Minimally Invasive Heart Surgery - Dr Gokhale

Minimally Invasive Heart Surgery - Dr. Gokhale Dr. Alla Gopala Krishna Gokhale First Surgeon in Telangana and Andhra Pradesh to do Heart Transplant, First Lung Transplant & First Minimal Access Bypass Surgery.

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Minimally Invasive Heart Surgery - Dr.Gokhale Minimally invasive heart surgery is getting popular in the last few years. A minimally invasive approach allows one or more combinations of the following: o Access to the heart through small incisions splitting only small part of the breast bone or through the spaces in the rib cage without splitting breast bone (Minimal Access Cardiac Surgery). o Surgery on heart without stopping the heart,(beating heart surgery). o Making use of technology like video thoracoscope or robots to do key hole surgery.

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Minimally Invasive Heart Surgery - Dr.Gokhale  Typically heart surgery requires exposure of the heart and its vessels through a skin of 10-12” and median sternotomy (dividing the breastbone-figure) and this is considered by many, especially patients, as one of the most invasive and traumatic aspects of open-chest surgery.  This results in prolonged stay in hospital (5-10 days in general) and requires 812 weeks before they can return to their normal activities.  Moreover artificial heart-lung machine is used routinely in all patients going for coronary artery bypass surgery (CABG- surgery done to increase blood supply to heart when it’s blood vessels are blocked).  This machine can cause damage to blood resulting in bleeding problems, brain strokes, more blood transfusions and infections. www.drgokhale.com

Minimally Invasive Heart Surgery - Dr.Gokhale Minimally invasive heart surgery overcomes some of these by the following techniques: oEndoscopic Vein Harvesting oMinimally Invasive Coronary Artery Bypass Surgeries (MICAB) oMinimal Access Valve (and some congenital) Surgeries oRobotic and Videothoracoscopy Assisted Heart Surgeries

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Minimally Invasive Heart Surgery - Dr.Gokhale Endoscopic Vein Harvesting: During Coronary artery bypass surgeries a vein is taken from one of the legs to use during surgery. Traditionally, vein harvesting is accomplished through a lengthy surgical incision in the leg (see figure 1). But in recent times leading Surgeons have been practicing a minimally invasive procedure called Endoscopic Vein Harvesting (see figure 2). With this leg complications are minimized- especially useful in obese patients, diabetics and women.

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Minimally Invasive Heart Surgery - Dr.Gokhale Minimally Invasive Coronary Artery Bypass Surgeries (MICAB): Today some of the patients undergoing bypass surgery can be offered this surgery through small incisions. Instead of traditional breast bone splitting surgery, if patient requires even three to four bypass grafts, this can be done through a small incision in rib cage (figure 1 & 2).

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Minimally Invasive Heart Surgery - Dr.Gokhale Minimal Access Valve (and some congenital) Surgeries: There are 4 valves in heart which ensure smooth blood flow from one chamber to another chamber and that too only in forward direction. Sometimes they get diseased – resulting in either the narrowing of the valve causing obstruction to forward flow or the leakage of valve leading to the blood flowing in the reverse direction also. Nowadays many of these can be operated using small incisions on the side of chest(figure 1)- for minimal access mitral valve replacement or repair, Minimal access closure of Atrial septal defect), sometimes by a little higher incision for Minimal access aortic valve replacement or splitting only part of the breast bone (figure 2) for replacement of both mitral and aortic valve replacements.

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figure 2 www.drgokhale.com

Minimally Invasive Heart Surgery - Dr.Gokhale Robotic and Videothoracoscopy Assisted Heart Surgeries: In a few selected centers around world, some of the surgeries on heart can be done through key holes using technology like videothoracoscopy and robotics. Mitral valve surgery can be done using a 4 cm incision on the side of chest with their help. In a select few centers around world, coronary artery bypass surgeries are being attempted totally thorough key holes.

In the coming decade, cardiothoracic surgery is likely to undergo major shift towards minimally invasive surgery where patients can be discharged in 2-3 day's time and can go back to work in 2 weeks' time.

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Minimally Invasive Heart Surgery - Dr.Gokhale Dr Gokhale CT Associates has one of the largest experiences in India in Minimal Access Coronary Bypass (MICAB) and Minimal access mitral valve replacements and closure of atrial septal defects. They have done over 175 such procedures so far. Dr Gokhale is invited by many surgeons nationally and Internationally to train them in minimal access heart surgery.

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Minimally Invasive Heart Surgery - Dr.Gokhale  www.facebook.com/drgokhale  twitter.com/DrGokhaleAGK  plus.google.com/104940945701061468956/about  in.linkedin.com/pub/dr-gokhale-alla/16/434/a57  blog.drgokhale.com/  www.youtube.com/channel/UCBQxaC54GpEmrmhe0Xwop3w  www.sahrudaya.com/

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Contact - Dr. Gokhale Dr. Alla Gopala Krishna Gokhale Yashoda Hospital, Secunderabad Behind Harihara Kalabhavan S.P. Road, Secunderabad Telangana - Andhra Pradesh 500 003 India Days Available & Timings: Mon-Fri 10am - 5:00pm Contact Number(s): 040 27713333 - Ext 8026/9603040506 Emergency Number(s): 9603040506 For any questions / enquires, you can Ask Doctor.

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