Third World Countries have a daunting task of providing affordable high quality easily replicable healthcare to its public. Innovations in surgical technique with greater emphasis on surgical skill rather than costly instrumentation, is the only way ahead of ensuring that these services are affordable and easily accessible. Awake Chest Surgery using Regional Anesthesia, Cross-Over Bypass techniques using patients own saphenous veins amongst others ; have not only shortened hospital stays and costs, but also reduced the risks of such procedures.

1. “Indiagenisation”
of Chest & Vascular Surgery
Dr.Irineu A.Pereira
MBBS, DNB(Gen.Surg),
MCh(CVTS-JIPMER), DNB(CVTS)
Consultant Cardiovascular & Chest
Surgeon
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2. Minimise Invasion
Surgical or Anesthetic
Minimise Wastage
Time and Resources..
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13.  Shorter Stay in Hospital
 Early Resumption of normal activities
for the patient ,………….. as well as the
family.
 Double Bonus !
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14. “ All Chest Pain is Not Angina &
All Breathlessness is not Bronchial
Asthma.”
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16.  Chronic Cough
 Breathlessness
 Hemoptysis
 Wheezing
 Chest Pain
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 Stridor
 Hoarseness Of
Voice
 Difficulty in
Swallowing
 Fever

17.  Early Diagnosis
 Prompt Treatment
 Results depend also on the
quality of the raw material
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“
Life would be Calm and
Sweet ; If Shoes were
bought to fit the Feet and
Not the Occasion.
”
Mark Twain

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22. Autologous Graft
 Free
 Low-Risk Infection
 Free from prolonged need for anti-coagulation
/ anti-platelet therapy.
 Fill it , Shut it, and Forget it !
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23. • Avoids entering thorax or abdomen
• Avoids General / Spinal Anesthesia
• Avoids High-Grade Antibiotic Coverage /
Prolonged hospital Stay
• Lower-Risk Procedure on High-Risk Patients.
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24. • MIVAS
• EVLT
• Thermal Ablation
• Chemical Ablation / Foam-Sclerotherapy
• MAC
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29. thank you.
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