MICS Heart Surgery in Kolkata, India

MICS (Minimally Invasive Cardiac Surgery) is a type of heart surgery that uses small incisions and specialized instruments to perform cardiac procedures. MICS heart surgery is typically performed through a small incision on the side of the chest, rather than a large incision through the breastbone.

During MICS heart surgery, the surgeon uses specialized instruments to access the heart through the small incision. This approach allows for a shorter recovery time, less scarring, and reduced pain and discomfort compared to traditional open-heart surgery.

MICS heart surgery can be used to perform a variety of cardiac procedures, including coronary artery bypass grafting (CABG), mitral valve repair or replacement, and atrial septal defect (ASD) closure.

While MICS heart surgery offers many benefits, it may not be suitable for all patients or all types of heart procedures. Your doctor will determine if MICS heart surgery is a viable option for your individual case.

It’s important to note that the availability and cost of MICS heart surgery in Kolkata may vary depending on the hospital and the individual case. It’s recommended to consult with a cardiologist or cardiac surgeon in Kolkata to determine the best course of treatment for your individual case.

Why MICS ?

  • In 1975 Trapp and Bisarya reported Beating heart CABG.
  • Joseph Mc Ginn Technique – MICS CABG in 2005
  • Development began in mid 1990 by Cohn, Cosgrove, Navia and Colleagues in Valve Surgeries.
  • Kappert described the Simple Congenital defect closure – Rt. Anterior thoracotomy

Philosophy – Concept  consists of

  1. Limited or No Cardiopulmonary

                 perfusion.

  1. Very small incisions.
  2. Minimal musculoskeletal retraction.
  3. Careful haemostasis.
  4. Meticulous blood conservation.

LEVELS OF MICS

  • Level I: Direct Vision

                      Mini incision 10-12cm.

  • Level II: Video Assisted

                     Micro incision 4-6cm.

  • Level III: Video directed & Robot Assisted

                     Micro and Port incision 1 – 2cm.

  • Level IV: Robotic Tele manipulation

                     Port incision 1cm.

Level I – Mini incision & Direct Vision

  • Mini Incision 10-12cm.
  • Direct Vision.
  • Simple modifications of standard techniques and instruments.
  • It served as a new ” Comfort Zone “ for transition.

Level II – Micro incisions & Video Assisted Vision

  • Micro incision 4-6cm.
  • Rely on Video assisted vision.

Level III & IV – Micro or port incision & Video directed, Robotic operation.

  • Requires advanced instrumentations.
  • Voice activated robot ( AESOP 3000 ) for video control.
  • Computer assisted robotic systems.
  • Telemanipulation – last step towards the Totally Endoscopic operation.
  • Da Vinci System of Robotic Surgery.

OPERATIONS DONE

  • Arial Septal Defect Closure.
  • Ventricular Septal Defect Closure.
  • Heart Valve Surgeries.
  • Coronary Artery Bypass Grafting (MIDCAB).
  • Endoscopic Saphenous vein & LIMA harvesting.
  • MAZE procedure.
  • Cardiac device implantation.

ADVANTAGES

  • Minimal or No splitting of the breast bone.
  • Dramatic reduction in the pain.
  • Lower risk of infection.
  • Lower risk of bleeding.
  • Reduced ICU and Hospital stay.
  • Improved post op pulmonary function.
  • Accelerated recovery/return to the activity.
  • Improved quality of life.
  • Greatly improved cosmetic result.
Our experience
  • Mitral Valve Replacement.
  • Aortic Valve Replacement.
  • Atrial Septal Defect Closure
  • CABG
  • DCRV
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