Win the Middle Combat with Smaller Scars!

Talking concerning the efficacy of Minimally Invasive Direct Coronary Artery Diversion, Dr. Priyadarshan  Konar, Guide Aerobic-Thoracic & Vascular Surgeon, Peerless Health facility,Kolkata, says, “For years, cardiac surgery has been an object of unfathomable fear and apprehension. This is primarily attributed to the notion of “cracking open the chest”. The mere considered reducing the breast bone with a noticed is not only mentally annoying however provides get up to crippling concern, nervousness and apprehension.”

“The fact of the matter is that all these fears are not unjustified.”

Dr Konar additional provides, “It is a reality that sternotomies (cutting open the breast bone), do result in profound post operative pain. This pain often discourages the patient from taking adequate breaths, resulting in delayed weaning from the ventilator. Even post weaning, our patients, commonly exhibit shallow breathing, this again results in collapsed lungs and oxygenation issues. This automatically slows down the recovery process requiring late mobilization and prolonged hospital stays. Increased blood loss either during surgery or due to injury while closing the sternum is another point of worry. This may require increased blood transfusions or even re explorations in case of persistent bleeding.”

“The vulnerability of the sternum necessitates an extended healing and rehabilitation of round 3 months. Throughout this era, if correct serve isn’t taken, wound sickness and sternal dehiscence or might happen. This necessarily implies that the sternum might fail to fuse and provides method. That is an especially worrisome complication which will increase morbidity manifold, particularly in diabetic, weighty sufferers. 

All of the above causes continuously deter sufferers from choosing cardiac surgical treatment. They continuously finally end up opting for stents for even eventualities the place diversion (CABG) would usually be indicated.”

“This is majorly due to lack of awareness and availability of MICS, i.e., Minimally Invasive Cardiac Surgery.This essentially means that the same cardiac surgery can be done without a midline sternotomy. The entire procedure is done by a small incision, between the ribs. This could be either on the left or right side, depending on the procedure.”

‘Essentially the most regular procedures which are carried out by means of this mode come with Minimally Invasive Direct Coronary Artery Diversion Grafting (MIDCAB), MICS Valve Replacements (Mitral/Aortic or each), MICS Atrial Septal Closures and Tumour (myxoma) removals.” 

 “In circumstances of valve replacements or ASD closures, the place the affected person would require a cardiopulmonary diversion to redirect movement, groin cannulation is carried out in lieu of the traditional unmistakable mode.

This now not most effective greatly reduces the scar measurement but in addition guarantees fewer blood transfusions, early mobilization, and decrease medical institution remains. Wound infections are a lot much less most likely and possibilities of sternal dehiscence are totally have shyed away from.”

“The rehabilitation length is shortened to lower than a month as in comparison to 3 months, which is an absolute sport changer.

Any difficulties confronted in MICS are extra for the surgeon than the affected person, because it calls for immaculate ability to accomplish the similar surgical treatment thru a smaller incision. This may increasingly lead to a moderately longer working week. Any other restricting issue might be the condition itself, like a intensive proper coronary artery condition will not be neatly accessed thru a left sided MIDCAB incision.

On the other hand, the advantages of this process out-weigh its limitation by means of miles. There’s no extra in long run diagnosis of MICS when in comparison to the traditional means; therefore it’s slowly turning into the sequence of the while.”

 “At the Peerless Hospital, Kolkata Minimally Invasive Cardiac Surgeries are done with utmost importance to patient safety. Patients for whom MIDCAB (Minimally Invasive Direct Coronary Artery Bypass) procedures are being done have been able to go home in 3 days after surgery with no blood transfusions and minimum post-operative pain Patients do well as seen on their follow-up visits with hardly visible scars. So don’t be scared to battle your disease because of scars. The new era of MICS is here!”