Why should you opt for Off-pump bypass surgery?

In the last couple of decades, Coronary-Artery Bypass Grafting (CABG) or bypass surgery was performed with cardiopulmonary bypass or “on-pump.” A desire to improve the outcomes of surgery led to technological advances. These technological advances have made surgery on a beating heart possible and techniques to perform CABG without cardiopulmonary bypass (off-pump), were developed. The surgical instruments used in these kinds of surgery limit the motion only to the areas where the heart is being operated.

According to a study, approximately every 10 minutes, someone is undergoing off-pass bypass surgery somewhere. In this process, the surgeon removes a section of healthy artery from the healthy area of the body. The removed section, called graft, is then attached to the area of the heart above and below the blockage, restoring the normal blood flow. But, why one should opt for off-pump bypass surgery over on-pump surgery? 

Improved Outcomes

A research study proved that off-pump bypass surgery improves outcome in high-risk patients compared to on-pump coronary artery bypass. The surgery has been found associated with a reduction in the odds of cerebral stroke and other related issues.

Excellent for High-Risk Patients

In high-risk patients, off-pump surgery must be strongly considered. Research studies have proved that certain people, for instance, with advanced atherosclerosis of the aorta, chronic lung disease, or kidney problems, are likely to receive more benefits. The surgeons mostly prefer off-pump for reduced risks for infection and lesser postoperative inflammation.

Improved Quality of Life

The off-pump surgery improves the physical and mental health components notably. While the metabolic needs of various organs and muscle tissues are higher in on-pump than in off-pump. The depression and anxiety scores also decrease significantly in off-pump techniques.

Lower Complications

As the off-pump technique is comparatively new, the complications are quite less. The complications like accelerated fibrinolysis, renal impairment, coagulopathies associated with platelet dysfunction, etc., can be avoided or at least reduced largely.  Besides, the surgery also has reduced morbidity or mortality rate.

Indeed, off-pump surgery is more beneficial than the conventional bypass surgery. However, an expert healthcare provider must be considered for undergoing such surgeries to avoid risks. Medipulse houses experienced doctors and have a world-class infrastructure for performing these surgeries. Dr. Rajeev Gehlot , the most renowned heart specialist in Jodhpur, heads the department of cardiothoracic and vascular surgery. His expertise and precision have made numerous heart surgeries successful in Rajasthan.

Things To Do Before And After A Laparoscopic Surgery

Laparoscopy surgery or keyhole surgery is a minimally invasive diagnostic procedure, preferably performed for curing various diseases and conditions. It is usually done in cases where traditional non-invasive diagnosis and imaging techniques (Ultrasound, CT Scan, MRI scan) cannot identify any clear reasons for a certain condition. It is a low-risk procedure used for examining pelvic organs like the appendix, gallbladder, pancreas, liver, etc.

Although rare, there are some risks attached too: the most common being bleeding and infection. But doctors/surgeons refer diagnostic laparoscopy only after proper consideration of the patient's history and the risk factors involved. Equally important is the role of the patient for ensuring a safe recovery. This blog highlights some of the important things that patients can follow before and after the laparoscopic procedure for minimizing risk as well as accelerating recovery.

Before Surgery

Laparoscopy diagnosis is usually carried out within 4-5 hours, and for most patients, the length of stay is not more than 24 hours. However, in cases where a patient has a critical medical history, and the surgery is complex, the length of stay extends over to a few days. In either case, there are a few things that patients can do to prepare better and smarter.

1. Clear All Your Doubts:

It is natural for patients to be wary and fearful about surgery. Patients, however, must bear in mind that discussing one's apprehensions is an excellent way to get over any anxiety. Let's say a patient is fearful of the pain that the invasion might cause. The patient must discuss the same with the surgeon. The surgeon will explain the procedure and the pain management steps involved. In addition to this, doctors also suggest relaxation techniques that are very fruitful for the patients.

2. Pack Essentials Too:

 Depending on the length of the stay, patients must make a list of essential items that they would need. These may include like toothbrush/toothpaste, mobile charger, hairbrush, skin lotions, etc. In case of overnight stays, patients must carry loose fitting clothes that do not put strain or stress around the waist and abdominal region.

3. Bowel Preparation:

Bowel prep is an essential prerequisite of any surgical procedure. Doctors usually suggest liquid diets for bowel evacuation. However, in case there are some special instructions, patients must pay heed and follow them steadfastly.

Dr. Vivek Agarwal, Laparoscopic Surgeon at Medipulse, says, “Although, laparoscopic surgeries require minimal invasion yet patients must be careful and consult in case of any infection around the insertion site like redness, swelling, etc ”

After Surgery

Laparoscopic surgery involves small incisions, and patients are subjected to only general anesthesia. However, the procedure does involve CO2 gas insertion into the abdominal area through the incision. This inflates the abdomen and aids in easy diagnosis by creating space for free movement of the laparoscope. In some cases, the surgeon may create some more incisions for apt diagnosis and treatment. Following the diagnosis, patients may feel some amount of pain, nausea during the first few hours. Patients must feel free to share their concerns with the doctors. In addition to this, a few things must be followed for a faster recovery. These include:

1. Managing Shoulder Pain:

Shoulder pain is a common occurrence post laparoscopy. The pain is due to the CO2 introduced in the abdomen during the procedure. But there is no reason to panic as the pain subsides with time. In the meantime, one can use heat therapy for lessening the pain.

