Minimally Invasive Surgery

Minimally invasive heart surgery uses small incisions between the ribs or through part of the breastbone instead of the full chest opening. Special long instruments and, in some operations, a small camera allow the surgeon to work through a limited space. It is used for selected valve repairs and replacements, closure of holes in the heart and bypass of a single artery.

At Apex, patients seeking cardiovascular surgery in Mumbai with smaller incisions are considered only after imaging shows that the heart can be reached safely. The surgeon reviews CT scans, echocardiography and previous operations and also looks at the blood vessels in the groin when the heart-lung machine needs to be connected there. Many patients have less pain, smaller scars and a shorter hospital stay, but this differs from person to person.

Recovery is similar in its stages to standard surgery. Patients wake in the intensive care unit, begin breathing exercises early and walk soon after the operation. The wound care instructions, medicines and follow-up are explained before discharge. Patients are advised on when to return to driving, work and exercise, and cardiac rehabilitation supports the return to normal life.

How the Procedure Can Help

It may shorten recovery, reduce wound problems and allow earlier return to routine. The smaller incision can mean less pain and less blood loss. For suitable valve operations, results can be comparable to those of standard surgery when performed by a skilled team.

Risks and Considerations

Complex or multi-vessel disease may need conventional surgery. Risks include bleeding, lung problems, nerve or rib pain, injury to blood vessels at access sites, stroke and conversion to a larger incision during the operation. Patients with earlier chest surgery, severe lung disease or poor blood vessels may not be suitable. Fever, wound problems or breathlessness afterwards needs prompt review.

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