Minimally Invasive Bypass Surgery in India

Bypass Surgery (CABG)



When the coronary arteries are found to be significantly blocked, the treating doctor manages this by giving the blood a new pathway to reach the heart muscles. During the surgery, blood vessels can be taken from leg (saphenous vein), inside chest (internal mammary artery) or arm (radial artery) and placed around the area or areas of narrowing to "bypass" the blockages and restore blood flow to the heart muscle.

On-pump(Traditional) Bypass Surgery

During surgery by this method, the surgeon makes a cut (about 6 to 8 inches) in the center of sternum/breastbone in order to get direct access to the heart. Patient is connected to a heart- lung bypass machine, which helps in circulation of blood throughout the patient's body during surgery.

The heart is stopped (generally for about 30-90 minutes of the 4-5 hour surgery) and then the cardiac surgeon performs the bypass surgery described above. After the grafting is done and the surgery gets completed, the surgeon then closes the breastbone with special sternal wires and the chest with special internal or traditional external stitches.

Minimally Invasive Heart Bypass Surgery

Recent advances in surgical technique and equipment allow the surgeon to perform coronary artery bypass surgery in a less traumatic way. These types of procedures are called "minimally invasive". Minimally invasive cardiac surgery (MICS) may include a smaller incision, avoidance of the heart-lung machine, or both.

For select patients, the surgeon may decide that minimally invasive bypass surgery is appropriate. MICS (minimally invasive cardiac surgery) procedures are often done on a beating heart or through a smaller incision. Pioneering work is also being done throughout the world to develop techniques that will allow surgeons to perform beating-heart bypass procedures through "keyhole" incisions.

Unlike conventional surgery, which has a 10"-12" incision and places the patient on the heart-lung machine, new minimally invasive approaches may avoid placing the patient on a heart-lung machine, and can be performed through a 3"-5" incision placed between the ribs, or may be done with several small incisions. "Keyhole" or "endoscopic" bypass procedures, which are still in development, are performed through small incisions measuring 1"-2" wide.

Following are some of the advantages of minimally invasive bypass surgery :

• Less Bleeding and thus lesser blood transfusion.
• Lower risk of infection
• Minimum pain and trauma
• Faster recovery time
• Shorter hospital stay - 3 days in most cases, instead of 7 to 8 days of stay in surgery by traditional method.
• Smaller scar due to small incision.

Robotically Assisted Heart Surgery in India

This technique, also known as closed heart surgery, is a type of minimally invasive surgery. Here, the cardiac surgeon uses a specially designed computer console to direct surgical instruments on thin robotic arms. Robotically assisted technology lets surgeons to perform certain types of intricate heart surgeries with smaller incisions and accurate motion control, offering patients excellent results. In robotic surgery, very small incisions-less than 2 inches-are done, compared with the 3- to 4- inch incision used in traditional minimally invasive heart surgery. The advent of this technique has revolutionized the concept of heart surgery as it makes the surgery easier to perform. 

Kindly note that not every patient is a candidate for these surgical techniques. The surgeon reviews the results of diagnostic tests before scheduling surgery to determine if patient is a candidate for minimally invasive surgery. The surgical team very carefully compares the advantages and disadvantages of minimally invasive techniques versus traditional surgery techniques and then decides which one is to be specifically used for the patient.


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Why Go For Cardiac Valve Repair in India?

As medical costs keep rising in the developed countries like United States, Canada, and UK many people from various parts of the world are largely attracted to India where medical treatment is readily available. For instance, affordable surgery for Mitral Valve Repair in India attracts a large number of medical tourists.

High-quality health care, state-of-the-art technology, experienced doctors and low costs are some common reasons for people to opt for valve replacement surgery in India. Medical tourism in India continues to grow, leading to the establishment of numerous world class hospitals in India, which are staffed with expert physicians and surgeons and offer excellent-quality healthcare to foreign patients.

The phenomenal difference in cost and uncompromised quality offered in Indian hospitals are attracting scores of medical tourists every year.

Mitral Valve Repair 

• Mitral valve repair is a surgical procedure performed by cardiothoracic surgeons to treat stenosis (narrowing) or regurgitation (leakage) of the mitral valve, which is located between the left atrium and the heart’s main pumping chamber called the left ventricle.

• Mitral valve repair surgery may be needed when the valve opens or closes incompletely.

• The valve replacement surgery takes 3-4 hours during which the patient is sedated with general anesthesia.

Heart Valve Surgery: Treatment options
 Below are the two options for Valve surgery-

Valve repair: 

Valve repair is an alternative treatment option to Valve replacement in those cases such as congenital valve defects (defects you are born with) and has a good success record with treating mitral valve that has become floppy and leak but are not seriously damaged. The advantage of valve repair is that patients own valve tissue are used in repair.

Below are few procedures to repair Valve- 

• Valvuloplasty- During this procedure, a ring like device is attached around the outside of the Valve opening which strengthens and provide more to let the valve close tightly. It is a non-invasive procedure and most beneficial for patients who suffers from mitral stenosis and aortic stenosis.

