Tuesday, 30 September 2014

Robotic Minimally Invasive Mitral Valve Surgery Recovery Time :Robotic Minimally Invasive Mitral Valve Surgery in India

Benefits of Robotic Minimally Invasive Mitral Valve Surgery

In addition to avoiding the pain and trauma of sternotomy and rib spreading, robotic mitral valve repair may provide patients with the following benefits over open surgery:
  • Less risk of infection
  • Less blood loss and need for blood transfusions
  • Shorter hospital stay
  • Significantly less pain and scarring
  • Faster recovery
  • Quicker return to normal activities
  • And a potentially better clinical outcome
Please note that not all patients are candidates for robotic surgery. Your surgeon will provide you with the most appropriate treatment option after thoroughly assessing your condition. 

WHAT IS THE MITRAL VALVE?

The mitral valve controls blood flow through the left side of the heart. When it opens, the mitral valve allows blood to flow into the left ventricle, the heart’s main pumping chamber. When the left ventricle contracts, the mitral valve closes in order to prevent blood from flowing back toward the lungs. 
Sometimes the mitral valve is abnormal from birth. It can also become damaged by infection, with age or from heart disease. 

WHAT IS MITRAL VALVE PROLAPSE?

If the mitral valve leaflets cannot tightly seal the left ventricle, this is called prolapse. With mitral valve prolapse, some blood flows back into the atrium – a condition called regurgitation. Regurgitation can make the heart work harder, leading to further valve damage and increasing the risk of heart failure. 

MITRAL VALVE PROLAPSE TREATMENT OPTIONS

The treatment options available to a person with mitral valve prolapse depend on the severity of your condition. Some patients may not require any intervention. Others may be prescribed medications. However, if your symptoms become severe, your doctor may recommend mitral valve prolapse surgery. There are two basic types of valve prolapse surgery:

Valve Replacement  - In valve replacement, your surgeon cuts out the damaged valve and replaces it with a new, artificial valve.

Valve Repair  - Valve repair involves the surgeon reconstructing your valve using your own tissues.

Robot Assisted Heart Procedures are done to treat a variety of conditions:

1. Robot Assisted Mitral Valve Repair may be used to treat:
  • Stenosis (narrowing) of the mitral valve
  • Regurgitation (leakage) of the mitral valve
2. Robot Assisted Coronary Artery Bypass Grafting (CABG) may be used to treat
  • Blockages in the heart's arteries
  • Severe chest pain ( angina ) that has not improved with medicines
3. Robot-assisted Atrial Septal defect repair may be used to treat a hole between the upper chambers of the heart that does not close properly during foetal development.
4. Robot-assisted Biventricular Pacemaker lead placement may be used to treat heart failure due to Atrial Fibrillation (irregular heart rhythm in the upper chambers of the heart)

An Alternative to Open-Heart Surgery

If your doctor recommends surgery to treat mitral valve prolapse, you may be a candidate for robotically assisted closed-chest heart surgery, potentially the most effective and least invasive treatment option. Robotically assisted minimally invasive mitral valve repair is an alternative to conventional open heart surgery. This mitral valve repair is performed using the da Vinci Surgical System®, enabling your surgeon to operate with precision through a few small incisions.
In addition to avoiding the pain and trauma of cracking open the breastbone to access the heart through a traditional sternotomy and rib spreading, robotically assisted minimally invasive mitral valve repair may provide patients with the following benefits over open-heart surgery:
  • Less risk of infection
  • Less blood loss and need for blood transfusions
  • Shorter hospital stay
  • Significantly less scarring
  • Faster recovery from pain
  • Quicker return to normal activities
  • Potentially better clinical outcome
As with any surgery, these benefits cannot be guaranteed, as surgery is both patient- and procedure-specific. While robotically assisted minimally invasive mitral valve repair is considered safe and effective, it may not be appropriate for every individual. Always ask your doctor about all treatment options, as well as their risks and benefits.
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Tuesday, 16 September 2014

MedWorld India affiliated Super Specialty hospitals in India: Best Cardiac Hospitals in India


MedWorld India affiliated Super Specialty hospitals in India, which are amongst globally the most advanced hospitals in terms of Technology and Clinical Expertise have launched a program to help patients from all over the world suffering from Heart Disease to benefit from its “Minimally Invasive Robotic Heart Surgery Program” with its latest advances in heart surgery techniques.

