Procedure Type
SurgicalProcedure Duration
2-3 hoursHospital Stay (Days)
5 - 7 daysA femoro-femoral bypass is a vascular surgical procedure performed to restore proper blood flow to the lower limbs when one of the major arteries in the groin—the femoral artery—is severely narrowed or blocked. The surgery involves connecting the healthy femoral artery on one leg to the femoral artery on the opposite leg using a synthetic graft, allowing blood to bypass the blockage. This procedure is typically considered for patients with peripheral artery disease (PAD), where narrowed arteries reduce blood flow to the legs.
This bypass is usually recommended when there is a blockage in the iliac artery or common femoral artery on one side that cannot be treated with angioplasty or stenting. It is an option for individuals who experience severe leg pain, non-healing ulcers, or tissue death due to reduced blood flow. The goal of the procedure is to prevent limb loss, relieve symptoms, and improve walking ability and overall quality of life.
The surgery is carried out under general or regional anesthesia. The surgeon makes small incisions near the groin on both sides to expose the femoral arteries. A prosthetic graft, often made from Dacron or PTFE (Gore-Tex), is then tunneled under the skin from one groin to the other. One end of the graft is sewn to the femoral artery with adequate blood flow, while the other is connected to the blocked side, thus rerouting blood around the obstruction. The procedure usually takes 2–3 hours.
Chairperson Heart & Lungs Transplant - CTVS
SENIOR DIRECTOR CARDIO THORACIC VASCULAR SURGERY
Director MBBS, MS (General Surgery), M.Ch (CTVS)
After the surgery, patients are moved to a recovery area where vital signs and circulation are closely monitored. Most individuals spend a few days in the hospital. The incisions in the groin area may feel sore for a short time, but pain is generally manageable with medications. Walking and light activities are usually encouraged soon after surgery to promote circulation and healing. Full recovery can take several weeks.
Like all surgeries, femoro-femoral bypass carries certain risks. These may include infection, bleeding, graft blockage, deep vein thrombosis (DVT), or delayed wound healing, especially in people with diabetes or poor circulation. In rare cases, graft failure or complications involving the heart or lungs may occur. The success of the surgery largely depends on the patient’s overall health and commitment to post-operative care.
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