Femoral embolectomy is the critical removal of a blood clot from the femoral artery. Such clots can cause pain and infection. If the artery remains clotted for too long, one can actually lose the limb. Patients may have general anesthesia or an epidural injection before the procedure.
Then, the surgeon makes an incision in the groin or thigh to gain access to the affected artery. After cutting open the artery, the surgeon inserts a small balloon to push the clot and remove it. Depending on how long the clot has been in place, the surgeon may combine the femoral embolectomy with a fasciotomy to relieve the pressure and swelling that builds up from the blockage. Just after the surgery, patients may receive blood thinners to keep the artery from clotting again.
Typically, femoral embolectomy patients can leave the hospital after 5 to7 days, pending no complications. If a fasciotomy was performed, they will stay longer. A radiologist can insert blood thinners into the artery as an alternative to the embolectomy, but this may not be effective for everyone.
Exercise (gentle walking for short periods of time), after the first couple of days helps many patients recuperate. Patients should expect bruising and swelling at or around the incision in the first few days. Both should subside within the first week after surgery.
With rapidly expanding infrastructure, clinical expertise and international standard implementation, India is servicing the healthcare needs, at reasonable costs, of international patients from around the world. In recent years many countries have experienced a shortage of specialty care providers, which has restricted their access to quality and cost effective medical care.
In sharp contrast India has concentrated on increasing the availability of specialty cares thereby avoiding the shortage of medical professionals. In fact, the availability of clinical expertise, reasonable surgery costs, and internationally trained and educated medical professionals is a major factor in the growth of foreign patient procedures like femoral embolectomy surgery in India.
Operation
You may have a general anaesthetic and be asleep for the whole operation, or have an injection (epidural) in your back or groin and be heavily sedated. You will be awake for this, but you shouldn't feel any pain from the waist down. However, you may feel some tugging in the area you're being operated on.
Either way you will not remember anything about the operation. A cut is made into the skin in the groin and thigh. Sometimes a cut is made on each side to catch any clot slipping into the artery of the other leg. The artery is opened. Then a special plastic balloon is slid down the artery. The clot is then pulled out through the opening in the artery. The opening in the artery is stitched up. The surgeon checks the blood is flowing down the artery once more.
Finally the skin is stitched up. If the operation is not done soon after the blocking (occlusion) of the artery it might be that the surgeon will have to make a couple of cuts on the skin and the underling fat and supportive tissue (fascia) on each side of your leg below the knee. The cuts are called fasciotomies. This is done because the leg gets very swollen when the blood flows through it again (perfusion) after a long time of non-perfusion.
The swelling can compress the tissues of the leg to the point that it will destroy them. The fasciotomies release the pressure and allow the leg to recover. In most cases, the fasciotomies heal on their own relatively quickly and the areas of the cuts are covered again with skin.
You should plan to leave the hospital about five to seven days after the operation provided the leg is healthy. If you have fasciotomies you might need to stay longer.
Femoral Embolectomy Procedure
A femoral embolectomy is performed under general anesthesia in a healthcare center or hospital. A cut is made extending from the groin to the thigh. The clot is drawn out through the artery and the opening is sewn up after the healthcare provider determines that blood flow has returned back to normal. Prior to receiving a femoral embolectomy, patients should inform their physicians of any medications, diseases, or eating/smoking habits that might complicate the procedure. Because this is considered major surgery, special precautions must be taken in order to reduce the risk of infections, complications, and injuries.
After a typical femoral embolectomy, a patient must stay at the hospital few several days so that the healthcare staff can monitor the recovery progress. After being discharged from the hospital, the patient should avoid strenuous activities for several weeks. Certain dietary changes are common, especially when it comes to foods that harden arteries or thicken blood. Normal activities can usually be resumed after a few months, but it is important that all patients check in with their doctors before returning to a normal lifestyle. Premature physical activity can lead to serious complications.
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Femoral embolectomy is the critical removal of a blood clot from the femoral artery. Such clots can cause pain and infection. If the artery remains clotted for too long, one can actually lose the limb. Patients may have general anesthesia or an epidural injection before the procedure.
With rapidly expanding infrastructure, clinical expertise and international standard implementation, India is servicing the healthcare needs, at reasonable costs, of international patients from around the world. In recent years many countries have experienced a shortage of specialty care providers, which has restricted their access to quality and cost effective medical care.
You may have a general anaesthetic and be asleep for the whole operation, or have an injection (epidural) in your back or groin and be heavily sedated. You will be awake for this, but you shouldn't feel any pain from the waist down. However, you may feel some tugging in the area you're being operated on.
