Nashik: City-based cardiologist Rahul Kaiche has successfully performed a heart surgery using an innovative technology on a 64-year-old obese patient last month.
Basheer Sayyed Noor, a resident of the city, underwent the surgery on January 21. Before the operation, Basheer’s weight was 100 kg. He was a chronic smoker as well. Almost a month after the surgery – coronary artery bypass grafting (CABG) – the patient is finding himself fit and healthy with no post-operation complaints.
Talking about the surgery, Kaiche said, “This method was launched in the country a couple of months ago and the first surgery using it was done in the southern part of India. We used titanium blades and titanium screws for the performing the surgery. It takes around 2-2.5 hours to perform regular bypass surgery. For CABG, it takes extra 20-25 minutes.” After the surgery, Basheer was in the ICU for 11 days due to his cough problem.
Kaiche e said CABG has become a routine for people with ischemic heart disease/coronary artery blockage.
“Multiple trials have proven that it is beneficial and more effective than angioplasty in diabetic patients. After the surgery, the surgeon closes the mammary bone with sternal steel wires routinely. However, in obese patients and chronic smokers, the chances of sternal dehiscence – breaking of the wire – are very high. This leads to sternal wound infection and the patient needs multiple major surgeries for controlling the infection,” Kaiche said.
“All this increases the expenses and the period of hospitalization. In a bid to prevent these complications, a new technique for sternal closure was introduced in the USA in 2003. This technique of sternal closure was done by using titanium plates – two H-shaped ones and one U-shaped – along with a titanium screw. It gives more stability to the chest bone as compared to the routine wire or bands. With this technique, the chances of sternal infection are very low,” he said.
Kaiche added said that a lot of mental preparation was needed as he was performing such a surgery for the first time.
Basheer said, “I had complete faith in the doctor and hence, I did not fear when I was told that the surgery was being performed on me for the first time. Before the surgery, I had pain for two-and-a-half months and had come for a bypass surgery here.”
This method was launched in the country a couple of months ago and the first surgery using it was done in the southern part of India. We used titanium blades and titanium screws for the performing the surgery. It takes around 2-2.5 hours to perform regular bypass surgery. For coronary artery bypass grafting (CABG), it takes extra 20-25 minutes.
