Surgery: Archives

Sinusitis October 28, 2023

Understanding Sinus Health: Debunking Common Myths

Say No to Myths

Separating facts from fiction is the first step towards creating awareness about any disease for advancing its prevention, timely diagnosis, and treatment. Myths, as misconceived, misinformed, false, or misleading information about any medical condition, are barriers to achieving the much-needed medical intervention and controlling the spread of diseases. Debunking such myths helps-

Promote awareness and correct information and knowledge about diseases and
Curtail the aggravation of the condition and prolongation of the associated discomfort, pain, and agony arising through proper and timely treatment.

This blog discusses a common disease of sinus inflammation, known as Sinusitis and some of the sinus misconceptions that need to be debunked.

Understanding Sinus Health

Sinusitis is a condition of inflammation of the tissue lining in the sinus (cavities or spaces in the forehead, nose, and cheeks that are filled with air). Common colds, virus or bacterial infections, fungi, or allergies cause blockage in the sinuses that get filled with fluid. The pressure of these blocked fluids causes pain in the forehead, face, and nasal congestion.

Types of sinus infection- Depending on the duration and severity of the infection, it may be Acute (lasts for four weeks or less), Subacute (lasts between four to twelve weeks), Chronic (lasts for a minimum of twelve weeks), or Recurrent (comes and goes four times a year and lasts for less than two weeks each time).
Symptoms – Some common symptoms are stuffy or runny nose, toothache, pressure or pain on the face, cough, fever, headache, or fatigue.
Risk factors- People with allergies, asthma, polyps, nasal structural deformity, and weak immune systems are at a higher risk of having this infection.
Treatment- The treatment and medication (decongestants, pain relievers, intranasal steroids) depend on the type of sinus infection. However, home remedies (humidifiers or vaporizers, steam inhalation, saline nasal spray, warm compress application, or plenty of fluid intake) are the first preference for treating sinusitis. In severe cases, surgery may be recommended.

Sinus surgery treats the disease, relieving symptoms, and related discomfort by removing the blockages and opening the air pathway. The surgery removes nasal polyps, tiny bones, diseased tissue, or tumor growth, blocking the nasal passage. The surgeries to treat sinusitis are-

Functional Endoscopy Sinus Surgery (FESS): Using an endoscope, an otolaryngologist examines the inside of the nose and sinuses and accordingly conducts the surgery to remove the polyp, bone, or tissue obstructing the drainage of the mucus.
Sinus Balloon Dilation Procedure: This minimally invasive procedure uses an endoscope and a catheter to guide a balloon to the site of nasal blockage. The balloon at the tip of the catheter is inflated, opening the blocked nasal passage.
Turbinate Reduction Surgery: Turbinate is a tiny structure in the nose that cleanses the air passing through the nostrils. The surgery reduces the size of the turbinate using a needle-like instrument, thus making space in the nasal passage.

Myths and Facts

The treatment for sinusitis requires awareness of the condition, including but not limited to the causes, symptoms, risks, types, different treatment options, post-operative care, and recovery. Any misconception or misinformation about the condition may hamper its timely treatment and aggravate it. To this end, one must not buy into any myths surrounding the disease. Some of the common myths relating to the disease are-

Myth- Sinusitis is contagious.
Fact- It is not contagious. It is not a communicable disease, but if one gets a viral infection, it can lead to sinusitis.

Myth- Antibiotic is a must for sinusitis.
Fact- Every type of sinus infection does not require an antibiotic. The need for an antibiotic depends on the severity and duration of the condition. Generally, it can be managed by home remedies, rest, nasal spray, or pain medication. Antibiotics are prescribed if the condition does not improve for a week or more.

Myth- Sinusitis can resolve on its own.
Fact- Though a common condition like a common cold, sinusitis requires proper treatment and attention through home remedial measures, medications, and, in chronic or recurrent cases, when these do not work, through surgery.

Myth- Green or yellow mucus is a sign of bacterial infection.
Fact- Green or yellow mucus may be due to the death of infection-fighting white blood cells. It is not the colour but the duration of this mucus drainage that indicates whether it is a sinus or bacterial infection.

