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Our Cardiology Department at Manipal Hospitals in Mukundapur, Kolkata, provides Minimally Invasive Cardiac Surgery (MICS), an innovative method of treating a variety of heart diseases that involves fewer incisions and less physical trauma than open heart surgery.
MICS techniques allow our highly skilled cardiac surgeons to perform complex cardiac procedures through small incisions between the ribs or using robotic assistance. This approach results in reduced pain, quicker recovery times, shorter hospital stays, and fewer complications for patients.
Common procedures performed using MICS cardiac surgery include Coronary Artery Bypass Grafting (CABG), Valve Repair or Replacement, and congenital heart defect repairs. The precision of MICS procedures is enhanced by advanced imaging and surgical instruments, ensuring excellent outcomes while maintaining patient safety.
Our dedicated team at Manipal Hospitals combines expertise in cardiovascular care with state-of-the-art technology to provide personalised treatment plans tailored to each patient's specific condition and needs. We are committed to delivering compassionate care and achieving optimal results for our cardiac patients through Minimally Invasive Cardiac Surgery.
To gain access to the heart, traditional heart surgery involves making a major cut in the chest to split the breastbone (also known as a Sternotomy) and obtaining access to the heart. Minimally Invasive Cardiac Surgery involves making small chest incisions and using laparoscopic equipment. As cardiac surgery techniques and technology advance, more problems may be addressed via minimally invasive or keyhole surgery. This approach can help reduce discomfort and scarring while remaining safe and effective.
The following procedures can be routinely performed using these techniques, which include:
Aortic, Mitral, and Tricuspid Valve Repairs or Replacements
Atrial Septal Defect Repairs
Ventricular Septal Defect Repairs
Redo Operations
Maze Procedures
Coronary Bypass
Atrial Myxomas
Intracardiac Tumours
Placement of Biventricular Pacemaker Leads
Ligation of Coronary Aneurysms and Fistulas
Extracardiac Tumour Excision
The majority of patients are back on their feet in less than 24 hours and discharged home within two days. This recuperation is faster and more comfortable than surgery performed by Sternotomy (splitting of the breastbone). Surgeons usually recommend one or two weeks of recuperation before resuming full physical and occupational activity.
MICS has gained popularity due to the following advantages:
Smaller Incisions: MICS requires only minor incisions, typically 2-3 inches long, which reduces the risk of infection and leaves less noticeable scarring compared to traditional procedures.
Reduced Discomfort: The smaller incisions result in much less pain, reducing the need for strong painkillers and enhancing overall patient comfort.
Faster Recovery: With smaller incisions, patients generally experience a quicker recovery, often resuming normal activities within weeks rather than months.
Shorter Hospital Stays: The benefits of reduced pain, faster recovery, and smaller incisions lead to shorter hospital stays and lower healthcare costs.
The following are the limitations of MICS:
Limited surgical field: The surgical field's limited exposure is a major challenge for MICS.
MICS needs smaller incisions than open-heart surgery, resulting in a restricted view of the heart and surrounding structures.
Technical expertise: MICS demands high technical abilities and specialised equipment. Surgeons must be skilled at employing video-assisted technologies and operating through small incisions with precise movements.
Instrument limitations: The instruments used in MICS are specifically built for a minimally invasive procedure. However, this equipment may have limited functionality when compared to standard open surgical instruments.
When executing complex procedures, the limited range of motion can be problematic.
Patient selection: Not all patients are appropriate for MICS. Previous surgeries, structural variances, and complex heart diseases can all make minimally invasive procedures challenging to execute.
Surgeons must carefully assess each patient's suitability for MICS and decide whether an open approach is preferable.
After Minimally Invasive Cardiac Surgery (MICS), you can expect a shorter recovery time and hospital stay, usually 2 to 5 days. The smaller incisions lead to less visible scarring and reduced infection risk. Pain is typically less severe, and activity restrictions will be in place initially. You'll need to follow incision care instructions and take prescribed medications. Regular follow-up appointments will monitor your recovery, and you may benefit from physical therapy. Emotional adjustment and long-term monitoring will also be part of your post-surgery journey.
The incisions made during Minimally Invasive Cardiac Surgery (MICS) are usually small, measuring between 2 and 4 inches (or 5 and 10 cm) in length. Compared to standard open-heart surgery, which necessitates larger incisions, these smaller incisions are intended to reduce trauma and facilitate a quicker recovery.
It is generally regarded as safer than open surgery. You'll usually recover faster, spend less time in the hospital, and be more comfortable while you're healing.
Some patients may not be candidates for the MICS due to the following conditions:
Complex cardiac conditions
Severe obesity
Previous heart surgery
Severe lung or other organ issues
Minimally Invasive Cardiac Surgery (MICS) has risks similar to those associated with traditional cardiac surgery, but there are also specific risks related to the minimally invasive approach:
Bleeding
Infection
Anaesthesia risks
Incomplete repair
Postoperative pain
Irregular heartbeat
Stroke
Heart attack
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