Cardiac Surgery at World Best Hospitals in India

Robotic Heart Surgery in India 

Popularly known as the Bypass Surgery, Cardiac bypass implanting a healthy or working blood vessel from any other part of the body to bypass the blocked vessel. The heart surgeons in India are highly experienced to perform a CABG or heart bypass surgery. India offers great value proposition to patients looking for affordable Heart surgery or Cardiac surgery abroad as not only the cost of cardiac bypass surgery in India is very low, the facilities and infrastructure is most modern and is counted among the best heart hospitals in the world. 

The blockages in the arteries grow with the deposition of fat. This process is called as Artherosclerosis. These blockages obstruct the free flow of the blood to the various parts of the heart leading to severe chest pain (known as angina) or a heart attack in the later stages.Today Cardiology treatment in India has come up as a suitable option in order to get rid of any of the heart defects as the cost in India of any of the treatments is the best and that too at rates which are absolutely affordable. Because of these benefits of choosing in India, any of the treatments, many foreigners have come down here in order to solve their trouble of heart diseases. 

Heart Valve Replacement

When repair is not an option, replacing your damaged heart valve may be the most effective treatment for your condition. Also known as Heart Valve Replacement, Aortic Valve Replacement, is a cardiac surgery procedure in:-

• Ring Annuloplasty - In this procedure the surgeon repairs the ring-like part around the valve by stitching a ring of metal, cloth, or tissue around the valve.

• Valve repair - In this one or more leaflets of the valve is trimmed, shaped, or rebuild. The leaflets are the flaps that are responsible for opening and closing of the valve.

Pediatric Cardiothoracic Surgery 

Pediatric cardiothoracic Surgery is a kind of heart surgery that is performed children for repairing heart defects which occur at the time of birth which are known as congenital heart diseases. Pediatric Cardiac Surgery is necessary for the well-being of the child.

This surgery is done to take care of various diseases in children such as Artrial Septal Defect (ASD), Patent Ductus Arteriosus and Total correction or Four Abnormality correction (TOF). 

Heart Surgery Procedures performed with Excellent Outcomes:-

• CABG - Minimally Invasive Valve & Coronary Heart Bypass Techniques.

• Off-pump Coronary Artery Bypass (OPCAB)

• Mitral & Aortic Valve repair & restoration surgery

• Aortic dissection surgery

• Transmyocardial laser revascularization

• Congenital and Pediatric heart surgery

• Heart failure surgery- Ventricular restoration and Ventricular assist Devices

• Carotid endarterectomy

• Peripheral vascular procedures

• Atrial Fibrillation & Arrhythmia surgery 

  Robotic Heart Surgery in India

The most advanced technology for minimally invasive heart surgery is now available in India. Robotic da Vinci Surgical System combines superior 3D visualization along with greatly enhanced dexterity, precision and control in an intuitive, ergonomic interface with breakthrough surgical capabilities.In Robotic Cardiac Surgery, robotic assist the heart surgeon in performing surgery through tiny incisions. The surgeon has to sit in an operating room where he controls the instruments while looking at 3D images from the camera which is inside the patient. Various procedures can be performed in this case such as mitral valve replacement or repair, correction of HOCM etc. Use of Robotic Surgery in Cardiology has benefits as it involves less pain, scarring and risk that are otherwise involved. The surgeon can perform surgery through tiny openings in the chest, cracking the breastbone and spreading the ribs. 

Minimally Invasive Surgery

Much modern cardiothoracic surgery is performed with the help of highly advanced machines that are operated externally by a surgeon. The main advantage to these machines is that they can operate through very small incisions, and this dramatically shortens the recovery time of a patient. The most advanced machines are even able to react intelligently to changes in the patient’s body. For instance, some machines can adapt to the beating of a heart, moving their arms in synch with it, so that to the surgeon operating the machine it appears as if the heart is stationary.

Heart Valve Repair or Replacement Surgery - Best Heart Surgery Hospital in India

Heart Valve Repair or Replacement Surgery 

Blood is pumped through your heart in only one direction. Heart valves play a key role in this one-way blood flow, opening and closing with each heartbeat. Pressure changes on either side of the valves cause them to open their flap-like "doors" (called cusps or leaflets) at just the right time, then close tightly to prevent a backflow of blood.