Myth- Headaches in the sinus areas are caused by sinus infection.
Fact- Sinus headaches may result from common colds, migraines, allergies, or other neurological conditions.

Myth- Decongestant spray cures breathing problems.
Fact- Decongestant spray temporarily relieves stuffy nose but does not permanently cure breathing. Long-term use of these sprays adversely affects the heart and may lead to other health problems.

Conclusion

Sinusitis, though a common health problem, needs proper attention and care to avoid its aggravation and further complications. It can be managed with home remedies, medications, and, in severe cases, through surgery. Stay away from misleading information and avoid basing your medical decision on myths. It is always wise to stay informed, aware, and updated with the correct information and knowledge about one’s health and related treatment therapies. The right information empowers the right decision.

References

https://houstonadvancedsinus.com/debunking-5-common-myths-about-sinusitis/#:~:text=Myth%202%3A%20%E2%80%9CAll%20Sinus%20headaches%20are%20caused%20by%20sinusitis.%E2%80%9D&text=Common%20cold%20at%20times%20may,lead%20to%20bacterial%20sinus%20infection.&text=Migraine%20attacks%20are%20one%20of,that%20result%20in%20sinus%20headaches.
https://www.healthshots.com/preventive-care/self-care/common-sinus-myths/
https://www.indiatvnews.com/health/here-are-some-common-sinus-myths-you-shouldnt-believe-get-your-facts-correct-latest-health-news-2023-02-21-849197

Contraception October 23, 2023

IUD Insertion- How to Prepare and What to Expect

While planning parenthood, caring for a woman’s reproductive and sexual health should be paramount for every couple. Family planning means timing one’s pregnancy and the subsequent, with proper spacing between pregnancies. It could be to prevent pregnancy or treat infertility in women.

Prevention of pregnancy in women could be achieved through various contraceptive methods that may include implants, intrauterine devices (IUDs), use of oral contraceptive pills, sponges, injectables, condoms, patches, vaginal rings, male and female fertilization, and fertility awareness to name. These methods are long-acting reversible, short-acting reversible, or permanent methods.

This blog discusses one such contraceptive method, the IUD insertion procedure, and how women planning an IUD insertion should prepare themselves and what they can expect from the procedure to arrive at an informed decision and remove any apprehension.

How to Prepare for IUD Insertion?

Though a simple and safe contraceptive method with a short procedural time, women undergoing IUD insertion may experience anxiety and stress with a host of questions about the pros and cons of the procedure, which is normal. It is better to talk with the healthcare provider to address this concern and ensure a healthy state of mind while preparing for the treatment. One needs to know the following to make an informed decision about the procedure.

What is an IUD?

An intrauterine device is a small T-shaped birth control device an obstetrician, gynecologist, or healthcare professional inserts in the woman’s uterus to prevent her pregnancy. It is one of the long-acting reversible contraceptive methods (LARC). An IUD can be removed anytime a woman wants to conceive or stop using it. An IUD has a string at the bottom that extends to the vagina, enabling the health provider to remove the device when required.

What are the different types of IUDs?

The IUDs come in two types- A copper IUD and a hormonal IUD.

Copper IUDs – Copper IUDs release copper ions into the uterus. This copper acts as a spermicide. The IUDs are solely used for contraceptives and contain no hormones.
Hormonal IUDs- Hormonal IUDs release progestin-like hormone, levonorgestrel (LNG), a synthetic form of progesterone hormone that prevents ovulation. With no egg, sperm cannot contribute to fertilization. In cases of chance, the body ovulates, and this hormone thickens the cervical mucus, thus preventing the sperm from reaching the egg for fertilization. These IUDs also help in controlling menstrual bleeding or cramps.

The difference between the progestin-like hormone LNG and progesterone is that LNG is an artificial hormone similar to progesterone. Progesterone is a steroid hormone secreted by a woman’s reproductive system.

How does IUD insertion work?

IUD insertion is a simple procedure to insert an IUD in a woman’s uterus who is planning contraception. The professional healthcare provider uses a small speculum, an instrument to widen the vagina walls to examine and insert an IUD. The procedure takes a few minutes and may cause a little pain to the woman undergoing it while the procedure is taking place. Patients may experience varied levels of pain.

