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Auther : Vidya Jagtap Date : 2021-03-22 15:55:35

Category : Procedure


open heart surgery in India

Are you looking for Open Heart Surgery Frequently Asked Questions? Find Cardiac Surgery & Types of Heart Surgery Open-Heart Surgery: Risks, Procedure, and Preparation common Questions and answers.


What preparation should one do before open-heart surgery?

There are a few steps that you can follow to help prepare yourself for the major surgery that you are going to undergo, which will also help alleviate your issues post-surgery:

  • Stop drinking and smoking 2 weeks before the surgery: Smoking could interfere with wound healing and delay it; hence it is advised to stop smoking 2 weeks before the surgery. People who are used to drinking 2-3 drinks per day and stop drinking just before the surgery, could suffer from alcohol withdrawal during the post-op period, hence it is advisable to quit drinking few days before the surgery. 
  • Choose one dedicated person to take care of errands to be run in the hospital during the post-op period for you. Limit the visitation rights to one or two people, since you’ll be in an immunocompromised condition after the surgery, and it would be advisable to limit your contact with other people. 
  • Visit your dentist before the surgery. The dentist would check if you have any infections or abscess which exacerbates cardiac illnesses like endocarditis. Whether to extract a tooth or not would be left to the dentist’s discretion and knowledge. 
  • Keep a note of instructions given to you by your surgeon. Do your research too, so that you’re well prepared for the surgery when you arrive at the hospital. 
  • Eat healthily and exercise daily, which will help in faster recovery post-surgery. 
  • Meditate and perform deep breathing exercises which would help avoid lung problems post-surgery. 
  • Inform your doctor about the medications that you take daily and avoid taking blood thinners before the surgery. 

How much does open heart surgery in India usually cost?

India is one of the best options to get the surgery done, especially major surgery like open-heart surgery. The fact that the surgery is cost-effective and also performed by the best doctors using state of art technology, makes India the hotspot to get an open-heart surgery done. Compared to the cost of the surgery in western countries, the surgery costs almost one-third of the cost or sometimes even less than that in India. The average cost of open-heart surgery in the USA is $90000 and in comparison, it costs $7500 in India. When searching for the best hospitals to undergo open-heart surgery at, there are quite a few hospitals in India that would make it to the list. 

In prominent cities like Delhi, Chennai, Kolkata, Pune, Bangalore, Mumbai, Noida, Jaipur, Nagpur, Hyderabad, etc. the average cost of an open-heart surgery ranges from Rs. 175000 to the highest going up to Rs. 430000.

Where can I find open heart surgery procedure data?

I would suggest that you start searching for the data you require on google. Since Google is the epicenter of all the information that you need, start by typing out your exact question on it. 

The results would comprise various websites that would provide you with the information that you need. Various medical information-providing websites would give you all the information needed to make you aware of the procedure of an open-heart surgery procedure. These websites are specially equipped to provide as much knowledge as they can about various medical conditions. 

Secondly. check out websites of healthcare-based organizations dealing with medical tourism, and various hospitals. These websites carry information that you need. these websites also provide helpline numbers, you can call these numbers, and people who are equipped to answer your queries would answer all your questions and clear out your doubts. They would also help with arranging healthcare-related services related to your need and help with making your treatment phase more comfortable and easier. 

What are some open-heart surgery tips?

  • Choose one dedicated person to take care of errands to be run in the hospital during the post-op period for you. Limit the visitation rights to one or two people, since you’ll be in an immunocompromised condition after the surgery, and it would be advisable to limit your contact with other people. 
  • Always have a back-up dedicated person, in case your original dedicated person or friend cannot make it. 
  • Keep a note of instructions given to you by your surgeon. Do your research too, so that you’re well prepared for the surgery when you arrive at the hospital. 
  • Eat healthily and exercise daily, which will help in faster recovery post-surgery. 
  • Meditate and perform deep breathing exercises which would help avoid lung problems post-surgery. 
  • There are a few things that you can purchase and keep you comfortable like a recliner, extra set of pillows. These things would help you get more comfortable in your recovery period. 
  • Get some books that you like to read and download shows that you love or have been waiting to watch, your recovery period will be a good time for you to indulge in these activities, and will help you distract from the present situation, 
  • Prepare yourself in advance for the feeling of frustration that you would feel due to being unable to do basic activities post the surgery. Remember, that you will be undergoing major surgery, and a good 4-6 weeks recovery period is advised and needed. Do not rush yourself and be patient. 
  • There are certain support groups that you can join and talk to people in similar situations. This will help you to deal better with your condition and you wouldn’t feel like you’re all alone in this. 
  1. How successful is open heart surgery in India?

