Minimally Invasive Heart Surgery
Minimally Invasive Cardiac Surgery, also known as MICS CABG (Minimally Invasive Cardiac Surgery Coronary Artery Bypass Grafting) is heart surgery performed through several small incisions instead of the traditional open-heart surgery that requires a median sternotomy approach. MICS CABG is a beating-heart multi-vessel procedure performed under direct vision through an aterolateral mini-thoracotomy.
Minimally Invasive Heart Surgery is favored by surgeons and patients because of reduced post-operative discomfort, faster healing times and lowered risk of infections or complications. This procedure makes heart surgery possible for patients who were previously considered to be too at risk for traditional surgery due to age or medical history.Patients referred for this procedure may have Coronary Artery Disease (CAD); Triple Vessel Disease with median to large posterior descending artery (PDA); or previous unsuccessful stenting.
The procedure
MICS CABG is performed through one window incision that stretches 5–7 cm in the 4th intercostal space (ICS). In some cases the thoractomy may be necessary in the 5th ICS instead. A soft tissue refractor is used to allow for greater visibility and access.
Two access incisions are also made at the 6th intercostal space and xphoid process to allow for operative instruments to pass through.
Above: Minimally invasive instruments position and stabilize the heart during coronary artery bypass surgery, avoiding the need for a sternotomy (incision of the sternum).
After surgery
Using the Minimally Invasive technique, patients recover more quickly than from open-heart surgery and suffer fewer complications. Most patients can expect to resume all everyday activities within a few weeks of their operation. After surgery, patients are administered with a pain pump and drains that will be removed after one day. Patients are encouraged to move around as much as possible after their operation to recover quickly. Once discharged from hospital, patients require no further post-operative assistance.
Minimally invasive heart surgery procedures are a safe and broadly applicable technique for performing a wide range of complex heart procedures, including single or multiple heart valve procedures, bypass surgery, and congenital heart repairs.
Minimally invasive heart surgery has been used as an alternative to traditional surgery for the following procedures:
- Mitral valve repair and replacement
- Aortic valve replacement
- Atrial septal defects
- Coronary artery bypass
Benefits of MICS CABG
Eliminating the need for median sternotomy greatly reduces the trauma and pain associated with open-chest surgery and improves quality of life for patients. In the hospital, reduced post-operative discomfort enables patients to more quickly begin a much shorter recovery process with minimally invasive heart surgery. Most patients ambulate more easily and participate more actively in their personal care. Additionally, this approach lowers risk of complications such as bleeding and infection.
Minimally invasive heart surgery dramatically improves cosmetic scarring. Rather than a prominent 10-inch scar down the middle of the chest, patients are left with smaller marks to the side of the ribs. For women, in many cases, this scar is completely unnoticeable as it sits below the breast.
Benefits Include
- No splitting of the breastbone
- Dramatic reduction in pain
- Lower risk of infection
- Lower risk of bleeding
- Reduced ICU and hospital stay
- Improved postoperative pulmonary function
- Accelerated recovery/return to activity
- Improved quality of life
- Greatly improved cosmetic result
Ten Effective Remedies That You Can Refer to When You Are Suffering from Muscle Cramps
Finally starting off with the gym life can get too overwhelming until you hit those muscle cramps along with the weights.
Skin Tags - Benign Tumor or Cancerous Tumor?
Skin tag if observed is a narrow stalk that hangs about your skin, bulging at the end. They are usually freshly colored and can grow anywhere on your body.
Rotator Cuff Tear
A rotator cuff tear is a rotator cuff injury that can cause shoulder pain and loss of arm function. The rotator cuff is a set of muscles and tendons in your shoulder.
Importance of Parental Counselling
Right from the moment you tell your friends and family about your pregnancy, little hints keep coming your way on parenting your unborn child!
Taking Care of a Terminal Patient? Here Are Six Ways to Help Them to the Fullest
A terminally ill patient is someone who has a relatively short life expectancy. Terminally ill people are usually shifted from an actively curative medicinal regime
Stages of Tooth Decay and Their Treatment Options
Tooth decay refers to the degradation process of the structure of the tooth resulting in permanent damage.