• Commissurotomy- This surgery is performed to repair a narrowed valve that is narrowed from mitral valve stenosis.It is suggested to those patients are not a good candidates for balloon valvotomy

• Reshaping- This is performed when a valve loses its shape and strength and cannot close properly. In this method, a section of a leaflet is cut out and sewn back together which enables the valve to close properly.

• Decalcification- Calcium many times deposits and keeps heart valves away from closing properly. In this method, calcium buildup is removed from the leaflets so that the leaflets can close properly.

Benefits of Heart Valve Replacement Surgery in India Damaged heart valves cause a multitude of symptoms such as breathing difficulties, chest pain, edema and heart palpitations. Post Heart Valve surgery, you get rid of all these problems.

Why Go For Cardiac Valve Repair in India?

• India has gained a name for excellent-quality medical surgeries.

• Medical facilities for cardiac valve repair in India, India are at par with those in developed nations like US and UK.

•  India boasts of some of the highly qualified and experienced cardiologists who have extensive experience and a strong record in heart valve replacement in Delhi.

• Many of the Indian surgeons are trained in world-renowned medical institutes in the USA and the UK.

•  Most medical personnel in Indian hospitals are English speaking, making it easy for foreign patients to communicate with them.

• Several cardiac facilities in India are accredited by the Joint Commission International (JCI), the global arm of the institution that screens US hospitals.

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Affordable Pediatric Heart Surgery in India at Best Cardiac Hospitals

 Pediatric Heart Surgery in India 

Pediatric Heart surgery is a sub-specialty of Cardiology involving a variety of surgical procedures of cardiac abnormalities of fetuses, infants, children, adolescents performed by highly trained pediatric cardiac surgeons. It deals with correction of heart problems in children suffering from cardiac dysfunctions.

Congenital heart diseases are common heart abnormalities and involve deficiencies like structural defects, congenital arrythmias and cardiomyopathies resulting into various abnormalities related to the heart. Our world-renowned pediatric heart surgery medical team affiliated to MedwayIndia is equipped with state-of-the-art diagnostics offers world’s best treatment with best medical outcomes.
Below Cardiac defects in children successfully handled by our associated World class Hospitals

Major Types of Cardiac Defects in Children :

ASD- Atrial Septal Defect ASD - An atrial septal defect (ASD) — sometimes referred to as a hole in the heart — is a type of congenital heart defect in which there is an abnormal opening in the dividing wall between the upper filling chambers of the heart (the atria). In most cases ASDs are diagnosed and treated successfully with few or no complications. When an atrial septal defect is present, blood flows through the hole primarily from the left atrium to the right atrium.

This shunting increases the blood volume in the right atrium which means more blood flows through the lungs than would normally. If left untreated, atrial septal defect may cause problems in adulthood. These problems may include pulmonary hypertension (which is high blood pressure in the lungs), congestive heart failure(weakening of the heart muscle), atrial arrhythmias (which are abnormal rhythms or beating of the heart) and an increased risk of stroke.

Ventricular Septal Defect - VSD have a hole in the wall of their heart between their right ventricle and left ventricle (the two lower chambers, where the blood leaves the heart). Normally, blood cannot pass between the ventricles. But when there is a hole between the sides of the heart, some oxygen-rich blood leaks from the left ventricle into the right ventricle and goes back to the lungs. The hole may be small and cause no symptoms, or it may be large and cause serious problems with blood flow. If the hole is large, too much blood will be pumped to the lungs, leading to congestive heart failure. Also, the heart will have to work harder to pump blood to the body. As a result of the extra work, the heart can get bigger.

Fallot's Tetralogy - Fallot was a doctor who spotted this particular type of heart defect. Tetralogy means fourfold – there are four defects found together. These four problems are: 1. Pulmonary stenosis - Pulmonary means ‘of the lungs’. Stenosis means narrowing. Pulmonary stenosis is a narrowing at or below the pulmonary valve. 2. Ventricular septal defect -Ventricular means ‘of the ventricles’ – the wall between the right and left sides of the heart . 3. Over-riding aorta -The entrance to the aorta, which should only take red (oxygenated) blood around the body, lies over the VSD, allowing the right ventricle to pump some blue blood directly into it. 4. Right ventricular hypertrophy -The right ventricle becomes thickened as it forces blood into the narrowed pulmonary artery.

World class Pediatric Heart Hospitals in India

Our affiliated top heart hospitals in India are acknowledged at the center of excellence for superior quality pediatric cardiac surgery in India at an affordable cost matching at per with global clinical standards. These state of the art heart hospitals in India are dedicated to offering excellent outcomes for most complex cardiac cases.

• Highly Skilled and Experienced Pediatric care Team
• Added with Latest Cutting Edge Technology
• Low Cost & Affordable Treatment Package
   

24/7 Call us / Write to us for a Free No Obligation Opinion and cost Estimate for Best Heart Surgery Hospital in India.
Please scan and email your medical reports at helpline@medwayindia.com or  queries@medwayindia.com and we shall get you a No Obligation Opinion from India’s leading Surgeons/ Specialist Doctors. or Call us anytime:
International Helpline Number: +91-1141613489, 9540566722