Cosmetic heart surgery for more compliance

Dr M Quamrul Islam Talukder

With the advance in modern science healthcare technology has also improved a lot. A few decades ago medicine was the only remedy of heart diseases of any kind while surgery has been successfully practiced for heart diseases in the last decades. Conventionally heart surgery was being done cutting through the breast bone in the middle of the chest. This used to cause complications like infections, bleeding, long lasting pain, long hospital stay and slow recovery to resume job. For most of the patients, especially the young ladies feel really embarrassed with the long cut mark right in the middle of the chest following heart surgery. To mitigate these problems of conventional approach for heart surgery, the cardiac surgeons invented new minimally invasive approach, which is more familiar as cosmetic surgery for most of the cardiac diseases presently. In this procedure the incision is made very small of about 2 inch to 3 inch long in the chest according to the type of surgery and heart lung machine is connected through a small incision in the groin. This procedure is also done with the aid of robot in the developed countries now a day and gained much popularity. Current studies reveal that chance of death or other common complications is not higher in this procedure than the conventional heart surgery. Rather the rate of early recovery and resumption of pain free good quality of life is much higher in this procedure. Types of heart surgery that are performed with minimally invasive surgery in Bangladesh include Coronary Artery Bypass Graft (CABG), Atrial Septal Defect(ASD) closure, Mitral valve repair/ replacement. In Bangladesh, robotic heart surgery may not be feasible for economic constraints but this procedure can be done without robot for some diseases like ASD closure or Mitral Valve repair/replacement. Moreover, this procedure will not cost very high in comparison to the conventional surgery. The number of patients with mitral valve diseases is quite high in Bangladesh, especially in female population for high prevalence of rheumatic fever. This procedure can help many of them in terms of early recovery and acceptance of small cut mark. I believe that by availing this affordable heart surgical procedure, our people will be much benefitted with early recovery and acceptable small cut marks.
The writer is a Consultant, Cardiovascular and Thoracic Surgery working at Apollo Hospitals Dhaka.