The standard for cardiac therapy became open-heart surgery, in which the doctor makes a large cut in the chest. Physicians have created a procedure called as minimally invasive heart surgery as technology has progressed. The surgeon will make one or more small cuts between the patient's ribs during minimally invasive heart surgery to allow the surgeon to plainly see and access the patient's internal organs, allowing for fast treatment.
With advancements in technical processes, surgeons have created a technique termed minimally invasive cardiac surgery, in which the surgeon creates a wide incision in the chest to execute cardiac treatments. The surgeon makes one or more small incisions between the patient’s ribs during minimally invasive heart surgery so that he or she may view and access the internal parts of the patient’s body and treat them more easily.
Also see: cardiologist in Chandigarh
Most minimally invasive cardiac process involves a sternotomy, which involves breaking the entire breastbone, and minimally invasive cardiac surgery involves a range of processes carried out through wounds that are much thinner and far less traumatic than a standard sternotomy. When compared to 8 to 10 sternotomy incisions, minimally invasive incisions measure about 3 to 4 inches. Specialized instruments are used to perform the surgeries.
Our physicians at Prathima hospitals are skilled in this modern technology for open-heart surgery. While open-heart surgery is still required for certain treatments, we can now execute numerous cardiac procedures using a less invasive approach employing thoracoscopic surgery. In thoracoscopic surgery, a physician inserts a long lean tube called a thoracoscope into a small incision in your chest, which carries a tiny high-definition video camera.
Our treatment team will monitor your condition and look for symptoms of infection in your incision sites following surgery by continuously monitoring your blood pressure, breathing, and heart rate, as well as working with you to manage any discomfort you may have. Doctors advise you to walk regularly to gradually increase your activity and do breathing exercises as you recover, and they ask you to follow instructions during your recovery, such as looking for signs of infection in your incisions and taking proper care, taking medications, and managing pain and other side effects after surgery.
Following minimally invasive cardiac surgery, you may show improvement in your life quality as well as a reduction in your symptoms. Your doctor will tell you when you may resume normal activities and how to integrate healthy lifestyle choices into your life, including as working, commuting, exercising, eating a nutritious diet, and stress management.
Services
Because we specialise in minimally invasive cardiac surgery, we execute a wide range of procedures, and we’ve listed some of the services we provide below.
- Repair and replacement of the mitral valve
- Repair and replacement of the tricuspid valve
- Replacement of the aortic valve
- Closure of the patent foramen ovale and atrial septal defect
- Surgery to repair an atrioventricular septal defect
- Atrial fibrillation is cured via a maze treatment.
- Bypass surgery for the coronary arteries
- Excisions of a left atrial mass and a myxoma
- Placement of a biventricular epicardial pacing lead
- For coronary artery bypass surgery, a saphenous vein is harvested.
Procedures:
Cardiac Surgery with Minimal Invasive Techniques
The majority of cardiac operations are now performed by a sternotomy, which entails cutting the breastbone in half. Minimal invasive surgery includes a number of procedures that are performed out through incisions that are much smaller and less stressful than sternotomies. In minimally invasive surgery, incisions are 3 to 4 inches long, opposed to 8 to 10 inches for sternotomies. Specialized handheld equipment are used to perform the operations through these small incisions.
Aortic Valve Replacement with Minimal Invasiveness
The minimally invasive aortic valve replacement operation entails opening the aorta and removing the damaged aortic valve leaflets, as well as removing the calcifications around the valve. The resulting valve ring or annulus is then measured to determine the size of the valve prosthetic. Sutures are next inserted around the valve annulus and finally through the prosthetic valve in large numbers. The valve is then lowered and fastened into the annulus. The heart is started once the aorta is shut. The operation takes between 2 and 3 hours to complete.
Minimally-Invasive Mitral Valve Repair and Replacement
The mitral valve is a two-leaflet one-way valve that regulates blood flow through the left side of the heart. When the mitral valve is open, oxygenated blood from the lungs can flow into the left ventricle, the heart’s main pumping chamber. The mitral valve generally closes when the left ventricle squeezes to transport blood throughout the body, preventing blood from flowing back toward the lungs. Mitral valve replacement is an option if the mitral valve cannot be repaired properly. Mitral valve replacement entails the removal of the natural mitral valve tissues and their replacement with an artificial valve.
Minimally-Invasive Atrial Septal Defect Closure
A thoracotomy is a minimally invasive procedure in which a 3-inch cut is made between both the ribs on the right side of the body to close an atrial septal defect. Small tubes are inserted into the main artery and vein of the right leg through 1 to 2-inch incisions in the right groyne crease during a heart-lung bypass. After that, the heart is halted and the right atrium is opened to reveal the ASD. At this point, the cardiac surgeon inserts specialist hand-held equipment into this small incision to correct the defect, the heart is then closed and restarted, and heart-lung bypass is turned off, and the incisions are closed.
Mitral Valve Repair and Replacement with Minimal Invasive Surgery
Because the mitral valve is the most usually repaired heart valve, it can be restored by recreating the native valve tissues to restore normal valvular structure and function. Because the native mitral valve is intimately associated with the structure of the left ventricle, repair of the mitral valve is preferable to replacement. However, if repair of the mitral valve is not successful, Mitral valve replacement is an alternative. Mitral valve replacement means removing much of the native mitral valve tissues and replacing it with an artificial valve.
The mitral valve can be repaired by recreating the valve tissues and restoring them to normal valvular shape and function. Repairing the mitral valve is preferable to replacing it since a native mitral valve is inextricably linked to the left ventricle’s structure. If the mitral valve replacement fails, they can choose for another procedure that includes removing much of the native mitral valve tissue and replacing it with an artificial valve. To achieve direct access to the heart, the surgeon must cut open the breastbone and spread the edges apart, as in the most usual surgical approach to the mitral valve.
Radiofrequency Ablation for Atrial Fibrillation with Minimal Invasiveness
With the advancement of new surgical technologies, heart specialists can now execute Cox-Maze procedures utilising considerably smaller incisions between the ribs on each side of the chest and without the use of a heart-lung machine. A series of lesions are formed on the outside of the heart using various types of radiation such as radiofrequency, freezing, or ultrasonic energy, employing a fiber-optic camera to observe the heart through these small wounds. Small portions of atrial tissue are destroyed in these lesions, which give rise to or conduct the abnormal electrical impulses that cause atrial fibrillation.
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Heart specialist in Chandigarh
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