Apollo Spectra Hospital, Bengaluru Achieves Milestone in Wound Care: Successful Redo Operation on Non-healing Chronic Venous Ulcer in 75-Year-Old Patient.
Bengaluru: Apollo Spectra Hospital, Bengaluru, a leading healthcare provider, has successfully conducted an Endovascular procedure on a 75-year-old patient from Dhaka, Bangladesh. The procedure was performed under the guidance of Dr. Vinay Nyapathi, Senior Consultant Interventional Radiologist, Apollo Spectra Hospital, Koramangala, Bengaluru, and was aimed at treating the patient’s chronic nonhealing ulcers in the left leg and ankle region, which had been caused by multiple repetitive open and endovenous procedures for Varicose veins. The patient had been suffering from recurrent infection, edema, and pain, which had significantly impacted her quality of life. After a thorough understanding of the complex venous anatomy of the patient and identifying the cause of the non-healing chronic ulcer, the Endovascular procedure was prescribed, leading to a successful outcome for the patient.
A decade ago, the patient developed a chronic ulcer due to significant venous and perforator incompetence. Despite multiple surgeries performed previously, the condition persisted. Venous ulcers are commonly observed in the lower part of the leg and can significantly impact a patient’s quality of life, with potentially fatal consequences. These ulcers can be resistant to healing and can last for more than six weeks, resulting from single or multiple contributing venous pathologies. Patients with active venous ulcers can experience physical limitations, social isolation, and increased health risks if they have other co-morbid conditions. Achieving an excellent outcome in all patients requires a thorough understanding of the venous anatomy.
Under ultrasound guidance, Dr. Vinay Nyapathi accomplished a successful Endovenous laser treatment for accessory veins, double great saphenous veins, and double short saphenous veins, all in a single session. Proper wound care management was employed, which expedited the healing of the left lower limb ulcer within just three weeks post-operatively.
Dr. Vinay Nyapathi has over 20 years of experience and has successfully conducted over 3000 Endovenous procedures in Apollo Spectra Hospital for the treatment of varicose veins shares a message with the elders on the potential benefits of early treatment in Active venous ulcers. To focus more on the spectrum of Venous disorders, which affects at least 25% of the population the study conducted at Apollo Vein Institute in Apollo Spectra Hospital, Bengaluru, Koramangala found that early treatment for leg ulcers leads to better patient outcomes.
Commenting on the success of the surgery Dr. Vinay Nyapathi Senior Consultant Interventional Radiologist, Apollo Spectra Hospital, Koramangala, Bengaluru, said “Approximately 70% of leg ulcers are caused by advanced venous disease, making early vascular assessment crucial for addressing the underlying venous pathology. Minimally invasive venous treatments currently available provide definitive solutions for the frail and elderly and have proven to be effective in preventing the recurrence of such wounds.”
The patient expressed their overwhelming gratitude for the successful procedure, detailing their medical history: they developed varicose veins on their left leg in 2015, which caused swelling and pain from the knee down to the ankle and toes. After undergoing open surgery for varicose veins, the same leg began to pain and itch, and the patient experienced an unstable ankle and persistent scratching, which caused bleeding. A family doctor referred the patient to Dr. Vinay Nyapathi, an Interventional Radiologist at Apollo Spectra Hospital, Bengaluru, who diagnosed the patient after performing a Color Doppler scan on their legs. The doctor identified anatomical variations and leftover varicose veins from previous operations. The patient underwent the endovenous procedure, which required no incisions, stitches, or spinal anesthesia, only IV sedation, and was discharged the same day. Post-surgery, the patient experienced no pain, itchiness, or swelling, and has resumed walking for an hour every day without fatigue. The patient expressed their sincere thanks to Dr. Vinay Nyapathi for his personal care, treatment, and follow-up, as well as to Apollo Spectra Hospital, Bengaluru for their excellent care and services.