There are 4 valves in the heart:

• Tricuspid valve
• Pulmonary valve
• Mitral valve
• Aortic valve

Nearly all of these operations are done to repair or replace the mitral or aortic valves. These valves are on the left side of the heart, which works harder than the right. They control the flow of oxygen-rich blood from the lungs to the rest of the body.

Valve Disease

If valve damage is mild, doctors may be able to treat it with medicines. If damage to the valve is severe, surgery to repair or replace the valve may be needed.

What is valve repair?

Valve repair can usually be done on congenital valve defects (defects you are born with) and has a good success record with treating mitral valve defects.

Here are some procedures surgeons may use to repair a valve:

• Commissurotomy, which is used for narrowed valves, where the leaflets are thickened and perhaps stuck together. The surgeon opens the valve by cutting the points where the leaflets meet.
• Valvuloplasty, which strengthens the leaflets to provide more support and to let the valve close tightly. This support comes from a ring-like device that surgeons attach around the outside of the valve opening.
• Reshaping, where the surgeon cuts out a section of a leaflet. Once the leaflet is sewn back together, the valve can close properly.
• Decalcification, which removes calcium buildup from the leaflets. Once the calcium is removed, the leaflets can close properly.
• Repair of structural support, which replaces or shortens the cords that give the valves support (these cords are called the chordae tendineae and the papillary muscles). When the cords are the right length, the valve can close properly.
• Patching, where the surgeon covers holes or tears in the leaflets with a tissue patch.

What is valve replacement?

Severe valve damage means that the valve will need to be replaced. Valve replacement is most often used to treat aortic valves and severely damaged mitral valves. It is also used to treat any valve disease that is life-threatening. Sometimes, more than one valve may be damaged in the heart, so patients may need more than one repair or replacement.

There are 2 kinds of valves used for valve replacement:

• Mechanical valves, which are usually made from materials such as plastic, carbon, or metal. Mechanical valves are strong, and they last a long time. Because blood tends to stick to mechanical valves and create blood clots, patients with these valves will need to take blood-thinning medicines for the rest of their lives.
• Biological valves, which are made from animal tissue (called a xenograft) or taken from the human tissue of a donated heart (called an allograft or homograft). Sometimes, a patient's own tissue can be used for valve replacement (called an autograft). Patients with biological valves usually do not need to take blood-thinning medicines. These valves are not as strong as mechanical valves, though, and they may need to be replaced every 10 years or so. Biological valves break down even faster in children and young adults, so these valves are used most often in elderly patients.

You and your doctor will decide which type of valve is best for you.

During valve repair or replacement surgery, the breastbone is divided, the heart is stopped, and blood is sent through a heart-lung machine. Because the heart or the aorta must be opened, heart valve surgery is open heart surgery.

Minimally Invasive Valve Surgery

Minimally invasive heart valve surgery is a technique that uses smaller incisions to repair or replace heart valves. This means there is less pain. Minimally invasive surgery also reduces the length of the hospital stay and the recovery time.

Minimally invasive valve surgery can only be done in certain patients. This type of surgery cannot be done in patients

• With severe valve damage
• Who need more than one valve repaired or replaced
• Who have clogged arteries (atherosclerosis)

In some cases, minimally invasive valve surgery can be done using a robot. Robotic surgery does not require a large incision in the chest. It is not available at all hospitals, and patients with severe valve damage cannot have the procedure. 

With robotic surgery, the surgeon has a control console, a side cart with 3 robotic arms, a special vision system, and instruments. A computer translates the surgeon's natural hand and wrist movements made on the control console to instruments that have been placed inside the patient through small incisions. The robot's controls can read even the tiniest of movements the surgeon makes.

Robotic surgery can reduce the time it takes to do valve surgery, as well as shorten the hospital stay and recovery time. 

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FAQ’s Cardiac Valve Repair or Replacement Surgery - Best Heart Hospital in India

Heart Valve Repair or Replacement Surgery in India

Heart Valve Repair

Heart valve repair is a surgical or minimally invasive procedure that corrects a heart valve that is not functioning properly. Heart valve repair usually involves the heart valve leaflets that open and close to pump blood through the heart.

Your cardiac surgeon shall investigate and advise if repairing your heart valve is the best way to treat your heart valve disease.

 

Heart Valve Replacement

When valve repair shall not be of help, replacing your damaged heart valve may be the most effective treatment for your condition. Also known as Heart Valve Replacement, Aortic Valve Replacement, is a cardiac surgery procedure in which the damaged heart valve is replaced with a new valve. This valve can be a tissue valve taken from some other body, or may be of animal or an artificial or prosthetic valve.

