Chronic wounds (wounds that do not heal after four weeks) are a silent epidemic in the United States and affect almost 7 million people. If not healed in a timely fashion, they can lead to loss of limb and in some instances can lead to amputation or death.

Many patients suffering with non-healing leg wounds are seen in wound care centers for the treatment of their foot and leg ulcers but unfortunately, many times the physicians in these wound care centers are quick to put on expensive savs or other advanced treatment options without treating the underlying circulatory issue.

The best wound care centers treat by guidelines rather than simply treat the symptom of what might be a deeper,underlying condition. Guidelines are a scientifically proven set of steps that have been shown to help wounds heal faster.

For EVERY non-healing wound on the leg or foot, the very first step must be to assess BLOOD FLOW. This means that every patient with a leg or foot wound that hasn’t healed in four weeks MUST be seen by both a vascular surgeon AND a podiatrist (foot specialist).

A vascular surgeon will assess the circulation and order appropriate diagnostic tests, such as vascular ultrasounds to look at the blood flow. This is important to examine, as a large number of the patients who have ulcers, have not previously been diagnosed with an arterial or venous problem. Without fixing the underlying cause of the ulcer, even if it does heal initially, it will soon recur, and cause further problems. It is important for patients to take an active role in asking for these referrals so that the problem does not progress and become a wound that can lead to an amputation.

Recognized as one of the most experienced and respected vascular surgeons in Northern California, Dr. Kokinos is focused on restoring the circulatory health of their patients thereby helping them heal their wounds and return to a normal way of life.

With offices in both Gilroy and Campbell, CA, South Bay Vascular’s Board Certified Vascular Surgeons bring cutting edge wound care treatment to the South Bay communities of Gilroy, Hollister, Salinas and the Hwy 152 corridor to the Central Valley. With a state of the Art Vascular Ultrasound Lab now located in Gilroy at our 8420 Church Street office expert vascular care is simplified as patients can now get world class care in their own community.

If you or anyone you know suffers from a Non-Healing leg wound or ulcers of the foot and leg, call our offices at 408-376-3626 to schedule an appointment.


Every year over 160,000 amputations are performed in America. 60%-80% of Medicare patients who undergo amputation never walk again. Worse yet, there is a 30-50%, 2-year mortality rate following an amputation…meaning that between 30% and 50% of all patients undergoing an amputation die within 2 years of their procedure.

Recent advancements in both imaging and medical device technology have significantly improved a patients chances for a different outcome: avoiding amputation. Educating patients about these new procedures, however, is still very difficult because many of these new advances are known only to the surgeons and universities pioneering them. In fact, recent studies show that more than 54% of patients were not even assessed using diagnostic angiograms to determine if blood flow could be restored to their affected limbs prior to the amputation. Earlier this year, Medicare published figures showing that a full 67% of medicare patients who underwent a major amputation never even had a re-vascularization procedure in an attempt to save their limb.

Dr.’s Kokinos and Pineda are recognized as specialists in the field of lower limb re-vascularization and limb salvage. Having performed more pedal access re-vascularization cases (approaching the affected limb via the foot instead of the groin) than any other physicians in the region provides these South Bay Vascular surgeons with the experience and judgement to help patients avoid diabetic amputations and to treat patients with advanced cases of peripheral arterial disease (PAD) or what is otherwise known as Chronic Limb Ischemia (CLI).

If you or someone you know is facing the possibility of lower limb amputation, STOP! CALL US FOR A SECOND OPINION. South Bay Vascular is Taking a Stand Against Amputation and you should too. Call us at 408-376-3626 to schedule a thorough evaluation of your options. We are specialists in the area of lower limb re-vascularization and we provide hope when others say there is none.