OFF-PUMP TECHNIQUES AVOID PATIENTS FROM COMPLICATIONS
Complications, this medical word often makes many people feel scared. Especially if the emergence of complications is embraced by the failure of medical measures such as heart failure, kidney failure and so on. As if patients who have been convicted of complications like that have also thin life expectancy. However, some treatment techniques have provided a glimmer of hope for patients to avoid complications.
Until now fatal complications often occur in those who suffer from diabetes and high blood pressure. These two diseases are prone to cause a series of complications such as heart attacks, coronary heart, eyes, feet, and so on.
Conversely, those who suffer from congenital heart disease and are healing through heart surgery are not free from possible complications. No wonder the death rate from this one disease is quite high in the world.
Some of them are because of getting late medical treatment once a heart attack occurs. But, not few, are not helped, due to the emergence of complications after experiencing heart surgery.
As we know, heart muscle damage can cause the release of heart muscle protein called troponin I into the bloodstream. In heart patients who also suffer from hypertension there will be an increased workload of the heart resulting in enlargement. The longer the heart is relaxed, the elasticity decreases.
Consequently, the heart is no longer able to pump and hold blood from the lungs so many fluids are retained in the lungs or other body tissues that can cause shortness of breath or Oedema. This condition is called heart failure.
Heart disease can attack anyone without considering age, rank or social position. Therefore it is not surprising that this disease is a disease that causes a fairly high mortality rate. Could the mortality rate be suppressed?
Dr. David Khoo Sin Keat, a leading heart and lung Surgeon from Malaysia explained how to handle heart surgery which is now said to be quite modern, at least for medical developments in the Asian Region.
Through a seminar organized by Corfina Capital, the doctor who is now works at the Ipoh Specialist Hospital, introduces heart surgery using the off-pump coronary artery bypass graft (CABG) technique.
As with bypass surgery, the technique can also be said to be quite efficient and effective. “Bypass means making a new road or new blood flow,” David said.
According to the doctor who got the FRCS degree from Edinburgh University in England, this bypass technique is indeed difficult and very much requires the patience and thoroughness of a doctor. Usually doctors tend to choose a pump technique that uses a number of machine tools because it will be easier.
However, David said, there are many benefits to this CABG. First, the healing process will be faster. Second, less bleeding, third, the reduced likelihood of complications in the heart, kidneys, and brain. “This third point is very important to reduce mortality, because many patients cannot be helped after experiencing complications,” he explained.
While showing a video describing a patient looking fit after undergoing a heart operation, David said, the operation using the off-pump technique is much cheaper. Because, the time needed is only three days or at most a week the patient can go home and can immediately carry out their daily activities
This technique also causes only a few injuries. Because the medical team only punched two feet by 1 inch to get the veins. Searching for the vessels was done with a camera to then be pulled out.
Of course a method is quite complicated when compared to the technique of finding blood vessels generally. Usually to get veins, it is not uncommon for doctors to operate (dissect) along the legs starting from the heel to the thigh.
“With small cuts and camera assistance we have been able to get four pieces of veins for bypass, which are three from both legs and one from the chest,” said David, who had received cardiovascular thoracic surgery at the Mayo Clinic, USA.
It is said that former Malaysian Prime Minister Mahathir Muhammad and Malaysian Prime Minister, now Abdullah Badawi, had undergone heart surgery with an off-pump technique.
Even techniques like this have often been heard in Europe and the US, including those that were once undertaken by former US President Bill Clinton.
Interestingly, during the operation process, the patient’s heart is left in a throbbing or operating state. They are only totally sedated and the heart is not replaced with a machine. Even carrying out this kind of operation is much faster, only takes about four hours.
Different from heart surgery with a pump technique, that can take up to 14 hours. Not to mention the healing process, this, has many phases. This healing stage is often prone to complications.
But as sophisticated and moderate medical treatment, heart surgery still contains risks. Because of that, said David, the most important thing is to continue to prevent it. Prevention efforts can be carried out, among others, through the process of early detection through health checks.
Equally important is, running a balanced diet, regular exercise, and quitting smoking. Because this disease can also be caused by high cholesterol levels, which will cause hardening of the coronary arteries (arteriosclerosis). (dw)