Dr Gokhale performs minimally invasive heart bypass surgery in Hyderabad, India at Yashoda Hospital making use of advanced technology to do key hole surgery (minimally invasive cardiothoracic surgery).

1. Minimally Invasive Heart Surgery - Dr. Gokhale
Dr. Alla Gopala Krishna Gokhale
First Surgeon in Telangana and Andhra Pradesh to do Heart Transplant,
First Lung Transplant & First Minimal Access Bypass Surgery.
www.drgokhale.com

2. Minimally Invasive Heart Surgery - Dr.Gokhale
Minimally invasive heart surgery is getting popular in the last few years. A
minimally invasive approach allows one or more combinations of the following:
o Access to the heart through small incisions splitting only small part of the breast
bone or through the spaces in the rib cage without splitting breast bone (Minimal
Access Cardiac Surgery).
o Surgery on heart without stopping the heart,(beating heart surgery).
o Making use of technology like video thoracoscope or robots to do key hole surgery.
www.drgokhale.com

3. Minimally Invasive Heart Surgery - Dr.Gokhale
 Typically heart surgery requires exposure of the heart and its vessels through a
skin of 10-12” and median sternotomy (dividing the breastbone-figure) and
this is considered by many, especially patients, as one of the most invasive and
traumatic aspects of open-chest surgery.
 This results in prolonged stay in hospital (5-10 days in general) and requires 8-
12 weeks before they can return to their normal activities.
 Moreover artificial heart-lung machine is used routinely in all patients going
for coronary artery bypass surgery (CABG- surgery done to increase blood
supply to heart when it’s blood vessels are blocked).
 This machine can cause damage to blood resulting in bleeding problems, brain
strokes, more blood transfusions and infections.
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4. Minimally Invasive Heart Surgery - Dr.Gokhale
Minimally invasive heart surgery overcomes some of these by the
following techniques:
oEndoscopic Vein Harvesting
oMinimally Invasive Coronary Artery Bypass Surgeries (MICAB)
oMinimal Access Valve (and some congenital) Surgeries
oRobotic and Videothoracoscopy Assisted Heart Surgeries
www.drgokhale.com

5. Minimally Invasive Heart Surgery - Dr.Gokhale
Endoscopic Vein Harvesting:
During Coronary artery bypass surgeries a vein is taken from one of the legs to use
during surgery. Traditionally, vein harvesting is accomplished through a lengthy
surgical incision in the leg (see figure 1). But in recent times leading Surgeons have
been practicing a minimally invasive procedure called Endoscopic Vein Harvesting
(see figure 2). With this leg complications are minimized- especially useful in obese
patients, diabetics and women.
www.drgokhale.com
figure 1 figure 2

6. Minimally Invasive Heart Surgery - Dr.Gokhale
Minimally Invasive Coronary Artery Bypass Surgeries (MICAB):
Today some of the patients undergoing bypass surgery can be offered this surgery
through small incisions. Instead of traditional breast bone splitting surgery, if patient
requires even three to four bypass grafts, this can be done through a small incision in
rib cage (figure 1 & 2).
www.drgokhale.com
figure 1 figure 2

7. Minimally Invasive Heart Surgery - Dr.Gokhale
Minimal Access Valve (and some congenital) Surgeries:
There are 4 valves in heart which ensure smooth blood flow from one chamber to another
chamber and that too only in forward direction. Sometimes they get diseased – resulting in
either the narrowing of the valve causing obstruction to forward flow or the leakage of valve
leading to the blood flowing in the reverse direction also. Nowadays many of these can be
operated using small incisions on the side of chest(figure 1)- for minimal access mitral valve
replacement or repair, Minimal access closure of Atrial septal defect), sometimes by a little
higher incision for Minimal access aortic valve replacement or splitting only part of the breast
bone (figure 2) for replacement of both mitral and aortic valve replacements.
www.drgokhale.com
figure 1
figure 2figure 1

8. Minimally Invasive Heart Surgery - Dr.Gokhale
Robotic and Videothoracoscopy Assisted Heart Surgeries:
In a few selected centers around world, some of the surgeries on heart can be done
through key holes using technology like videothoracoscopy and robotics. Mitral valve
surgery can be done using a 4 cm incision on the side of chest with their help. In a
select few centers around world, coronary artery bypass surgeries are being
attempted totally thorough key holes.
In the coming decade, cardiothoracic surgery is likely to undergo major shift towards
minimally invasive surgery where patients can be discharged in 2-3 day's time and
can go back to work in 2 weeks' time.
www.drgokhale.com

9. Minimally Invasive Heart Surgery - Dr.Gokhale
Dr Gokhale CT Associates has one of the largest experiences in India in
Minimal Access Coronary Bypass (MICAB) and Minimal access mitral valve
replacements and closure of atrial septal defects. They have done over 175
such procedures so far. Dr Gokhale is invited by many surgeons nationally
and Internationally to train them in minimal access heart surgery.
www.drgokhale.com

10. Minimally Invasive Heart Surgery - Dr.Gokhale
 www.facebook.com/drgokhale
 twitter.com/DrGokhaleAGK
 plus.google.com/104940945701061468956/about
 in.linkedin.com/pub/dr-gokhale-alla/16/434/a57
 blog.drgokhale.com/
 www.youtube.com/channel/UCBQxaC54GpEmrmhe0Xwop3w
 www.sahrudaya.com/
www.drgokhale.com

11. Contact - Dr. Gokhale
Dr. Alla Gopala Krishna Gokhale
Yashoda Hospital, Secunderabad
Behind Harihara Kalabhavan
S.P. Road, Secunderabad
Telangana - Andhra Pradesh
500 003
India
Days Available & Timings: Mon-Fri 10am - 5:00pm
Contact Number(s): 040 27713333 - Ext 8026/9603040506
Emergency Number(s): 9603040506
For any questions / enquires,
you can Ask Doctor.
www.drgokhale.com