Know if you are the right candidate for the treatment

Pregnant women or women with a history of vaginal or cervical cancer, vaginal infection, or sexually transmitted infection (STI) cannot have IUD insertion. Those with cardiovascular health issues must inform their doctor before planning an IUD. The healthcare provider may, if required, ask for a pregnancy or STI test to know if one is eligible for IUD insertion.

How to address anxiety?

Working with a healthcare professional for help and guidance to ease and relieve stress through proper education and consultation will make the procedure less painful and more successful.

What to Expect from IUD Insertion?

Understanding what to expect from the treatment before going to the doctor or the clinic is advisable to have a stress-free and relaxed mindset to avoid unresolved questions and related anxiety. In the case of IUD insertion, one may expect the following-

A simple procedure

IUD insertion is a simple procedure that takes a few minutes. IUDs can be inserted only by a healthcare professional.

Several benefits

IUDs have the following benefits: –

IUDs are safe and effective contraceptive methods with a high success rate.
They are cost-effective and reversible options. One may get them removed when deciding to become pregnant.
They are easy to use without interfering with the routine activities.
They are less bothersome than contraceptive oral pills since once inserted, one does not have to worry about adhering to any regular timetable of having contraceptives.

Some side effects

Some of the expected side effects of IUDs may include-

Headaches, mood swings, nausea, breast tenderness, in the case of hormonal IUDs.
Initial changes in menstrual bleeding that may go away after some time.
Painful periods and an increase in bleeding with copper IUDs.
With hormonal IUDs, ovarian cyst growth is also expected in some cases when women ovulate or release an egg every month that does not fertilize.
Irregular periods and frequent spotting are expected in cases with hormonal IUD insertion, during the first few months.

Prevent pregnancy but do not protect against STIs

IUDs only protect against pregnancy; hence, one must use condoms to protect oneself from STIs.

Safe and effective

Copper IUDs are effective immediately upon their insertion. The effectiveness of hormonal IUDs depends on where one is in their menstrual cycle. Till the hormonal IUDs provide protection, one must use alternative control methods.

Conclusion

Intrauterine devices are safe and effective measures to prevent pregnancy, ensuring a healthy reproductive and sexual life for women. As a long-acting reversible contraceptive, they provide a long-term birth control solution until removed. For a successful and satisfying medical outcome of the procedure, every patient must stay informed and be aware of the treatment, the types of IUD options, how the device works, the associated risks and benefits, the pre and post-procedural care, the preventive measures if any, and any issue of concern relating to the procedure and/or the device.

References

https://www.medicalnewstoday.com/articles/325097#Preparation
https://my.clevelandclinic.org/health/treatments/24441-intrauterine-device-iud
https://www.acog.org/womens-health/faqs/long-acting-reversible-contraception-iud-and-implant
https://www.webmd.com/sex/birth-control/iud-intrauterine-device#:~:text=for%20their%20recommendation.-,How%20Soon%20Do%20IUDs%20Start%20Working%3F,7%20days%20to%20be%20effective.

Bariatric October 14, 2023

Curtailing Cardiovascular Risks with Bariatric Surgery: Exploring the Connection

Introduction

Bariatric Surgery, for all good reasons, has been in increasing demand as an effective weight reduction alternative by people struggling to lose those extra pounds through non-surgical methods without any positive outcome. When at the peak of one’s weight, apart from the social, emotional, and physical embarrassment, the cardiovascular risks weighing on these obese people are the real cause of concern. One of the studies conducted by the American College of Cardiology reviewed the role of Bariatric Surgery in lowering CV risks in obese and suggested that it significantly lowered CV mortality and reduced heart failure, myocardial infarction, and stroke incidences.

Weight Loss Surgery or not, is always a difficult decision to make for people trying to lose weight. However, when no non-surgical treatment works, people often resort to this surgery as their final call.

In this blog, let us explore the connection between Bariatric Surgery and cardiovascular risks. For this, we need to understand how this treatment works and affects the cardiovascular health outcomes in a patient.

