Westchester Sugery
Specializing in general and vascular surgery - minimally invasive, maximum results.
Specialty Orthopaedics

Westchester Surgery P.C. Specialists

Treatment of Leg Veins

Millions of Americans, mostly women, suffer from spider and varicose veins. These are swollen, bulging veins that cause pain in legs and it is common for people that have them to feel discouraged from wearing short clothes because of feelings of embarrassment in their appearance. At Westchester Surgery P.C., we offer diagnosis and treatment options for spider and varicose using the most advanced technologies. We will help you get back to your confident self.

Vascular Testing for PAD and Circulation Problems

Peripheral Arterial Disease (P.A.D.), commonly referred to as "poor circulation," is the restriction of blood flow in the arteries of the leg. When arteries become narrowed by plaque (the accumulation of cholesterol and other materials on the walls of the arteries), the oxygen-rich blood flowing through the arteries cannot reach the legs and feet. Dr. Ohajekwe conducts non-invasive tests in order to diagnose P.A.D. This includes obtaining a comprehensive medical history of each patient, performing a lower extremity physical examination that includes evaluation of pulses, skin condition, and foot deformities to determine the patient's risk for P.A.D. If risk factors are present, Dr. Ohajekwe may order further tests.

Screening for Stroke

A stroke, or cerebrovascular accident (CVA), occurs when blood supply to part of the brain is disrupted, causing brain cells to die. Blood flow can be compromised by a variety of mechanisms. These may include the blockage or rupture of an artery, hemorrhage and migraine headache. An artery blockage is the most common cause of a stroke. The part of the brain that is supplied by the clotted blood vessel is then deprived of blood and oxygen. As a result of the deprived blood and oxygen, the cells of that part of the brain die and the part of the body that it controls stops working. The risk factors for a stroke are high blood pressure, high cholesterol, smoking, diabetes and increasing age. As specialists in vascular disease, we are committed to identifying those at risk of having a stroke and offer comprehensive diagnostic vascular studies for detection of stroke risk. This painless and non-invasive exam visualizes any plaque formation in the main arteries that deliver blood to the brain.

Diabetic Wound Treatment

A diabetic foot ulcer is an open sore or wound that most commonly occurs on the bottom of the foot in approximately 15 percent of patients with diabetes. Ulcers form due to a combination of factors, such as lack of feeling in the foot, poor circulation, foot deformities, irritation (such as friction or pressure), and trauma, as well as duration of diabetes.  Patients who have diabetes for many years can develop neuropathy, a reduced or complete lack of feeling in the feet due to nerve damage caused by elevated blood glucose levels over time.  The nerve damage often can occur without pain and one may not even be aware of the problem.  Vascular disease can complicate a foot ulcer, reducing the body's ability to heal and increasing the risk for an infection.  Elevations in blood glucose can reduce the body's ability to fight off a potential infection and also retard healing. Once an ulcer is noticed, it should be treated immediately. The primary goal in the treatment of foot ulcers is to obtain healing as soon as possible.  The faster the healing, the less chance for an infection. If there is an infection, a treatment program of antibiotics, wound care, and possibly hospitalization may be necessary. Appropriate wound management includes the use of dressings and topically-applied medications. Other ways to treat diabetic wounds include controlling blood glucose and surgery. For patients that are affected by diabetic wounds, we combine the collaboration between vascular surgery and physical therapy to help prevent and treat this condition.

Vascular Access for Hemodialysis

In hemodialysis, your blood from your arm will flow through a thin plastic tube called a dialyzer that is hooked up to a machine. This machine filters your blood and works like your kidney. The dialyzer removes the extra fluids and waste from your blood and then the clean blood flows out of the machine and through another tube that is placed in a vein in the same arm. For patients that will be starting hemodialysis treatments in the next several months, one important step beforehand is preparing a vascular access, which is the site on your body where blood will be removed and returned during dialysis. A vascular access should be prepared weeks or months before you start dialysis. It will allow easier and more efficient removal and replacement of your blood with fewer complications. Additionally, the early preparation allows for easier and more efficient hemodialysis with less complications.