Minimally Invasive Coronary Bypass

A MINIMALLY INVASIVE TOUCH TO THE HEART

Akademi Hospital Cardiovascular Surgery Specialist Prof. Dr. Ersan Özbudak successfully applies the groundbreaking method in heart surgeries to his patients.

Prof. Dr. Ersan Özbudak, who successfully performs heart surgeries, which are referred to in the medical literature as ‘minimally invasive heart surgeries’, which are performed by making a 6-7 cm incision above or below the left breast, more than deserves the title of ‘the man who touches hearts’.

With this operation, which is performed without cutting the sternum bone called the rib cage, Prof. Dr. Özbudak, who gets his patients back on their feet in a short time and enables them to return to daily life in a more physically and mentally motivated way, tells us what we are curious about ‘minimally invasive heart surgeries’.

 

ADVANCEMENTS IN CARDIAC SURGERY HAVE BEEN GOING UP AND UP. THANKS TO THIS, HEART SURGERIES ARE NO LONGER SCARY, AREN’T THEY?

For thousands of years, mankind has not known what lies beneath the rib cage. Even 100 years ago, great surgeons were saying ‘a doctor who touches the heart is not a surgeon’. It was thought that the heart could never be touched. With the development of technology, open heart surgeries started to be performed slowly in the 1950s. As the number of patients increased, the experience in open heart surgeries also increased, and we have come a long way. Now we can successfully complete all kinds of cardiovascular surgeries. Of course, with the advancement of technology, this job has become very, very easy.
Even we sometimes wonder how the patient can recover so early after a major surgery, because during these operations we stop the heart, make bone incisions and insert cannulas into the large vessels. The patient recovers within 5-6 days after surgery.

HUMAN BEINGS GET USED TO EVERYTHING AND ALWAYS WANT BETTER…

Exactly. We have seen that human beings are never satisfied with less, they want the best. Today, heart surgeries do not have the same mortality rate as before. As our experience increased, ‘how to make these operations comfortable’ became more important for us cardiac surgeons. This is how ‘minimally invasive heart surgeries’ emerged. Actually, I have been performing these surgeries since 2017, but I can say that it has increased even more now.

TO WHOM IS IT NOT APPLICABLE?
WHO CANNOT BE TREATED WITH THIS METHOD?

Since we deflate the lung during surgery, we do not intervene with this method in very severe COPD patients, patients with advanced heart enlargement and patients with very weakened heart functions. Apart from the patients in the groups I mentioned, we especially prefer to perform this procedure in obese patients, patients with herniated discs who cannot lie on their backs for too long, diabetics, patients with vascular occlusion in their legs, and patients who need to use their arms and legs urgently.

WHAT ARE THE FAVORABLE CONDITIONS SEEN IN THE PATIENT AFTER MINIMALLY INVASIVE HEART SURGERY?

After heart surgery is performed by cutting the sternum, the bone can take an average of 2-3 months to fuse. During this period, patients should not use their arms too actively, should not lie on their side or face down, and should not lift weights. This is especially a problem for patients who cannot lie on their backs, have balance and walking difficulties, use crutches or canes, are obese, and have various conditions such as herniated discs. In minimally invasive heart surgeries, since the sternum is not cut, patients can use their arms and lie in any position after surgery. People who walk with support and use a cane can easily return to daily life since the sternum is not cut. Breathing exercises can be performed as often as desired and painlessly. Patients can drive even within the first week.

Within a few weeks, exercises such as swimming, cycling and sexual life can be resumed. Since the incisions are small and there is no bone incision, the infection rate is very low. Small incisions also help the psychology of the patients to recover quickly and reduce the rate of postoperative depression.

THE ADVANTAGES OF THIS METHOD ARE ENDLESS…

Since the breastbone is not cut in minimally invasive heart surgery, it provides advantages such as less risk of infection in the operation area, less pain and blood loss, a faster healing process, smaller, less noticeable scars… In short, the complication rate is further reduced. Since there is no scar on the chest after surgery, the patient continues his/her life in a highly motivating way. I can say that it is an advantageous method that relaxes patients.