·       Reduced blood loss and need for blood transfusion
·       Reduction in the use of pain medicines
·       Decreased postoperative pain
·       Less suppression of the immune system
·       Faster recovery and return to normal activities
·       Shorter hospital stay
·       Improved cosmetic results after surgery

Heart Surgery in India with the Best Heart surgeons in India is what medical tourists coming to India look for and is delivered at Best Cardiac Hospitals in India. No other destination in the world can match the unparalleled clinical excellence, technology infrastructure and cost advantage offered by MedWorld India affiliated heart hospitals in India to deliver 99 percent and above successful outcomes for heart surgery.

Our aim is to reduce the deadly consequences of cardiovascular diseases through innovative therapies for patient care. Our healthcare professionals at state of the art, heart specialty hospitals have a dedicated team of Cardiac surgeons and cardiologists who work in tandem to provide comprehensive, multidisciplinary care to patients suffering from heart ailments.

Highly trained Indian surgeons who have worked for decades at some of the global centres of excellence possess perform Minimally Invasive Robotic Cardiac Surgery at MedWorld India  affiliated hospital in India and some of the routines Robotic Cardiac Surgeries are :

·       Atrial Fibrillation Surgery
·       Atrial Septal Defect Repair
·       Biventricular Pacing
·       Robotically-Assisted & Totally Endoscopic Coronary Artery Bypass Graft
·       Mitral Valve Repair
·       Thoracoscopic Surgery of the Lungs, Esophagus, and Mediastinum

World Class Technology: An addition of the most advanced and latest device called “da Vinci Robotic Surgical System” offer its patients a safer, less traumatic surgical alternative to the traditional open heart and laparoscopic surgery. India’s top Cardiac hospitals to offer the “da Vinci Robotic Surgical System” which enables surgeons to operate with unmatched precision utilizing 3D-high definition vision.

Advantages of “da Vinci Robotic surgical system” over “Traditional Heart Surgery”

1.      Most effective and least invasive treatment for even the most complex cardiothoracic   procedures
2.      Precision and accuracy
3.      Enhanced visualization and improved access
4.      Three-dimensional – 3D magnification
5.      Gives the surgeon better control over the surgical instruments and a better view of the surgical site
6.      Naturally occurring hand tremors are filtered out by the robot’s computer software


The ultimate destination for international patients who want World Best, Affordable Heart Surgery
  • Latest and best available techniques globally like Robotic Heart Surgery, Minimally Invasive Valve & coronary Heart Bypass Surgery, Primary and complex Coronary Angioplasties and Stenting. Percutaneous Valvular interventions including aortic valve replacement need a special mention..
  • Many of the world's finest heart hospitals are located in India with 98-99 % success rate for most procedures.
  • Cost of Surgery just 1/6th of cost in USA, UK or Europe with finest quality implants, prosthesis and consumables imported from Leading International Companies.
  • The highly trained team of Electrophysiologists have tremendous experience in doing all kind of radiofrequency ablations, device implantations, electrophysiology studies, and pacemaker and resynchronization therapy.
  • Computer Navigation Surgery System for excellent outcomes and use of finest quality implants, prosthesis and consumables imported from Leading International Companies.
  • Specialized Physiotherapy and Rehabilitation services for quick rehabilitation after cardiac surgery in India.
  • India’s leading hospital for children’s heart surgeries performs almost 3 times as many surgeries as Children’s Hospital, Boston, the leading children’s hospital in the USA

Thursday, 11 September 2014

FAQs : Robotic Surgery in India is the Latest and Most Advanced Technique in the World


This is a surgery performed by surgeons using a computer that controls very small instruments attached to a robot. It is therefore, also referred to as computer assisted Minimally Invasive Surgery (MIS).
Robotic surgery is safe and is performed through very small incisions (fingertip size). Robot itself does not perform surgery, though the name so indicates, this surgery is performed by a surgeon who is assisted by a robot and a computer console. Hence, it’s the surgeon’s dexterity and experience that is key for success of this advance surgical technique 


For this procedure, surgeon sits at a console (computer), from where he controls the movements of fine instruments attached to the robotic arms. Robot acts exactly the way the surgeon does sitting at the console, hence the robotic instruments are under the control of the surgeon – the only difference being that the surgeon’s hands do not directly touch the human body during the surgery. 

