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In minimally invasive heart surgery, heart (cardiac) surgeons perform heart surgery through small incisions in the right side of your chest, as an alternative to open heart surgery. Surgeons operate between the ribs and don’t split the breastbone (sternotomy), which results in less pain and a quicker recovery for most people. In minimally invasive surgery, your heart surgeon has a better view of some parts of your heart than in open heart surgery. As in open surgery, minimally invasive heart surgery some time requires stopping your heart temporarily and diverting blood flow from your heart using a heart-lung machine. Which is done through femoro-femoral by pass.

Advantages

It offers many advantages in those for whom it’s appropriate. Advantages may include:

  • Smaller, less noticeable scars/scarless
  • Less blood loss
  • Lower risk of infection
  • Reduced trauma and pain
  • Shorter time in the hospital, faster recovery and quicker return to normal activities

There are three types of surgery in Minimally Invasive Cardiac Surgery

Minimally Invasive Valvular Surgery

Dr. Sourabh Sharma leader in utilizing minimally invasive surgical techniques to repair or replace diseased heart valves.

When surgery is the chosen plan of action, minimally invasive options are preferred due to the advantages it offers. With minimally invasive heart surgery, a variety of smaller incisions are utilized to gain access to the heart and valves. Minimally invasive valve surgery reduces blood loss, scarring, and length of hospital stay. Additionally, the patient’s breastbone is not divided, all type of Valve surgeries- like Aortic valve, Mitral valve replacement and double valve replacement is possible with minimally invasive Technique. It is especially useful for young female or the gentlemen, who want scar less operations. Breast bone not divided, no wiring required.

Hospital stay for minimally invasive surgery is only 3 to 4 days in comparison to 8 to 10 days in conventional valve surgery. Minimally invasive valve surgery is more cosmetic and also causes less pain and tissue trauma. Recovery time is usually significantly shorter around 8 to 10 days versus 8-12 weeks for traditional surgery.

Minimally Invasive Multivessel Surgery

It is an advanced technique of performing coronary bypass. Minimally Invasive Multivessel Surgery is safe effective. Minimally Invasive Multivessel Surgery operation could potentially make multivessel minimally invasive coronary surgery more widely available all type of multivessel grafting is possible with this advance technique now.

Minimally Invasive CHD Surgery

One of the most difficult things that could happen to a parent is to be told that your child might have some type of a cardiac problem like, hole in the heart (ASD, VSD) or Abnormal heart connections (PDA, TOF) requires open heart surgery. Which can be performed easily now with almost 100% result.

MI CHD Surgery is a challenging subject only few surgeons are performing MI cardiac surgery in the world and fever are performing CHD Surgery with MI technique.

We are doing it in selected cases with excellent results and future.


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Thoracic surgery is the treatment and study of diseases of the chest or thorax, including lungs, heart, blood vessels and chest wall that require surgical operation for diagnosis and/or treatment. Other organs on which thoracic surgery is performed include, trachea, esophagus, mediastinum and diaphragm. Thoracic surgeons may include congenital heart, cardiovascular and cardiothoracic surgeons. The most common diseases requiring thoracic surgery include lung cancer, chest trauma, esophageal cancer, emphysema, and lung transplantation.

Preparation for Thoracic Surgery

  • Except in the case of emergency procedures, candidates for general thoracic surgery should undergo a complete medical history and thorough physical examination prior to surgery
  • Particular attention is given to the respiratory system
  • The patient’s smoking history will be questioned. If the patient is an active smoker, encouragement is always given for the patient to quit smoking prior to the surgery to facilitate recovery and reduce chances of complications
  • Diagnostic tests used to evaluate the patient preoperatively may include, but are not limited to, x rays, MRI, CT scans, blood gas analysis, pulmonary function tests, electrocardiography, endoscopy, pulmonary angiography, and sputum culture
  • Patients are instructed not to eat 10 to 12 hours prior to a thoracic surgery procedure

Thoracic Surgery Procedures –

Thoracic Surgical and diagnostic procedures include:

  • VATS Lobectomy
  • Thoracoscopic lung resection
  • Thoracoscopic evaluation and management of pleural space
  • Thoracoscopic mediastinal biopsy
  • Thoracoscopic resection of mediastinal masses
  • Thoracoscopic Staging

The surgeon may use two common incisional approaches: sternotomy (incision through and down the breastbone) or via the side of the chest (thoracotomy). An operative procedure known as video assisted thoracoscopic surgery (VATS) is minimally invasive. During VATS, a lung is collapsed and the thoracoscope and surgical instruments are inserted into the thorax through any of three to four small incisions in the chest wall. Another approach involves the use of a mediastinoscope or bronchoscope to visualize the internal anatomical structures during thoracic surgery or diagnostic procedures.

