Robotic-Assisted Cardiac Surgery

What is robot-assisted cardiac surgery?

Robot-assisted cardiac surgery is heart surgery done through very small cuts (incisions) in the chest. The surgeons use tiny instruments and robot-controlled tools to do heart surgery in a way that is much less invasive than open-heart surgery. This surgery is often called robotic cardiac surgery, Robot-assisted surgeries have been used for many different heart-related procedures. These include valve surgery, coronary artery bypass, cardiac tissue ablation, heart defect repair, and tumor removal.

Why might I need robot-assisted cardiac surgery?

The main benefit of robot-assisted cardiac surgery is that it's less invasive compared with open-heart surgery. Smaller incisions can mean that you can spend less time in the hospital, heal faster, and return to activities more quickly.

Your healthcare provider will determine if robot-assisted cardiac surgery is right for you. It may be used to:

1- Repair or replace stiff or leaky heart valves

2- Correct atrial fibrillation, a common type of arrhythmia

3- Remove a tumor in the heart

4- Treat congenital heart conditions

5- Bypass blocked arteries (coronary artery bypass surgery)

Your healthcare provider may have other reasons to advise .robot-assisted cardiac surgery

What are the risks of robot-assisted cardiac surgery?

One of the main benefits of robot-assisted cardiac surgery is that it has fewer risks than open-heart surgery. The surgeon doesn't have to cut through the breastbone to open your chest. This removes many of the complications of open-heart surgery.

Robot-assisted cardiac surgery still requires anesthesia. As with any kind of surgery, there are always risks, including:

1- Heart attack

2- Stroke

3- Bleeding

4- Problems linked to using anesthesia

5- Arrhythmias, including a need for a permanent pacemaker

6- Infection

7- Death

In some cases, your healthcare provider may not be able to complete the surgery with the robot. If this happens, you would need open-heart surgery. You may have other risks, based on your specific medical condition. Talk with your provider about any concerns you have before your procedure.

How do I get ready for robot assisted cardiac surgery ? 

Your healthcare provider will want to see if you're a good candidate for this procedure. They'll review your health history and lifestyle, as well as the overall severity of the disease.

Your provider will explain the procedure to you. Ask them any questions you might have.

2- You'll be asked to sign a consent form. This gives your permission to do the procedure. Read the form carefully and ask questions if something is unclear.

3- Along with a full health history, your provider may do a physical exam. This is to make sure you're in otherwise good health before you have the surgery. You may also have blood tests and other diagnostic tests.

4- Your provider may advise taking an aspirin before the procedure.

5- Tell your provider right away if you're pregnant or think you may be.

6- Tell your provider:

- If you're sensitive to or are allergic to any medicines, latex, iodine, tape, contrast dyes, and anesthesia (local or general)

- About all prescribed and over-the-counter medicines, vitamins, herbs, and other supplements that you're taking

- If you have a history of bleeding disorders or if you're taking any blood-thinning medicines (anticoagulants), aspirin, or other medicines that affect blood clotting. You may need to stop taking these medicines before the procedure. Pay attention to which medicines to stop before surgery and when.

- If you have a pacemaker or other implanted heart device

6- If you smoke, stop smoking as soon as possible before the procedure. This will improve your chances for a successful recovery from surgery and your overall health status.

7- Follow any directions you're given for not eating or drinking before the procedure.

Based on your health condition, your provider may have other instructions for you.

What happens during robot-assisted cardiac surgery?

Talk with your healthcare provider about the details of your procedure. The following is the general sequence of events most likely to occur during robot-assisted cardiac surgery:

 

1- A healthcare provider will give you anesthesia before the procedure starts. This will cause you to sleep deeply and not feel pain during the surgery. You may receive a sedative before the procedure to help you relax.

2- Once you're asleep, a breathing tube will be inserted through your throat into your lungs. You'll be connected to a machine (ventilator) that will breathe for you during the surgery.

3- A surgeon will make a series of keyhole-sized cuts on the side of your chest. These cuts will align with the openings between your ribs.

4- You may need to be placed on the heart-lung machine for the procedure.

5- Depending on the procedure being done, your surgeon will insert several precision-guided robotic arms into these incisions.

6- These robotic arms hold and manipulate tiny instruments to do the required tasks on the heart or surrounding arteries.

7- A tiny video camera will be inserted into another incision. This will provide a magnified, 3-D image of the operating site.

8- The surgeon will control the robotic arms and camera from a console in the operating room.

