Minimally invasive open-heart surgery with laparoscopic support, mitral valve replacement

The article was professionally consulted with Cardiologist - Cardiovascular Center - Vinmec Central Park International General Hospital.

Heart valve disease is one of the common diseases in the group of congenital heart diseases. Previously, the mainstay of treatment was open-heart surgery to repair or replace the mitral valve. Today, with the advent of modern technical means, the minimally invasive open-heart surgery method was born and gradually proved its advantages. Laparoscopic heart surgery is gradually becoming an alternative in the treatment of valvular heart disease.

Minimally invasive open-heart surgery is a method performed with small incisions about 5 to 6 cm long in the right intercostal space to enter the thorax and explore the heart. Compared with the conventional open-heart surgery method, the patient must undergo a sternotomy to open the chest, this is a less invasive surgical method.
Minimally invasive open-heart surgery can be chosen to treat many different cardiovascular diseases. This method is less painful and has a faster recovery time than classic open-heart surgery.

Many types of heart surgery can be performed with minimally invasive open-heart surgery such as:
Mitral valve repair or replacement Repair or replacement of the tricuspid valve Closing the atrial septal defect Maze procedure in the treatment of atrial fibrillation Surgery Minimally invasive open heart with endoscopic surgery has the following advantages:
Low blood loss Low risk of infection Less invasive and less painful Short hospital stay, patients recover quickly and return to normal activities. live everyday. Scars are small, difficult to recognize and ensure aesthetics. Surgeons evaluate patients to determine which cases will be indicated for less invasive heart surgery with laparoscopic. Minimally invasive laparoscopic heart surgery is a complex surgical procedure that requires extensive training and experience. Patients often need to be transferred to large medical centers with many surgeons and surgical teams experienced in performing minimally invasive cardiac surgery with laparoscopic surgery.

In addition to the advantages mentioned above, minimally invasive heart surgery with endoscopic still has the potential to bring the same risks as open heart surgery for patients such as bleeding, infection, arrhythmia, stroke. , even death. In some cases, doctors need to change from less invasive heart surgery to open heart surgery if it is not safe enough for the patient.

Before performing minimally invasive heart surgery, the surgeon will explain to the patient the precautions before, during, and after surgery, including the potential risks to the patient. The treating doctor and the surgical team will evaluate the problems related to each specific patient and examine and collect information about previous diseases, history of drug allergies before surgery.
The patient will be advised by the doctor whether to continue taking the pre-operative medications for the underlying condition and advised about fasting the night before the surgery. In addition, patients should also be careful not to bring personal items into the operating room such as jewelry, glasses, contact lenses, dentures.

Usually, patients need to be admitted to the intensive care unit (ICU) for at least one day after surgery is completed. The patient will be prescribed drugs and intravenous fluids. Drains placed during surgery will continue to be kept, including catheters that drain urine from the bladder and drain fluid and blood from the chest. The patient can be mechanically ventilated or provided with oxygen through a mask or nasal canule.
When the condition is stable, the patient will be transferred from the intensive care unit to the normal room for observation after many days. The length of stay in the ICU and the length of hospital stay depends on the surgical results and the health status of each patient.
The medical staff will take care and monitor the patient through factors such as:
Wound care, early detection of warning signs of wound infection. Monitor vital signs including blood pressure, breathing rate, and heart rate. Pain management for patients. Support the patient to move and perform basic movements. Practice deep breathing and guide coughing movements to keep the lungs clean, limiting complications of pneumonia caused by stagnation. The treating physician will also instruct the patient on self-monitoring and self-assessment throughout the recovery process such as detecting wound infection, self-care and cleaning of the incision, administering prescription medications, and managing pain.
To protect cardiovascular health in general and detect early signs of myocardial infarction and stroke, customers can sign up for Cardiovascular Screening Package - Basic Cardiovascular Examination of Vinmec International General Hospital . The examination package helps to detect cardiovascular problems at the earliest through tests and modern imaging methods. The package is for all ages, genders and is especially essential for people with risk factors for cardiovascular disease.

In April & May 2021, when there is a need for medical examination and treatment at Vinmec Times City International General Hospital, customers will enjoy dual incentives:
- Free specialist examination and discount 50% of many cardiac checkup packages such as:
+ Basic Cardiovascular Screening Package
+ Hypertension Checkup Package
+ Heart Failure Checkup Package
+ Coronary Cardiovascular Examination Package
+ Comprehensive Cardiovascular Checkup Package
- 50 off % of cost for customers with post-examination treatment indications. The program is limited to the corresponding technique of each hospital and to customers who perform this treatment technique for the first time at Vinmec.