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Minimally Invasive Cardiac Surgery

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Minimally Invasive Cardiac Surgery Questions & Answers

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In order to perform surgery to the heart, surgeon has to cut the sternum or commonly known as breast bone, to reach the heart. For many decades Sternotomy is the standard approach for various heart operations. With the advancements in instrumentation and technology the Surgeon can reach the heart without cutting the breast bone, through small (2.5-3 inches) incision between the ribs, this is known as minimally invasive or “key-hole” cardiac surgery (MICS).

The advantages are:
1. Faster recovery
2. Less pain
3. Less blood loss
4. Less ICU and hospital stay
5. Cosmetically improved results
6. Early return to work

Almost all heart operations can be performed through MICS approach, some commonly performed surgeries are:
1. Bypass surgery; An-OPCAB also can be performed via MICS
2. Valve replacement/ repair surgeries (MVR, AVR)
3. Repair of congenital heart defects; ASD closure
4. Aortic surgeries; mini Bentall operation

There are certain co-morbid conditions in which MICS is not advisable, however we will decide about the suitability of MICS only after examining the patient and his reports (Echocardiogram, Angiogram etc.).

Robotic cardiac surgery is still in its nascent phase, it has a limited role in Cardiac surgical procedures, however with rapid advancements in robotic technology and developments in AI the time is not far when Cardiac surgeons will also be using Robots frequently to perform heart operations.

MICS is totally safe procedure if performed in the right conditions, the success rate is similar to the success rate of heart surgeries performed through sternotomy.