A femoropopliteal (fem-pop) bypass is surgery to change the flow of your blood so it goes around blocked blood vessels.
Blocked blood vessels can be above or below your knee. They are caused by peripheral arterial disease.
The surgery is done to increase blood flow to the legs. This may relieve symptoms such as leg pain, numbness, and cramping. You may be able to walk longer distances without leg pain.
To do this surgery, your doctor will use something called a graft. The graft can be a vein taken from another place in your leg. Or it can be a man-made blood vessel.
The doctor sews the graft onto your femoral and popliteal arteries. Then your blood goes through this new graft vessel instead of the blocked one.
You may be asleep during the surgery. Or you may get medicine to numb your lower body and prevent pain.
The doctor will make a cut (incision) in your thigh. He or she may make another cut in the inside of your calf just below the knee.
If the doctor is using one of your veins for a graft, he or she will make another cut in your leg to remove this vein.
The doctor then connects one end of the graft to the femoral artery in your thigh. The other end is connected to the popliteal artery above or below your knee.
After the graft is in place and the blood is flowing through it, the doctor will close the incisions with stitches or staples.
You will probably stay 2 to 4 days in the hospital.
You will have some pain from the incisions. This usually gets better after about 1 week.
Your leg may be swollen at first. This is normal. It may last 2 or 3 months.
You will need to take it easy for at least 2 to 6 weeks at home. It may take 6 to 12 weeks to fully recover.
You will probably need to take at least 2 to 6 weeks off from work. It depends on the type of work you do and how you feel.
Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor or nurse call line if you are having problems. It's also a good idea to know your test results and keep a list of the medicines you take.
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Current as of: December 6, 2017
Adam Husney, MD - Family Medicine
& Martin J. Gabica, MD - Family Medicine & E. Gregory Thompson, MD - Internal Medicine
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