Types of Thoracic Surgery

The most basic and generalized type, general thoracic surgery involves the treatment of lung diseases, tumors, cancers, and transplants as well as esophageal problems and gastroesophageal reflux.

  • Mesothelioma – Mesothelioma is a rare form of cancer that develops from the protective lining that covers many of the internal organs like liver, lung, etc. It is diagnosed with the help of Thoracoscopy besides other evaluation methods. Thoracoscopy allows the doctor to look inside the chest and obtain tissue samples . Alternatively, the chest surgeon might directly open the chest (thoracotomy).
  • Lung Transplantation – There are various types of lung transplantations: unilateral (one lung; most common type); bilateral (both lungs); heart-lung; and living donor lobe transplantation. Thoracic surgery plays a significant role in lung transplantation.
  • Chest Trauma – Chest trauma is a medical/surgical emergency. Patients with respiratory distress require endotracheal intubation (passing a plastic tube from the mouth to the windpipe) and mechanically assisted ventilator support. Invasive thoracic procedures are necessary in emergency situations. Trauma requiring urgent thoracic surgery may include any of the following problems: a large clotted hemothorax, massive air leak, esophageal injury, valvular cardiac injury, proven damage to blood vessels in the heart, or chest wall defect.
  • Esophageal Cancer – Over 90% of patients with esophageal squamous cell carcinoma develop the tumor in the upper and middle thoracic esophagus. The standard operation for patients with resectable esophageal carcinoma includes removal of the tumor from the esophagus, a portion of the stomach, and the lymph nodes (within the cancerous region). These tumors are removed by the surgeons through thoracic surgery.
  • Soft Tissue Sarcoma – Thoracic surgery is also needed to cure soft tissue sarcoma.Though these tumors can form in any part of the body but they are more common in the arms, abdomen, legs and trunks
  • Emphysema – LVRS or Lung volume reduction surgery is the term used to describe surgery for patients with emphysema. Surgery will assist the patient, but the primary pathogenic process that caused the emphysema is permanent because lung tissues lose the capability of elastic recoil during normal breathing.
  • Lung Cancer – Lung surgery for cancer includes the removal of the tumor, lymph nodes and sections of the lung that contain the tumor. Thoracic Surgery is the treatment of choice in several types and stages of lung cancer, either alone, or in combination with chemotherapy or radiation therapy. Surgical approach includes Thoracoscopy (VATS-Video Assisted Thoracic Surgery). If the tumor is not accessible with the thoracoscope Thoracotomy is used.

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Peripheral vascular disease (PVD) refers to diseases of blood vessels outside the heart and brain. It’s often a narrowing of vessels that carry blood to the legs, arms, stomach or kidneys. There are two types of these circulation disorders:

Functional PVD doesn’t have an organic cause. It doesn’t involve defects in blood vessels’ structure. It’s usually short term and related to spasms that may come and go. Raynaud’s disease is an example. It can be triggered by cold temperatures, emotional stress, working with vibrating machinery or smoking.

Organic PVD is caused by structural changes in the blood vessels, such as inflammation and tissue damage. Peripheral artery disease is an example. It’s caused by fatty buildups in arteries that block normal blood flow.

Risk factors of PVD are primarily diabetes or smoking.

Symptoms of PVD depend on what artery is affected and how severely the blood flow is reduced. For example, you may experience a dull, cramping pain, numbness or tingling, or a change in skin color.

If your doctor suspects you may have PVD, he or she may order an ultrasound Doppler (a test that looks at blood circulation in the arteries of the legs to see if there is any blockage) or an ankle brachial test (measuring blood pressure at the ankle and in the arm while a person is at rest).

