Before Surgery

Unless a special situation occurs, hospitalization is requested one day in advance. Various tests are performed in the process until the operation.

Dental health should be checked before surgery. Caries in the patient’s teeth or infection in the gums may cause postoperative complications.

As in every surgical process, some medications and smoking are stopped before Coronary By-Pass surgery . Food and fluid intake to the body is cut off the night before. The patient’s weight is measured for fluid therapy to be performed after the surgery. Again, the night before, the body hair is shaved, an enema is applied and a bath is recommended.

Surgery Process

In Coronary By-pass surgery is performed under general or local anesthesia. Although general anesthesia is mostly used, local anesthesia may be preferred if the patient has diabetes, hypertension, lung diseases and kidney problems. In this surgery, which lasts 3-6 hours, the patient’s own arteries or veins are removed to create a bridge.

The veins used are as follows:

• Internal Mamarian Arter
• Radial Artery
• Saphenous vein
• Inferior apigastric artery/ Gastroepiploic artery

Removal of these veins does not cause any dysfunction in the area. These vessels are then attached to the heart to create an additional channel. The problem of occlusion is solved through the new vascular access created.

Thanks to the developing technology, if the patient’s condition is suitable, Coronary By-Pass surgery can be performed with the use of minimally invasive robots.

Postoperative

After the surgery, the patients spend a day in the intensive care unit and breathing tube will remain in their throat. In addition, a drain is placed on the patient, serum is inserted, a urinary catheter is inserted, a tempowire is attached. The next day, if the patient’s condition is suitable, they can be taken to their rooms. The drains and the urinary catheter are removed when they are taken into the room. If no complications occur, they are discharged after 5-6 days.

For control, the patient is asked to come back one week later. In the following processes, regular cardiovascular examination should be done. The patient can return to the normal life after one month. Six months are required for full recovery.

Coronary By-pass surgery recovery process is at least as important as surgery. Sputum accumulated in the bronchi during the operation is excreted with the help of a physiotherapist. It is very important for the patient to quit smoking after the surgery. If there is a weight problem, a diet is applied under the control of a doctor. It is necessary to pay attention to issues such as nutrition, sleep patterns, and the use of medications prescribed by the doctor. In this process, the patient can take nature walks, but should not lift weights or get too tired.