The success rate of open-heart surgeries in India is about 98%. The success rate of surgery depends on each individual because every individual has different factors that could affect the success of the surgery. The success of the surgery depends on various factors like the age of the patient if the patient has debilitating illnesses like diabetes mellitus, hypertension, kidney disorders, and other illnesses. The younger the patient is, the success rate of the surgery becomes higher for the patient. It is also seen that patients who have already had a heart attack before, after the surgery can see an improvement in their condition and a reduction in risks associated with it. 

Unfortunately, in India, the rate of people with cardiac conditions of younger age has drastically increased. In other countries, people usually face such issues after the age of 55 whereas, in India, the age of the patients who are affected has reduced to the age of 35. India has hence strengthened their healthcare sector and has focused on open-heart surgeries by employing the best healthcare teams and using state of art technology. Also, the cost-effectiveness of the surgery in India has made it a hotspot for these surgeries. 

How much does open heart surgery in India usually cost?

India is one of the best options to get surgery done in, especially major surgery like open-heart surgery. The fact that the surgery is cost-effective and also performed by the best doctors using state of art technology, makes India the hotspot to get an open-heart surgery done. Compared to the cost of the surgery in western countries, the surgery costs almost one-third of the cost or sometimes even less than that in India. The average cost of open-heart surgery in the USA is $90000 and in comparison, it costs $7500 in India. When searching for the best hospitals to undergo open-heart surgery at, there are quite a few hospitals in India that would make it to the list. 

In prominent cities like Delhi, Chennai, Kolkata, Pune, Bangalore, Mumbai, Noida, Jaipur, Nagpur, Hyderabad, etc. the average cost of an open-heart surgery ranges from Rs. 175000 to the highest going up to Rs. 430000.

What is the best open-heart surgery hospital in India?

India has numerous hospitals that are outstanding at their work with open-heart surgeries and not just one hospital. Though there can be a list enumerated to showcase the best open-heart surgery hospitals, that would still not mean that any of the hospitals not on the list or the list are any less than the first hospital on the list. India has become a hotspot for open-heart surgeries by being cost-effective, having the best surgical teams, and state of art technology. The increase in medical tourism has also helped in the development and improvement of the quality of open-heart surgeries in India. 

Here are a few hospitals which are well-known for open-heart surgeries:

  • Apollo hospitals
  • Wockhardt Hospitals
  • Max Healthcare Hospitals
  • Fortis Escorts Heart Institute
  • Narayana Hrudyalaya
  • Medanata, The Medicity
  • Jaypee Hospitals
  • Artemis Hospitals
  • Global Hospitals

 

How long does open heart surgery take?

An open-heart surgery usually takes 3-6 hours to complete. The duration of the surgery also depends on the type of procedure that has to be performed and also on the needs of each patient. But considering all these factors, it usually lasts from 3-6 hours. 

The reason why open-heart surgeries take this long is that it is a surgery where the surgeon has to open up the chest cavity and work on the heart directly with direct vision. It takes time to perform all the steps of the surgery starting with making an incision in the middle of the chest, 6-8 inches long, then you separate the rib cage with a separator, then the heart becomes visible to you in the chest cavity. Before the surgeon can start working on the heart, the heart is attached to a bypass pumper/machine and the functions of the heart are then performed by the bypass machine and the heart is stopped. This is done so that there is the ease of operation for the surgeon, also because the machine can do a better job at the time of the surgery. After all these steps, can the surgeon start working on the heart? Hence, an open-heart surgery takes 3-6 hours to complete. 

