Minimally Invasive Coronary Artery Bypass Surgery (MICS CABG) in Noida, Delhi Ncr, India

Overview

Minimally Invasive Coronary Artery Bypass Surgery (MICS CABG) represents an advanced approach to coronary bypass surgery, offering numerous advantages over traditional methods. This technique, which involves accessing the heart through a small incision in the left chest, avoids cutting through the breastbone or sternum. Metro Hospitals has successfully completed over 400 CABG surgeries in India, making it a leading center for this procedure.

What is MICS CABG?

MICS CABG, or Minimally Invasive Coronary Artery Bypass Surgery, is a state-of-the-art method for treating coronary heart disease. The surgery involves a small 4 cm incision placed under the nipple, allowing entry between the ribs without cutting any bones. This approach is less invasive compared to traditional coronary bypass surgery, which typically involves splitting the breastbone.

Procedure Details

The procedure uses either all arteries or a combination of arteries and veins, similar to traditional CABG surgery. These vessels, including those from the leg, are removed endoscopically without extensive skin incisions. This advanced technique, coupled with skilled clinicians and highly sophisticated instrumentation, ensures a safe and effective operation.

Advantages of MICS CABG over Traditional CABG:

• Bone Preservation: No bones are cut, significantly reducing pain, preserving function, and positively impacting breathing. This allows patients to return to normal activities, including driving, almost immediately.
• Minimal Blood Loss: The procedure involves negligible blood loss, often eliminating the need for blood transfusions and reducing the risk of blood-borne infections.
• Reduced Infection Risk: The risk of wound infections and post-surgical lung infections is significantly lower, making this procedure ideal for diabetics and older patients with poor resistance to infection.
• Cosmetic Incision: The incision is small and cosmetic, measuring just 2-3 inches, making it nearly impossible to tell that a heart operation was performed.
• Shorter Hospital Stay: The hospitalization period is only 4 days, compared to 9 days for conventional heart surgery, leading to quicker recovery and return to normal life.
• Comprehensive Treatment: All coronary artery blocks, regardless of their location, can be safely and predictably bypassed using this technique.

Conclusion

Minimally Invasive Coronary Artery Bypass Surgery (MICS CABG) offers significant benefits, including reduced pain, faster recovery, and lower infection risks. With advanced techniques and highly skilled clinicians, Metro Hospitals is a leading provider of CABG surgeries in India. The procedure’s high success rate and substantial patient benefits make it the preferred choice for those requiring coronary artery bypass surgery.

FAQs about Minimally Invasive Coronary Artery Bypass Surgery (MICS CABG) in Noida, Delhi Ncr, India

What Is MICS CABG?

MICS CABG, or Minimally Invasive Coronary Artery Bypass Surgery, is a technique where the entire coronary artery bypass operation is performed through a small, approximately 2-inch incision on the left side of the chest.

How Does It Differ From Conventional CABG?

Conventional CABG requires cutting the breastbone or sternum in half, which necessitates a longer recovery period of up to 8 weeks for bone healing. In contrast, MICS CABG is performed through the side of the chest without cutting any bones, allowing for rapid healing, usually within ten days.

Will MICS CABG Help Me Leave the Hospital Early and Get Back to Work?

Yes, the primary advantage of MICS CABG is a shorter hospital stay, typically just 2 days, and a quicker return to work or normal activities, often within 10 days.

Is It a Beating Heart Operation?

Yes, MICS CABG is an off-pump or beating heart operation. While pump support may be needed rarely, especially if the heart is weak, the procedure is still performed on the beating heart.

Are MICS CABG and MIDCAB the Same?

No, MICS CABG and MIDCAB are not the same. MIDCAB is an older technique that typically allows grafting of only one or two vessels. MICS CABG, however, is a modern technique capable of more extensive grafting.

I Am a Diabetic. Is MICS CABG Appropriate for Me?

Absolutely. Diabetics are often ideal candidates for MICS CABG due to the significantly reduced risk of infections. The suitability also depends on the quality of your blood vessels, which your surgeon will evaluate.

What Is the Risk of Infections After Minimally Invasive Coronary Artery Bypass Surgery (MICS CABG)?

The risk of infection is very low, close to zero, even in diabetic patients, making MICS CABG a preferable option for those prone to infections.

I Am a Smoker/Asthmatic. Is MICS CABG Still an Option for Me?

Yes, MICS CABG is still an option for smokers and asthmatics. However, the final decision should be made by your surgeon in consultation with your respiratory therapist.

Are All Patients with Multivessel Blocks Candidates for MICS CABG?

Not all patients with multivessel coronary blocks are candidates for MICS CABG. Patients with extensive disease or very poor heart function may not be suitable. Your heart surgeon will determine the best course of action based on your specific condition.

Is MICS CABG Performed in All Centers?

No, MICS CABG is not performed in all centers. It requires specialized training and expertise. Only a few centers worldwide, including Metro Hospitals, have the capability to perform MICS CABG safely.

Endoscopic Vein Harvesting (EVH) Endoscopic vein harvesting (EVH) enhances the benefits of MICS CABG. This technique involves using state-of-the-art equipment to harvest the leg vein used as bypass conduits with an endoscope, ensuring high quality and exceptional patient comfort.