Vascular Medicine in Tunisia

Vascular medicine, also known as angiology, is a medical specialty that deals with the diagnosis and treatment of all problems that involve the lymphatic and circulatory systems outside of the heart. These problems can involve:

• Arteries, which is the blood vessel that delivers oxygenated blood from the heart to other parts of the body.
• Veins, which is the blood vessel that delivers blood back to the heart.
• Lymphatic system, which is the network of vessels that transport lymph throughout the body.

A physician who specializes in vascular medicine is called an avascular doctor or vascular medicine specialist. They are trained to provide comprehensive and effective care for all kinds of vascular diseases and conditions of the circulatory system. Some of the most common conditions are as follows:

• Peripheral arterial disease or claudication, which is blockages in the leg arteries that can cause pain when walking.
• Renal artery stenosis, which is blockages in the kidney arteries. It can contribute to chronic kidney disease and/or high blood pressure.
• Carotid artery stenosis, which is blockages in the kidney arteries. It can lead to a stroke.
• Venous problems, such as chronic venous insufficiency and deep vein thrombosis (DVT).
• Abdominal aortic aneurysms, which is a bulging of the aorta. It can cause the aorta to rupture.
• Vasculitis, lymphedema, Raynaud’s, and varicose veins.

Vascular medicine doctors diagnose and treat all blood vessels conditions using numerous non-invasive and minimally invasive procedures, such as:

• Abdominal aortic ultrasound
• Carotid ultrasound
• Venous and arterial ultrasound
• Wound care
• Hyperbaric oxygen therapy
• Endovenous laser and radiofrequency ablation
• Sclerotherapy and ultrasound-guided sclerotherapy
• Ambulatory phlebectomy
• Anticoagulation management and monitoring.

How Long Should I Stay in Tunisia?

Since most vascular medicine procedures can be performed as an outpatient procedure, you should be able to leave the hospital on the same day. Still, you should plan to stay in Tunisia for at least 3 to 7 days to let your body recover and attend a follow-up checkup, if necessary. However, this depends on the condition and the type of treatment you will have. 

What's the Expected Recovery Time?

Different conditions and procedures have different recovery times. In many cases, you can expect to return to work immediately or within a couple of days and strenuous activities within 5 days or so. However, for more serious conditions, such as renal artery stenosis, longer recovery time may be needed.

What Aftercare is Required?

Your doctor will give you aftercare instructions, which normally include activity restrictions, dietary and exercise recommendations, as well as how to care for yourself at home. Following all of the instructions is important to avoid complications and to speed up your recovery. If your doctor prescribes you medicines, make sure to take them as directed. For certain diseases, such as deep vein thrombosis, you may need to see your doctor regularly for scans to check your blood clots. If you cannot travel multiple times to Tunisia, you can choose to have the checkups with your local doctor.

What's the Success Rate?

Over the last several decades, the clinical practice of vascular medicine has significantly changed. Understanding of vascular diseases is continuously expanding, resulting in the development of new therapeutic approaches. A better understanding of vascular conditions, new techniques, and technological advances have played crucial roles in improving the success rates and safety of vascular medical procedures.  

Are there Alternatives?

There is currently no alternative to vascular medicine. However, if your doctor thinks that you need surgery, they will refer you to vascular surgery. They will also refer you to a relevant specialist if your condition is found to be caused by something else unrelated to the lymphatic and circulatory systems.

Vascular Medicine in and around Tunisia

About Tunisia

Tunisia is one of the few countries which can cater to everyone and it manages to combine climate, golden beaches, history, and shopping for an “all-around” experience. It has a high standard of healthcare and an excellent reputation for cosmetic surgery. Cosmetic and plastic surgeons are regulated by the Tunisian Ministry of Health and the private clinics have state-of-the-art equipment and English-speaking staff. Tunisia welcomes an ever-increasing number of medical tourists each year, many of whom travel for Vascular Medicine procedures. Medical Tourists travel from all across the globe, particularly from Europe and neighboring African countries with an inferior healthcare system. Popular medical tourism destinations outside of the capital, Tunis, include Sousse and Mahdia