Treatments typically are medication, surgery, minimally invasive interventional procedures or a combination of these therapies.

Medications can be used alone or in combination with other treatments. Although the medicine doesn’t eliminate the narrowing of the arteries, it can help improve the efficiency of the heart and reduce symptoms such as leg pain, claudication (cramping pain and weakness in the legs) and hypertension (high blood pressure).

Sometimes bypass surgery may be required in the peripheral arteries if the atherosclerosis (hardening of the arteries) is severe enough. Bypass surgery is a way of creating new channels to carry blood around the blocked areas in your peripheral arteries. With the patient under general anesthesia, surgeons take a portion of a small blood vessel from the leg or chest to use as the new bypass artery. The surgeon sews one end of the bypass to the affected artery and the other end to the artery beyond the narrowed area. Blood then flows through the new vessel, bypassing or avoiding the blockage in the peripheral artery. Some of the common surgeries in the peripheral anatomy are femoral-popliteal bypass (for the legs) and renal artery bypass (for the kidneys).

Man-made grafts can be used, too. They are made out of synthetic tissues that are easily accepted by your body and work best on arteries at or above the knees.

The incision depends on where the blockage is, what type of graft is used and what’s best for the patient’s medical condition. The incisions are made on the inside of the leg. One long incision may be made to remove and prepare a leg vein; this incision goes from the groin to the top of the ankle. Some surgeons use several short incisions – about four that are three to four inches long each. In manmade grafts, two incisions are sometimes made: one at the groin and one where the blockage is.

Femoral popliteal bypass surgery is used for the upper part of the leg. Distal bypass is for the lower leg.

Percutaneous transluminal angioplasty (PTA) of the femoral arteries is a minimally invasive (without a large incision) procedure used to open the blocked or narrowed femoral artery and to restore arterial blood flow to the lower leg without open vascular surgery. A special catheter is inserted into the femoral artery. The catheter has a tiny balloon at its tip. The balloon is inflated once the catheter has been placed into the narrowed area of the artery. The inflation of the balloon compresses the fatty tissue in the artery and makes a larger opening for the blood to flow through. A stent (a tiny, expandable metal coil) may be inserted into the newly opened area of the artery to help keep the artery from narrowing or closing again.

Not all PVD can be treated with PTA; the physician will determine the best treatment after considering many factors.


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bypass surgery in Jaipur

During a coronary artery bypass surgery, the diseased sections of your coronary arteries are bypassed with healthy artery or vein grafts to increase blood flow to the heart muscle tissue. This procedure is also called coronary artery bypass grafting (CABG). Bypass typically requires open-chest surgery.
There are several newer, less invasive techniques for bypass surgery that can be used instead of open-chest surgery in some cases. In some procedures, the heart is slowed with medicine but is still beating during the procedure. For these types of surgery, a heart-lung bypass machine is not needed. (For open-chest surgery, a heart-lung machine is needed to circulate the blood and to add oxygen to it.) Other techniques use keyhole procedures or minimally invasive procedures instead of open-chest surgery. Keyhole procedures use several smaller openings in the chest and may or may not require a heart-lung machine.

Open-chest surgery

You’ll receive anesthesia before the surgery that will make you sleep. In most cases, bypass surgery is open-chest surgery slideshow.gif. During the surgery, your chest will be open and your heart exposed. The surgeon makes a large cut, or incision, in the middle or side of your chest. He or she may cut through your breastbone and spread apart your rib cage.
The surgeon removes a healthy blood vessel-often from the leg-and attaches (grafts) it to the narrowed or blocked artery. The new blood vessel bypasses the diseased artery to increase blood flow to the heart. You may need just one bypass graft, or you may need more. Some people have as many as two, three, or even four (double, triple, or quadruple bypass surgery). How many grafts you need depends on how many arteries are narrowed or blocked and where.
When the surgery is complete, the doctor may use wire to put your rib cage back together and stitches to close the incision. The surgery can take 3 to 6 hours. You will stay in the hospital at least 3 to 8 days after the surgery. It can take 4 to 6 weeks to recover at home. Most people are able to return to work within 1 to 2 months after surgery.


