Bypass surgery failure with the latest technological advancements has improved procedures and improved successful operations as the basis for writing his article
Bypass Surgery Failure
Bypass surgery is the most effective treatment method for repairing arterial blockages and preventing heart attacks using arteries or veins from the patient’s own body. Arterial blockage usually occurs due to the buildup of plaque (fat, cholesterol and cell impurities). The purpose of this operation is to improve the flow of coronary arteries that provide oxygen to the heart muscles to become normal again. In other words, this operation can eliminate the symptoms of chest pain and reduce the risk of death resulting from a heart attack. Heart bypass surgery is also called Coronary Artery Bypass Graft (CABG) surgery. CABG is a procedure for treating coronary heart disease to restore blood flow to the coronary arteries that are blocked to become normal again. This is done by making new channels taken from our healthy blood vessels from the legs (safena magna vein), arms or chest (internal mammary arteries) and connected to other arteries in the heart. However, veins taken from the patient’s feet are never the first choice of a surgeon. CABG is also called a surgical procedure that grafts blood vessels to the arteries to change the route of blood flow around blockages in the arteries (arteriosclerosis). However, only performing bypass surgery and taking some medications does not ensure complete recovery from the condition and also does not prevent the risk of future heart attacks.
Surgical surgery by the surgeon begins by making an incision in the middle of the chest. After that, the patient is then connected to a cardiopulmonary bypass (heart-lung machine). The machine circulates oxygenated blood through the body while the surgeon operates in the heart. Blood is pumped out of the heart by a machine to remove carbon dioxide, and the machine is then filled with oxygen. Oxygenated blood is pumped back into the body without going through the heart and lungs. This makes the blood pump oxygen throughout the body. Meanwhile, your surgeon will also use cooling techniques. Cooling techniques allow doctors to operate on the heart tissue for several hours at a time. These techniques reduce the risk of heart damage or brain damage due to lack of oxygen. The surgeon then removes healthy blood vessels from inside the chest wall or legs to replace the blocked or damaged arteries. When the surgeon is finished, the machine is removed and the bypass function is checked. After the bypass works, then the sewing process, bandaged, and taken to the intensive care unit (ICU) for monitoring. Once stable, the patient will be moved to another room. Be prepared to stay in the hospital for seven days before leaving the hospital. The medical team will provide instructions on how to treat yourself, including: caring for the incision, getting plenty of rest to refrain from physical activity. Even without complications, recovery from heart bypass surgery can take six to 12 weeks.
As with open heart surgery, heart bypass surgery carries risks. Recent technological advances have improved procedures, increasing the likelihood of successful operations. Effects or risks that can occur after surgery are fever, bleeding and pain. So that it is mandatory for patients to routinely control the wounds of their former surgery. Other operating risks can also cause stroke which requires special treatment. There were also those who experienced death after heart bypass surgery and this was because the patient had a heart attack. The risk of death or failure of surgery will increase if the patient is elderly (more than 70 years) and has weak heart disease, diabetes, lung and kidney. This heart bypass surgery is common in elderly women. Women have smaller coronary arteries compared to men, making it difficult for surgery. However, as long as women still menstruate routinely, the risk of developing coronary heart disease is minimal. After performing heart bypass surgery, the risk of blockage will be reduced so that the risk of death can be reduced. In addition, patients who perform heart bypass surgery will feel pain in the shoulder as well as on the back. Patients will feel weak often, stress, insomnia and loss of appetite. This condition will last for three months. Ten years after surgery, about 60% of the bypass channels originating from veins on the legs still function well. If you use the internal mammary artery, 90% of the bypass can function properly for up to 20 years.
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