Minimally Invasive Cardiac Surgery (MICS) CABG, is performed through small cuts between the ribs. Unlike traditional open-heart surgery, MICS CABG avoids splitting the central chest bone (sternotomy) and is performed on the beating heart without using a Heart-Lung machine to stop the heart. MICS CABG requires a high level of skill and training, hence is performed by very few surgeons in the country.
A 5 to 7 cms cut is made on the left side of the chest, between the ribs (as seen above). The Da Vinci Robotic system is often used to take the Internal Mammary Artery (IMA) from the chest wall. This technique avoids rib spreading, thus reducing postoperative pain and wound-related complications.
Most patients with coronary artery disease can be treated by MICS-CABG with few exceptions. Patients with coronary artery disease (CAD) should be carefully assessed by a surgeon specialising in Minimally Invasive Cardiac Surgery, only then should they undertake the MICS CABG procedure.
Minimally Invasive Hybrid Coronary Revascularisation is a combination of Minimally Invasive Coronary Artery Bypass Graft surgery (MICS-CABG) and Angioplasty (stent insertion). This innovative procedure is used to treat patients with multi-vessel coronary artery disease, who may otherwise require conventional open CABG. This Minimally Invasive approach avoids splitting of the central chest bone (sternotomy) and long cuts in the legs. Minimally Invasive Hybrid Coronary Revascularisation (MIHCR) surgery is now increasingly performed in the western world. Dr Baburaj routinely performs this surgery, through a unique 2 stage approach. The consistent support between surgeons and cardiologists that this procedure demand has been pivotal to the success achieved by Dr Baburaj and his fellow cardiologists. During this procedure MICS-CABG is performed first, followed by Angioplasty (stent insertion), after 24-48 hours.
Minimally Invasive approach, combining the best of both long term outcomes from surgery and angioplasty. * Patients with multi-vessel disease, poor heart function, additional medical problems and the elderly can avoid conventional open CABG and complications thereof
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