Counties Manukau Health Vascular Surgery Service
Public Service Radiology
Vascular Surgery Service Team
The leader of the Vascular team is a consultant (specialist) vascular surgeon. When you are referred to a clinic, or admitted to hospital you will be assigned to one specific consultant (Mr Caldwell, Mr Tchijov, Mr Adams, or Mr Mahadevan). However, consultants often work in teams of two or three, and to some extent your care may be shared between these consultants.
Other medical members of the vascular team include the registrar(s). These are fully qualified doctors who are now training to become specialists. The house surgeons are doctors who have usually qualified more recently, in the last 1-2 years.
Other members of the team include:
Interventional Radiologists - (Dr Hawkins, Dr Weeks, Dr Barnard, Dr O'Donoghue, Dr Cookson), who perform or oversee all radiological procedures such as arteriograms, angioplasty, CT and MRI scans.
Vascular Sonographers - Anita Humphries, Carol Duncan and Janet Franks perform vascular ultrasound scanning and are based at the vascular lab at Manukau SuperClinic (MSC). Some vascular imaging is also provided on the Middlemore site by the general ultrasound department.
Vascular Nurse Specialist – Marion Gibson
The Vascular team does approximately 180 major arterial cases per year; a similar amount of endovascular interventions, 160 renal access procedures and 200 varicose vein operations.
Locations of Vascular Surgery Services for patients
Vascular Ward 9 is located on Level 4 of the Adult Medical Centre at Middlemore Hospital. If Ward 9 is full, you may be placed into Ward 8 (located in the Adult Medical Centre) or Ward 34N or 34E (located in the Edmund Hillary Building). Click here to view a wayfinding map of Middlemore Hospital.
Pre-Admit Clinic is located in Module 8 at Manukau SuperClinic.
Angiogram/ Plasty Pre-Admit Clinic is located in Module 9 at Manukau SuperClinic.
Vascular Surgeon (Head of Vascular surgery)
If you have an urgent problem requiring immediate surgical assessment you are referred acutely to the Vascular Team where you will initially seen by the junior medical staff in Emergency Care (EC) at Middlemore. They will decide whether you need to be admitted to hospital. Investigations will be performed as required, and the more senior members of the team involved where necessary.
If the problem is not urgent, the GP will write a letter to the Vascular Department requesting an appointment in the outpatient clinic. Waiting times for the clinics depend on the urgency of each case. Urgency is assessed from the information in the GP's referral letter.
When you come to the outpatient clinic you will be seen by a member of the Vascular team who will ask questions about your problem and examine you to try to determine or confirm the diagnosis. This process may also require a number of tests (e.g. blood tests, x-rays, scans etc). Rarely is this done during one clinic visit due to time and will usually require follow-up appointments. Occasionally some tests are arranged even before you are seen at the hospital, to try to speed up the process (vascular ultrasound tests).
Diagnostic tests may include ultrasound, CT, MR and catheter angiography. Interventional Radiologists usually supervise and report these tests and perform all catheter based angiograms. Treatments including angioplasty and stents are sometimes performed by interventional radiologist at the time of the catheter angiogram depending on your clinical status.
Once a diagnosis has been made, the medical staff will discuss treatment with you. In some instances this will mean surgery or catheter angiography. If surgery is advised you will be put on the elective surgical waiting list. Again these waiting lists are ordered according to the urgency and severity of the condition. The steps involved in the surgical process and the likely outcome are usually discussed with you at this time.
In order to minimise the amount of time of that you have to spend in hospital, many surgical departments run a preadmission process. This is usually done through a clinic where you are seen prior to hospital admission. The aim of this clinic is to confirm that you still need to have the planned surgery and that you are currently fit and well enough to undergo the operation. This process usually involves the junior medical staff working in consultation with the anaesthetists, pharmacists, physiotherapists etc. Often the consultant surgeon will also take this opportunity to review your condition.
Outpatient clinics are run at Manukau SuperClinic™.
Procedures / Treatments
Vascular Surgery is a surgical subspecialty that deals with all diseases that can affect the arteries and veins.… More
The aorta, which is the main artery of the body can change over time (aneurysm) to the point where it can rupture. This is usually a fatal event.… More
The formation of plaque at the origin of internal carotid artery, which is the main blood supply to the brain, can lead to small fragments of blood and plaques (emboli) moving into the brain and causing a stroke.… More
Peripheral Vascular Disease
When atherosclerotic plaque causes narrowing (stenosis) or blockage (occlusion) of the arteries that supply the legs, this can lead to problems with walking (claudication) or the development of ulcers and gangrene.… More
Renal Access Surgery
Patients who have kidney failure need to dialyse to clear their blood of products that would normally be cleared by functioning kidneys.… More
Varicose veins (dilated and tortuous veins that can easily be seen in patient’s legs) is a very common condition.… More
The Vascular Laboratory Service is located within the Vascular outpatients Module 9 at Manukau SuperClinic.… More
Vascular Nurse Specialist
If you are a patient with the Vascular team, you may be seen by a Vascular Nurse Specialist who undertakes case management of all vascular patients and has responsibility for ongoing education of nursing staff and patients.… More
Interventional Radiologists are Specialist Radiologists who specialise in minimally invasive, targeted treatments. … More
The Interventional Radiologists at Counties Manukau DHB are able to offer patients many minimally invasive treatment options. … More
There are no charges for services to public patients if you are lawfully in New Zealand and meet one of the Eligibility Directions specified criteria set by the Ministry of Health. If you do not meet the criteria, you will be required to pay for the full costs of any medical treatment you receive during your stay.
To check whether you meet the specified eligibility criteria, visit the Ministry of Health website.
For any applicable charges, please phone the Accounts Receivable Office on (09) 276 0060.
Ward 8 & Ward 9, Middlemore Hospital
Visiting times are between 8am and 8pm. Visitors are restricted to two at a time.
Children are welcome, but must be supervised by an adult.
If you would like to visit a patient outside of visiting hours (2pm-8pm), please contact the Charge Nurse to discuss. Call (09) 276 0000 and ask to speak to:
Ward 8: Rochelle Avatea, Charge Nurse
Ward 9: Michelle Wong, Charge Nurse
34 E: Helen Bretherton, Charge Nurse
34 N: Simileshni Kumar, Charge Nurse
Manukau Surgery Centre
Visiting times are between 11am and 8pm. Visitors are restricted to two at a time.
Children are welcome, but must be supervised by an adult.
If you would like to visit a patient outside of visiting hours (11am-8pm), please contact the Charge Nurse to discuss. Call (09) 277 1660 and ask to speak to:
MSC 2: Shamim Changin, Charge Nurse
MSC 1: Jo Friend, Charge Nurse
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This page was last updated at 2:59PM on February 9, 2021. This information is reviewed and edited by Counties Manukau Health Vascular Surgery Service.