2. Get An Aid:

For a few weeks, it might be difficult to do routine tasks with the same ease as before. Doctors advise against driving as well as carrying a heavy load. The best solution is to hire an aide for a few weeks who can take care of important things like food, grocery, etc.

3. Don’t Overthink

The post-surgery days can be both emotionally and physically challenging. The tickling sensations in an around the incision site and the post-surgery tiredness can be bothering. It is easy to drift into a self-pity mode and grow anxious. However, patients must remember not to let these thoughts overpower them. The best way to do so is to keep oneself occupied by inviting friends over, or reading a book or watching movies.

In general, the recovery time is at the most a week. But depending upon the complexity of the case and other factors, it may be considerably longer for some. Medipulse is ranked for the best laparoscopic surgery in Jodhpur. Medipulse has two of the most experienced laparoscopic surgeons in Jodhpur - Dr. Kamal Kant and Dr. Vivek Agarwal as well as Dr. Mili Inania - one of the best gynec laparoscopic surgeon in Jodhpur.

The department is equipped with modern technology and equipment offering excellence in all forms of general and specialized surgical procedures. Visit the link for more details.

Why is Laparoscopy the best pick for ovarian cyst removal?

An ovarian cyst is an abnormal outgrowth appearing around the female ovaries. It is generally detected as a pocket like structure with liquid or semi-solid material within. A thin layer or membrane separates the cyst from its surrounding tissues, making it appear like a blister or sac-like formation.

While cyst formation isn’t categorized as a significant painful disorder, however, it can cause aggravated pain leading to cancer development in worst cases. These cysts are mostly harmless and develop quite commonly during the pregnancy period of a female. In ideal conditions, they tend to die out within a few months without warranting an elaborate treatment.

Symptoms Associated with Ovarian Cyst

Ovarian cyst, though mostly harmless, can become a matter of concern in case they rupture. In such a scenario, the patient is advised to consult a doctor for detailed diagnosis.

While smaller cysts tend to heal on their own; however, if the cyst grows beyond a specific size, it can cause bloating issues along with irregular menstruation. Some patients even report various bowel and urinary problems that come associated with an ovarian cyst.

In medical terms, an ovarian cyst is broadly categorized into two types: functional and pathological formation. While functional ovarian cysts are mostly harmless and show up mainly as a part of female’s menstrual cycle, pathological cysts come under uncommon up-growth which can be a malignant even. Functional cyst formation is widespread and almost every female tends to develop functional cyst at least once in her lifetime.

Surgical Treatments

Although cysts tend to disappear with time, they may, at times soar up to cause severe complications. If the cyst tends to persist even after a couple of menstrual cycles with painful indications, patients can have the cyst surgically removed and lead a healthy lifestyle without any intensified complications.

Laparoscopic Surgical Treatment

There are mainly two types of surgical procedures that can offer marked up mitigation in case of painful cysts.

A.    Laparoscopic Surgery: Also known as keyhole surgery, the laparoscopic procedure is a highly beneficial procedure with minimally invasive attributes. With the least number of complications involved in the operation, the patients are allowed to go back home the same day in most cases.    

B.    Laparotomy Procedure: This process is usually employed to remove cancerous cyst formation near the delicate internal spots. The incision is much more prominent in this process, involving high-risk factors and longer recovery time.

Laparoscopic Procedure

The laparoscopic procedure is gaining heightened popularity in this era of medical advancements due to its minimally invasive nature and lesser associated complications.

During the surgical process, a small incision is made near the navel area of the patient to insert a laparoscopic tube. A laparoscope is a thin tube-like instrument with a camera module attached at the frontal end. It is mainly used to show a clear picture of the internal organs along with the target surgery site. Once the site is identified, the surgeons fill the abdomen area with carbon dioxide gas to improve the sight and make space for surgery. Few more incisions are made to insert surgical instruments into the body to permanently remove the cyst.

In case the cyst is found to be cancerous, the surgeon might also recommend removal of ovaries. Once the surgical process is done, the surgeon closes the incisions either through surgical staples or through stitches.

Benefits of a Laparoscopic Surgery

Laparoscopic ovarian cystectomy is highly preferred due to the added advantages associated with this surgery. The incisions made in this surgery are relatively smaller, allowing the patient to recover soon. The pain and discomfort involved post the surgery are for a comparatively lesser time. The risk of infection and other surgical complications are also nominal in the count. During the post-surgical period, patients may feel mild painful contractions for a day or two.

At Medipulse hospital, we have a team of highly experienced Gynecologists who address issues in female patients from adolescents to geriatric age group. Our surgeons of Laparoscopic surgery department conduct the best Gynec Laparoscopic surgery in Jodhpur endorsing a practice of successful and effective health care for the patients. Dr. Mili Inania heads the department of Gynec laparoscopic surgery and has successfully tackled hundreds of complex cases.