdoctoral fellowship vascular and endovascular surgery for 1 year from Christian Medical College Vellore. During this training period, I had the opportunity to perform and assist on various simple and advanced vascular procedures. After my training, I returned to Ludhiana. I am now able to handle a more diverse spectrum of open vascular procedures such as vascular bypass grafting, embolectomy, basilic vein transpositions, endarterectomy along with various endovascular procedures such as peripheral vascular angioplasty and stent placement. Initial implementation of vascular care at my parent institute was hindered by various challenges such as nonavailability of advanced endovascular c-arm suite/Cath laboratory, nonavailability of vascular laboratory which is essential in diagnosing, screening and following up patients with peripheral arterial disease, lack of ultrasonography Doppler machine, and lack of dedicated trained staff and operation theater technicians for vascular surgery. Few procedures could not be immediately offered due to nonavailability of endovascular equipment, laser/radiofrequency ablation for treating patients of varicose vein. In spite of these difficulties, our vascular surgery team has been able to do offer endovascular revascularization in patients deemed unfit for major open vascular repair, using the basic c-arm available in our operation theater. We also have a successful experience of hybrid interventions for multisegment peripheral arterial occlusive disease and venoplasty for renal access salvage.

The number of vascular surgery referrals has been steadily increasing in the last 3 months in our institute, in view of affordability and our considerable success in managing these patients. We continue to follow-up these patients regularly in the outpatient department. I am grateful for the support from my institution. Apart from the clinical services, Christian Medical College and Hospital, Ludhiana, is a training and research institute. We can provide general surgery residents with hands-on supervised training in various vascular surgery procedures as per their duty roster on a rotation basis. Many of our general surgery postgraduates have started developing their interest in pursuing vascular surgery as their career after working in our unit. Our future plans include expanding our treatment and training capabilities to improve the care of our patients.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.




 

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