Treatments

New Era of Cardiac Surgery: Minimal Invasive Cardiac Surgery

Table of Contents

With advancing technology, cardiac surgery is entering a new era of surgical techniques with the help of robots, advanced endoscopes, and advanced laparoscopic instruments.

What Makes Our Team Different from Others

  • Minimal invasive cardiac surgery
  • Endovascular vein harvesting (EVH): No need for large incisions on the legs for vein harvesting, resulting in less pain and no scar
  • ECMO (Extra Corporeal Membrane Oxygenation): It is a life support system for patients which oxygenates blood using an artificial lung and supports both heart and lungs in:
  • Unable to wean off from bypass
  • Patient in cardiogenic shock
  • Bridge to transplant
  • Low cardiac output
  • Acute respiratory syndrome
  • Nowadays also used as ECPR
  • CO₂ poisoning
  • Cell saver: It helps to reinfuse the patient’s own blood back by segregating blood from suctioned blood, thus preventing blood transfusion
  • High-end CTVS ICU care
  • ATMOS (Vacuum Assisted Bypass): Latest technique for bypass for VAVD

Is Everyone Eligible for MICS Approach

Almost all valve cases can be done through minimal invasive cardiac surgery approach
Patient selection for CABG is an important criterion for MIDCAB. Around 80% of CABG patients can undergo minimal invasive direct coronary artery bypass

Take Home Message

All heart surgeries can be done by a small cosmetic incision with:

  • Less surgical trauma (no sternal wound complications)
  • Early recovery (shifted to ward on POD 1)
  • Minimal post-surgical pain
  • Minimal bleeding and transfusions
  • Less hospital stay
  • Most importantly, back to routine life within 7–10 days with no restrictions at all

Dr Ishant Singla

Consultant & Head, CTVS
Fellow in Robotic & Minimally Invasive Cardiac Surgery

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