Hriday Vikar Rugnasaathi Naveen Sanjeevini - minimally invasive cardiac surgery (a result of combination of technical advancement, world class expertise and strong team)
People often choose stents due to the fear of big cuts on the chest associated with cardiac surgery. Some people even become ready to continue to take medications for avoiding surgery. But many times surgery alone can solve the heart problems. There are many reasons why people are afraid of heart surgery,
1. Big cuts on the chest and legs.
2. Pain at the surgery site for many days
3. Possibility of infection
4. Requirement of bed rest for approximately for a month.
How about a technique which gives the advantages of surgery but doesn’t have the problems associated with open surgery?
Yes, Now it’s possible to avoid the discomfort associated with open heart surgery through a new technique of doing cardiac surgery. It is called mics that is minimally invasive cardiac surgery. Mics means doing any kind of heart surgery through a small hole on the side of the chest without cutting any bones.
Following are some of the frequently asked questions about MICS which provides lot of information.
Minimally invasive cardiac surgery is a newer technique of doing heart surgery without cutting any bone through a small hole on the side of the chest by using camera and special instruments.
we can do bypass surgery for blockages in the heart for upto 4-5 bypass grafts.we can do valve replacements and valve repairs through small hole. We can close hole in the heart by using this technique. In short most of commonly required surgeries can be done by mics route.
- Less discomfort
- Smaller scar
- Less blood loss
- No infection
- Cosmetically better for ladies
- Patients can go back to normal work within 15 days.
Anybody who requires open heart surgeries can undergo minimally invasive cardiac surgery. Example bypass surgeries, valve replacements and closure of hole in the heart.
People with serious lung problems, obesity, severe weakness of heart and emergency conditions are not suitable for minimally invasive cardiac surgery.
A small cut of 2-2.5 inch is given by the side of the chest, without cutting the bones. We use a camera to see the structure of the heart through a small hole and special kind of instruments like the one used for laparoscopic surgery. The instruments are long and slender which enter through the small hole and do the surgery. Since the cut is small there is less bleeding and less discomfort.
Recovery is very fast. Patients usually stay in the hospital for 3-4 days. They are back to their normal household activities after a week of surgery. They can do all kinds of activities after 2 weeks of surgery.
Though there is some cost involved for the special instruments used in the technique, over all cost is less than the open heart surgery due to some of the reasons. The reasons are, pt can get back to work sooner so there is no loss of pay. Hospital stay is less, no requirement of too many medications.
Complications are usually lesser than open heart surgery. Usually complications are related to the heart condition and not to the technique of minimally invasive cardiac surgery.
Minimally invasive cardiac surgeries is available only in metro cities and in big hospitals. It requires special team of doctors who are specially trained in the technique and special set up which costly and is not widely available everywhere.
UAIMS sangli is having a full team of heart surgeons headed by dr amol bhoje who can perform any kind of complicated heart surgery with 100% success including minimally invasive cardiac surgery.
Introduction of the cardiac surgery team
A strong Cardiac surgery team at UAIMS is headed by dr amol bhoje who hails from a village near sangli. Dr amol bhoje finished his mbbs at JNMC Belgaum. After finishing mbbs he joined MS at PGI Chandigarh. For specialisation in cardiac surgery he went to aiims. After finishing training he worked there as a faculty and assistant professor for 3 years. After that he achieved FRCS degree from Royal college of surgeons Edinburg. Recently he cleared his exam of Europian board to become Board certified cardiac surgeon. He was a consultant at Manipal hospital delhi. Then he decided to come back to his roots and started with athaayu hospital Kolhapur. He established cardiac surgery department and did many complicated cases like aortic dissection. Now he has started his services at UAIMS sangli. His main aim is to establish a full fledged cardiac surgery services at UAIMS which caters to all kind of complicated cases from all strata of classes. His main areas of work are minimally invasive key hole cardiac surgery, aortic surgery and paediatric cardiac surgery.
With an intention of establishing an unit of cardiac surgery to provide a world class services to all class of people from a one day neonate to 100 year old man we teamed up together ans brought the best and experienced talents together to form a strong team. Today our team performs all kinds of surgeries which are most complicated with 100% survival till now.
The cardiac intensive care unit is headed by dr ameya Karanjkar who is DM in cardiac anaesthesia from aiims New Delhi. He specialises in giving anaesthesia to most complicated cardiac diseases. He also looks after the post operative ICU after cardiac surgery. Till now he has been successful in maintaining 100% results in the ICU. He makes sure that pt remains very comfortable in ICU after the surgery.