Minimally Invasive Cardiac Surgery (MICS) is a minimally invasive heart surgery technique performed through small incisions in the chest without splitting the breastbone as in conventional open-heart surgery. Because it only requires an incision of around 5 cm between the ribs, this procedure is also known as minimally invasive heart surgery.
Through the MICS method, cardiac surgeons can treat various heart disorders with less trauma to the patient’s body. Although performed through small incisions, the goal of the surgery remains the same as conventional cardiac surgery, which is to repair the heart’s structure and function according to the patient’s condition.
The MICS technique offers several advantages for patients, including reduced postoperative pain, smaller scars, and faster recovery time. In addition, the length of hospitalization is generally shorter, allowing patients to return to daily activities sooner. This method can be applied to various cardiac surgery procedures, including heart bypass surgery and heart valve surgery.
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Types of Cardiac Surgery Using the MICS Method
Cardiac surgery using the MICS method can be performed for various procedures, including:
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Heart Valve Surgery
Heart valve surgery is performed to treat various heart valve diseases, such as narrowing or leakage of the aortic valve. With the MICS method, valve repair or replacement procedures can be performed through small chest incisions without fully opening the breastbone.
In some cases, doctors also use a special camera to provide a clearer view of the surgical area and improve procedural precision. This procedure aims to improve blood flow from the heart, reduce patient symptoms, and maintain optimal heart function. Because it uses a minimally invasive approach, recovery is generally faster.
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Heart Bypass Surgery
The MICS method can also be used for heart bypass surgery in selected patients with coronary artery disease, including patients who require bypass procedures on one or multiple heart blood vessels.
Unlike conventional heart bypass surgery, which often requires temporarily stopping the heart, the MICS technique is generally performed while the heart continues beating. The surgeon creates a small incision on the side of the chest to create a new pathway for blood flow around blocked coronary arteries. With this approach, blood flow to the heart muscle can be restored without fully opening the breastbone.
Advantages of MICS Cardiac Surgery Compared to Conventional Surgery
Some advantages of MICS cardiac surgery compared to conventional open-heart surgery include:
- Faster recovery time, allowing patients to return to activities within approximately 2–4 weeks
- Less postoperative pain and smaller scars
- Reduced physical and psychological trauma from surgery
- Shorter hospital stays, usually around 3–4 days
- Better early postoperative lung function recovery
- Lower risk of infection and bleeding
MICS Cardiac Surgery Specialist at Mandaya Royal Puri Hospital
dr. Wirya A. Graha, Sp.BTKV, Subsp. JD(K) is a thoracic, cardiac, and vascular surgeon with a subspecialty in adult cardiac surgery. He is experienced in handling various cardiac and vascular surgical procedures. He completed his specialist education at the Faculty of Medicine, Universitas Indonesia, and has further studied modern cardiac surgery techniques, including minimally invasive procedures.
In his practice, dr. Wirya specializes in Minimally Invasive Cardiac Surgery (MICS), a heart surgery technique performed through small incisions without fully opening the breastbone. This approach allows procedures to be carried out with less surgical trauma, potentially resulting in milder postoperative pain, lower complication risks, and faster recovery compared to conventional heart surgery.
Some international training programs and conferences attended by dr. Wirya include:
- 2017: 25th Annual Meeting of the Asian Society for Cardiovascular and Thoracic Surgery, Seoul, South Korea
- 2018: 28th Annual Meeting of the Association of Thoracic and Cardiovascular Surgeons of Asia
- 2019: 1st Joint Biennial South East Asian Regional Congress on Cardiovascular and Thoracic Surgery alongside the 20th MATCVS Annual Scientific Meeting, Malacca
- 2021: 25th European Vascular Course and 5th European Cardiovascular Course
dr. Wirya A. Graha, Sp.BTKV, Subsp. JD(K) is available at Mandaya Royal Hospital Puri on the following schedule:
- Tuesday: 4:30 PM – 8:00 PM WIB
- Thursday: 4:30 PM – 8:00 PM WIB
- Saturday: 10:00 AM – 1:00 PM WIB
To make your visit to Mandaya Royal Hospital Puri more convenient, you can use the WhatsApp Chat feature, Book Appointment service, or the Care Dokter application available on Google Play and the App Store to simplify appointments, queue monitoring, and access other complete information.
The information provided on this page is intended for educational and general informational purposes only and may not reflect the full range of medical services provided by each doctor. To ensure appropriate treatment based on your health condition, direct consultation with the relevant doctor is recommended.
If you have questions, suggestions, or need further information, please contact our call center at 0811-1900-2000.
