UPMC Limb Preservation Center

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At the UPMC Limb Preservation Center, our multidisciplinary team specializes in caring for nonhealing wounds.

Diabetic wounds — often the most difficult to heal — result in over 80,000 amputations in the United States each year.

At the UPMC Limb Preservation Center, our vascular surgeons specialize in limb salvage and limb reattachment procedures. Amputation is a last resort. We can help most people successfully avert it with limb sparing surgery.​

About the UPMC Limb Preservation Center

Cardiovascular diseases that may cause nonhealing wounds include:

Left untreated, these conditions can require amputation.

Treatments and services for nonhealing wounds

At the UPMC Limb Preservation Center, we treat and manage wounds based on the guidelines established by the Wound Healing Society and the Society for Vascular Surgery.

No matter how simple or challenging the wound, our patients receive the most advanced treatments available.

They also have access to:

  • An evaluation by a vascular surgeon with expertise in the healing of complex wounds.
  • An on-site nurse practitioner trained in wound care.
  • A treatment plan designed to first heal and then prevent wounds from recurring.
  • The latest minimally invasive interventions to treat arterial and venous diseases.
  • Expert care from different specialties at the UPMC Heart and Vascular Institute.
  • Promising clinical trials for cutting-edge medical and interventional wound healing therapies.

For qualified homebound patients, we offer a telemedicine treatment approach. This state-of-the-art, digital monitoring technology brings our wound healing expertise right to your home.

Our Experts at the Limb Preservation Center

Dr. Michel S. MakarounMichel S. Makaroun, MD
Professor and Chair, Division of Vascular Surgery
University of Pittsburgh School of Medicine
Co-Director, UPMC Heart and Vascular Institute

Dr. Michel Makaroun received his medical degree from the American University of Beirut, where he also completed a surgical internship and residency program, before coming to the University of Pittsburgh for a fellowship in vascular surgery.

Dr. Makaroun is certified by the American Board of Surgery in surgery, with a certificate of special qualification in vascular surgery, and has a primary interest in the endovascular and surgical repair of abdominal aortic aneurysms.

He has served as the president of the Society for Clinical Vascular Surgery, the Eastern Vascular Society, and the Association of Program Directors in Vascular Surgery.

Dr. Makaroun is extensively published, presenting his research at conferences around the world. Dr. Makaroun has been with the University of Pittsburgh School of Medicine and UPMC for over 30 years.

Dr. Georges Al-KhouryGeorges Al-Khoury, MD
Assistant professor of surgery

Dr. Georges Al-Khoury received his medical degree from Lebanese University in Lebanon, and completed his residency at Lebanese University Faculty of Medical Sciences. He then completed fellowships in general surgery at SUNY Medical Center and in vascular surgery at UPMC. Dr. Al- Khoury, who joined UPMC in 2009, is board certified in general and vascular surgery.

Dr. Al-Khoury is board certified in general and vascular surgery.  His clinical practice includes open surgical and endovascular (minimally invasive) treatment of aneurysms, carotid disease, peripheral vascular disease, and dialysis access.

Dr. Efthimios AvgerinosEfthymios Avgerinos, MD
Assistant professor of surgery

Dr. Efthymios Avgerinos is certified by the European Board of Vascular Surgery in surgery and vascular surgery, and is a member of the American Society for Clinical Vascular Surgery. Dr. Avgerinos completed his vascular surgery residency at the University of Athens in Greece, while he had clinical fellowships in London, UK and Frankfurt, Germany.

He has published numerous academic articles in vascular and endovascular surgery and his work has been recognized with several national and international awards. Dr. Avgerinos’ surgical interests are in peripheral vascular disease, aortic aneurysms, venous diseases, and vascular access.

Dr. Rabih ChaerRabih Chaer, MD
Professor of surgery

Dr. Rabih Chaer, a board-certified vascular surgeon, completed his surgical training at the University of Illinois in Chicago. Dr. Chaer completed his vascular training at the New York Presbyterian Hospital of Columbia and Cornell, and joined UPMC in 2006. An internationally invited lecturer, Dr. Chaer specializes in surgery and vascular disease, and more specifically, aneurysms, carotid dissection, atherectomies, deep vein thromboses, and limb preservation.

