What is Bypass Surgery?
Bypass surgery involves creating a new channel for blood to flow around a section of artery that is blocked or so severely narrowed that blood can no longer pass through effectively. A graft, using either a vein taken from elsewhere in your own body or a synthetic tube, is sewn above and below the blockage to restore normal blood flow to the affected limb.
When is Bypass Surgery Needed?
Bypass surgery is considered when peripheral vascular disease has reached a stage where the reduced blood flow is causing severe resting pain, non-healing ulcers, or threatens the survival of the limb. It is also used when angioplasty and stenting has not been successful or is not technically possible due to the length or nature of the blockage. The most common procedures involve bypassing blockages in the femoral artery (in the thigh), the popliteal artery (behind the knee), or the tibial arteries (in the lower leg).
How is the Operation Performed?
Bypass surgery is performed under general or spinal anaesthetic. The surgeon makes incisions at two points, above and below the blockage, to access the healthy artery on either side. The graft is tunnelled through the tissue and stitched into position to create the bypass. Where possible, a vein from your own leg (great saphenous vein) is used as the graft material, as it tends to stay open longer than a synthetic alternative. The operation typically takes two to four hours.
Recovery and What to Expect
Most patients stay in hospital for three to seven days following bypass surgery, depending on the complexity of the procedure and how quickly blood flow recovers to the limb. Walking is encouraged as soon as possible. Full recovery usually takes four to eight weeks, and most patients experience a significant improvement in pain and healing of any wounds in the leg or foot.
Regular follow-up with duplex ultrasound is arranged to monitor the bypass graft and detect any early narrowing before it causes problems. Dr Garbowski will advise on the most appropriate bypass procedure for your situation and will coordinate all aspects of your care.
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Conditions we can treat with Bypass Surgery
Below are some of the conditions we can treat with Bypass Surgery. Click on the below to learn more or get in touch with us to request a consultation.
Aching Legs
Persistent leg aching or discomfort can point to an underlying vascular condition such as varicose veins, poor circulation or deep vein thrombosis. Getting the right diagnosis is the first step to lasting relief.
Peripheral Vascular Disease and Arterial Ulcers
Peripheral vascular disease is reduced blood flow to your legs caused by narrowed arteries. It can cause cramping pain when walking and, if left untreated, may lead to non-healing ulcers or serious complications.
Why Choose Perth Vascular Clinic?
Expertise You Can Trust
Dr Marek Garbowski has developed a strong clinical focus in the assessment and management of pelvic venous disorders, helping many women regain control of their lives after years of unexplained symptoms.
State-of-the-Art Assessment
Using the latest diagnostic imaging and vascular evaluation techniques, we ensure a thorough and accurate diagnosis. We work closely with gynaecologists and radiologists to deliver a multidisciplinary approach tailored to each patient’s needs.
Evidence-Based Treatment Options
Our clinic offers a full range of minimally invasive, image-guided treatment options — including embolisation of varicose pelvic veins, designed to relieve symptoms with minimal downtime.
Care for Public and Private Patients
Dr Garbowski provides consultations and procedures through both private practice and public hospital pathways, ensuring access to quality care for all patients.
Frequently Asked Questions
Vascular bypass surgery involves rerouting blood flow around a blocked or severely narrowed artery using a graft. The graft, which may be a vein taken from elsewhere in the body or a synthetic tube, connects healthy artery above and below the obstruction, restoring blood supply to the affected area.