July 30, 2009 3:54:17 am
This is a heart surgery that bypasses the breastbone cutting. Doctors at Jehangir Hospital say that a surgery technique that does not require the conventional disfiguring breastbone splitting incision called sternotomy is fast gaining ground.
Dr Ranjeet Jagtap,heart surgeon,said that in this method,which can be used for bypass surgery,valve surgery and treating congenital heart disease,the hospital stay is limited to barely three days as against the normal eight to ten days.
“The technique is technically challenging and presently limited to one or two grafts in patients who have single or double vessel blockages. Breastbone cutting is avoided by spreading the ribs. Apart from being of great aesthetic value in females and young patients,the shortened hospital stay also has a bearing on the financial aspects,” Japtap said on Wednesday.
Besides,there is substantially less blood flow,with no need of blood transfusion and negligible discomfort,he added. Dr Jagtap and his team,comprising Dr Anand Nadkarni,Dr Ashish Khanijo,Dr Vineet Pande,Dr Swapnil Karve,anaesthetist Dr Chandrashekhar Kulkarni and perfusionist Shashi Kale have carried out a total of seven such surgeries recently. The team has been routinely using this minimally invasive approach to benefit young adults and children,especially females with congenital heart disease and valve-related diseases.
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One such patient who was operated on at Jehangir Hospital received three-four inch sub mammary incision and had to stay just one day in the ICU (normally two-three days) and was discharged on the third day (normally eight to ten days). His scars will be covered by the skin creases and will hardly be visible. The future of this technique is promising,with attempts being made worldwide to use endoscopic assisted and robotic technology to increase the number of possible grafts and reduce the invasiveness. It may prove a better alternative to angioplasty,said Jagtap.
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