9- Once complete, the surgeon will remove the tools and close the incisions.

Talk with your healthcare provider about what you will experience during your procedure.

What happens after robot-assisted cardiac surgery?

Once the surgery is done, you'll be moved to the recovery area to be watched. You can expect to have a fairly short hospital stay after this procedure. It's usually half as long as that after conventional open-heart surgery. Your healthcare provider will typically discharge you once you meet all of the following:

1- Your pain is under control

2- You can keep liquids down without nausea and vomiting

3- Your lab tests appear near normal or near your baseline before the procedure

Make plans to have someone give you a ride home from the hospital.

You can also expect less scarring on your chest. Open-heart surgery may leave a 10-inch scar on your chest. Robot-assisted cardiac surgery just leaves a few smaller scars on the side of your chest.

After being discharged from the hospital, most people can manage their pain with over-the-counter pain relievers like acetaminophen or ibuprofen. Pain also tends to go away much faster than with open-heart procedures. Remember to take all of your medicines as prescribed.

Your incisions need to be kept clean and dry. Don't use powders, lotions, or ointments on the incision lines. Using these can irritate the skin. This can make the healing process take longer. It can also increase the risk for infection. Don't soak the incisions in water until your healthcare provider says it's OK.

You may also go back to normal activities more quickly than you would after open-heart surgery. Most people can resume their normal activities after a few weeks. Your healthcare provider will provide specific advice for activity.

Your provider will typically schedule follow-up appointments to check your progress. Tell them right away if any symptoms occur after the procedure, such as chest pain or discomfort. Complications are rare after robot-assisted heart surgery. But they can happen. So it's important to carefully watch out for any symptoms and report them to your provider.

My Great Role Model....🖤✨

🚀💖...My Great Role Model

 

Dr. Andrew Wahib Elbardissi, MD was egyption origin and he is a highly accomplished cardiothoracic surgeon and business leader who has made significant contributions to the healthcare industry. Dr. Elbardissi's extensive education, surgical expertise, and business acumen have made him a role model for aspiring physicians and entrepreneurs.

Education:

He holds an M.D. from the Mayo Clinic College of Medicine, an M.P.H. in Quantitative Methods from Harvard T.H. Chan School of Public Health, an M.B.A. from Harvard Business School and a B.S. with honors in Biology (Phi Beta Kappa) from the Schreyer Honors College at the Pennsylvania State University 

(Class of 2003)

Surgical Residency and Research:

He received residency training in General Surgery at Harvard Medical School’s Brigham and Women’s Hospital and in Cardiothoracic Surgery at Stanford University. Mr. ElBardissi has been independently funded by the National Institutes of Health and the Agency for Healthcare Research and Quality, has over 30 publications in leading peer reviewed scientific journals and has presented his research at numerous medical and surgical conferences, His research interests included the development of new surgical techniques, the use of advanced imaging technologies in surgery, and the optimization of patient outcomes. He has published numerous articles in leading medical journals, including The New England Journal of Medicine and The Journal of Thoracic and Cardiovascular Surgery.

Elbardissi Steps in Investment Banking on Healthcare field and Medical Equipments:

After completing his fellowship, Dr. Elbardissi decided to pursue a career in business as well as medicine. He joined the investment banking firm J.P. Morgan, where he worked on mergers and acquisitions in the healthcare industry. He was instrumental in the acquisition of several medical device companies, helping to bring new technologies to market and improve patient outcomes.

Elbardissi's Role in Deerfield Management Company and Other Important Companies:

Dr. Elbardissi later joined Deerfield Management Company, a healthcare investment firm based in New York City. As a Partner and Head of Deerfield's Strategic Resource Group, he was responsible for identifying investment opportunities in the healthcare sector and providing strategic guidance to portfolio companies. He also served on the boards of several healthcare companies, including Precision BioSciences, Anika Therapeutics, and Sebacia.

In addition to his work with Deerfield, Dr. Elbardissi has served in various leadership roles in the healthcare industry. He was a board member of the Society of Thoracic Surgeons, a professional organization for cardiothoracic surgeons, and served as the organization's President from 2020-2021. He also served as a board member of the American Heart Association.

Dr. Elbardissi's career is a testament to the power of hard work, dedication, and a passion for making a difference in the world. He has made significant contributions to the healthcare industry as both a physician and a business leader, and he continues to inspire others to pursue their own passions and make a positive impact in their own communities.