This gentleman sustained injury to the thigh (Bamboo stick) while working near the cattle at home 1 month back. He developed profuse bleeding and later swelling of the thigh. He waited for 1 month with local therapies. Then he came to our clinic under the Aarogyasri scheme. We operated on him in emergency after getting the approval from Aarogyasri insurance scheme. A short segment of saphenous vein graft was interposed to repair the damaged artery segment. The sartorius muscle (flap) was used to cover the graft. Usually patients from low socioeconomic status are able to reach the tertiary care hospital after a minimum of 2 to 4 weeks and Aarogysri is helping them to get the vascular surgical therapies in emergency situations.
Intra operative photograph showing the vein graft after excision of aneurysm