Heart valve repair or replacement can be done for one single valve or more than one depending upon the condition of your valves.

Valve replacement Surgery procedure

The patient is put under general anaesthesia and connected to the heart lung machine. This machine takes over the pumping, circulatory, and respiratory functions of the heart and lung till the surgical procedure is going on.

The valves are accessed by cutting open the rib cage and accessing the heart directly. The old valves are sliced from their attachments and new valves are put in their place. The new valves may be obtained from a cadaveric donor, or an animal (pig) or it may be made of a nonreactive inert material.

The patient needs to be given anticoagulants or immunosuppressive to clotting of blood or rejection of organ. The prognosis of this surgery is good. It is many a time a life-saving and life extending surgery.

Types of Heart Valve Replacement:-

Open-heart valve replacement surgery It is a surgical procedure wherein the patient's heart is exposed in the operation theatre and surgery is performed on the internal structures of the heart. During the surgery, the patient is placed on a heart-lung machine that allows blood to flow through the heart while the surgery is being performed.

Minimally Invasive Heart Surgery Minimally Invasive Heart Surgery, also known as Keyhole surgery, is performed by making small incisions of about 3 to 4 inches in the heart muscle, through specialized surgical instruments. In most cases, minimally invasive heart surgery focuses on Mitral valve repair, Aortic valve repair and Tricuspid valve repair.

Valvuloplasty : It is a technique wherein the stiff aortic valves are treated with the help of a balloon catheter. The balloon is positioned in the aortic valve and subsequently inflated to expand the size of the valve, leading to improved blood flow.

Double and Triple Valve repair and replacement in India

Double valve repair and replacement procedure aims at correcting or replacing both these damaged valves (aortic & mitral together) with new functional valves. This is done through the open heart surgery. Triple valve replacement repair and replacement means repair or replacement of three valves of the heart.

Benefits of Minimally Invasive Valve Surgery in India

Minimally invasive mitral valve repair is performed through a two-inch keyhole incision on the side of the chest. The port access technique is a step ahead in that the incision is even smaller and the whole operation is video-directed, whereas in non-port access minimally invasive mitral valve surgery, the operation is done by direct vision.

The minimally invasive approaches avoid an incision in the breastbone (sternotomy) and have several benefits like:

 

•  Less pain
•  Shorter stay in hospital. Hence, patients return to work and everyday activity sooner after surgery.
• Less bleeding
• Fewer chances of infection as the incision is smaller
• Cosmetic benefits

FAQ’s Cardiac Valve Replacement Surgery

What is the cost of Cardiac Valve Replacement Surgery?

Cardiac Valve Replacement Surgery is amongst the lowest in the world. The Cardiac Valve Replacement Surgery is about 20% of the cost in the USA. The low Cardiac Valve Replacement Surgery  is without any compromise on quality or success rate

What to expect after heart valve surgery

The normal recovery time after a heart valve surgery is usually four to eight weeks, and may be shorter after minimally invasive surgeries.

How experienced are cardiac surgeons in India at handling complex heart surgeries?

The translation of academic excellence into outstanding medical results happens only with practice and experience. Indian doctors acquire a great amount of experience over a very short period of time because of the large number of patients requiring cardiac treatment in India.

Do surgeons perform advanced heart surgeries in India?

Cardiac surgeons in India are experts at performing advanced procedures like Heart Transplants, Robotic Cardiac Procedures, Totally Endoscopic Coronary Artery Bypass Surgery (TECAB), Minimally Invasive Direct Coronary Artery Bypass Grafting (MIDCAB), Off-Pump Coronary Artery Bypass Grafting (OPCAB), complex mitral valve repairs, etc.

What success rates can one expect in India from cardiology hospitals?

It is quite amazing that Indian hospitals are able to offer a combination of extremely low cost cardiac treatment in India along with extremely high success rates as well. In fact, leading hospitals for cardiac treatment in India have success rates in excess of 98%, which is absolutely world-class.

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Why do we need a new technique for Minimally Invasive Heart Surgery?

What is robotic surgery?

This is a surgery performed by surgeons using a computer that controls very small instruments attached to a robot. It is therefore, also referred to as computer assisted Minimally Invasive Surgery (MIS).
Robotic surgery is safe and is performed through very small incisions (fingertip size). Robot itself does not perform surgery, though the name so indicates, this surgery is performed by a surgeon who is assisted by a robot and a computer console. Hence, it’s the surgeon’s dexterity and experience that is key for success of this advance surgical technique 

How is robotic surgery performed?

