Understanding Vascular Conditions
The circulatory system (vascular system) comprises both the cardiovascular and lymphatic systems. Circulatory diseases are diseases of the blood vessels that supply vital organs and undermine their ability to function properly. These conditions are caused by a variety of reasons, such as inflammation and narrowing of the vessels. Symptoms of circulatory diseases may become more apparent as changes occur in the surrounding environment and can result in complications. Some people may be seemingly helpless in the face of conditions that make them acutely aware of their physical limitations. Consequently, knowing the signs of circulatory diseases becomes increasingly important. Understanding how vascular disorders are treated can provide both relief and reassurance to those affected. Our clinic offers advanced treatments for uterine cancer Singapore, ensuring top-notch care for our patients.
The normal vascular system is composed of three basic vessel types (arteries, veins and capillaries) that specialize in different functions. Arteries and arterioles carry oxygen-rich blood from the heart to the entire body, while the venous system delivers oxygen-depleted blood to the heart. Capillaries are the smallest blood vessels where oxygen and vital nutrients are exchanged with cells as blood flows through the body. If the circulatory system does not function properly, your body may not receive the oxygen and nutrients it needs. A variety of conditions can interfere with the body’s circulatory system and result in pain or even loss of life. We will now delve into the mysterious field of vascular treatment, which utilizes the concepts and methods of vascular medicine to help treat a wide range of patients. Early detection and personalized treatment plans are key in managing uterine cancer effectively.
Uterine Cancer
We specialize in diagnosing and treating uterine fibroids, providing relief and improving quality of life for our patients. Uterine cancer is the 4th most prevalent cancer among females (4%) and is deadly (11% statistics). The traditional method of treating uterine cancer is surgical intervention. Recently, significant development can be seen in the field of endovisceral interventions and decreasing the necessity of surgery in different diseases such as oncogynecological. Majority of patients with malignant lesions of the genital system suffer from the entity of themselves and have the fear of the inevitable necessity of surgery with all the accompanying consequences. Comprehensive treatment is performed through preoperative selective supra-selective embolization of blood vessels aiming at the subsequent resection of pathological neoplasms accompanied by a reduced probability of radical resection of tumors, minimizing intraoperative blood loss, reducing the time of surgery, shortening the period of postoperative treatment.
Such procedures provide a significant accelerating effect of initiating preoperative radiotherapy to reduce the volume of the tumor hermetically in direct compliance with the principles of radio oncology (the multilevel hypothesis of a continuously changing ecosystem). The main result of the supra-selective transcatheter embolization is the successful obtaining of maximum therapy effect (effect of the “dead area” of malignant tumors paying attention to the stages of the inhibitory action of mutagenic and selective effect of embolic material at different levels) in close coordination with the radiation department with the direct supervision of the oncologist. Embolization of these other specific vessels (artery of ovary/uterine artery/ovarian artery) is vital to provide the personalized approach needed to impact oncological results while preserving important quality-of-life issues.
Minimally Invasive Procedures in Vascular Care
Vascular medicine, or treating veins and arteries in a minimally invasive manner, is characterized by extreme diversity based on the anatomy of blood vessels, pathology, physiological response, and function, leading to distinct approaches, embolic material adaptations, and the need for special implants and devices. Each vascular procedure has specific conducting and performing requirements as well as complications, ranging along a wide spectrum between easy outpatients and complex emergencies. Although the center concentrates on all types of vascular disorders, the majority of procedures performed are designed to alleviate patient discomfort and suffering in the most efficient and pain-free way.
Role of Interventional Radiology
Interventional radiology is a relatively new specialty. It began in the 1960s and has developed rapidly over the last 20 years. Angioplasty (the opening up of arteries) was one of the first procedures in interventional radiology, and it was a radiologist who carried out the first human arterial angioplasty. This achievement laid the groundwork for many other major breakthroughs in the field of interventional radiology. Although other methods of non-invasive treatment of vascular disease, carried out by interventionist X-ray doctors, are less well-known to the public, they are no less significant in their results in comparison with classical drug treatment, surgical intervention, or physical methods.
