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Information about Vascular Surgery

Vascular surgery is a subspecialty of general surgery in which diseases of the vascular system, or arteries and veins, are managed, largely via surgical intervention. The vascular surgeon is trained in the diagnosis and management of diseases affecting all parts of the vascular system except that of the heart and brain. Cardiothoracic surgeons manage surgical disease of the heart and its vessels. Neurosurgeons manage surgical disease of the vessels in the brain (eg intracranial aneurysms).

Breadth of discipline

Training

Previously considered a field within general surgery, it is now considered a specialty in its own right. As a result, training has been, or is being re-structured from previously having to complete full general surgery training followed by a period of further vascular surgery training, to being trained in vascular surgery alone from start to finish.

Programs of training are slightly different depending on the region of the world one is in.

Country Standards body Professional representation Minimum Length of training (post intern)
Australia and New ZealandRoyal Australasian College of SurgeonsAustralian & New Zealand Society of Vascular Surgery (ANZSVS)6 years
United KingdomRoyal College of Surgeons of England, Royal College of Surgeons of EdinburghVascular Society of Great Britain and Ireland8 years
USAAccreditation Council for Graduate Medical Education (ACGME)American College of Surgeons Multiple vascular societies8 years

Surgical Procedures

By no means exhaustive, but below are a number of common procedures and indications for vascular surgeons.

Indication/disease Procedure External link
Abdominal aortic aneurysmOpen AAA repair Endoluminal AAA repair (EVAR)
Carotid stenosisCarotid endarterectomy Carotid stenting
Varicose veinsVein stripping Sclerotherapy and Foam sclerotherapy

Laser ablation

Ambulatory phlebectomy
Peripheral arterial occlusive diseaseAngioplasty with/out Stenting Bypass surgery
Acute limb ischaemiaBalloon embolectomy Thrombectomy

Bypass surgery
Aortic dissectionOpen repair Thoracic stent graft

External links

surgery (from the Greek χειρουργική meaning "hand work") is the medical specialty that treats diseases or injuries by operative manual and instrumental treatment.
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Arteries are muscular blood vessels that carry blood away from the heart.[1] All arteries, with the exception of the pulmonary and umbilical arteries, carry oxygenated blood.

The circulatory system is extremely important for sustaining life.
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vein is a blood vessel that carries blood toward the heart. The majority of veins in the body carry low-oxygen blood from the tissues back to the heart; the exceptions being the pulmonary and umbilical veins which both carry oxygenated blood.
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heart is a muscular organ responsible for pumping blood through the blood vessels by repeated, rhythmic contractions, or a similar structure in the annelids, mollusks, and arthropods.
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In animals, the brain or encephalon (Greek for "in the skull"), is the control center of the central nervous system, responsible for behavior. The brain is located in the head, protected by the skull and close to the primary sensory apparatus of vision, hearing,
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Aneurysm
Classification & external resources

ICD-10 I 72.
ICD-9 442

DiseasesDB 15088
MedlinePlus 001122

An aneurysm (or aneurism
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In medicine, ischemia (Greek ισχαιμία, isch- is restriction, hema or haema is blood) is a restriction in blood supply
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Thrombolysis is the breakdown (lysis) of blood clots by pharmacological means. It is colloquially referred to as clot busting for this reason. It works by stimulating fibrinolysis by plasmin through infusion of analogs of tissue plasminogen activator, the protein
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Intermittent claudication is a cramping sensation in the legs that is present during exercise or walking and occurs as a result of decreased oxygen supply. This cramping usually occurs in the calf, but may also occur in the feet.
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In medicine, peripheral artery occlusive disease (PAOD, also known as peripheral vascular disease (PVD) and peripheral artery disease (PAD) is a collator for all diseases caused by the obstruction of large peripheral arteries, which can result from atherosclerosis,
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Renal ischemia or ischaemia, also called nephric ischemia is the deficiency of blood in one or both kidneys, or nephrons, usually due to functional constriction or actual obstruction of a blood vessel.
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MeSH D002561 Cerebrovascular disease is any disease by which the arteries in the brain, or are connected to the brain, are defective. Primarily people whom are diabetic or have related issues have cerebrovascular disease.
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Carotid endarterectomy (CEA) is a surgical procedure used to correct carotid stenosis (narrowing of the carotid artery lumen by atheroma), used particularly when this causes medical problems, such as transient ischemic attacks (TIAs) or cerebrovascular accidents (CVAs, strokes).
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MeSH D020246
This article is about Deep-vein thrombosis. For other uses of DVT, see DVT (disambiguation).


