What ois Bypass Surgery?
Bypass surgery refers to a surgical procedure that helps in diverting the blood flow around a blocked or partially blocked artery of the heart. It is done to create a new pathway to the heart and improving the flow of blood to the heart muscle. During this surgery, a healthy, well-functioning blood vessel is taken from the arm, chest or leg and then connected to the other arteries in the heart so that the blood can bypass the blocked or the diseased area.
One may require a bypass surgery in the following cases:
What Procedure is followed :
The following preparation needs to be taken in before undergoing a bypass surgery:
The procedure of a bypass surgery involves the following steps:
Since bypass surgery is a major operation, you may be admitted in the ICU for one or two days while your blood pressure, breathing, heart and other vital signs will be monitored. The breathing tube remains in the throat till the time you gain consciousness and can breathe on your own. If you do not have any complications, you are likely to be discharged within a week. Initially, simple tasks like walking or your daily jobs may become difficult to perform. Consult your doctor if you face any of the following symptoms that indicate an infection of your wound:
Risk & Complication
The risk of a complication is generally low in a bypass surgery, though it depends on your overall general health before the surgery. The risk factor will be higher if the surgery was done in an emergency basis, or if you have serious health conditions like kidney disease, diabetes, blocked arteries in the legs or emphysema (lung disease).
The possible risk and complications associated with a bypass surgery are:
Post surgery, a patient stays well and free from any symptoms for the next 10-15 years. It is likely that the graft that has been used gets clogged eventually after a prolonged time period, requiring another bypass surgery or angioplasty. Apart from taking your medicines timely, it is important to make certain changes in lifestyle like quit smoking, maintain a healthy diet and weight, exercise on a regular basis and manage stress. Cardiac rehabilitation is another customised programme of education and exercise that helps to recover after a heart surgery.
The cost of a bypass surgery would be approximately Rs. 1,50,000 – Rs. 3,50,000.
Beating heart surgery is known to help improve the lives of many individuals each year. The surgery is done on the heart while your heart continues to beat. It is usually recommended in the case of a coronary artery disease.
Beating Heart Surgery or Coronary Artery Bypass Graft Surgery (CABG) or Off-Pump Coronary Artery Bypass Surgery (OPCAB) is a bypass surgery performed on your heart while it is beating. When your arteries cannot supply adequate blood to your heart and other body parts, you are required to undergo a CABG surgery.
Your heart will not be stopped during the surgery and your lungs will continue to function during the surgery to ensure proper blood flow. A tissue stabilization system is used to immobilize the area of the heart on which the surgeon needs to work.
What happens before a beating heart surgery?
A complete health check with chest X-rays, blood work, an electrocardiogram (ECG), and a coronary angiogram is done. The ECG detects the source of the problem. An angiogram is like an X-ray which uses a dye to show all the arteries that supply blood to the heart. These tests help the surgeon decide whether the patient is fit for the surgery and where the blocks are in the arteries.
What happens during a beating heart surgery?
The surgeon cuts a section of healthy vein or artery from a part of your body and treats it. This is the graft that will be used to create a bypass in the blood circulation of the heart. One end of the graft is attached to an area above the artery blockage in your heart. The other end is fixed to the area below the blockage. Once the graft is perfectly attached, the bypass is created and the blood flow to your heart is restored.
The trickiest part in a CABG surgery is to suture or stitch the muscles of the beating heart. Hence, the stabilization system to keep the heart steady during the surgery is used. The stabilization system is made up of a heart positioner and a tissue stabilizer. The heart positioner guides and holds the heart in a fixed position, which provides easy access to the blocked arteries. The tissue stabilizer holds the area of the heart steadily while the surgeon can perform the surgery.
What happens after a beating heart surgery?
