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After a minimally invasive procedure, patients recover more quickly than from sternotomy and develop fewer complications. Most patients can expect to resume everyday activities within a few weeks of their operation. After surgery, patients are administered an anaesthetic pain pump and drains that will be removed prior to discharge.
Minimally invasive direct coronary artery bypass surgery (MIDCAB) is a form of OPCAB that involves an incision rather than cutting into the sternum. [5] An advanced form of this is totally endoscopic coronary artery bypass surgery (TECAB) that uses robotic surgery. [6] Off-pump surgery can be more technically challenging.
MIDCAB is sometimes referred to as "keyhole" heart surgery because the operation is analogous to operating through a keyhole. MIDCAB is a form of off-pump coronary artery bypass surgery (OPCAB), performed "off-pump" – without the use of cardiopulmonary bypass (the heart-lung machine).
The first uses a cardiopulmonary bypass machine, a machine which takes over the functions of the heart and lungs during surgery by circulating blood and oxygen. With the heart in cardioplegic arrest , harvested arteries and veins are used to connect across problematic regions—a construction known as surgical anastomosis .
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Totally endoscopic coronary artery bypass surgery (TECAB) is an entirely endoscopic robotic surgery used to treat coronary heart disease, developed in the late 1990s. It is an advanced form of minimally invasive direct coronary artery bypass surgery , which allows bypass surgery to be conducted off-pump without opening the ribcage.
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