Understanding Bariatric Surgery

Bariatric Surgery treats obesity. But many of us feed on the misconception that surgery removes fat from your body. No, it does not. The surgery aims to reduce the size of your stomach and re-route the intestine track to restrict the food intake and the body’s ability to absorb nutrients. The smaller the stomach size, the fuller one feels with less food. The re-routing of the digestive tract limits digestion and absorption of the nutrients. Thus, it leads to considerable weight loss in a shorter span, when combined with proper diet, exercise, and lifestyle changes.

Obesity is the Root Cause of Cardiovascular Diseases (CVDs).

Obesity is an excessive or abnormal accumulation of fat in the body that risks one’s health. It is a chronic and complex medical condition and has become common in people of all ages. It is the root cause of CVDs, often leading to death if left unaddressed. Obese are at a high risk of developing various heart-related issues like-

High Cholesterol – A high amount of fat in the body causes blockages in the blood vessels, increasing the chances of stroke or heart attack.
Type 2 Diabetes- Excessive storage of fat results in the muscles and tissues becoming more resistant to insulin, leading to the risk of developing type-2 diabetes. This impairs the circulatory, immune, and nervous system and leads to stroke or heart attack.
High blood pressure- The amount of pressure the blood flow exerts on the inner walls of the arteries increases with the accumulation of fatty tissue. The heart needs to work hard to pump blood throughout the body.
Heart Diseases- Buildup of fatty substances in blood vessels leads to atherosclerosis, impairing cardiac function. Fat accumulation may cause the heart to pump blood more rigorously, and when it fails, the blood gets collected in parts of the body, like the lungs, legs, or feet.

With weight reduction, a person is at a lower risk of these diseases and discomfort associated with managing excess body weight and can enjoy a healthier and fuller life.

Bariatric Surgeries to Treat Obesity

Bariatric Surgeries aim to treat class III obesity, also known as morbid obesity. People with a BMI of 40 or more, or 35 or more in people with any co-morbidity fall under class III obesity. Though weight reduction is not a one-time solution or a quick fix to obesity, proper diet checks, regular exercise, and positive lifestyle changes help achieve it sustainably.

Gastric Sleeve Surgery- Known as Sleeve Gastrectomy, the surgery reduces the stomach size by approx. 80%, thus leaving behind a tubular sleeve that is banana-shaped. The reduced stomach size makes one feel fuller with less food intake. The surgery also reduces the amount of hunger hormones the stomach produces, thus restricting the impulses to eat more.
Gastric Bypass Surgery- Gastric Bypass Surgery is also known as Roux-en-Y surgery. It is common bariatric surgery and is performed when diet and exercise fail to reduce weight. The surgeon creates a small pouch from the stomach and staples it. The small pouch gets separated from the rest of the stomach. This new pouch becomes the functional portion of the stomach. The newly created pouch is attached to the lower part of the small intestine, bypassing the upper portion. The swallowed food will go to the small pouch of the stomach, and then directly to the lower portion of the small intestine. The new route bypasses a major part of the stomach, and the upper portion of the small intestine.
Duodenal Switch Surgery- The combination of Gastric Sleeve and Intestinal Bypass surgeries, this surgery removes a major portion of the stomach and attaches the smaller pouch to the lower intestine, creating a shorter path for the food to pass from the stomach to the intestine.

Bariatric Surgery -Lowering CVD Risks

By treating excess weight, the cause of CVDs, Bariatric Surgery lowers the future risk of these diseases. When excess weight is treated, the associated diseases are either prevented or eventually treated. When a person has to carry less weight, the heart has to put in less effort to pump blood and, hence, is at a lower risk of heart-related problems. For obese people already having CVD, studies show that those who had the surgery were at a lower risk of adverse outcomes than those with similar conditions who did not undergo the surgery. It reduces the incidence of heart failure, myocardial infarction, and stroke in obese patients. Without weight loss management or surgery, morbid obesity sooner or later leads to cardiovascular health issues. These chances could be reduced if one undergoes Bariatric Surgery. The surgery is a long-term treatment solution for weight loss and curtailing the associated health issues of high cholesterol, high blood pressure, type 2 diabetes, heart attack, stroke, and congestive heart failure.

