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Dr. Sanjay Nalachandran , General/Vascular Surgeon

Medical Group: Vein & General Surgery Clinic
Qualification: F.I.C.S, F.A.M.S., M.R.C.S, M.MED., L.R.C.P, F.R.C.S, MBBCh, BAO, LRCP&SI(Ireland), MRCS(Edin), AFRSI(Ireland), MMed(S'pore), FRCS( Edin), FAMS, FICS(USA)
Specialty: General Surgery
Vascular Surgery
Medical Group Address: 6A Napier Road, #08-06 Gleneagles Medical Centre
Singapore 258500
Operating Hours: 9:00AM – 5:00PM
Years of Practise: 14
Practice Locations: Gleneagles Hospital

The Vein & General Surgery Clinic is dedicated to the diagnosis, treatment and management of vein disease. We specialize in the latest advancements in the treatment of vein disease using state-of-the art laser techniques and procedures.

Varicose & Spider Vein Treatment
-EVLT( Endovenous laser therapy)
-Conventional vein surgery
-UGFT( Ultrasound guided foam therapy)
-Injection sclerotherapy
-Ambulatory phlebectomy
-Laser for spider veins

EVLT (Endovenous Laser Therapy)
This procedure is the latest treatment for varicose veins, it is the minimally invasive alternative to conventional vein surgery. It is safe, fast and effective.
With the aid of an ultrasound, a laser fibre is inserted into the varicose veins. The laser is then heated, damaging the vein and causing it to collapse, the collapsed vein is then reabsorded by the body.

This procedure is performed under sedation or regional/general anesthesia and is usually done as a day case. All patients walk home after the procedure and usually return to normal activity within a few days. There is no lengthy hospital stay, no scarring and minimal pain. The most recent studies have shown EVLT to have good results up to a maximum of 5 years and a success rate of > 98%.

Conventional Vein Surgery
This procedure has been done for decades and has been proven to be safe and effective, it has a success rate of > 95%. It involves a small incision in the groin and removal of the “damaged” vein (LSV) via the groin incision.

This procedure requires general or regional anesthesia. It requires hospitalization, longer recovery period and has more post operative pain/scarring when compared to EVLT. This procedure has also been proven to have more bleeding, wound infection rates as compared to EVLT. Conventional vein surgery is still recommended for some patients who some reason or other may not be suitable for EVLT.

Injection Sclerotherapy
This procedure involves using a fine needle to inject a sclerosant( liquid) into these small veins. The sclerosant damages the lining of the veins and causes it to collapse. The veins are then reabsorbed by the body. The procedure requires multiple sessions, approximately 6 to 8 weeks apart .This procedure is performed in the clinic with topical anesthetic cream, takes about 30-45 minutes and there is no downtime. Normal activity can be resumed immediately.

Ultrasound Guided Foam Therapy
Using a fine needle, sclerofoam is injected carefully into these spider veins and reticular veins with the aid of an ultrasound. Sclerofoam is mixture of sclerosant (liquid) and air. The sclerofoam damages these small veins and causes them to collapse. This procedure is performed in the clinic, it requires multiple sessions, approximately 6-8 weeks apart. UGFT is performed with topical anesthetic cream, there is no downtime and patients can resume normal activity immediately.

Ambulatory Phlebectomy
This procedure involves making small incisions along the varicose veins and removing them using special tools. It may require multiple incisions and local anesthesia is needed.
It can be performed in the clinic with minimal downtime/pain and the patient can resume daily activity within 24 hrs.

Laser for Spider Veins
This is the latest modality for the treatment of spider veins. It is fast, safe, easy and effective. The laser beam heats up the blood in these veins and causes the veins to collapse. The procedure is performed in the clinic with topical anesthetic cream and takes approximately 30-45 minutes. There is minimal or no pain and no downtime, the patient can resume normal activity immediately. This treatment should be performed 6-8 weeks apart.

Other Surgical Services

1. Endoscopy services
2. Laparoscopic procedures for hernia, appendicitis and gallbladder
3. Stenting and angioplasty procedures for peripheral arterial disease
4. Stenting for thoracic/abdominal aortic aneurysms
5. Surgery for lumps/bumps
6. Surgery for peripheral arterial disease ie bypass/endarterectomy
7. Surgery for piles, haemorrhoids, anal fissures
8. Surgery for renal dialysis

Member of Vascular Society of Great Britain & Ireland
Member of American College of Phlebology
Member of International Society for Vascular Surgeon (ISVS)
Member of Vascular Society of India
Member of Singapore Vascular Society
American Academy of Aesthetic Medicine

Awards
2006 - Long Service Award from Tan Tock Seng Hospital
2005 - Fellow of the Royal College of Surgeons In Edinburgh
2003 - Courage Award for SARS
2002 - SINDA Volunteerism Award
2001 - Master of Medicine in General Surgery by the National University of Singapore
2000 - Membership from both the Royal College of Surgeons in Ireland and Edinburgh

Publications
1.Surgical Management of Infected Pseudoaneuryms in intravenous drug abusers:
A Single institution experience and proposed algorithm
World Journal of Surgery DOI.10.1007/s00268 - 009 - 0123 - 2

2.Endovenous laser therapy (EVLT) for Varicose veins In Singapore:
A single centre experience Singapore Medical Journal (Accepted)

3.Isolated Common femoral Artery aneurysm: Case report CASES Journal 2009, 2:7522

4.Upper Limb Ischemia: A single centre experience
Annals Acad Med Singapore 2009: 38

5.Minimally invasive venous techniques
Tan Tock Seng Hospital, Medical Digest, Jan - Mar 2007

6.Duplex Imaging for Varicose Veins
The Evidence for Vascular Surgery, Edited by JJ Earnshaw & John A. Murie Second Edition

7.Deeds not words - Courage Fund
SMA Publication Volume 35, Issue 7, Jul 2003

8.Results of infra - popliteal angioplasty for limb salvage in diabetics
ANZ Journal, May 2003, Volume 73, Supplement 1

9.Emergency Medicine, Edited by Peter Manning, Shirley Ooi
Abdominal Aortic Aneurysm

10.Medical Digest, Tan Tock Seng Hospital
Jul - Aug 2003 - Pruritis Ani

11.European Surgical Research
Abstracts May - Jun 2003 - Hand Assisted Laparoscopic Colectomy for Diverticular
Disease