How safe is laser open-heart surgery?

Laser open-heart surgery also called Transmyocardial Laser Revascularization (TMLR), is an option for patients with anginal pain who cannot undergo coronary bypass surgery. In this surgery, with the help of the laser, various channels are created through the heart muscle into the left ventricle. The left ventricle is majorly responsible for the proper blood flow from the heart to the rest of the body and back. These tiny channels facilitate oxygen-rich blood to flow through the heart and improve the blood-flowing aspect of the heart. 

Regarding the safety of laser open-heart surgery:

  • Mostly, the symptoms associated with coronary heart disease and angina reduce post-surgery, but it takes at least 3 months to see the improvement. 
  • Post the surgery, you’ll be asked to stay back at the hospital for 4-7 days, which is not too long considering the severity of the surgery. 
  • Working people can go back to work after 4-6 weeks of the recovery period, and for people with strenuous work, a long recovery period is advised. 
  • According to studies, 80-90% of the patients feel better after the surgery and find that their symptoms have been diminishing. 
  • Patients can perform those activities that used to cause them pain before the surgery. 
  • Some patients may also find that they can reduce their medicine intake especially Nitroglycerin. 

 

How long will it take to walk normally after open-heart surgery?

Post an open-heart surgery, a patient is kept back at the hospital for 4-6 days, after which the patient is discharged. The patient is advised a recovery period of 4-6b weeks post-surgery. Doctors advise that walking is the best form of exercise after surgery. Studies show that patients who walk for at least 30 minutes a day, six days a week, have a healthier life after the surgery. The patients should be able to walk for 1-15 miles per day after one month of the surgery. 

When starting a walking schedule, pick a time and stick to it. Make sure that you walk on even ground, with a rhythmic pace. Stop when you feel like the walking is becoming too strenuous for you. Do not rush into a walking routine until you’re mentally and physically ready for it. 

While walking, if you do feel discomfort or pain, or breathlessness, stop with the walking routine and contact your doctor. 

Is India the best place for open-heart surgery treatment? Why?

India is one of the best places to get open-heart surgery done. a few reasons why India is considered one of the best options are:

  • Open-heart surgery in India is very cost-effective. Compared to the western countries where an open-heart surgery usually costs around $90000, in India the surgery only costs around $7500. People from all over the world come down to India to get their surgeries done, because of this cost-effectiveness. 
  • India has outstanding cardiac hospitals with the most talented surgical teams. The surgical arena in India has improved over the years and the increasing number of patients getting an open-heart surgery done in India is a testament to that. 
  • Indian hospitals have acquired state of art technology and this technology makes it easier for surgeons to conduct the surgery with much ease. 
  • The efficiency in the process of medical tourism in India has also made India a hotspot for open-heart surgeries.

 

What is endoscopic open heart surgery in India?

Endoscopic open-heart surgery also knows as endoscopic coronary artery bypass (TECAB) is a type of surgery that is a minimally invasive procedure that utilizes a closed-chest robotic approach. Instead of a long incision, 4-5 finger-tip-sized slits are made, which leads to faster recovery and surgical area healing. 

TECAB in India is far more cost-effective than compared to western countries. The cost-effective factor is not the only assuring factor, the fact that TECAB is performed using a highly robotic technology called the Da Vinci robot, and this technology is available in only selected countries, and India is one of them. The availability of such technology plus the cost-effectiveness makes India a top choice for TECAB. 

Currently, Asian Heart Hospital, Mumbai has been performing these TECAB procedures and the success rate of these surgeries has been really good. 

Why TECAB is preferred over traditional open-heart surgery is because:

  • Faster recovery
  • Shorter stay at the hospital
  • Separation of the breast bone is not needed. 
  • Minimal blood loss
  • Less amount of scarring
  • The bypass machine is not needed. 
  • Elimination of stopping the heart during the procedure. 

 

What are some common indications for Open heart surgery?

