There are nine types of conditions that require vascular surgery Vascular surgery is responsible for diseases that occur in the blood vessels of the circulatory system throughout the body except the heart, including arterial vascular diseases and venous vascular diseases. Arterial vascular diseases mainly include rupture of blood vessels caused by trauma; plaque in the arterial wall caused by atherosclerosis, resulting in narrowing and occlusion of the blood vessels; aneurysm or a weakness in the arterial wall caused by a sandwich, resulting in arterial dilatation disease, etc. Venous vascular diseases mainly include varicose veins of lower extremities, acute lower extremity venous thrombosis, chronic venous insufficiency, and Buga’s syndrome. If you have any of the following symptoms, you should promptly visit the vascular surgery department to investigate whether there is vascular disease. Coldness, numbness and pain in the limbs including coldness, numbness and discomfort in the limbs, as well as pain after limb activity. Pain after limb activity is also called intermittent claudication, which refers to the painful soreness and swelling of the limb muscles after walking for a certain distance, which can be relieved by standing and resting for a while and continuing to walk, and then the painful symptoms recur after walking for a certain distance. In addition, if the pain is obvious without activity, and even affects rest at night, it may indicate the development of serious disease. The above symptoms suggest that you may have lower extremity atherosclerosis occlusion, if left untreated, the disease may develop or even amputate. Limb swelling Be especially alert to limb edema that decreases in the morning and worsens in the afternoon, or various sudden limb swelling. This condition is likely to be venous thrombosis and requires prompt medical attention. Limb or toe ulceration Elderly people with high blood pressure or diabetes who have an accidental injury and have a broken limb or toe that does not heal even after 1 to 2 weeks may have arteriosclerotic occlusion of the lower extremity or diabetic foot, and should seek medical attention from a vascular surgeon in time to prevent the ulceration from continuing to expand. Weakened or absent pulse A healthy person can palpate obvious arterial pulsation on the wrist or foot surface. If the pulsation is weakened or absent, there may be arterial stenosis or blockage. Pulsating mass If a pulsating mass is palpated in the neck, limbs or abdomen, and the frequency of pulsation is similar to the heartbeat, it indicates the possible existence of an aneurysm, which should be treated promptly and can be life-threatening if it ruptures. The presence of vascular plaque The presence of vascular plaque found by ultrasound examination during physical examination should be treated promptly. The plaque may cause organ infarction if it is dislodged. Minor stroke vs. stroke Sudden onset of symptoms such as blurred eye vision, impaired movement of upper or lower extremities, aphasia, and crookedness of the mouth, which can recover on its own, is called a minor stroke, but it is often a precursor and danger signal of stroke – cerebral infarction. Therefore, it is important to see vascular surgery to rule out carotid, vertebral or cerebrovascular lesions, regardless of whether it is a mini-stroke or a stroke. Varicose veins Exposure of bruises, even itching, blackening, rupture, and inflammation of veins in the limbs. Venous thrombosis Ultrasound examination reveals venous thrombosis in the limb to promptly consult vascular surgery to avoid dislodging the thrombus down the blood stream to the pulmonary artery and fatal pulmonary embolism. Some conditions should not be seen in vascular surgery Some patients with symptoms often have difficulty distinguishing which department they are in and do not know exactly what department to go to, sometimes requiring the assistance of a physician. If you can’t tell the difference, you can ask a vascular surgeon to help identify it, but there are some conditions that do not necessarily require a vascular surgery visit to avoid delays in diagnosis and treatment. Vascular tumors in special areas Such as intracranial or spinal cord vascular tumors, hepatic vascular tumors, and intravertebral vascular tumors, you are advised to see the appropriate department such as neurosurgery, hepatobiliary surgery, or orthopedics. Immunologic vasculitis Some vasculitis involves small blood vessels and is a manifestation of immunologic disease in the microcirculatory system, so it is recommended that you see a rheumatologist. Of course, some vasculitis, such as aortitis, involves large blood vessels and requires surgery, so you should still see a vascular surgeon. Vascular surgery treatment is divided into traditional open surgery and minimally invasive interventional surgery. Minimally invasive interventional surgery has the advantages of quick surgery, high safety, low pain and quick recovery. Whether it is arterial stenosis or aneurysm, varicose veins or venous thrombosis, as long as timely consultation is made, the disease can be solved as early as possible and health can be restored.