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Arterial leg bypass for gangrene in a diabetic patient
Health Management StrategiesAdaptive Practices in RecoveryCommunity and Support Systemsdiabetespainpainful legbypassoperationscangroinlegstumptoescirculatory systemvascular surgery

Arterial leg bypass for gangrene in a diabetic patient

This diabetic gentleman had previously had a right leg amputation due to gangrene. He describes having a left leg bypass from the femoral artery in the groin to the distal vessels in his calf using his own long saphenous vein. This preserved his one remaining leg and maintained his mobility. The bypass graft was kept under surveillance which revealed narrowing developing in the upper part of the graft. This was treated with what is called a patch plasty to widen the area so as to prevent the graft from failing.

Transcript (auto-generated)

This transcript was generated automatically and may contain errors.

Yeah, I'm Samuel Young-Mance. I live in First District, Scott Cove, Scott Grove, Shepparton, London. You're a diabetic patient, sir? Yeah, I've got diabetes. Diabetes on 24-15. And you had a bypass. You did a bypass in your leg, didn't you? I have two bypass, first on the right leg, second on the left leg. Yeah, and you had them because your foot wasn't in good condition because of diabetes, you had blockage in the arteries didn't you? It happens that the blood that circulates to my foot, the blood that circulates to my foot, so it disturbs the right leg. And then it happens that on the right leg, you have to cut the two toes, the toes and the second, two of the toes there, of the toes there too. So I have to go from back for some wire. And so they brought, that is the blade going down to the toes. So it's coming up, so you have to take my right leg. That was in 2003, a long time ago. That was in 2003. I think I met you a bit later on and your left leg was going the same way, wasn't it? Yeah, the left leg happens the same way. We managed to do a bypass. Yeah. We were going all the way to the lower leg. Exactly, exactly. So that was okay and that kept your leg going? Yeah, that was okay. Later on I got another operation on there. We kept an eye on your bypass with scans, didn't we? Yes. And we found some narrowing at one of the ends, one of the joins of the bypass, the top end of the bypass became narrowed. So we did another operation to open that narrowing up, widen it with a patch. Sure, sure, sure. You were in hospital for a few days with that? Yes, then I have to stay for some time before they do that bypass, so I keep on checking the doctors to see whether the blood is flowing good or not, it's still good, I come for a scan as well and the same. Everything is flowing okay. At the moment your legs okay on that left side? Yeah, I feel it's okay, but it's not 100%. I want to go back to work. But when I do some exercises, I can see the right leg is painful because I can't lift some things and I can't be doing some hard work. I feel the pains on the right leg. The artificial leg hurts you when you lift heavy things? the artificial leg, the prosthesis goes down to the tap and the stump, the stump is a place where it's not really good, so I'm going to go to Children's Cross Hospital one day, come in one day for the checking of the prosthetics. Although your mobility is good, even with the artificial leg, prosthetic leg on the on the right side, but it was difficult to do heavy work. Exactly. So when I work a lot more, then I have to stop for a while, probably five minutes or four minutes. That's when I keep on working again. Tell us about the recent operation you had on your left groin. How long were you in for and how was it? How do you tolerate it? Yeah, it's always the blood circulation to the foot. they did the operation. I mean the blood line is going good, the circulation is going down very good. So I have to keep on working with some exercises, working in the morning, exercises for the blood to flow. Recovery wise you were in hospital for a few days? Yeah, I was at least a week at the hospital. I was doing this tattoo. When I come home, I have to take the nurses to take the stitches. I kept it in an armistice here, in the armistice here of the jailers, that they demolished, the statues of. And then they saw after him. It took a couple of weeks or at least two weeks before it was handed. So it's hidden now, it's hidden now. I don't feel no pains there, I don't feel no pains there. I get a lot of time, the last month, if I stand here to say what is the problem, I say his name out, but in front of the screen I'm not. So I get a lot of time to talk about it. To take a stand and see how the situation is going. Thank you very much for talking to us. Thank you very much.

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