Conclusion

Obesity is complex and chronic. It is not an aesthetic concern to be ashamed of or feel embarrassed about, but a medical concern that requires a proper line of treatment combined with a sustained diet plan, exercise routine, and positive lifestyle changes. Bariatric Surgery is the best long-term solution, safe and effective, with most patients experiencing losing excess weight, post-surgery. However, the outcome of each surgery varies and depends upon the post-operative care and weight management. The benefits outweigh the associated risks and complications that this surgery carries of a typical surgical procedure.

References

https://www.acc.org/Latest-in-Cardiology/Journal-Scans/2022/03/14/15/47/Bariatric-Surgery-and-CV-Disease
https://my.clevelandclinic.org/health/treatments/17285-bariatric-obesity-surgery
https://www.heart.org/en/news/2021/04/05/for-heart-patients-bariatric-surgery-may-lower-risk-of-future-cardiovascular-problems
https://www.acc.org/Latest-in-Cardiology/Journal-Scans/2022/03/14/15/47/Bariatric-Surgery-and-CV-Disease

Knee Replacement September 29, 2023

Arthritis Showdown: Unraveling the Differences Between Osteoarthritis and Rheumatoid Arthritis

Arthritis is an unwelcome guest that barges into the lives of countless individuals, bringing joint pain and inflammation. Today, we will compare and contrast the two common types of arthritis: Osteoarthritis and Rheumatoid Arthritis. While both share similarities in joint discomfort, they have distinct characteristics that set them apart. So, let us embark on a journey to unravel their causes, symptoms, risk factors, diagnosis, and available treatments.

Osteoarthritis

It typically occurs as a result of wear and tear on the joints. Cartilage, the tissue which covers the ends of bones within a joint, is mainly impacted by this condition. Over time, the cartilage breaks down, leading to pain, stiffness, and reduced joint mobility. In addition, factors like aging, obesity, joint injuries, and repetitive joint stress can contribute to OA development.

Osteoarthritis symptoms include joint pain, swelling, tenderness, stiffness, and a decreased range of motion. These symptoms often worsen after periods of inactivity or excessive joint use. Osteoarthritis most commonly affects joints, including the hips, knees, hands, and spine.

Diagnosing osteoarthritis involves a combination of a physical examination, medical history review, and imaging tests such as X-rays or magnetic resonance imaging (MRI). These tests help evaluate the condition of the joint and rule out other potential causes of the symptoms.

Rheumatoid Arthritis

It is an autoimmune disorder wherein the immune system mistakenly attacks the body’s healthy tissues. It primarily targets the synovium—the lining of the joints. This chronic inflammation leads to joint pain, swelling, and stiffness, and if left untreated, can result in joint deformity and functional impairment.

The cause of rheumatoid arthritis is still unidentified. However, experts believe that it involves a combination of genetic predisposition and environmental triggers. Women are more commonly affected by rheumatoid arthritis than men, and it often develops between 30 and 60.

The symptoms of rheumatoid arthritis include joint pain, swelling, morning stiffness lasting more than an hour, fatigue, and a general feeling of malaise. Rheumatoid arthritis can affect multiple joints simultaneously, including the wrists, hands, feet, and knees. In some cases, it may also involve other organs, such as the lungs or heart.

A thorough examination of symptoms, medical history, and blood tests such as rheumatoid factor (RF) and anti-cyclic citrullinated peptide (anti-CCP) antibodies may be required to diagnose rheumatoid arthritis. In addition, imaging tests like X-rays and ultrasounds may also be used to assess joint damage and inflammation.

Differences Between Osteoarthritis and Rheumatoid Arthritis

Osteoarthritis and rheumatoid arthritis affect the joints, resulting in pain and stiffness. However, they differ significantly in their underlying causes and characteristics. Osteoarthritis is known to be primarily caused by wear and tear. Conversely, rheumatoid arthritis is an autoimmune condition.

Osteoarthritis generally develops later in life, often after 50 years of age, and is common in individuals with a history of joint injuries, obesity, or occupations involving repetitive joint movements. Rheumatoid arthritis, on the other hand, can occur at any age and tends to affect more women than men.

