Addressing Vascular Disease in Nepal: Perspectives of a US/Nepal Collaboration. Kathmandu Univ Med J (KUMJ) 2020;18(70):201-202
Date
02/18/2021Pubmed ID
33594031Scopus ID
2-s2.0-85097980702 (requires institutional sign-in at Scopus site) 1 CitationAbstract
Vascular surgery is a separate domain in surgery, and is still in its infancy in Nepal, but is ready for big strides. Following trends of western world, vascular disease is on a rise in Nepal, growing the demands of vascular surgeons. I have been closely following the development of vascular surgery in Nepal by being involved with many of my vascular surgical colleagues and friends in Nepal, especially in Dhulikhel and Kathmandu. Of the various subdivisions in vascular surgery, creating vascular access for patients with end stage renal disease is a highly specialized field. The declaration that the Nepal government would pay for dialysis has suddenly paved the way for interest and demand in this field. My visits to Nepal have focused on addressing the need of growth in vascular access and managing associated complications such as aneurysms, swollen arms, decreased flow in the fistulas, and failure of fistulas to mature. Organising skill oriented hands on courses in simulation labs help with understanding and mastering the skills needed. Similarly surgery for peripheral arterial disease, in the form of peripheral bypass and endovascular repairs, is a promising area for growth in Nepal. There already seems to be heavy interest in management of venous diseases in Nepal backed by the fact that most of the recent modalities for the treatment are already well established in Nepal. Aortic surgery is being done only in a few centers focused at Kathmandu and mostly in association with cardiac surgical facilities.
Author List
Klinger DEAuthor
Dean Edward Klinger MD Professor in the Surgery department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
HumansKidney Failure, Chronic
Nepal
Renal Dialysis
Vascular Diseases