Mohammed Eslami, MDMohammed Eslami, MD
Professor of surgery

Dr. Mohammad Eslami joined UPMC in April 2016 as a professor of surgery. He earned his medical degree from Harvard Medical School and completed his internship and residency in general surgery at University of Chicago. Dr. Eslami completed a research fellowship in thoracic surgery, followed by continued general surgery residency training and a research fellowship in vascular surgery at Brigham and Women’s Hospital in Boston, MA. He completed his fellowship in vascular surgery at the State University of New York before becoming an attending surgeon at Temple University Medical School Hospitals, Philadelphia, PA. Following his time at Temple University, Dr. Eslami worked at the University of Massachusetts Medical School Hospitals for seven years and in 2011 joined Boston Medical Center as an associate professor and subsequent program director of their Vascular Surgery Fellowship program.

Dr. Eslami is board-certified in general and vascular surgery. He has authored numerous peer-reviewed publications in vascular and endovascular surgery. His clinical practice includes open surgical and endovascular (minimally invasive) treatment of aneurysms, carotid disease, peripheral vascular disease, and dialysis access.

Dr. Eslami sees patients at our UPMC Mercy and South Hills offices.

Dr. Eric HagerEric Hager, MD
Assistant professor of surgery

Dr. Eric Hager earned his medical degree from Jefferson Medical College in Philadelphia, then a residency at Thomas Jefferson University Hospital. He completed a vascular surgery fellowship at UPMC and joined the division of Vascular Surgery in 2012.

Dr. Hager has won various teaching awards through his training, and is a member of Alpha Omega Alpha, the medical honor society. He is board-certified in general and vascular surgery, and specializes in treatment of venous disease.

His clinical practice includes open surgical and endovascular (minimally invasive) treatment of aneurysms, carotid disease, peripheral vascular disease, and dialysis access.

Dr. Steven A. LeersSteven A. Leers, MD
Associate professor of surgery

Dr. Steven Leers earned his medical degree from the University of Massachusetts in 1978. He completed his surgical training and vascular surgery fellowship at the University of Massachusetts Medical School, followed by endovascular training at the Cleveland Clinic.

Dr. Leers came to UPMC in 2006, and is currently medical director of the UPMC Vascular Laboratories. Along with full service aortic, carotid, endovascular and open vascular surgery, his particular interest and expertise is in the areas of non-invasive vascular testing, lower extremity revascularization, and dialysis access surgery. He is board-certified in general and vascular surgery.

Dr. Madhusudanan NairMadhusudanan Nair, MD
Clinical assistant professor of surgery

Dr. Madhusudanan Nair earned his medical degree from Grant Medical College in India. He completed his surgical residency and vascular fellowship at St. Francis Medical Center in Pittsburgh.

Dr. Madhusudanan joined UPMC's division of vascular surgery in 2007. Dr. Nair has been president of the medical staff at St. Francis and UPMC McKeesport, and he is board-certified in surgery.

Richard E. Redlinger, MDRichard E. Redlinger, MD
Clinical assistant professor of surgery

Dr. Richard E. Redlinger, Jr. joined UPMC in 2016. He earned his medical degree from Drexel University College of Medicine and subsequently completed his internship and residency in general surgery and fellowship in vascular surgery at Eastern Virginia Medical School.

Dr. Redlinger is board-certified in general and vascular surgery. He has authored numerous peer-reviewed publications in vascular and endovascular surgery. His clinical practice includes open surgical and endovascular (minimally invasive) treatment of aneurysms, carotid disease, peripheral vascular disease, and dialysis access.

Dr. Redlinger sees patients at UPMC Passavant and UPMC Jameson.

