The most commonly performed adult heart surgery all over the world  is coronary artery bypass surgery popularly known as bypass surgery. First bypass surgery was done in India in 1975. In1990s about 10000 surgeries were performed  annually. Now about 60000 surgeries are performed in India, annually. Bypass surgery means, to overcome blocks in blood vessels of heart and create new pathways in heart blood vessels so that heart gets new channels of blood supply whichprevents future heart attack.

Normally there are three arteries in heart which supply blood to the heart muscles. Over a period of time these arteries get blocked due to different reasons.That leads to chest pain initially which is called as angina and later on leads to heart attack.

Blocks in heart arteries are a very common problem

Blocks in heart arteries are a very common problem in present generation and it is going to increase with rapidly changing lifestyle in India. These blocks are commonly caused by smoking, diabetes, high BP, excess cholesterol in blood, sedentary lifestyle, stress, family history of heart blocks,  poor diet habits and kidney problems.

Blocks in heart can be tackled by two ways either by Stenting or Bypass surgery. These two procedures everybody should understand because stenting seems like an easier and quicker choice as compared to bypass surgery.

Angioplasty and stenting means, the blocks in heart artery to some extent opened up by a small balloon and an artificial tube is inserted across the block. This is ideal in case of a sudden heart attack or single block in arteries. It is not suitable for people with main artery blocks and for patients three and more blocks.

Stenting may solve problem temporarily

Stenting may solve problem temporarily but in long term it leads to problems. Multiple stenting is unnatural, a foreign body is inserted in heart. These stents get blocked over a period of time especially more so in diabetics. The pattern of re-blockis unpredictable, it can happen any time.

A person spends lot of  time taking care of his heart in future life with stents. Multiple hospital admissions, re angiograms, re procedures and ultimately heart function reduces over a period of time. Many times, people are afraid of operations so they opt for stenting.

Bypass surgery is superior to stenting

Bypass surgery is most natural way of treating this problem.  In this operation patients own blood; vessels are used to bypass the blocks. This operation is one-time treatment which clears all blocks in one go in the most natural way.Surgery generally takes 3 to 5 hours.

In this procedure patients own artery from chest and veins from legs are used for bypass the blocks. All the blocks are cleared in this operation at one time . Patient is kept on ventilator post operatively and a few days in ICU. Normally total hospital package is given for 8 days by most of the  hospitals.

Bypass surgery is superior to stenting as it gives a long-term benefit. It gives longer life, better quality life, much lesser hospital visits in future life and much lesser consumption of medication over lifetime of patient. Reducing cost of treatment for whole lifetime  is important benefit for Indian population with bypass surgery than stents.

People are worried for life risk when they think about heart surgery. It is a most commonly performed operation all over the world. This surgery is very safe operation. Success rate is about 99%.

Advances in bypass surgery

There are advances in bypass surgery. We try and do surgery on beating heart without using heart lung machine whenever possible. In India most of  Bypass surgeries are carried out on beating heart. Few patients we operate  by smaller cuts or key hole surgery, this gives smaller cuts to patients, less pain and quick recovery of patients.

However, which technique to use for surgery, depends on patient’s problem. Surgeon performs operations keeping  safety of patient in mind. Patients resume normal life and return to work by about one month. Self-driving re recommended after 6 weeks.

Patients may lead absolutely normal life up to 20 yrs and above  after  bypass surgery.

Comparison between Bypass surgery versus Stenting

Dr. Satish M. Kini
MBBS, MS, MCh, FACCS (USA)
Cardiothoracic & Vascular Surgeon
#131, First Cross, R K garden,
New B E L road, Bangalore 560054
Mob : 9901753729
Email: smkini2000@yahoo.com

Author Dr.Satish.M.Kini  is Fellow Texas Heart institute, Houston, Texas, USA, Fellow Transplantation, Houston, Texas, USA and Fellow Royal Price Alfred hospital, Sydney, Australia. Dr.Satish.M.Kini is one of the leading Cardio-thoracic & Vascular Surgeons in Bangalore. He performs the Bypass surgery on a beating heart without using any artificial machines and   must have performed over 10,000 major surgical procedures in this field.