12 Home Remedies for Dry Cough
The flu, common cold, asthma, cigarette smoke exposure, and other conditions can all cause a dry cough. Home remedies such as honey, peppermint, and air purifiers may be beneficial.
Shoulder Dislocation
Shoulder dislocation occurs when the bones of your shoulder joint are pushed or forced out of their normal positions.
5 Facts to Keep in Mind for Your Monthly Menstruation Cycle
Our menstruation indicates multiple activities within your body. Every month, your uterus forms a thicker lining for the ovary to release an egg for a possible pregnancy.
Different Types of Diabetes
Junk food and increasing physical activity are leading to a worldwide epidemic of obesity, resulting in diseases like diabetes
Dilated Cardiomyopathy
Dilated cardiomyopathy is a form of heart muscle illness in which the heart chambers (ventricles) weaken and stretch, becoming bigger.
Hypertension (High Blood Pressure)
High blood pressure, also known as hypertension, is a condition in which the blood flow against the inner walls of the arteries is persistently high.
3 Cosmetic Dentistry Procedures You Did Not Know About
Over the past few years, cosmetic dentistry has undergone significant evolution in society. With the increasing demand for cosmetic dentistry, it is no longer a luxury; it has become a necessity.
5 Lifestyle Changes That Will Help with Your Urinary Incontinence
Urinary Incontinence is quite a painful and embarrassing condition to have. It refers to the loss of bladder control, which can vary from a slight release of urine after sneezing, coughing, or laughing, to a complete inability to control urination.
5 Tips This Summer to Avoid Heatstroke
Certain jobs demand fieldwork in the scorching heat. The warm weather, bright sun, and the blue skies are not always an excellent working environment for them at all.
6 Home Remedies for Yeast and Vaginal Infections
Yeast infection is common among women. You might have had the experience of irritating soreness and itching that prolonged for days due to not knowing about the cause.
Aortic Dissection
An aortic dissection is a tear in the aorta. This is the primary artery that transports oxygen-rich blood from your heart to the rest of your body.
Bariatric Surgery and Weight Loss
Bariatric surgery, also known as weight loss surgery, is performed on individuals suffering from obesity. It involves a variety of procedures that help maintain long-term weight loss and also aid in treating obesity.
Best Foods to Cleanse Your Liver
Your liver is one of the largest organs in your body and its primary function is to filter the system by converting toxins to waste products, cleansing your blood and process various nutrients.
Infertility and its Major Causes and Treatments
Infertility is an issue that’s on the rise – not just in India but all over the world. It’s estimated that, on average, one out of every six couples has had issues with infertility.
Precautions to be Taken to Avoid Eosinophilia
Let’s begin with talking about eosinophils – they are just a type of white blood cells that are laden with reactive chemicals which get released under specific conditions to cause mayhem in the body
What is BMD Assessment and its Significance in Treating Osteoporosis
Osteoporosis is that creepy monster lurking in the dark, waiting to manifest itself as you age and get less active.
Signs of Testicular Cancer
Men have a pair of testicles located in a sac-like pouch called the scrotum. It forms part of their reproductive system and are responsible for sperm production.
Signs and Symptoms of Kidney Stone
Your kidneys are very important organs in the body; they regulate water content, filter waste from blood, and produce hormones.
Treatment For Liver Failure
Treatment for liver failure depends largely on the causative agent; for example of it’s due to hepatitis virus infection, then hydration and supportive care needs to be provided while the body’s immune system fights back. If it’s due to gallstones,
Related Blogs
Ten Effective Remedies That You Can Refer to When You Are Suffering from Muscle Cramps
Finally starting off with the gym life can get too overwhelming until you hit those muscle cramps along with the weights.
Skin Tags - Benign Tumor or Cancerous Tumor?
Skin tag if observed is a narrow stalk that hangs about your skin, bulging at the end. They are usually freshly colored and can grow anywhere on your body.