Deep-vein thrombosis (also known as deep-venous thrombosis or DVT and colloquially as economy class syndrome
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Varicose veins
Classification & external resources

ICD-10 I 83. , I 84. , I 85. , I 86.
ICD-9 454 - 456 , 671

OMIM 192200
DiseasesDB 13734
MedlinePlus 001109
eMedicine med/2788  
MeSH D014648

Varicose veins
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Varicose veins
Classification & external resources

ICD-10 I 83. , I 84. , I 85. , I 86.
ICD-9 454 - 456 , 671

OMIM 192200
DiseasesDB 13734
MedlinePlus 001109
eMedicine med/2788  
MeSH D014648

Varicose veins
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Lymphedema, also spelled lymphoedema, also known as lymphatic obstruction, is a condition of localized fluid retention caused by a compromised lymphatic system.
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MeSH D011928 Raynaud's phenomenon (RAY-noz), in medicine, is a vasospastic disorder causing discoloration of the fingers, toes, and occasionally other extremities, named for French physician Maurice Raynaud (1834 - 1881).
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Systemic sclerosis
Classification & external resources

ICD-10 M 34.
ICD-9 710.1

OMIM 181750
DiseasesDB 12845
MedlinePlus 000429
eMedicine med/2076   med/3132 derm/677 ped/2197
MeSH D012595 Scleroderma
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General surgery, despite its name, is a surgical specialty that focuses on surgical treatment of abdominal organs, e.g. intestines including esophagus, stomach, colon, liver, gallbladder and bile ducts, and often the thyroid gland (depending on the
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Anthem
Advance Australia Fair [1]


Capital Canberra

Largest city Sydney
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Anthem
"God Defend New Zealand"
"God Save the Queen" 1


Capital Wellington

Largest city Auckland
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The Royal Australasian College of Surgeons (RACS) is the body responsible for training and examining surgeons in New Zealand and Australia. The head office of the College is in Melbourne, Australia.

RACS was formed in 1927.
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Motto
"Dieu et mon droit" [2]   (French)
"God and my right"
Anthem
"God Save the Queen" [3]
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The Royal College of Surgeons of England is an independent professional body committed to promoting and advancing the highest standards of surgical care for patients, regulating surgery, including dentistry, in England and Wales.
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The Royal College of Surgeons of Edinburgh, a centre of excellence for surgical education and research traces its origins to 1505 when the Barber Surgeons of Edinburgh
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Motto
"In God We Trust"   (since 1956)
"E Pluribus Unum"   ("From Many, One"; Latin, traditional)
Anthem
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The Accreditation Council for Graduate Medical Education (ACGME) is the body responsible for the accreditation for postgraduate medical training programs (i.e., internships and residencies) for medical doctors in the United States.
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This article or section needs sources or references that appear in reliable, third-party publications. Alone, primary sources and sources affiliated with the subject of this article are not sufficient for an accurate encyclopedia article.
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Abdominal aortic aneurysm
Classification & external resources

ICD-10 I 71.3 , I 71.4
ICD-9 441.3 , 441.4

OMIM 100070
DiseasesDB 792
MedlinePlus 000162
eMedicine med/3443   emerg/27 radio/1
MeSH D017544
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