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Doctor insights on: Open Chest Surgery

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Dr. Loki Skylizard
61 doctors shared insights

Chest Surgery (Definition)

Chest surgery is a method of treating problems in the chest that generally require something to be cut out (biopsy or removal of tissue) or something to be repaired. Examples include removing tumors, removing sections of damaged lung, repairing birth defects of the trachea or esophagus, coronary artery bypass grafts, repairing ...Read more


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Can heart bypass surgery require cracking the chest open?

Can heart bypass surgery require cracking the chest open?

Sternal incision: The sternum- breast bone is cut with a special saw and wired back together at completion and heals well in general. Done for most congenital, valvular and coronary operations for great exposure and safety and avoids other incisions in chest or groin! ...Read more

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Do heart bypass surgeries require cracking the chest open?

Do heart bypass surgeries require cracking the chest open?

No: Minimally invasive cardiac surgery has been around for more than 20 years. This can be done thorascopically, or with a minimal chest incision. ...Read more

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When is open lung surgery required?

When is open lung surgery required?

Work in progress!: Open surgery is required when the proper procedure cannot be performed safely and successfully by lesser means. Expertise in minimally invasive techniques is growing by the day so less open cases are required but there are still times when anatomy, exposure, or the disease process dictate an open chest approach. ...Read more

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Is CABG (coronary artery bypass grafting) an open heart surgery or closed heart surgery?

Is CABG (coronary artery bypass grafting) an open heart surgery or closed heart surgery?

Not necessarily: A CABG if done without cardiopulmonary bypass (cpb) does not require the heart to be opened, however most cabgs are done with cpb requires cannula placement in the heart. However, most people consider any surgery on the heart where the chest is opened open heart surgery. ...Read more

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Could heart bypass surgery require opening up of the chest?

Could heart bypass surgery require opening up of the chest?

Yes: Most CABG procedures still require opening the sternum (breastbone) to some degree. While thorascopic surgery is done, it is not mainstream, and usually requires an access thoracotomy (small incision) for completion. ...Read more

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Why are arteries closed after open heart surgery?

Why are arteries closed after open heart surgery?

Many reasons: There are many reasons why arteries are closed after coronary artery surgery. Remember that surgery "bypasses" and does not remove blockages. Most importantly surgery does not chnage the medical problems which caused the blockages (such as cholesterol, diabetes, hypertension, smoking, obesity, and sedentary lifestyle) and unless these are addressed the arteries will continue to close. ...Read more

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Can open repair surgery be done on bilateral popliteal aneurysm in 1 surgery? medial approach

Can open repair surgery be done on bilateral popliteal aneurysm in 1 surgery? medial approach

Popliteal aneurysms: Bilateral popliteal aneurysm repairs can be done at the same sitting but I prefer staged procedures as it is easier on the patient and the surgeon. Get one leg fixed, make sure it's ok then get the other fixed. Alternatively placement of popliteal stents is a viable option that I prefer to popliteal bypass and aneurysm exclusion. Bypass option is still available if it becomes necessary. ...Read more

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Why is open heart surgery necessary?

Why is open heart surgery necessary?

Last resort: Heart surgery is typically held in reserve for patients with problems that are life-threatening that cannot be fixed with medications or fixed with percutaneous procedures performed in the cardiac catheterization laboratory. ...Read more

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Why would seroma develop after open heart surgery?

Why would seroma develop after open heart surgery?

Where?: Any incision may have some bleeding- -and a hematoma may develop. This can become a seroma over time as the blood is resorbed. Or some lymphatic s are disrupted and fluid escapes into tissue. Tissue juices and serum can remain in a wound as well. Most are temporary. All are resolvable . See the surgeon. ...Read more

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Is minimally invasive heart surgery the same as open heart surgery?

Is minimally invasive heart surgery the same as open heart surgery?

Mostly....: The biggest difference is usually the incision size, with minimally invasive being smaller and often avoiding opening the breastbone. The actual surgical procedure, such as valve repair or bypass is often identical to the traditional approach. ...Read more

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How is the open heart surgery performed?

How is the open heart surgery performed?

Bypass: The heart is stopped and the blood returning to the heart is instead diverted to the pump oxygenator, a machine that adds oxygen to the blood which is then pumped back into the aorta. So the surgery can be done with the heart stopped and with the blood bypassing the heart chambers. After the surgery on the heart is completed, the blood is directed back through the heart and lungs. ...Read more

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Complications from having open heart surgery and getting aortic valve replacement?

Complications from having open heart surgery and getting aortic valve replacement?

There are several: The complications of aortic valve replacement include bleeding, blood transfusions, stroke, infection, renal failure, reoperation, atrial fibrillation and death. Therre are more as well. Fortunately the risks of aortic valve surgery are relatively small for most patients. The exact risks vary from patient to patient. The average risk of death is about 1-2% for most aortic valve replacements. ...Read more

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Has minimally invasive surgery replaced open surgery in gynecology?

Has minimally invasive surgery replaced open surgery in gynecology?

Not yet: Not yet but that's the goal. The advantages of minimally invasive surgery is incredible, but there is a high learning curve to master which makes it a little more challenging to make this into the gold standard. We are making great strides however. ...Read more

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Burning sensation from left nipple status post open chest prcedure for valve repair 3 weeks status post operation?

Burning sensation from left nipple status post  open chest prcedure for valve repair 3 weeks status post operation?

It happens.: From any open heart surgery you have many of your superficial nerves of chest wall injury , so burning sensation is not uncommon. It may get better over a long time, it's hard to predict. ...Read more

Dr. Alvin Lin Dr. Lin
4 doctors agreed:
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Pain after open inguinal hernia surgery?

Dr. Alvin Lin Dr. Lin
4 doctors agreed:
Pain after open inguinal hernia surgery?

Post-op pain common: Talk to your surgeon! tell him/her what's going on. You're the best judge of how much pain you can tolerate but let your surgeon know. S/he should have warned you about post-op pain as well as potential complications. Check back in w/your surgeon to be sure your pain isn't due to bleeding, infection or repair gone bad. ...Read more

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Chest pain after chest tube removal?

Normal: Chest tubes are painful as it is, and when removed , residual pain is not common. If it doesnt get gradually better or you become acutely short of breathe, then a repeat chest xray would be needed. ...Read more

Dr. Loki Skylizard
214 doctors shared insights

Thoracic Surgery (Definition)

Thoracic surgeons operate on the chest and the organs within: airway, heart, lungs, esophagus, chest wall, mediastinum, etc. You may also find a common title of "cardiothoracic surgeon" or in more specialized regions a distinction will be made between heart surgeons and non-heart surgeons, i.e. "cardiovascular ...Read more