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Damansara Specialist Hospital 2 In the rapidly evolving field of cardiac surgery, Damansara Specialist Hospital 2 (DSH2) stands out with its commitment to innovation and excellence. Under the expert leadership of Consultant Cardiothoracic Surgeon Prof Dr. Shahrul Amry Hashim, DSH2 is pioneering Minimally Invasive Cardiac Surgery (MICS), providing enhanced outcomes and improved quality of life for patients. This article delves into the intricacies of MICS, its advantages over conventional open-heart surgery, and its significance in the context of cardiovascular disease in Malaysia. |
| s one of the leading causes of death in Malaysia, mirroring a global health cris ry. | Cardiovascular Disease in Malaysia Cardiovascular disease (CVD) is one of the leading causes of death in Malaysia, mirroring a global health crisis. The increasing prevalence of risk factors such as hypertension, diabetes, obesity, and sedentary lifestyles escalates the burden of heart diseases in the country. According to the World Health Organization (WHO), cardiovascular diseases account for approximately 35% of all deaths in Malaysia. A study by the National Health and Morbidity Survey (NHMS) highlighted that approximately 1.7 million Malaysians suffer from some form of heart disease, a number that is expected to grow in the coming years. As the nation grapples with this public health challenge, the need for advanced, effective, and less invasive treatment options has never been more critical.
High cholesterol is the most prevalent risk factor for CVD (38%), yet it is the most underdiagnosed and receives the least focus. Sources: National Health & Morbidity Survey 2019; National Health Survey 2011 & 2019, IQVIA analysis; Institute for Public Health, National Institute of Health, Ministry of Health Malaysia 2020; National Health & Morbidity Survey (NHMS) 2019: Vol 1: NCDs - Non-Communicable Diseases: Risk Factors and other Health Problems | s one of the leading causes of death in Malaysia, mirroring a global health crisis |
s one of the leading causes of death in Malaysia, mirroring a global health cris ry. | What is Minimally Invasive Cardiac Surgery (MICS)? Cardiac surgery has evolved significantly over the past few decades. Traditional open-heart surgery, which has been the gold standard, involves a sternotomy—cutting through the sternum to access the heart. While effective, this approach has several drawbacks, including significant post-operative pain, extended recovery times, and considerable physical trauma to patients. s one of the leading causes of death in Malaysia, mirroring a global health cris ry.MICS offers a transformative alternative. MICS involves performing cardiac procedures through small incisions, typically 3-7 cm, between the ribs, utilising endoscopic techniques and specialised instruments. This method minimises the physical impact on patients, leading to numerous clinical benefits. Key Differences Between MICS and Conventional Open-Heart Surgery
| s one of the leading causes of death in Malaysia, mirroring a global health crisis |
What Are Some of The Common Minimally Invasive Cardiac Procedures Minimally Minimally invasive CABG involves bypassing blocked coronary arteries using small incisions. This approach reduces surgical trauma and accelerates patient recovery, making it the preferred option for eligible patients. Valve Repair or Replacements Minimally invasive techniques are also applied to mitral and aortic valve repair and replacements. These procedures benefit from the precision of endoscopic instruments, reducing complications and improving patient outcomes. |
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Economic Considerations While MICS involves the use of advanced equipment and technology, leading to a slight increase in cost (approximately 10-15% higher than traditional surgery), the overall value to patients is unparalleled. The shorter hospital stays, reduced need for postoperative care, and quicker return to normal activities contribute to lower overall healthcare costs and improved economic productivity for patients. |
Training and Future Directions DSH2 is not only dedicated to providing cutting-edge surgical care but also to advancing the field through education and training. Prof Dr. Shahrul Amry Hashim emphasises the importance of continuous learning and skill development. The hospital has continuously conducted workshops for cardiac surgeons and cardiac anaesthetists from neighbouring countries, fostering knowledge exchange and expertise in MICS. Ongoing research and data collection are critical to the continued success and improvement of MICS. DSH2 is committed to sharing best practices and contributing to the global body of knowledge in cardiac surgery. This evidence-based approach ensures that the techniques and technologies employed are continuously refined and optimised for patient benefit. |
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| s one of causes of death in Malaysia, mirroring a global health cris ry. | Conclusion Minimally invasive cardiac surgery at Damansara Specialist Hospital 2 (DSH2) represents a significant advancement in the field of cardiac care. By prioritising patient outcomes, leveraging state-of-the-art technology, and committing to continuous improvement through education and research, DSH2 is setting new standards in cardiac surgery. As cardiovascular disease remains a major health challenge in Malaysia, innovations like MICS offer hope and improved quality of life for patients. Under the expert guidance of Prof Dr. Shahrul Amry Hashim, DSH2 is not only transforming patient care but also contributing to the global advancement of minimally invasive cardiac surgery. For more information and to explore the advanced cardiac care options available, visit Damansara Specialist Hospital 2. | s one of causes of death in Malaysia, mirroring a global health cris ry. |
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