While your duration of stay in the hospital may vary depending on the outlook of your surgery, you will be in the Intensive Care Unit (ICU) so as to be monitored throughout the day. Once you are stable and alert, you will be transferred to the room, where you will be taken care of till you are stable to be discharged. Specific instructions on diet, incision care, medications, activity, and other routine will be given. In case you have a concern or query you can always consult an expert & get answers to your questions!
Obesity is a serious lifestyle disorder that can trigger a myriad of health complications. You may often come across people who fail to lose an inch even after toiling hard. The situation may be further complicated and life-threatening if a person is suffering from diabetes, hypertension, arthritis or a heart problem. Bariatric Surgery comes as a much-needed relief for people who desperately need to lose weight to prevent health problems. People between 18-65 years of age can go for a Bariatric weight loss surgery. The surgery is also helpful for people with morbid obesity (a condition where the BMI is over 40) with associated complications.
Common types of Bariatric surgeries
Open heart surgery is a complicated heart procedure. Although the number of open heart surgeries performed over the past has decade has reduced significantly, howeevr, it is still an important surgical procedure to fix critical heart ailments.
Here is a quick fact-checker about this procedure:
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Gastric bypass, one of the weight loss surgeries bring about many changes and alterations (physiological, metabolic, hormonal) in your body. The gastric bypass surgery rearranges the stomach into an upper pouch (the smaller part) and a relatively larger lower part. It is the small pouch that is connected to the small intestine, where the absorption of nutrients and minerals from the ingested food takes place. The surgery plays a significant role in limiting the intake of food. Thus, post-surgery, a person's body reacts differently than it used to before the surgery. Many, if not all, people experience difficulties in coping up with the changes.
Patients are often advised to refrain from alcohol consumption after the gastric bypass surgery. Surprisingly, and quite alarming, cases of alcohol abuse increases post the surgery. According to a survey by the American Society for Metabolic and Bariatric Surgery, few people, who had no prior history of alcohol abuse developed one after the weight loss surgery. What triggers the alcohol abuse in some patients is still a debatable issue.
Many patients experience an emotional breakdown, stress, anxiety, and depression after the surgery. People who needed no reason to binge on food are suddenly expected and made to consume a limited quantity of food. Unable to do what they loved doing the most, people look for an alternate solution. As expected, in most cases, alcohol becomes the much-needed solution. What started as a means of distraction gradually becomes an integral part of life. Hormonal changes associated with the surgery can also result in panic attacks, stress, and anxiety.
Incidences of alcohol abuse may also be high in patients who had a history of drinking (regular or occasional) and smoking before the gastric bypass. Under normal circumstances (before the weight loss surgery), there is a partial enzymatic breakdown of the consumed alcohol in the stomach before it passes into the small intestine. However, post-surgery, the small size of the stomach does not facilitate such enzymatic breakdowns. Thus, the alcohol passes into the intestine, where it gets rapidly absorbed. As a result, a person gets into an inebriated state at a faster rate.
It is because of this reason that doctors advise the patients to keep away from alcohol as much as possible after the surgery. To keep away from or reduce the instances of alcohol abuse after the gastric bypass surgery,
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Coronary Artery Bypass Grafting (CABG) is a traditional and well established surgical procedure for treating diseases in the coronary artery. The process is carried out by using blood vessels alternately (vein or artery). Initially, CABG was performed by using the left internal mammary artery and saphenous vein. It was observed that the chance of occlusion in the vein grafts was much higher than the arterial grafts. In the last decade, total arterial grafting, which uses all the arterial conduits, is being practiced as CABG for better results.
Types of Coronary Artery Bypass Grafting
Patients, who have been suffering since a long time and have been operated on the vein grafts, have a chance of re-developing certain artery diseases such as a heart attack. To counter this possibility, surgeons have started using the method of Total Artery CABG. In this procedure, the left and right internal mammary arteries are used from the chest and the radial artery, from the fore arm for the surgery.
The main advantages of this procedure are:
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What ois Bypass Surgery?
What Procedure is followed :
Risk & Complication