Wednesday 10 June 2015

Robotic Mitral Valve Repair may provide patients with the following Benefits Over Open Surgery

In addition to avoiding the pain and trauma of sternotomy and rib spreading, robotic mitral valve repair may provide patients with the following benefits over open surgery:

  • Less risk of infection
  • Less blood loss and need for blood transfusions
  • Shorter hospital stay
  • Significantly less pain and scarring
  • Faster recovery
  • Quicker return to normal activities
  • And a potentially better clinical outcome
Please note that not all patients are candidates for robotic surgery. Your surgeon will provide you with the most appropriate treatment option after thoroughly assessing your condition. 

WHAT IS THE MITRAL VALVE?

The mitral valve controls blood flow through the left side of the heart. When it opens, the mitral valve allows blood to flow into the left ventricle, the heart’s main pumping chamber. When the left ventricle contracts, the mitral valve closes in order to prevent blood from flowing back toward the lungs. 
Sometimes the mitral valve is abnormal from birth. It can also become damaged by infection, with age or from heart disease. 

WHAT IS MITRAL VALVE PROLAPSE?

If the mitral valve leaflets cannot tightly seal the left ventricle, this is called prolapse. With mitral valve prolapse, some blood flows back into the atrium – a condition called regurgitation. Regurgitation can make the heart work harder, leading to further valve damage and increasing the risk of heart failure. 

MITRAL VALVE PROLAPSE TREATMENT OPTIONS

The treatment options available to a person with mitral valve prolapse depend on the severity of your condition. Some patients may not require any intervention. Others may be prescribed medications. However, if your symptoms become severe, your doctor may recommend mitral valve prolapse surgery. There are two basic types of valve prolapse surgery:

Valve Replacement  - In valve replacement, your surgeon cuts out the damaged valve and replaces it with a new, artificial valve.

Valve Repair  - Valve repair involves the surgeon reconstructing your valve using your own tissues.

Robot Assisted Heart Procedures are done to treat a variety of conditions:

1. Robot Assisted Mitral Valve Repair may be used to treat:
  • Stenosis (narrowing) of the mitral valve
  • Regurgitation (leakage) of the mitral valve
2. Robot Assisted Coronary Artery Bypass Grafting (CABG) may be used to treat
  • Blockages in the heart's arteries
  • Severe chest pain ( angina ) that has not improved with medicines
3. Robot-assisted Atrial Septal defect repair may be used to treat a hole between the upper chambers of the heart that does not close properly during foetal development.
4. Robot-assisted Biventricular Pacemaker lead placement may be used to treat heart failure due to Atrial Fibrillation (irregular heart rhythm in the upper chambers of the heart)

An Alternative to Open-Heart Surgery

If your doctor recommends surgery to treat mitral valve prolapse, you may be a candidate for robotically assisted closed-chest heart surgery, potentially the most effective and least invasive treatment option. Robotically assisted minimally invasive mitral valve repair is an alternative to conventional open heart surgery. This mitral valve repair is performed using the da Vinci Surgical System®, enabling your surgeon to operate with precision through a few small incisions.
In addition to avoiding the pain and trauma of cracking open the breastbone to access the heart through a traditional sternotomy and rib spreading, robotically assisted minimally invasive mitral valve repair may provide patients with the following benefits over open-heart surgery:
  • Less risk of infection
  • Less blood loss and need for blood transfusions
  • Shorter hospital stay
  • Significantly less scarring
  • Faster recovery from pain
  • Quicker return to normal activities
  • Potentially better clinical outcome
As with any surgery, these benefits cannot be guaranteed, as surgery is both patient- and procedure-specific. While robotically assisted minimally invasive mitral valve repair is considered safe and effective, it may not be appropriate for every individual. Always ask your doctor about all treatment options, as well as their risks and benefits.
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