Minimally invasive surgery is a concept that refers to surgeries performed through small incisions, popularly known as the closed method. In minimally invasive surgery, it is aimed to reach the problem area and perform the treatment by making entry through small incisions without damaging the bones and tissues. Apart from this, the necessary interventions for the treatment of the disease are performed in the same way in both cases, depending on the condition and nature of the problem.
What is Minimally Invasive Heart Surgery?
Minimally Invasive heart surgery refers to heart surgeries performed through small incisions without splitting the chest in the middle, popularly known as the closed method. Performing heart surgery with minimal incisions means performing both heart valve replacement and coronary bypass surgeries while the heart is working, by entering from the sides of the chest, between the ribs, without disrupting the integrity of the chest wall, that is, without splitting the chest in the middle, called sternotomy. Each of them has different techniques. For heart valves, heart surgery is performed with minimal incisions under the right armpit. In coronary bypass surgery, if there is only one vessel, depending on the number of vessels, bypass surgery is performed through small 7-8 centimeter incisions under the breast. Sometimes, when there are two vessels, a two-vessel bypass surgery can be performed from the right side and the left side, and again under the armpit.
Heart valve and some cardiovascular problems can be intervened with the help of a catheter by entering from the groin without making an incision. In addition, heart valve surgeries and bypass surgery can be performed through small 4-5 centimeter incisions in the armpit, under the breast, and in the outer fold of the breast. After the necessary tests, analyzes and evaluations to perform these surgeries, the patient's suitability is determined and the most appropriate surgery method is decided by the specialist physician. However, with robotic surgery, some procedures can be performed without making an incision.
Who cannot undergo Minimally Invasive Surgery?
Minimally invasive heart surgery is generally performed on all patients. It can be applied to patients in heart valve replacements and coronary bypass surgeries. However, triple coronary bypass can be performed when three or more vessels need to be replaced and when coronary bypass surgery with a heart valve is required. It may not. Additionally, it may not be possible to perform surgery with minimal incisions in patients with advanced lung disease.
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