What are the benefits of robotic surgery as compared with traditional methods of surgery?

Robotic surgery is technologically more advanced thus it helps surgeons conduct complex surgeries with ease. Robotic arms are steadier, more precise and can access the interior of the human body much easily than a human hand can. Thus, this surgery provides greater precision, increased motion range, improved dexterity to surgeons 

Also the 3D view provided by the camera captures more than a human eye can, thus the enhanced visualization due to 3D effect improves access, quality of surgery and its outcome From patients perspective some of the benefits include-

·         precise operation with higher accuracy
·         shorter hospital stay
·         less pain
·         lower risk of infection
·         less blood loss, thus fewer transfusions
·         less scarring with minimal incisions
·         faster functional recovery

What are the benefits of robotic surgery as compared with traditional methods of surgery?

There are three kinds of robots-
·         Active robots – these robots are self operated and do not require any command or manual support to function
·         Semi active robots – these robots need some degree of manual support to function
·         Master slave robots – as the name suggests, these robots are totally dependent on manual support.

What is the role of the surgeon in robotic surgery?

Like all traditional surgeries, in case of robotic surgery too it is an experienced surgeon who creates successful outcomes. It is the surgeon who conducts these surgeries using a robot and a computer to guide his actions, and he keeps control on all the surgical procedures. Though robot enables technologically advanced actions, they are incapable of replacing a qualified experienced surgeon, thus robot is more of an enabling tool for a deft surgeon.


On an average, a robotic procedure costs about INR 50,000 – 75,000 more than an open/traditional surgery. Since robot is expensive, the additional cost of the surgery is directly attributable to the robotic instruments used for performing the procedure.

All other costs associated remain the same as compared to any conventional, open or laparoscopic surgery. 

At a minimal additional cost, patients benefit with precise operations involving less complications, scarring, blood loss, reduced hospital stay and faster functional recovery- advantages that ensure better quality of life

Is there any difference in the length of stay of the patients undergoing robotic surgery?

Compared to an open surgery, the length of hospital stay for a patient undergoing robotic surgery is much less. Such patients are usually discharged within 2-3 days

Is there a difference in anesthesia given for robotic surgery?

No, the anesthesia remains the same.


Traditionally minimally invasive laparoscopic surgical techniques are most commonly used for routine procedures, but these techniques have their limitations of standard 2D video and rigid instruments that surgeons have to use. Laparoscopic instruments and the video monitor do not provide surgeons with quality visualization required to perform complex surgeries. Through robotic surgery it becomes easier and less time consuming in order to perform complex surgeries.
Considering the limitations of traditional laparoscopic surgical techniques, a new & more advanced technique of minimally invasive surgery is a very effective alternative

What surgeries can be performed with robotic assistance?

 Most advanced minimally invasive surgical procedures using da Vinci SI HD surgical system. Some the surgeries that can be performed using robot are-
·         Robotic Cardiac Surgery for coronary bypass, implantation of lead, valve repair & valve replacement, congenital defects
·         Robotic Urology Surgery for prostate cancer, kidney cancer, bladder cancer, adrenal tumors, nephrectomy, reconstruction of urinary bladder
·         Robotic Gynaecology Surgery for hysterectomy, myomectomy, ovarian surgery, tubal surgery, lymph node removal.
·         Robotic Liver Transplant Surgery for donor liver hepatectomy
·         Robotic GI Surgery for hernia repair, pancreatectomy, gastrectomy, cholecystectomy
·         Robotic Thoracic Surgery for lobectomy, thymectomy, resection of mediastinal mass
·         Robotic ENT Surgery for transoral surgery, complex OSA surgery


·         Robotic Head & Neck Surgery for tongue cancer, thyroid cancer