In terms of disease progression, osteoarthritis usually develops gradually over time. In contrast,
rheumatoid arthritis can have a more rapid and aggressive onset, with symptoms often affecting multiple joints simultaneously. In addition, without appropriate treatment, rheumatoid arthritis can lead to joint deformities and functional limitations, whereas osteoarthritis is typically less severe in its impact.

Osteoarthritis and rheumatoid arthritis have different treatments. For osteoarthritis, the focus is on pain management, lifestyle modifications, physical therapy, and possibly nonsteroidal anti-inflammatory drugs (NSAIDs) or corticosteroid injections to reduce inflammation. In some severe cases, joint replacement surgery might be necessary.

In contrast, rheumatoid arthritis requires a more comprehensive approach. Treatment aims to reduce inflammation, manage pain, and slow disease progression. Medication is commonly prescribed to control inflammation and suppress the overactive immune response. Physical therapy, assistive devices, and joint protection techniques are essential for managing rheumatoid arthritis.

Conclusion

In conclusion, osteoarthritis and rheumatoid arthritis are distinct forms of arthritis with different causes, symptoms, risk factors, diagnosis methods, and treatment approaches. Osteoarthritis primarily results from joint wear and tear, while rheumatoid arthritis is an autoimmune condition. Understanding the differences between these conditions helps to accurately diagnose and appropriately manage the condition, as tailored treatment plans can significantly improve the quality of life for individuals with arthritis. If you experience joint pain or suspect you may have arthritis, consult a healthcare professional for an accurate diagnosis and personalized treatment approach.

FAQs

Q: What is the difference between osteoarthritis and rheumatoid arthritis?
A: Osteoarthritis is primarily caused by joint wear and tear, while in rheumatoid arthritis, the immune system mistakenly attacks the body’s healthy tissues.

Q: How do the symptoms of osteoarthritis and rheumatoid arthritis differ?
A: Osteoarthritis symptoms include joint pain, tenderness, stiffness, swelling, and reduced range of motion. Rheumatoid arthritis symptoms include joint pain, swelling, morning stiffness lasting over an hour, fatigue, and general malaise.

Q: What are the associated risk factors of osteoarthritis and rheumatoid arthritis?
A: Risk factors for osteoarthritis include aging, obesity, joint injuries, and repetitive stress on the joints.

Q: How are osteoarthritis and rheumatoid arthritis diagnosed?
A: Osteoarthritis is diagnosed through a physical examination, medical history review, and imaging tests such as X-rays or MRI. Rheumatoid arthritis diagnosis involves examining symptoms, medical history, and blood tests such as rheumatoid factor (RF) and anti-cyclic citrullinated peptide (anti-CCP) antibodies.

Aortic Stenosis/TAVR/TAVI September 12, 2023

Difference between TAVR and SAVR

Introduction
There are many ways to treat patients with structural heart diseases. Transcatheter Aortic Valve Replacement (TAVR) and Surgical Aortic Valve Replacement (SAVR) are two different methods used to treat aortic stenosis, a condition in which the aortic valve becomes narrowed and doesn’t open properly. The aortic valves become calcified and stiff, making it difficult for the heart to pump enough blood effectively. The main function of the aortic valve is to open and close and allow blood to flow from the left ventricle of the heart to the aorta through which oxygen-rich blood is supplied to the rest of the body and the coronary arteries. This can increase the risk of heart failure, leave you feeling faint and dizzy, and cause chest pain, also known as angina. In such a case, aortic valve repair surgery, or what we know as aortic valve replacement, is often recommended for these heart patients. It is totally up to the doctor to determine the better option: open-chest surgical aortic valve replacement (SAVR) or minimally invasive transcatheter aortic valve replacement (TAVR), after a detailed consideration of all factors, including the patient’s preferences.

What is the difference between TAVR and SAVR?
TAVR is a minimally invasive, non-surgical procedure done through a small groin incision. A catheter is inserted through the incision and guided to the heart, where a replacement valve is deployed without the need to open the chest or the heart. TAVR is typically done on older patients or those who previously had a SAVR and are considered high-risk for traditional open-heart surgery, who are vulnerable to complications.

