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Analysis of the logistical, economic and minimally invasive cardiac surgical training difficulties in India.

Authors
  • Ammannaya, Ganesh Kumar K1
  • Solinas, Marco2
  • Passino, Claudio3
  • 1 Department of Minimally Invasive Cardiac Surgery, Scuola Superiore Sant'Anna, Pisa, Italy. , (Italy)
  • 2 Department of Adult Cardiac Surgery, G. Pasquinucci Heart Hospital, Fondazione CNR-G. Monasterio, Massa, Italy. , (Italy)
  • 3 Department of Cardiology, Scuola Superiore Sant'Anna, Pisa, Italy. , (Italy)
Type
Published Article
Journal
Archives of medical sciences. Atherosclerotic diseases
Publication Date
Jan 01, 2020
Volume
5
Identifiers
DOI: 10.5114/amsad.2020.97380
PMID: 32832718
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

Significant advances have been made in minimally invasive cardiac surgery (MICS) over the past 3 decades. However, the acceptance and practice of MICS continue to remain low in the developing world owing to several challenges. This study aimed to analyse the logistical, economic and training difficulties in MICS with a special focus on the Indian scenario. A systematic review of the current literature on MICS with an emphasis on these challenges was performed. MICS has been shown to have clear cost-benefit advantage that stems from shorter ICU and hospital stay, lesser transfusion requirements and avoidance of sternal wound complications. However, only limited reports are currently available detailing the economic and training challenges for the application of MICS in the developing world, particularly India. Though several challenges exist in widening MICS practice in India, these can be overcome through a target-oriented approach. Copyright: © 2020 Termedia & Banach.

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