  • Open-heart surgery is mostly done for coronary artery bypass surgery. In a CABG, a coronary artery bypass graft is used for people suffering from coronary artery disease. Coronary heart disease occurs when the arteries and veins that provide the heart muscle with blood and oxygen become narrow and also hard. The hardening and narrowing of the vessels occur due to a fatty substance that creates a plaque on the wall of these vessels. This leads to an irregular and insufficient supply of blood and oxygen. CABG is done to correct this problem. It is also done to repair or substitute the heart valve, to correct the problem of irregular flow of blood and oxygen. 
  • To place medical heart implants that help the heart to beat regularly. 
  • Repair the damaged areas of the heart
  • Heart transplant
  • Repairing congenital heart anomalies. 

 

What's the exact recovery time for open-heart surgery?

The recovery after open-heart surgery is gradual. It is major surgery and do not expect a speedy recovery and be patient with the recovery. It usually takes 5-6 weeks before you start to feel better. Once you cross 6 weeks, you’ll be able to get back to work and your daily routine. Though avoid doing strenuous work for a few more weeks. 

Complete recovery would take at least 6 months, and by then you’ll also get to know how the surgery is benefitting you. 

There are a few things that you can do for a healthier and faster recovery:

  • Walking for at least half an hour per day. 
  • Other exercises like swimming and jogging can be done after talking to your doctor. 
  • A healthy diet advised by the nutritionist 
  • No smoking and drinking
  • Avoiding high BP and cholesterol
  • Cut back on salt, sugar, and fat. 

 

What are the pros and cons of open-heart surgery?

Pros of open-heart surgery;

  • Reducing or eliminating chest pain
  • Reducing the risk of heart attack
  • Increasing energy for exercises and other physical activities

     

Cons of open-heart surgery:

  • Heart attack
  • Bleeding during the procedure
  • Stroke
  • Allergy to the anesthesia 
  • Lung infection
  • Damage to nerves in the chest, hand area
  • In the rarest cases, death

 

What’s the purpose to perform open-heart surgery in India?

• Open-heart surgery is mostly done for coronary artery bypass surgery. In a CABG, a coronary artery bypass graft is used for people suffering from coronary artery disease. Coronary heart disease occurs when the arteries and veins that provide the heart muscle with blood and oxygen become narrow and also hard. The hardening and narrowing of the vessels occur due to a fatty substance that creates a plaque on the wall of these vessels. This leads to an irregular and insufficient supply of blood and oxygen. CABG is done to correct this problem. 

• It is also done to repair or substitute the heart valve, to correct the problem of irregular flow of blood and oxygen. 

• To place medical heart implants that help the heart to beat regularly. 

• Repair the damaged areas of the heart

• Heart transplant

• Repairing congenital heart anomalies. 

  1. What are the things to look into before selecting the heart surgeon?
  • Referrals- Ask your general doctor or your cardiologist if they have any suggestions or referrals for a cardiac surgeon, since they are in the field of healthcare, they would know the who’s and who of the healthcare sector and they would refer you to a good surgeon. 
  • Referrals from family and friends who have undergone cardiac surgery before or if their relative has undergone surgery, would be able to refer you to their doctor. 
  • Research about various cardiac surgeons on online rating and review websites. Check their credentials and the authenticity of it. Also, check the ratings and reviews that other patients have given for the surgeon. 
  • Consider the cardiac surgeon’s experience and the number of surgeries they have performed before. 
  • Choose a surgeon of gender that you’re comfortable with. Since you’ll be undergoing major surgery, you must be comfortable with your surgeon so that they are no miscommunications about the procedure and the associated topics. 
  • Always check for the hospital quality of the cardiac surgeon that you might be interested in. though the surgeon might be excellent if the hospital quality is poor, do not choose that as your option. 
  • Select a cardiac surgeon who will participate in your insurance plan so that most of your expenses get covered by the insurance and it is very little out-of-pocket expenditure.

Which are some affordable term insurance plan options?

Term insurance is an insurance cover if and when during the term of the insurance, the insured dies due to natural causes or other reasons, the beneficiary would be compensated for it by the insurance company. 