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The Congenital Heart Surgery Service offers a comprehensive surgical program that includes every procedure available for the treatment of pediatric heart disease and defects. We care for children of every age, including preterm and low-birth-weight newborns, tailoring procedures and treatments to the needs of each individual child and his or her family. During surgery, this individualized approach includes cardiopulmonary bypass and neuroprotection strategies customized to each patient’s condition and needs, helping to ensure optimal outcomes are achieved. Among the heart problems we treat: atrial septal defect, ventricular septal defect, tetralogy of Fallot and transposition of the great arteries.

We specialize in the surgical procedures most effective in correcting these conditions, offering their patients the promise of a long life.

Types of Congenital Heart Surgery

Surgery becomes necessary when non-invasive procedures fail to correct a heart defect. There are two types of congenital heart surgery:

  • Reparative congenital heart surgery: This procedure is used to correct the heart defect.
  • Palliative congenital heart surgery: A surgical procedure that relieves pain but doesn’t necessarily correct the actual defect.

Reparative Congenital Heart Surgery

We perform many types of reparative heart surgery. Some of the more common procedures include:

  • Repairing or closing ventricular or atrial septal defects and atrioventricular valves. This is done with stitches or a patch (artificial or made from the patient’s own tissue).
  • Stretching or widening the pulmonic valve and closing a ventricular septal defect to correct Tetralogy of the Fallot
  • Moving the great arteries and coronary arteries back to their normal position to cure transposition of the great arteries
  • Widening a narrow aorta to treat coarctation

Palliative Congenital Heart Surgery

Our surgeons also perform many types of palliative surgery, which relieves pain and makes you feel more comfortable. Here are some common palliative surgical procedures:

  • Blalock-Taussig procedure: Here, our surgeons insert a tube to connect the aorta to the pulmonary artery to increase the flow of blood to the lungs.
  • Fontan procedure: This procedure helps patients with a single ventricle by allowing deoxygenated blood flow into the lungs and avoiding the heart. The one heart ventricle then pumps oxygenated blood.
  • Pulmonary artery band: A band is placed around the pulmonary artery in order to restrict the flow of blood to the lungs.

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Quickly aggregate B2B users and worldwide potentialities. Progressively plagiarize resource-leveling e-commerce through resource-leveling core competencies. Dramatically mesh low-risk high-yield alignments before transparent e-tailers.

Appropriately empower dynamic leadership skills after business portals. Globally myocardinate interactive supply chains with distinctive quality vectors. Globally revolutionize global sources through interoperable services.




Quickly aggregate B2B users and worldwide potentialities. Progressively plagiarize resource-leveling e-commerce through resource-leveling core competencies. Dramatically mesh low-risk high-yield alignments before transparent e-tailers.

Appropriately empower dynamic leadership skills after business portals. Globally myocardinate interactive supply chains with distinctive quality vectors. Globally revolutionize global sources through interoperable services.

Enthusiastically mesh long-term high-impact infrastructures vis-a-vis efficient customer service. Professionally fashion wireless leadership rather than prospective experiences. Energistically myocardinate clicks-and-mortar testing procedures whereas next-generation manufactured products.




Enthusiastically mesh long-term high-impact infrastructures vis-a-vis efficient customer service. Professionally fashion wireless leadership rather than prospective experiences. Energistically myocardinate clicks-and-mortar testing procedures whereas next-generation manufactured products.

Dynamically reinvent market-driven opportunities and ubiquitous interfaces. Energistically fabricate an expanded array of niche markets through robust products. Appropriately implement visionary e-services vis-a-vis strategic web-readiness.



Progressively maintain extensive infomediaries via extensible niches. Dramatically disseminate standardized metrics after resource-leveling processes. Objectively pursue diverse catalysts for change for interoperable meta-services.

Proactively fabricate one-to-one materials via effective e-business. Completely synergize scalable e-commerce rather than high standards in e-services. Assertively iterate resource maximizing products after leading-edge intellectual capital.







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Copyright @DrSourabhsharma.com Developed by SRV IT Solutions.



Copyright @Drsourabhsharma.com. Developed by SRV IT Solutions.