Minimal Access Cardiac Surgery in CMC Dubai | MACS CMC Dubai
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Cardiothoracic Surgery

Minimally invasive cardiac surgery (MICS) is a type of cardiac surgery that uses smaller incisions than traditional open-heart surgery. In traditional open-heart surgery, the surgeon makes a long incision down the center of the chest to access the heart. In MICS, the surgeon makes one or more smaller incisions between the ribs.

Minimal Access Cardiac Surgery

MICS can be performed using a variety of techniques, including:

  • Thoracoscopy: The surgeon inserts a thin tube with a camera attached to the end through a small incision in the chest. The camera allows the surgeon to see the heart and other structures inside the chest without having to make a large incision.
  • Robotic Surgery: The surgeon uses a robotic system to perform the surgery. The surgeon sits at a console and controls the robotic arms, which insert instruments through small incisions in the chest.
  • Port-access surgery: The surgeon inserts several small tubes, called ports, through incisions in the chest. The surgeon then inserts the surgical instruments through the ports.

Benefits of Minimally Invasive Cardiac Surgery

MICS offers a number of benefits over traditional open-heart surgery, including

  • Smaller incisions: MICS incisions are typically 3 to 5 inches long, compared to the 8- to 12-inch incision used in traditional open-heart surgery.
  • Less pain: MICS patients typically experience less pain than patients who have traditional open-heart surgery.
  • Faster recovery: MICS patients typically recover from surgery more quickly than patients who have traditional open-heart surgery.
  • Reduced risk of complications: MICS patients have a lower risk of developing certain complications, such as infection and bleeding.

Types of Minimally Invasive Cardiac Surgery

MICS can be used to perform a variety of cardiac surgery procedures, including:

  • Aortic valve surgery: Surgery to repair or replace the aortic valve, which is the valve that controls the flow of blood from the heart to the body.
  • Mitral valve surgery: Surgery to repair or replace the mitral valve, which is the valve that controls the flow of blood from the left atrium to the left ventricle.
  • Coronary artery bypass grafting (CABG): Surgery to create a new pathway for blood to flow around a blocked coronary artery.
  • Maze procedure: Surgery to create a series of scar lines in the heart muscle to disrupt abnormal electrical signals and treat atrial fibrillation.
  • Congenital heart surgery: Surgery to repair birth defects of the heart.

Who is a Candidate for Minimally Invasive Cardiac Surgery?

Not everyone is a candidate for MICS. Some patients may not be good candidates for MICS due to their overall health condition, the severity of their heart disease, or the anatomy of their heart.

To determine if you are a candidate for MICS, your doctor will perform a physical examination and review your medical history. They may also order tests such as an echocardiogram, stress test, or angiogram.

What to Expect During Minimally Invasive Cardiac Surgery

On the day of surgery, you will be given general anesthesia and placed on a ventilator. The surgeon will then make one or more small incisions in your chest. The surgeon will then insert the surgical instruments through the incisions and perform the surgery.

The length of surgery will vary depending on the type of surgery being performed. Most MICS procedures take 2 to 4 hours to complete.

After surgery, you will be transferred to the intensive care unit (ICU) for close monitoring. You will typically spend 1 to 3 days in the ICU before being transferred to a regular hospital room.

Most MICS patients are able to go home from the hospital within 5 to 7 days of surgery.

Risks and Complications of Minimally Invasive Cardiac Surgery

MICS is a safe and effective procedure, but there are some risks and complications associated with all surgery, including:

  • Bleeding: Bleeding is a potential risk of any surgery.
  • Infection: Infection is also a potential risk of any surgery.
  • Heart attack: Heart attack is a rare but serious complication of cardiac surgery.
  • Stroke: Stroke is another rare but serious complication of cardiac surgery.
  • Damage to other organs: There is a small risk of damaging other organs, such as the lungs or esophagus, during cardiac surgery.

Minimally invasive cardiac surgery is a safe and effective alternative to traditional open-heart surgery.

FAQ's

Minimal Access Cardiac Surgery is a type of cardiac surgery that uses smaller incisions than traditional open-heart surgery.

MICS offers smaller incisions, less pain, faster recovery, and reduced risk of complications.

MICS can be used to perform a variety of cardiac surgery procedures, including aortic valve surgery, mitral valve surgery, CABG, the Maze procedure, and congenital heart surgery.

Not everyone is a candidate for MICS. Your doctor will determine if you are a candidate based on your overall health condition, the severity of your heart disease, and the anatomy of your heart.

MICS is a safe and effective procedure, but there are some risks and complications associated with all surgery, including bleeding, infection, heart attack, stroke, and damage to other organs.

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