Some affordable term insurance plan options are:

  • SBI Life eShield Plan
  • Future Generali Flexi Online Term Plan
  • Bharti AXA Term Plan protect
  • IDBI Federal insurance Flexi Term Plan 
  • ICICI Prudential iProtect Smart
  • Canara HSBC iSelect+ Term Plan
  • Bajaj Allianz eTouch Lumpsum
  • Aegon Life iTerm Plan

What are the risks of flying after open-heart surgery?

The risks of flying after an open-heart surgery could be pulmonary embolism or in layman's terms, a blood clot. Avoid sitting for a long duration of time, and stretch out your legs from time to time. 

The safest period to fly after an open-heart surgery depends on the procedure that you have undergone. It could be as early as 10 days post-surgery to 3 months post-surgery. Hence, always consult with your doctor before making any plans. Also, do follow your said instructions regarding travel, because if you do travel before the safe period told by your doctor, your travel insurance will not be applicable. 

Is there any sort of pain after open-heart surgery?

You might think that it would hurt and pain a lot post-surgery considering the severity of the surgery, but such is not the case. Most patients feel slight discomfort or pain in the incisional area since it’s a wound that needs time to heal. Apart from that, you might feel pain if your strain the incisional area while doing some activity like getting up from bed or getting up from a chair. If you follow the correct instructions to do such activities, you might feel no pain at all. You might need painkillers at times when there is the discomfort caused by straining the surgical site too hard. But, a small dose of painkillers would suffice and you would be able to sleep peacefully at night. The discomfort or slight pain that you feel would eventually lessen or go away after a month of the surgery. Remember the discomfort is not bad as you think it might be, so do not let your fear make you believe otherwise. 

What happens if your heart stops during surgery?

When the heart stops beating during surgery, it is called a sudden cardiac arrest. A sudden cardiac arrest means that the heart stops pumping and hence the supply of oxygenated blood to the brain and other organs would stop. If the heart is not revived within minutes, the patient could die on the surgical table. 

So a defibrillator is used to make the heart start beating again. A defibrillator works on electrical shock and shocks the heart back to a normal rhythm. It is necessary to always keep a defibrillator in every OT so that if such a situation occurs, the treatment can be given immediately. 

Do not confuse a heart attack with SCA. A heart attack occurs when there is plaque accumulation in the heart vessels because of which there is irregular or zero flow to a part of the heart, this leads to the death of the heart muscle which leads to a heart attack. But a heart attack doesn’t necessarily mean that the heart would stop beating. 

Can you explain in detail how complicated open-heart surgery is?

Open-heart surgery is not necessarily complicated but it has certain risks associated with it. Since the surgeon makes an incision and separates the breast bone and works on the heart with a clear vision, to a patient it might certainly sound very scary and complicated. The surgery does take a good 4-6 hours to complete, and it is major surgery. 

But your surgeon is very capable and experienced to perform your surgery. Trust in your surgeon and leave it to them to perform the surgery properly and safely. Do make sure that you choose a surgeon that has a good reputation, credentials, referrals, and ratings and reviews. 

Though there are certain risks associated with it, like with any other surgery. The risks associated with the surgery are:

  • Heart attack
  • Stroke
  • Infection of the incisional area
  • Lung failure
  • Kidney failure
  • Chest pain
  • Fever
  • Blood clot
  • Memory loss
  • Pneumonia
  • Difficulty in breathing

Why is there a personality and emotional change after open-heart surgery?

Patients after an open-heart surgery do go through a personality or emotional change. The most common symptoms are anxiety and depression, a patient feels anxiety thinking of the physical activity limitation after the surgery. This would make the patient dependant on someone all the time, because of which the patient would start being upset and low. 

Depression would again be because of the limited movement and activity that the patient would be stuck doing and the dependency on their friends and family to even get simple activities done. Depression in a patient can be found out by if there is a change in the patient’s attitude towards people and work, and if they have limited their contact with people. 

Such patients should be given some counseling on how the situation is just temporary and with time they will be able to get back on their feet and perform their activities and would not be stuck in one room. 

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