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Minimally Invasive Direct Coronary Artery Bypass (MIDCAB) Surgery in Bangalore

Revolutionary Bypass Surgery Through Keyhole Incisions

Minimally Invasive Direct Coronary Artery Bypass (MIDCAB) Surgery in Bangalore represents the pinnacle of cardiac surgical innovation. Dr. Sudarshan GT, a pioneer in minimal invasive bypass surgery in Bangalore, has transformed coronary artery bypass surgery from a major operation requiring large incisions to a precision procedure performed through small keyhole incisions.

Unlike traditional CABG that requires splitting the breastbone, MIDCAB surgery allows Dr. Sudarshan to perform single to quadruple bypasses through a small 2-3 inch incision on the left side of the chest, resulting in dramatically faster recovery and superior patient outcomes.

Book Consultation Now +91 63606 49975
Minimal invasive bypass surgery in Bangalore

Understanding Coronary Artery Disease and Bypass Surgery

When Do You Need Bypass Surgery?

Coronary artery bypass surgery becomes necessary when the coronary arteries become severely blocked, limiting blood flow to the heart muscle. MIDCAB surgery is recommended when you have:

Severe Coronary Blockages

  • • Left primary coronary artery disease (>50% blockage) • Multi-vessel disease with significant blockages • LAD (Left Anterior Descending) artery blockages • Complex lesions not suitable for angioplasty

Failed Previous Interventions

  • • Unsuccessful angioplasty or stent procedures • Restenosis (re-blockage) after stenting • Stent complications requiring surgical intervention • Chronic total occlusions not amenable to catheter intervention

Symptoms Requiring Bypass Surgery

  • Severe chest pain (angina) not controlled by medications Shortness of breath with minimal exertion Heart attack due to severe blockages Decreased exercise tolerance and fatigue Unstable angina with rest pain

Risk Factors for Coronary Artery Disease

  • Diabetes mellitus and metabolic syndrome High blood pressure and cholesterol Smoking and tobacco use Family history of heart disease Obesity and sedentary lifestyle Age (men >45, women >55 years)

MIDCAB Surgery: The Minimally Invasive Advantage

Revolutionary Surgical Technique

Minimal invasive bypass surgery in Bangalore, performed by Dr. Sudarshan, offers unprecedented advantages over traditional coronary artery bypass grafting (CABG):

Traditional CABG vs. MIDCAB Comparison

Aspect

Traditional CABG

MIDCAB Surgery

Incision Size

20-25 cm breastbone cut

2-3 inch left chest incision

Bone Cutting

Breastbone split required

No bone cutting needed

Heart-Lung Machine

Always required

Often not needed (beating heart)

Recovery Time

8-12 weeks

3-4 weeks

Hospital Stay

7-10 days

3-5 days

Pain Level

Significant

Minimal

Return to Work

10-12 weeks

4-6 weeks

Scarring

Large visible scar

Small hidden scar

MIDCAB Surgical Techniques

Off-Pump MIDCAB (Beating Heart)

  • Heart continues beating during surgery
  • No heart-lung machine required in many cases
  • Reduced complications from the bypass machine
  • Faster recovery with fewer systemic effects

Robotic-Assisted MIDCAB

Dr. Sudarshan utilises the da Vinci Xi robotic system for ultimate precision:

  1. 10x magnified 3D vision for exceptional detail
  2. Wristed instruments providing 540-degree movement
  3. Tremor elimination for steady anastomosis
  4. Enhanced dexterity for complex bypasses

Endoscopic MIDCAB

  • Video-assisted technique using tiny cameras
  • Multiple small incisions when needed
  • Excellent visualisation of target vessels
  • Minimised tissue trauma throughout the procedure

Dr. Sudarshan's Unique MIDCAB Expertise

World-Class Surgical Innovation

Unprecedented Surgical Capability

Dr. Sudarshan stands as one of the few surgeons globally capable of performing:

  • Single vessel MIDCAB through a 2-3 cm incision
  • Double vessel bypasses through the keyhole approach
  • Triple vessel bypasses via minimally invasive technique
  • Quadruple bypasses through a small incision (scarce capability)

20+ Years of MIDCAB Excellence

  • Pioneer in MIDCAB technology in Bangalore since 2003
  • 1,000+ MIDCAB procedures performed successfully
  • Continuous innovation in surgical techniques
  • International recognition for surgical excellence

Advanced Graft Selection

  • LIMA (Left Internal Mammary Artery) harvesting expertise
  • Radial artery grafts for additional bypasses
  • Saphenous vein grafts when appropriate
  • Multiple arterial grafts for optimal long-term results

Robotic LIMA Harvesting Technique

Precision Robotic Graft Preparation

Case Example: 70-year-old with severe LAD disease

  • Robotic LIMA harvesting with 4 cm incision
  • Beating heart anastomosis using Octopus stabiliser
  • Table extubation immediately post-surgery
  • Minimal analgesics required for pain management
  • Discharged on day 3 with excellent outcomes

This advanced technique showcases Dr. Sudarshan's exceptional skill in combining robotic precision with beating-heart surgery.

MIDCAB Procedure Details

Comprehensive Surgical Process

Pre-Operative Evaluation

  • Comprehensive cardiac catheterisation to map coronary anatomy
  • CT coronary angiography for surgical planning
  • Echocardiogram to assess heart function
  • Pulmonary function tests and general health assessment
  • Anaesthesia consultation and risk stratification

Surgical Procedure Steps

  • Patient Positioning and Access: Left lateral positioning for optimal exposure, small left thoracotomy incision, minimal rib spreading, direct heart visualisation.
  • Graft Harvesting: LIMA harvesting through the same incision, robotic assistance for precision dissection, graft quality assessment, multiple graft options.
  • Target Vessel Preparation: Heart stabilisation, coronary artery identification and exposure, arteriotomy creation, quality assessment.
  • Bypass Creation: Precise anastomosis, graft positioning for optimal flow, flow measurement to confirm patency, hemostasis achievement.
  • Closure and Recovery: Chest tube placement, layer-by-layer closure of small incision, pain management, early extubation planning.

Advanced Surgical Technology

  • Octopus Heart Stabiliser for beating heart surgery
  • CO2 Blower for a clear surgical field
  • Ultrasonic Flow Measurement for graft assessment
  • Intraoperative Echocardiography for heart function monitoring

MIDCAB Surgery Benefits

Superior Patient Outcomes

Immediate Benefits

  • 87% reduction in post-operative pain compared to traditional CABG
  • 60% faster recovery time
  • 50% shorter hospital stay
  • Minimal blood loss and transfusion requirements
  • Reduced infection risk due to smaller incisions

Long-Term Advantages

  • Equivalent graft patency rates to traditional CABG
  • Preserved chest wall integrity for future procedures
  • Better cosmetic results with minimal scarring
  • Faster return to normal activities and work
  • Improved quality of life scores

Specific MIDCAB Advantages

  • No heart-lung machine complications in off-pump cases
  • Reduced stroke risk with beating heart technique
  • Less kidney dysfunction post-operatively
  • Decreased cognitive effects compared to on-pump surgery
  • Lower inflammatory response systemically

Patient Satisfaction Metrics

  • >95% patient satisfaction with MIDCAB outcomes
  • 98% would recommend the procedure to others
  • Excellent pain scores throughout recovery
  • High return-to-activity rates within 4 weeks

Recovery After MIDCAB Surgery

Accelerated Recovery Protocol

Hospital Stay (3-5 days)

Day of Surgery:
  • ICU monitoring for 12-24 hours
  • Early extubation often within 4-6 hours
  • Pain management with minimal narcotics
  • Breathing exercises to prevent pneumonia
Post-Operative Day 1:
  • Transfer to step-down unit when stable
  • Sitting in a chair and short walks
  • Chest physiotherapy and breathing treatments
  • Diet advancement from liquids to solids
Day 2-3:
  • Independent walking in hallways
  • Stair climbing practice before discharge
  • Education about home care and medications
  • Wound care instruction for small incisions
Day 4-5:
  • Final cardiac evaluation including echocardiogram
  • Discharge planning and follow-up scheduling
  • Activity restrictions review
  • Emergency contact information provided

Home Recovery (2-4 weeks)

Week 1-2:
  • Light activities encouraged - walking, light household tasks
  • No lifting restrictions >10 pounds initially
  • Gradual increase in activity as tolerated
  • Wound monitoring for signs of infection
Week 3-4:
  • Return to office work is possible for desk jobs
  • Driving resumption when comfortable
  • Light exercise beginning (walking, stretching)
  • Normal daily activities mostly resumed
Month 2:
  • Full activity clearance, including exercise and sports
  • Return to manual labour jobs with approval
  • Complete recovery expected for most patients

Follow-Up Care Schedule

  • 1 week: Wound check and initial assessment
  • 1 month: Clinical evaluation and activity advancement
  • 3 months: Stress test and complete cardiac evaluation
  • 6 months: Comprehensive follow-up with imaging Annually: Long-term graft patency monitoring

Patient Success Stories

Real MIDCAB Surgery Outcomes

Case Study 1: Complex Multi-Vessel MIDCAB

Patient Profile:

58-year-old executive with triple vessel disease

Challenge:

Required multiple bypasses but wanted to avoid traditional open surgery

Solution:
  • Triple vessel MIDCAB through a single 3-inch incision
  • LIMA to LAD bypass
  • Radial artery to OM bypass
  • LIMA sequential to diagonal
Outcome:
  • Surgery completed in 4 hours
  • Extubated on the operating table
  • Home discharge on day 4
  • Return to work in 3 weeks
  • Excellent graft patency at 1 year

Case Study 2: Robotic LIMA Harvesting Success

Patient Profile:

70-year-old with tight LAD disease and diabetes

Challenge:

High-risk patient needing precise surgical technique

Solution:
  • Robotic-assisted MIDCAB with beating heart technique
  • 4 cm robotic incision for LIMA harvesting
  • Beating heart LAD anastomosis with Octopus stabiliser No heart-lung machine required
Outcome:
  • Immediate extubation post-surgery
  • Minimal pain requirements
  • Discharged day 3
  • Complete recovery in 2 weeks
  • Perfect graft function at follow-up

Case Study 3: Emergency MIDCAB for Acute MI

Patient Profile:

45-year-old with an acute heart attack and LAD occlusion

Challenge:

Emergency surgery needed, patient preferred a minimally invasive approach

Solution:
  • Urgent MIDCAB LAD bypass
  • Emergency surgical revascularisation
  • Single vessel MIDCAB technique
  • Rapid surgical intervention
Outcome:
  • Heart muscle salvaged successfully
  • Rapid recovery without complications
  • Return to normal activities in 3 weeks
  • Excellent long-term cardiac function

Why Choose Dr. Sudarshan for MIDCAB Surgery?

Unmatched MIDCAB Expertise in Bangalore

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Exceptional Surgical Expertise

  • 20+ years of MIDCAB surgery experience
  • Only surgeon in Bangalore performing quadruple MIDCAB
  • >98% success rate in bypass surgery
  • Pioneer in robotic cardiac surgery in South India
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Advanced Technical Skills

  • Off-pump beating heart surgery expert
  • Robotic LIMA harvesting specialist
  • Multiple arterial graft utilisation
  • Complex redo bypass surgery capability
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Outstanding Patient Outcomes

  • Minimal complication rates well below national averages
  • Faster recovery times compared to traditional surgery
  • High patient satisfaction consistently achieved
  • Long-term graft patency equivalent to open surgery
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Comprehensive Care Approach

  • Multidisciplinary team collaboration
  • Personalised surgical planning for each patient
  • Advanced post-operative care protocols
  • Long-term follow-up commitment

Book Your MIDCAB Surgery Consultation

Expert Minimally Invasive Bypass Surgery

Ready to explore the most advanced bypass surgery options available in Bangalore? Dr. Sudarshan GT and his expert team provide comprehensive evaluation and personalised MIDCAB treatment plans.

Consultation Details

  • Location: Fortis Hospital, 154/9, Bannerghatta Road, Opp. IIM-B, Bengaluru - 560076
  • Direct Line: +91 63606 49975
  • Direct Line:drsudarshangt@micsheartsurgery.in
  • Consultation Hours: Monday - Saturday: 9:00 AM - 6:00 PM

Pre-Consultation Preparation

  • Recent cardiac catheterisation reports Current medications list Previous cardiac intervention history Insurance verification for coverage

Emergency MIDCAB Surgery

For acute coronary syndromes requiring urgent bypass surgery, Dr. Sudarshan provides 24/7 emergency MIDCAB services.

Schedule Consultation Call Now: +916360649975

Frequently Asked Questions

Common MIDCAB Surgery Questions

Most patients requiring bypass surgery are candidates for MIDCAB. Dr. Sudarshan will evaluate your coronary anatomy and overall health to determine the best approach.

Yes, MIDCAB provides equivalent long-term graft patency and symptom relief with faster recovery and fewer complications.

Dr. Sudarshan can perform single to quadruple bypasses through the MIDCAB approach, making him one of the few surgeons globally with this capability.

Most patients return to normal activities in 3-4 weeks compared to 8-12 weeks for traditional bypass surgery.

Yes, diabetic patients often benefit more from MIDCAB due to reduced infection risk and faster healing with smaller incisions.

Experience the future of bypass surgery with Dr. Sudarshan GT - Bangalore's pioneer in minimally invasive coronary artery bypass surgery. Your heart deserves the most advanced surgical care.

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