The main cause of peripheral arterial diseases is atherosclerosis, because of which the arteries of the lower limbs, the subclavian arteries, the carotid arteries (which supply the brain with blood), and the renal arteries, as well as the arteries of a number of internal organs, can become stenotic or blocked entirely. The classic patient is a 50-year-old male with a history of smoking who presents with characteristic leg pain. Classic treatment to save the limb is open surgical bypass. Open surgery is still very much alive today, and indeed still has the majority share of therapy for lower limb arterial stenosis. The ability to treat the patient with a simple effective therapy and send them home the next day with a short recovery period smoothes the pain and helps them return to normal life. Interventional specialists managed to develop an alternative method to noninvasively treat this disease – they carry out percutaneous transluminal angioplasty (PTA) and install stents, giving particular advantages to such treatment. This has sparked original research and the rapid development of the field of interventional surgery. PTA certainly has found a niche in renovascular stenosis – a difficult group of patients to assess, and who often encounter difficult long-term results from open surgical intervention. Administering the patient a drug to suppress activity of the angiotensin I-dependent renin system, which is the main cause of acceleration of the atherosclerotic process, leads to stable clinical results only in some patients. A major number are still at risk, and one of the few available options is PTA. The application of the method is subject to certain limitations. Patients with type B aortic dissection have also been shown to benefit.
Advantages of Minimally Invasive Treatments
When comparing endovascular treatments to traditional operations, several major differences are recognized. They are significantly less traumatic to the operating area. Minimally invasive interventions involve only 1-2 small incisions to provide access to the vessel. Puncture of the femoral artery in the groin or upper thigh is usually sufficient for reaching intracoronary vessels, accessible by a hand using endovascular equipment. Treatment of brachial and femoral arterial lesions is usually performed through a wall opening of 5 to 7 mm in the inguinal area.
Adolescent patients and patients with various concomitant diseases or undergoing immune-suppressive therapy are more susceptible to stress. Minimally invasive techniques do not require general anesthesia, aortic clamping, and other maneuvers that can provoke a severe stress response. Postoperative rehabilitation after endovascular interventions requires a much shorter hospital stay: the patient may be discharged in 4-8 hours.
The effectiveness of minimally invasive remedies is no less than might be achieved through traditional operations. For example, the 5-year patency after carotid angioplasty per stenting is 91% as against that at 95% after endarterectomy; in iliac vessels, the figures are 79% and 80% correspondingly.
In some cases, stent deployment is a safer alternative than conventional surgical interventions. Stenting can be the only alternative in heavy patients with lesions in the thoracic portion of the aorta or critical stenosis of the left subclavian artery. Stenting is a safe alternative to surgery in patients with chronic occlusion or severe stenosis of the brachiocephalic arteries complicated with two or more other severe stenoses of the cerebrovascular area and in patients with extensive atherosclerosis of the aortic pool and iliac vessels, for whom the aorto-femoral endoprosthetics are contraindicated for different reasons. Minimally invasive endovascular interventions allow to manage with large coronary arteries and to accurately evaluate their functional state, whilst the size of the vessels is often disorientating for a surgeon attempting to carry out a stent or angioplastic procedure.
Reduced Recovery Time
The rapid development of interventional and endovascular therapies has made it possible to perform complex operations by introducing various devices into the blood vessels, without dissecting the skin and without traumatizing tissues. Minimally invasive techniques have made it possible to abandon general anesthesia or significantly reduce the time of its application, reduce the recovery time, reduce the likelihood of postoperative complications, reduce blood loss, avoid large cosmetic defects, and reduce the incidence of pain syndrome.
The advantages inherent in invasive interventions make it possible to expand the range of diseases that are amenable to surgical treatment and supplement traditional methods of therapy. The range of the Vascular and Interventional Centre is not limited to the treatment of vascular diseases. Specialists of the clinic perform interventions in almost all parts of the human body. Most often, these are manipulations associated with the introduction of various drugs into blood vessels or directly into the organs. Temporarily, smaller veins have to conduct procedures to stimulate the formation of microthrombuses. This allows you to stop capillary bleeding or conserve blood supply during radical surgery.
