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ENTERING THE HEART THROUGH A 4-INCH INCISION! ADVANTAGES OF CLOSED BYPASS SURGERY
“Closed surgery is a surgery that prolongs the life of the patient and improves the quality of life,” said Prof. Dr. he gave important information about the advantages of closed bypass surgery, which he called the mini bypass method, which is performed without any incision.
Turkey Medicals member and 26 year hospital Specialist in Cardiovascular Surgery Prof. Dr. “Bypass surgery is performed on people with closed heart vessels. If there are strictures or complete blockages in the heart vessels, an angiogram is necessarily performed first to determine the degree of these blockages. Already the diagnosis is also made by angiography. If there are veins that cannot be opened with angiography, that is, with a balloon stent procedure, then bypass surgery is considered.”
“Vascular opening by bypass and angiography are very different processes from each other. A blocked vein is opened in one, and a new vein is sutured forward of the blocked vein in the other. That is why bypass surgery is a different and longer-lasting condition than stenting. There are three vascular systems that supply the heart. All three of them, especially people with diabetes who have shortness of breath, should definitely go to a bypass. People who have already had a stent, had a blocked stent, or people with vascular blockages that are not suitable for a stent at the first diagnosis should have a bypass,” he said.
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LIFE EXPECTANCY IS INCREASING, QUALITY OF LIFE IS IMPROVING
“Bypass surgeries are a surgical method that has been performed for many years. In this method, the veins taken from the chest wall or leg are sewn forward of the blocked veins to restore blood circulation for the heart. Open or closed surgery is no different from each other,”said Prof. Dr. “Closed surgeries have been performed routinely for the last 4-5 years, especially in the last 20 years. Closed surgery is a surgery that prolongs the patient’s life and improves the quality of life. But the surgery itself imposes a serious burden on the patient. This is due to the location of the operation and the fact that there are a lot of surgical incisions.
In bypass surgery, the entire leg from the ankle to the groin must be cut to remove the vein from there. But in the closed bypass surgical method, which I call mini-bypass, the leg vein is completely removed endoscopically. There are no incisions on the foot, and this is very important. Because after open surgery, there are leg infections, wound healing problems, walking difficulties, swelling in the foot. Considering that the patients are mostly overweight and diabetic, the length of the wounds here and the healing times are really very problematic,” he said.
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SURGERY THROUGH A 4-INCH INCISION
“In a closed bypass; compared to open surgery, where the breastbone is opened and the heart is reached, surgery is performed only from a place 4 centimeters between the left side. When this happens, there are no problems with the breastbone,” Turkish Professor Doctor said. “There are often no blood transfusions in these surgeries. Rhythm disturbances and lung problems after surgery also become much less compared to open surgery. While the rehabilitation process is very fast, the patient can stay in the intensive care unit for less than 24 hours and go to the room. At the fourth-fifth hour, it is separated from the respirator and seated, carried out the next day.
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THERE ARE NO PROBLEMS WITH BOILS AND INFECTIONS
From the moment he enters the room, he is fully able to meet his needs. In a patient with an open sternum, it is necessary to make serious efforts so that the bone does not play. When performing bypass surgery, we open the vessels, but this time there are problems with the bone. If we don’t open the bone, there will be no bone-related boiling and infection problems. That is why the patient first gets rid of such a problem. The recovery period happens very quickly. He can be discharged from the hospital on the fourth day and return to work in a week and ten days.
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HE CAN RETURN HOME USING HIS CAR
The day before the closed operation, the patient is admitted and undergoes a very detailed check-up. A CT scan of his entire body is being taken, from his neck to his leg. The condition of the internal organs, the location of the heart, the aorta vessel is observed. The next morning, the patient is taken to the surgery. The operation takes about 5-6 hours. After the operation, he remains in intensive care for a day. He spends 4-5 hours of this connected to a respirator and under anesthesia. After the patient is awakened, he is seated and conducted. He’s in a position to go up to his room the next morning. The intensive care process is getting shorter in closed surgeries. In particular, we are moving much faster in terms of breathing, which is why we have the most difficulty with lung problems after heart surgery in Antalya and Istanbul.
These heart patients breathe very comfortably, cough, can turn left and right. He leaves the room in a condition to walk normally, to walk around. He is already staying in the hospital for a total of 4 days. Since the patient is undergoing closed surgery, if he came with his car, he goes home in his car. However, if he has had an open surgery, it takes him 2-6 months to drive. he can’t sleep on his side for 1-2 months. He can’t lift muscle, he can’t keep doing it, especially if he’s doing a sport or profession where he uses his arm and chest muscles.
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For this reason, closed surgery in Turkey amazingly is a surgical option that provides a very serious solution to bypass surgery for a person to continue their normal life…
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Turkey's world-renowned organ transplant specialist. Dr. Demirbaş has 104 international publications and 102 national publications.
Physician's Resume:
Born on August 7, 1963 in Çorum, Prof. Dr. Alper Demirbaş has been continuing his work as the President of MedicalPark Antalya Hospital Organ Transplantation Center since 2008.
Prof. who performed the first tissue incompatible kidney transplant in Turkey, the first blood type incompatible kidney transplant, the first kidney-pancreas transplant program and the first cadaveric donor and live donor liver transplant in Antalya. Dr. As of August 2016, Alper Demirbaş has performed 4900 kidney transplants, 500 liver transplants and 95 pancreas transplants.
In addition to being the chairman of 6 national congresses, he has also been an invited speaker at 12 international and 65 national scientific congresses. Dr. Alper Demirbaş was married and the father of 1 girl and 1 boy.
Awards:
Eczacibasi Medical Award of 2002, Akdeniz University Service Award of 2005, Izder Medical Man of the Year Award of 2006, BÖHAK Medical Man of the Year Award of 2007, Sabah Mediterranean Newspaper Scientist of the Year Award of 2007, ANTIKAD Scientist of the Year Award of 2009, Social Ethics Association Award of 2010, Işık University Medical Man of the Year Award of 2015, VTV Antalya's Brand Value Award of 2015.
Certificates:
Doctor of Medicine Degree Hacettepe University Faculty of Medicine Ankara, General Surgeon Ministry of Health Turkey EKFMG (0-477-343-8), University of Miami School of Medicine Member of Multiple Organ Transplant, ASTS Multiorgan Transplant Scholarship. Lecturer at Kyoto University. Lecturer at University of Essen, Research assistant at the University of Cambridge .
Professional Members:
American Society of Transplant Surgeons, American Transplantation Society Nominated, Middle East and Southern Africa Council Transplantation Society 2007, International Liver Transplantation Association, Turkish Transplantation Association, Turkish Society of Surgery, Turkish Hepatobiliary Surgery Association.
Disclaimer:
Our website contents consist of articles approved by our Web and Medical Editorial Board with the contributions of our physicians. Our contents are prepared only for informational purposes for public benefit. Be sure to consult your doctor for diagnosis and treatment.