Michael J. Singh, MDMichael J. Singh, MD
Associate professor of surgery

Dr. Michael Singh, who joined UPMC in 2012, completed his medical degree and a general surgery residency at the SUNY at Buffalo. He completed a vascular surgery fellowship at the University of Massachusetts Medical Center. Dr. Singh is a fellow in the American College of Surgeons, and a certified registered physician in vascular interpretation. He is board-certified in general and vascular surgery. He is the co-director of the UPMC Heart and Vascular Institute Aortic Center and chief of vascular surgery at UPMC Shadyside

He has received patient care and teaching awards throughout his career, and authored numerous peer reviewed publications. He was selected one of Pittsburgh’s Best Doctors in 2016. Dr. Singh oversees several clinical trials, and many of those research projects focus on the treatment of complex aortic and iliac artery aneurysms, peripheral arterial disease and the treatment of chronic venous insufficiency. His areas of clinical expertise include the management of complex aortic aneurysms, aortic dissections, thoracic aortic aneurysms, venous insufficiency, thoracic outlet syndrome, arterial venous malformations, congenital venous anomalies and peripheral arterial occlusive disease.

Dr. Singh sees patients at UPMC Shadyside.

Dr. Bryan TillmanBryan W. Tillman, MD, PhD
Assistant professor of surgery

Dr. Bryan Tillman received his medical degree at the University of Alabama at Birmingham. While there, he also completed a Ph.D. in the field of Gene Therapy.

Dr. Tillman completed a General Surgery residency at the Ohio State University, and a post-doctoral research fellowship at the Wake Forest Institute for Regenerative Medicine. Also at Wake Forest, he completed a clinical fellowship in Vascular Surgery before joining the Division of Vascular Surgery.

Dr. Tillman is board certified in general and vascular surgery. His clinical practice includes open surgical and endovascular (minimally invasive) treatment of aneurysms, carotid disease, peripheral vascular disease, and dialysis access.

Our Practitioners

Carolyn Dunlap, RN, MSN, CRNPCarolyn Dunlap, RN, MSN, CRNP

Carol Dunlap has been with the vascular surgery department for about 13 years. She has a special interest in wound healing, based on her extensive experience as a practicing wound nurse.

She received her undergraduate degree from Carlow University and her Masters of Science in nursing from the University of Pittsburgh as a family nurse practitioner.

Ms. Dunlap published an article in the Diabetic Forecast on amputation.

Megan Laughlin, CNRPMegan Laughlin, CNRP

Megan Laughlin, a certified registered nurse practitioner at UPMC Shadyside, graduated from the University of Pittsburgh nursing program with her Bachelor's degree in nursing. She earned her master's degree in nursing from the Uniformed Services University of Health Sciences, where she graduated first in her class.

Ms. Laughlin has experience in medical surgery, same-day surgery, pediatrics, primary care, and vascular surgery.

Her clinical interests include varicose veins, venous disease, sclerotherapy, aortic disease, and dialysis access.

She is a member of the American Academy of Nurse Practitioners and is a certified family nurse practitioner.

Ms. Laughlin sees patients at UPMC Shadyside.

Carol Madia, PA-CCarol Madia, PA-C

Carol Madia graduated from Gannon University, and practiced as a physician assistant before she joined the vascular surgery group at UPMC.

Along with working in the operating room, Ms. Madia sees and consults patients in several offices and performs cosmetic spider vein injections in the office.

She has published research on surgical management of peripheral arterial disease and is completed her master's degree through St. Francis University. Ms. Madia also gives clinical lectures for the University of Pittsburgh physician assistant program.

Ms. Madia sees patients at UPMC Passavant and UPMC Jameson.

Barbara McCoyBarbara McCoy, CNRP

Barbara McCoy received her undergraduate degree in nursing from the University of Pittsburgh as well as a graduate degree in nursing education with a specialty in pulmonary care.

She has been a clinical manager in the surgical intensive care unit, an administrator for infection control, and a nurse coordinator for the trauma program.

Her certification as a family nurse practitioner is also from the University of Pittsburgh. A member of the American Academy of Nurse Practitioners, she has been with the vascular surgery division for over 10 years.

Ms. McCoy sees patients at our UPMC Shadyside and South Hills offices.

Contact the Limb Preservation Center

To schedule an initial screening and determine how we can help you: