[Net-Gold] HEALTH: REVOLUTIONARY BYPASS SURGERY

[David P. Dillard]

.

Date: Wed, 6 Jan 2010 06:22:58 +0530 (IST)
From: Soundara Rajan <soun...@yahoo.com>
Reply-To: Net-...@yahoogroups.com
To: Net-...@yahoogroups.com
Subject: [Net-Gold] HEALTH: REVOLUTIONARY BYPASS SURGERY

Mumbai-born doc set to revolutionise bypass surgery
Malathy Iyer,
TNN 6 January 2010

MUMBAI: When Dr Ranjit Deshpande gets ready to perform a cardiac bypass
surgery in London's King's College, there is no role for the saw that has
traditionally been used to cut open the breast bone in order to expose the
heart. The Bandra boy instead uses an endoscopic camera and a huge LCD TV
to get a 'close' look at the beating heart. His patients go home within 48
hours without the tell-tale eight-inch scar on their chest.

Traditionally, coronary artery bypass surgery involves bypassing blocked
arteries, which supply blood to the heart with a new blood vessel (graft)
which is attached beyond the blockage in the coronary artery. Also,
surgeons have had to make large incisions over the breast bone to access
the heart and the blocked vessel.

Using the King's method, the surgeon inserts a special surgical camera
(endoscope) through a 3-mm incision so that he can see pictures of the
heart. "I pass three probes through the second, fourth and sixth space
between the ribs on the left. Using the camera and the probes, I dissect
the internal mammary artery and bring it down to the artery that needs the
bypass," he says. Then the lowermost incision is widened to 3 to 5 cm to
use the new surgery wonder tool—called a harmonic scalpel—to clear the
blockage before joining the newly dissected internal mammary artery with
the problem artery.

Deshpande's technique evolved from his training in a Belgium centre known
for its minimally invasive heart surgeries for heart valves. "To keep pace
with the rapid advances, I went to the Belgium centre that has performed
over 2,000 minimally invasive cardiac surgery procedures for valves," he
says. Back in London, he used the same methodology for performing
minimally invasive beating heart surgery. "What other surgeons were doing
with robotic arm, we did using endoscope that is available at every
hospital these days," he says.

The entire news report can be read at

<http://timesofindia.indiatimes.com/Mumbai-born-doc-
set-to-revolutionise-bypass-surgery/articleshow/5414792.cms>

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N.S. Soundara Rajan, Mysore, India

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