For this procedure, surgeon sits at a console (computer), from where he controls the movements of fine instruments attached to the robotic arms. Robot acts exactly the way the surgeon does sitting at the console, hence the robotic instruments are under the control of the surgeon – the only difference being that the surgeon’s hands do not directly touch the human body during the surgery. 

What are the benefits of robotic surgery as compared with traditional methods of surgery?

Robotic surgery is technologically more advanced thus it helps surgeons conduct complex surgeries with ease. Robotic arms are steadier, more precise and can access the interior of the human body much easily than a human hand can. Thus, this surgery provides greater precision, increased motion range, improved dexterity to surgeons 

Also the 3D view provided by the camera captures more than a human eye can, thus the enhanced visualization due to 3D effect improves access, quality of surgery and its outcome From patients perspective some of the benefits include-

·         precise operation with higher accuracy

·         shorter hospital stay

·         less pain

·         lower risk of infection

·         less blood loss, thus fewer transfusions

·         less scarring with minimal incisions

·         faster functional recovery

What is the role of the surgeon in robotic surgery?

Like all traditional surgeries, in case of robotic surgery too it is an experienced surgeon who creates successful outcomes. It is the surgeon who conducts these surgeries using a robot and a computer to guide his actions, and he keeps control on all the surgical procedures. Though robot enables technologically advanced actions, they are incapable of replacing a qualified experienced surgeon, thus robot is more of an enabling tool for a deft surgeon.

Is robotic surgery more expensive than traditional surgery?

On an average, a robotic procedure costs about INR 50,000 – 75,000 more than an open/traditional surgery. Since robot is expensive, the additional cost of the surgery is directly attributable to the robotic instruments used for performing the procedure.

All other costs associated remain the same as compared to any conventional, open or laparoscopic surgery. 

At a minimal additional cost, patients benefit with precise operations involving less complications, scarring, blood loss, reduced hospital stay and faster functional recovery- advantages that ensure better quality of life

Is there any difference in the length of stay of the patients undergoing robotic surgery?

Compared to an open surgery, the length of hospital stay for a patient undergoing robotic surgery is much less. Such patients are usually discharged within 2-3 days

Is there a difference in anesthesia given for robotic surgery?

No, the anesthesia remains the same.

Why do we need a new technique for minimally invasive surgery?

Traditionally minimally invasive laparoscopic surgical techniques are most commonly used for routine procedures, but these techniques have their limitations of standard 2D video and rigid instruments that surgeons have to use. Laparoscopic instruments and the video monitor do not provide surgeons with quality visualization required to perform complex surgeries. Through robotic surgery it becomes easier and less time consuming in order to perform complex surgeries.
Considering the limitations of traditional laparoscopic surgical techniques, a new & more advanced technique of minimally invasive surgery is a very effective alternative

What surgeries can be performed with robotic assistance?

 Most advanced minimally invasive surgical procedures using da Vinci SI HD surgical system. Some the surgeries that can be performed using robot are-

·         Robotic Cardiac Surgery for coronary bypass, implantation of lead, valve repair & valve replacement, congenital defects

·         Robotic Urology Surgery for prostate cancer, kidney cancer, bladder cancer, adrenal tumors, nephrectomy, reconstruction of urinary bladder

·         Robotic Gynaecology Surgery for hysterectomy, myomectomy, ovarian surgery, tubal surgery, lymph node removal.

·         Robotic Liver Transplant Surgery for donor liver hepatectomy

·         Robotic GI Surgery for hernia repair, pancreatectomy, gastrectomy, cholecystectomy

·         Robotic Thoracic Surgery for lobectomy, thymectomy, resection of mediastinal mass

·         Robotic ENT Surgery for transoral surgery, complex OSA surgery

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MyMedOpinion.com  affiliated   Best hospitals in India provide an medical opinion from experienced surgeons and the treatment cost includes companion stay  , surgeon fee, medicines and consumables, nursing care, patient's food and airport pick up & drop etc. etc. We offer free, no obligation assistance to international patients to find world class medical treatment in India. We offer support and services to facilitate the care you require. We can help you find the best hospital in India

 

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|MyMedOpinion.com  is the hub of Surgeons and specialists for major diseases. We give you a chance to speak to our doctors and discuss your health issues directly.

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