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Vascular Surgery/aortic bifemoral bypass

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Question
I had aortic bifemoral bypass surgery 7 weeks ago. The last couple of weeks I have pins and needles in both inner thighs, and sometimes a burning sensation on the right side of the aortic incision. It's not all the time but seems to get worse as the day progresses. I live 2 hours away from the vascular clinic and am a bit concerned now.

Answer
I wonder when your first postop ultrasound is scheduled...i would hope it is within the next week, by 8 weeks out, you should be scheduled for your ultrasound next week...if not, you should contact your vascular surgeon, describe the symptoms and ask for an appointment to see the surgeon and get the ultrasound. you should be scheduled for ultrasound appointments for the rest of your life, usually our patients are in for an US at 4, 8 weeks postop and every 6 months for a couple of years then annually for the rest of your life. These bypasses are great, last many years and so long as you are not smoking, rarely require re-do surgery. but the faithful followup care is most important.
for now again i suggest you get on the phone tomorrow and discuss your concerns with your surgeon and make an appt to see him early in the week.

pin and needles and burning pain are usually indicate some nerve irritation, at your appt, ask your surgeon if he is OK with you doing self-massage to reduce these sensations.
i hope this helps but most importantly see your surgeon
lauri

Vascular Surgery

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Lauri Ordway

Expertise

I can answer your questions related to your circulation, your peripheral vascular system. This includes all arteries and veins except those inside the head and inside the heart. For example, neck (carotid), arms (carotid subclavian bypasses to Thoracic Outlet) belly (aortic aneurysm & occlusive disorders, renal artery stenosis), legs (iliac, femoral, popliteal, peroneal, dorasalis pedis, posterior and anterior tibial) arteries. Aneurysm & occlusive disease, atherosclerosis, leg pain, arterial wounds and gangrene, amputation prevention. Arterial Bypass, Reynaud’s, Buerger's disease (thromboangiitis obliterans), Thoracic Outlet and other circulation disorders. Vein disorders: Blood Clots (DVT), post-phlebetic syndrome, varicose veins, venous stasis ulcers. I can help with vascular wounds from diagnosis to treatments. I have worked extensively with VNUS Closure and EVLT (Laser) for varicose veins and can describe pre and post procedure expectations and describe the procedures themselves. I can't help with spider veins or cosmetic vein treatment, we don't do it. I have 15 years of wound care experience, arterial, venous, trauma and diabetic wounds for example. **I CANNOT answer questions about STENTS or STENTING, heart disease, blood pressure, brain aneurysm although I can help with questions about the arteries that go to and from those organs.

Experience

I am a nurse, I worked for 15 years with two terrific peripheral vascular surgeons, and one of them is also the inventor of very innovative wound care products and surgical instruments to make vascular surgery procedures better and faster. I wrote and manage the clinic website and field questions from patients all over the world. I am now working with another vascular surgeon and wound care expert, which has given me an opportunity to widen my horizons as I learn another excellent physician's preferences and benefit from his experiences in this amazing specialty.

Education/Credentials
I am an LPN, licensed in Minnesota

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