The post Why Bypass surgery has become common in India? – A comparison between Bypass surgery versus Stenting appeared first on Health Vision.

Dr.Satish.M.Kini is one of the leading Cardio-thoracic & Vascular Surgeons in Bangalore. Presently he leads the Cardiothoracic team in major hospitals in Bangalore, such as, Bhagwan Mahaveer Jain Hospital, Sagar hospitals and  Bangalore Baptist hospital. He has always believed in giving international quality care to his patients. He believes in treating patients as his own family member.  The medical  advice given  to his patients is same as the advice given to a close family member.

Bypass surgery on a beating heart

Dr. Satish specializes in Adult cardiac surgery and General Thoracic surgery. His major expertise is in performing Coronary Arterial Bypass grafting or Bypass surgery for which he is specially trained by the best surgeons  from renowned centers all over the world. He performs the Bypass surgery on a beating heart without using any artificial machines. His results of the operation are one of the best and equals to world standards.

His journey in Cardiothoracic and Vascular surgery began in 1991 and   must have performed over 10,000 major surgical procedures in this field. He started his training in Cardiothoracic surgery in Mumbai and Worked with renowned Surgeons like Dr S S Bhattacharya and Dr D S Seksena, in Bombay hospital and Breach candy hospital- 1991 to 1998.

1999 -2000 Worked in England  2 years

2000- 2003- Three years . Worked in TEXAS heart institute, Houston , Texas. Worked with Dr Denton A Cooley, world famous cardiac surgeon. Dr Cooley was pioneer in this field, he

Discovered many operations, started heart transplant program

Pioneered Artificial Heart and left ventricular devices.

Three years spent with Dr Cooley group. Extensive experience in Adult and paediatric cardiac surgery. Cardiac transplant , left ventricular assist devices, aneurysms surgery, vascular surgery.

Worked in Royal prince Alfred hospital in Sydney, Australia. 2003-05

This is a premier institute in Australia.

2005 on wards in Bangalore.

Developed a team of professionals to work with him. This speciality is a team work.

Bhagwan Mahaveer Jain hospital, Sagar hospitals, Bangalore Baptist hospital are three major hospitals at present. Offers care and help in nursing homes in Bangalore.

In medical terms, mortality and morbidity is very minimal. Being a delicate operation, he feels, it is important for a heart patient to undergo surgery from a good surgeon as surgery is performed once in a life time. A well performed heart repair is going to give the patient long term benefits. His lifeline is his wife Pratima and two beautiful daughters Trisha and  Tanvi , apart from  this his hobbies  include  enjoying a good round of Golf , listening to old hindi songs ,and spending time with his latest  pet Theo, a golden retriver.

MEMBERSHIPS OF MEDICAL SOCIETIES—Dr  SATISH  KINI

Member of Indian medical council
Limited Registered with General Medical Council UK
Registered with ECFMG
Member of CTS NET
Life member of India Association of Cardiothoracic & Vascular Surgeons
Member of Karnataka Association Cardiothoracic & Vascular Surgeons

For Consultations Contact:

Dr. Satish M. Kini – Mob : 9901753729
Email: smkini2000@yahoo.com

MBBS, MS, MCh, FACCS (USA)
Cardiothoracic & Vascular Surgery
Fellow CVTS, Texas Heart Institute, TEXAS, USA
Fellow Transplantation, Texas Heart Institute, TEXAS, USA.
Fellow CVTS RPA, Sydney, Australia

Patient reports can be sent by e mail or mailed to the office address.
#131, First Cross, R K garden,
New B E L road, Bangalore 560054

The post Dr.Satish.M.Kini – Leading Cardio-thoracic & Vascular Surgeon who performs the bypass surgery on a beating heart without using any artificial machines appeared first on Health Vision.