SAVR, on the other hand, is a traditional open-heart surgical procedure that has been in practice for over 50 years and involves making a large incision in the chest to access the heart. The damaged or diseased aortic valve is then replaced through the incision. SAVR is typically done on symptomatic patients who can tolerate open-heart surgery.

Which is better – TAVR or SAVR?
Both TAVR and SAVR have risks associated with them as well as similar outcomes in terms of survival and improvement in symptoms.

In terms of longevity, both TAVR and SAVR have similar outcomes, with both valves lasting for about 10-15 years.
Minimal invasive procedure: One of the main advantages of TAVR over SAVR is that it is a minimally invasive procedure, which means that the incision is much smaller and there is less pain and discomfort to the body.
Better quality of life: As TAVR is done through a catheter rather than open-heart surgery, there is a lower risk of complications such as bleeding and infection.
Latest Technology with lesser pain & faster recovery Another advantage of TAVR is that it is typically considered a safer option for high-risk patients, such as the elderly or those with other health conditions that make open-heart surgery risky. This is because TAVR is less invasive and carries a lower risk of complications.
Shorter hospital stay & improvement in heart function: TAVR is associated with a shorter hospital stay and a faster recovery time when compared to SAVR. TAVR also has a lower risk of stroke in comparison to SAVR.

Also, the following factors decide which is the right procedure to choose between SAVR and TAVR,

Size considerations – Your surgeon will consider the size of your aortic valve and blood vessels.
Type of Aortic Disease – The type of aortic disease or condition also influences the surgeon’s choices.
Co-morbidities – Pre-existing co-morbidities like diabetes, lung disease or a history of heart attack will heavily influence the surgeon in the choice of procedure.
Cardiac issues and stroke risks – The choice of valve procedures is determined by the presence of certain cardiac conditions in patients. Like those with coronary artery diseases requiring surgical correction should opt for SAVR.
Age and frailty – Physiological conditions like age and capacities in daily life like ability to function on their own, mobility, ability to move around and strength of grip also determine the choice of valve procedure.

Conclusion
It’s important to consult a cardiologist and/or cardiac surgeon for guidance on which procedure is best for you, as the best option will depend on the individual’s specific heart condition and overall health. This will involve exploring all the benefits, risks, advantages, and disadvantages as well. Both TAVR and SAVR have similar outcomes in terms of survival and improvement in symptoms, but each has unique advantages and disadvantages.

FAQs :

Q. What is the difference between TAVR and SAVR?
A. TAVR is a minimally invasive procedure that is done through a small incision in the groin. A catheter is inserted through the incision and guided to the heart, where a replacement valve is deployed. SAVR, on the other hand, is a traditional open-heart surgical procedure that involves making a large incision in the chest to access the heart. The aortic valve is then replaced through the incision.

Q. Who is a candidate for TAVR?
A. TAVR is typically done on patients who are considered high-risk for traditional open-heart surgery. This can include elderly patients or those with other health conditions such as lung disease, kidney disease, or a history of previous heart surgery.

Q. Who is a candidate for SAVR?
A. SAVR is typically done on younger patients and those who can tolerate open-heart surgery.

Q. How long does each procedure take?
A. TAVR typically takes about 2-4 hours, while SAVR can take 4-6 hours or longer.

Q. What is the recovery time for each procedure?
A. TAVR has a shorter recovery time than SAVR, with most patients able to return to normal activities within 1-2 weeks. SAVR has a longer recovery time, with most patients taking 4-6 weeks or longer to fully recover.

Q. What are the risks associated with TAVR and SAVR?
A. TAVR carries a risk of complications such as bleeding, infection, and valve-related complications. SAVR carries risks such as bleeding, infection, and blood clots, as well as the risks associated with any open-heart surgery.

Q. How long do the valves last?
A. Both TAVR and SAVR valves last for about 10-15 years.

Q. Which procedure is best for me?
A. The best procedure for you will depend on your specific condition and overall health. It is important to consult a cardiologist and/or cardiac surgeon for guidance on which procedure is best for you.

References :
https://www.medscape.com/viewarticle/946173
https://www.mainlinehealth.org/blog/savr-vs-tavr