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Key-hole Heart Surgery; with small incisions come great responsibilities

Key-hole Heart Surgery; with small incisions come great responsibilities

Key-hole Heart Surgery; with small incisions come great responsibilities

A large proportion of cases in gynaecology, urology, general surgery and orthopaedics are done today with small incisions: why has this trend not caught on in cardiac surgery in the UK? In the late 1990s there was much interest from many Cardiac Surgery centres in the UK, and across Europe to start minimally invasive programs. Many centres started and stopped, due to poor outcomes. Two groups, one based in Aalst, Belgium, led by Hugo Vanerman and another in Leipzig, Germany, led by Fredrich Mohr persisted in using the available technology for minimally invasive mitral valve surgery.

Off Pump Coronary Artery Bypass Surgery. Why does it work in practice but not in theory!

Off Pump Coronary Artery Bypass Surgery. Why does it work in practice but not in theory!

Off Pump Coronary Artery Bypass Surgery. Why does it work in practice but not in theory!

So we have another large study that suggests that doing coronary artery bypass surgery on a beating heart may be bad for patients. This time it is a study conducted by the Korean heart surgeons. Do we believe it or do we doubt the conduct of this study? I have just been at a meeting at Oxford, where all off the faculty apart from me are predominantly surgeons who operate on the beating heart. They show excellent results with their techniques and I have no doubt that they are honest about it. So why does the accumulation of evidence suggest that it may not be safe.

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Mr Joseph Zacharias is a Consultant Cardio-Thoracic Surgeon who over the past 18 years has introduced many patient centred procedures and reviewed, presented and published his excellent results. He is passionate about teaching and training and continues to help disseminate his learning and skills to doctors at all levels of training. Mr Zacharias has one of the largest experiences in endoscopic heart surgery in the UK and continues to maintain a busy practice in both complex heart and lung surgery.

Contact

Consultant Cardiothoracic Surgeon | Joseph Zacharias

Alexandra Hospital Mill Lane, Cheadle, Manchester

0161 5273832

info@josephzacharias.com

www.josephzacharias.com