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Heart Valve Summit Video #5: “Is Minimally Invasive Surgery Better For Pain & Recovery?” Asks Jake

Posted by Adam Pick on November 11th, 2011

Jake sent me a great question relating to pain, minimally invasive surgical approaches and recovery. He writes, “Adam — I hear a lot about minimally invasive procedures being much better for pain and recovery. Is that true? Thanks, Jake”

During the Heart Valve Summit, I was very fortunate to ask Jake’s question to Dr. Kevin Accola, a leading cardiac surgeon who has performed over 9,000 cardiac procedures including 2,400 heart valve operations. Here are the highlights from our discussion:

Thanks to Jake for his question and a special thanks to Dr. Kevin Accola for taking the time to meet with us and share his clinical expertise. As you may know, Dr. Accola has performed successful surgery on many members of our community including:

Grandpa In Hospital After Surgery

To learn more about Dr. Kevin Accola and the Florida Hospital Cardiovascular Institute, please click here.

Keep on tickin!

P.S. For the hearing impaired members of our patient and caregiver community, I have provided a transcript below for your review.

Adam: Hi everybody! It’s Adam and I’m here at the Heart Valve Summit in Chicago,  Illinois. We’re answering your questions that were posted at HeartValveBlog.com. We’re standing next to Dr. Kevin Accola, who practices at the Florida Hospital Cardiovascular Institute and we’re going to answer a question that came in from Jake. Dr. Accola, Jake writes, “Adam — I hear a lot about minimally invasive procedures being much better for pain and recovery. Is that true? Thanks, Jake”

Dr. Accola: Well Adam, a lot of people, and in particular if Jake gets on the internet, he’s going to see a whole potpourri of information on minimally invasive surgery. And obviously, minimal invasive when it comes to gallbladders and various other entities within the body, it can be much less painful, they heal quicker. In fact, gallbladders when I was in general surgery, they used to stay in the hospital 6,7 or 8 days. Now it’s a day surgery. So it is a truly advancement when it comes to some general surgical procedures. In regards to heart surgery, I think that Jake has to remember is that it’s still heart surgery. And regardless of the approach, whether it’s through a thoracotomy or a smaller incision or through a partial stenotomy, it still has the inherent risk of heart surgery. In regards to healing quicker, obviously a smaller incision is going to heal quicker. Surgically we often times speak of instead of minimal invasive, of alternative surgical approaches, or lesser incisions but that quantitates the course with lesser invasive or minimal invasive surgery. Unfortunately Jake, too many people think when they hear that it’s minimally invasive they think it’s less risk. So I want to spell that notion, that it isn’t less risk. Minimal invasive surgery or alternative approaches to heart surgery do afford the patient often times with less blood transfusions, typically smaller incisions, often times more esthetically pleasing, depending on where the incision is or what the planned procedure is, and so subsequently the patient is able to do things sooner, because they’ve had less of their sternum open, they’ve had less trauma to their skin or to their structures while we get to their heart, to operate on the heart. But again Jake has to remember it’s still heart surgery and there still is an inherent risk with heart surgery built in to any type of incision. So that’s a good question. Jake, what I would advise you to do is talk with your surgeon and your physician and explore the various options but realize in that it’s still heart surgery and at the end of the day, Jake needs to have a good operation that is as less risk in the best hands that he has capable to him in his area to perform whatever ailment is with his heart. So he gets a good result and a good long term result. Because that’s what’s important that he gets a long term result with this surgical procedure.

Adam: As always, Dr. Accola thank you for taking the time to stop and chat with us and answer our questions, I know that the viewers out there really appreciate all that you’re doing. You’ve touched their lives and you’ve touched their hearts and they all really really appreciate it. So thanks so much.

Doctor Kevin Accola: Absolutely Adam, and again I can’t extend to you how grateful we are from the surgical side from the healthcare side in everything that you do to educate patients, truly from a grassroots form. And so that’s just outstanding. My patients love it. They bring their book in and say, “Adam says…” And, I say: Yeah that’s what Adam says.. So again thank you. You’ve worked hard and you just developed this all on your own and we’re proud of you that you’ve done that as I know there are numerous patients who have gainfully benefited from your educational experience as well.

Adam: On behalf of all of them: thank you so much.

Dr. Accola: It’s my pleasure.

Adam Pick
Written by Adam Pick A dad, a husband and a patient, Adam Pick founded this website in 2006 to educate you about heart valve surgery from diagnosis to recovery.
You can get the latest updates about heart valve surgery from Adam at his Facebook, and Twitter pages. Click here to email him.

 


Tim Purnell says on November 11th, 2011 at 3:07 pm

Regarding the above question from Jake. I can say from my own experience-34 yr old (Minimmally invasive Mitral Valve Repair) May 2010…I was home from the hospital in less than 48 hrs and back to work in 2 weeks). Pain was very managable-minimally invasive is the way to go in my opinion! I was also told by the surgeon that he could perfom a better surgery in this manner as well-and clearly better recovery for me!

~Tim

 


Lynda Knopf BS/RN says on November 11th, 2011 at 5:48 pm

Dear Adam–Your blog continues to provide pertinent,good,sound information via noted surgeons nationwide…Dr.Kevin Accola’s presentation was brief and to the point re minimally invasive cardiac procedures..I readily compliment his integrity in acknowledging the awareness of technicalities that may occur–Thank you again for keeping we cardiac patients informed!

 


Don Hull says on November 12th, 2011 at 8:00 am

I’ve had both…a minimally invasive procedure for mitral valve repair and then two weeks later, the sternotomy for mitral valve replacement. I wouldn’t say one is less painful than the other, but the minimally invasive took a lot longer to get over. Now, over two years later it still causes discomfort. My advice is “Don’t let the consideration of pain be the deciding factor in choosing minimally invasive heart surgery.” As the surgeon stated, “It’s still heart surgery.”

 


Tony says on December 17th, 2011 at 10:04 am

I am almost 8 weeks post-op robotic mitral repair from the Cleveland clinic. One day in ICU, seven days total in hospital because of some Arrhythmia. Drain tube was pulled before I knew it was out, little discomfort. Breathing tube was not near as bad as I had heard it would be. The urinary drain tube worked great, though did burn some after withdrawal. As of now I occasionally get a burning sensation in my right shoulder/upper arm, four times so far, lasts 2-3 minutes, I did have stitches in my right armpit though don’t know what was inserted there. Have had no pain at all in the heart area. Interestingly enough though the day before surgery my resting pulse was 50-53 bpm, post-op my resting rate is still 84-94 bpm ! I am perplexed as to why this is. I am very active, 53 years old, ride mountain bike 20+ miles 3-4 days a week, kayak 3 days a week, occasionally race kayaks and do a biathlon every year. Hopefully I can coax my pulse down again.

 


Tony says on December 17th, 2011 at 10:10 am

Oh yes, I would also like to say the robotic surgery still aches some where they went through the ribs/right chest area. A sternom surgery may hurt going through the chest though the robotic hurts going through muscle and tendon, I tend to agree it may require longer time for some with the robotic way.

 

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