You've heard of a heart bypass, but have you heard of an arm bypass?

BANDAR SERI BEGAWAN: A security guard was recently sentenced to a maximum penalty of five years’ jail, with five canings following his guilty pleas towards a charge of sexual assault on an Indonesian woman.

When Rayadi walked into Dr Yow's clinic in 2023, his hand was dusky blue with dry gangrene in his middle finger. — Photos: Dr YOW KUAN HENGMost of the time it is, and the doctor who carries out a coronary artery bypass surgery is the cardiothoracic surgeon.The operation is done to treat a narrowed or blocked artery by creating a detour, i.e. bypass, around a section of the affected artery.

Instead, he opted for alternative treatment, which included seeing a sinseh, drinking herbal concoctions and going for nerve massages. The consultant vascular and endovascular surgeon notes: “He had a failed removal of clot from his brachial artery in Indonesia. Dr Yow gives this analogy: “If there is a traffic jam along the Federal Highway, there are plenty of other routes one can take.

In peripheral arterial surgery, there is an option to use a synthetic graft, but the patient’s own vein, which is more compliant and resistant to infection, works best for smaller vessel bypasses, although it takes much more work to harvest it.It was then sutured to Rayadi’s axillary artery beneath his collarbone and onto his ulnar artery below the elbow to avoid the scarred and blocked brachial artery.

“It’s not a good idea to use the same vein again because it’s full of clots, so I had to redo the bypass by taking another vein from the leg for the graft.”

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Arm Bypass Surgery Vascular Surgery Surgery Thrombophilia

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