Follow us:WhatsappFacebookTwitterTelegram.cls-1{fill:#4d4d4d;}.cls-2{fill:#fff;}Google NewsThere’s some good news for all the diabetics who need to undergo a coronal bypass surgery. An innovative technique of harvesting mammary artery, which preserves the sternal (area around the breastbone) blood supply even after both the mammary arteries are harvested for a bypass surgery, has been designed, courtesy Dr Lokeshwara Rao Sajja, senior consultant cardiothoracic surgeon from Star Hospitals. Explained Dr Rao, “Conventionally, bypass surgery is performed using one internal mammary artery and additional vein grafts used from legs or artery from the fore arm. However, over the years, it was noticed that patients who underwent the surgery and received two internal mammary arteries, had a longer survival rate when compared to the patients who received only one internal mammary artery.” But, despite this success rate, only four per cent of patients have so far undergone a coronal bypass surgery using two internal mammary arteries, informed Dr Rao. Elaborating on the reason behind this, he said, “When two internal mammary arteries are used, there is an increased risk of sternal infections, because of reduced blood supply to the tissues in the sternal area. And the risk is even more with diabetic patients since they are more prone to infections, and take longer time to heal or recover.” Thus, to solve this aforementioned problem, Dr Rao, along with his team, has come up with a technique of bypass surgery, wherein there is more blood flow towards the sternal area, thereby making sternal wound infection negligible. Dr Rao has also designed a device called MASP (Mammary Atery Surgical Platform), which will facilitate faster and meticulous construction of ‘Y’ grafts using both left and right internal mammary arteries. This technique can be used on patients who are below 60 years of age, and don’t have any serious kidney-related or any other serious diseases. It also ensures survival for a longer period and in most cases second bypass surgery will not be necessary.first published:August 31, 2012, 08:46 ISTlast updated:August 31, 2012, 08:46 IST
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There’s some good news for all the diabetics who need to undergo a coronal bypass surgery. An innovative technique of harvesting mammary artery, which preserves the sternal (area around the breastbone) blood supply even after both the mammary arteries are harvested for a bypass surgery, has been designed, courtesy Dr Lokeshwara Rao Sajja, senior consultant cardiothoracic surgeon from Star Hospitals. Explained Dr Rao, “Conventionally, bypass surgery is performed using one internal mammary artery and additional vein grafts used from legs or artery from the fore arm. However, over the years, it was noticed that patients who underwent the surgery and received two internal mammary arteries, had a longer survival rate when compared to the patients who received only one internal mammary artery.” But, despite this success rate, only four per cent of patients have so far undergone a coronal bypass surgery using two internal mammary arteries, informed Dr Rao. Elaborating on the reason behind this, he said, “When two internal mammary arteries are used, there is an increased risk of sternal infections, because of reduced blood supply to the tissues in the sternal area. And the risk is even more with diabetic patients since they are more prone to infections, and take longer time to heal or recover.”
Thus, to solve this aforementioned problem, Dr Rao, along with his team, has come up with a technique of bypass surgery, wherein there is more blood flow towards the sternal area, thereby making sternal wound infection negligible. Dr Rao has also designed a device called MASP (Mammary Atery Surgical Platform), which will facilitate faster and meticulous construction of ‘Y’ grafts using both left and right internal mammary arteries. This technique can be used on patients who are below 60 years of age, and don’t have any serious kidney-related or any other serious diseases. It also ensures survival for a longer period and in most cases second bypass surgery will not be necessary.
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