Popular Parts of Tunisia

• Tunis, the country’s capital, is overflowing with a history that dates from the 4th Century BC. The city is divided into two parts, the old city known as the medina and the new city (or Ville nouvelle in French). Many tourists visit Tunis to see the Archaeological Site of Carthage which is also a UNESCO World Heritage Site. The beautiful Islamic architecture in medina also attracts many tourists to the city.
• Tozeur is known as a home to an enchanting desert oasis, which was a place to rest and refuel for caravans crossing the Sahara. Another main attraction in the city is the medina, where tourists can find lines of beautiful brick-patterned traditional dessert houses. Chott el Djerid, Sahara’s largest salt pan, is a popular day-trip destination.
• Sousse is located on the coast of the Mediterranean Sea. It offers good beaches with a clear blue sea. The city has been fought over by the Romans, Arabs, and Europeans, giving it a colorful history and culture. Sousse Archeological Museum is one of the most visited sites in the country; it has the second largest collection of mosaics in the world.
• Hammamet is the country’s original tourism resort. The city has beautiful gardens filled with oranges, lemons, and other citrus plants. It also has wonderful sandy beaches with crystal clear water. Just like any other city in Tunisia, this city is also brimming with interesting histories. Sites such as The Gafsa Museum and Bardo Museum will give insights about the Islamic faith and culture.
• Douz, also known as “the gateway to the Sahara.” Tourists who want to experience the Sahara Desert come to this city. Take a camel trip or a 4-wheel-drive into the Sahara or see the Museum of the Sahara that has an interesting collection portraying traditional Saharan life.

Weather and Climate in Tunisia

The North of Tunisia has a subtropical Mediterranean climate with mild rainy winters and hot summers. The South and inland areas have a tropical desert climate.

The weather is relatively comfortable throughout the year. Summer starts in June and lasts until August. The average temperature is between 28 °C to 32 °C with July and August being the hottest months. The heat is not as bad on the coast because of the seaside breeze. Be aware that July to September is the jellyfish season.

The heat decreases in autumn and the weather is somewhat more comfortable. There are occasional rain showers in September. The temperature in October can be like summer during day time, but cold at night. October has more rain than September. The season lasts for three months from September to November with an average temperature of around 19 °C to 29 °C.

The weather in winter can be uncertain. The average temperature is between 16 °C and 18 °C, but it can drop to 7 °C at night and below 0 °C in highlands and deserts and a clear sky is rare during this season.

Spring comes in March and the temperature can rise to 20 °C. Mornings and nights are cold; there is still a high probability of rains and thunderstorms at the end of this season.  

Getting Around in Tunisia

Tunisia has several international airports. The main airport is Tunic-Carthage International Airport. It has international connections with major European countries and the Middle East. The airport is the hub for Tunisair, Tunisair Express, and Nouvelair. Other airports that have international flights are Enfidha-Hammamet, Monastir Habib Bourguiba, Djerba-Zarzis, and Tabarka-Aïn Draham.

Taxis and buses are available to get to the city center from Tunis Airport. The SNT bus line departs every 30 minutes from the airport, the ticket costs less than 1 TND. There is also the TUT bus which departs every 15 minutes and is more luxurious and expensive.

Airport taxis are available at the airport taxi stand and are usually metered. Always make sure that the driver turns the meter on before riding the taxis. A journey to the city should cost around 5 TND. An extra cost will be added if you have baggage.

Getting around in Tunisia can be done by several transportation modes. Tunisair Express provides domestic flights between Tunis, Tozeur, Djerba, and Gabes. The Train is also available and the national train company in the country is SNCFT that runs modern and comfortable trains from Tunis to Sousse, Sfax, and Monastir. There are three classes of service that tourists can choose. The fare from Tunis to Sousse is between 6 to 10 TND. The long-distance bus is an economical option to travel between big cities such as Tunis, Hammamet, and Nabeul. The buses usually depart every 30 minutes.

Tourist Visas in Tunisia

Citizens of 97 countries (including Australia, China Singapore, the United States, and Russia) can visit and stay in Tunisia for up to 90 days without a visa. Other nationalities are advised to check with their local Tunisia embassy. Tunisia provides an online visa application for nationalities that needs a visa to enter. The eVisa will simplify the process of obtaining travel authorization to enter the country.

Additional Information

1. Local Currency: the local currency is the Tunisian dinar (TND). 1 USD converts to 2.61 TND.

2. Money & Payments: ATMs can be found in most cities and in all tourist areas. Many ATMs have withdrawal limits of 400 TND. Credit cards (MasterCard and Visa) are accepted in major cities and tourist areas. They can be used for shops, car hire, or top-end accommodation. Always make sure to carry cash if you want to travel outside major cities. Tipping is not necessary but will be appreciated.

3. Local Language: Arabic is the official language of Tunisia. French is very common due to the country’s former status as a French protectorate. English is still very limited except in the tourist areas and expensive hotels.

4. Local Culture and Religion: Islam is the major religion with 98% of the population identified as Muslim. There is a small group of Christian and Jews. Since most of the population is Muslim, always remember that the dress code is important in Tunisia.

5. Public Holidays: Tunisia celebrates major Islam holidays. The country hosts several annual festivals throughout the year such as The International Festival of the Sahara, Yasmine Hammamet Festival, and the International Festival of Carthage.