In a transformative development for cardiac care in Gujarat, Dr. Brajmohan Singh stands at the forefront of Minimally Invasive Cardiac Surgery (MICS), offering patients cutting-edge alternatives to traditional open-heart procedures. With over 13 years of expertise and more than 3,500 adult cardiac surgeries since 2016, Dr. Singh's focus on MICS exemplifies his dedication to innovation and excellence in healthcare, establishing him as one of the region's most accomplished cardiac surgeons.

Redefining Heart Surgery: The MICS Revolution

Traditional open-heart surgery has long required a full sternotomy – a procedure involving the complete splitting of the breastbone to access the heart. While effective, this approach results in significant trauma, extended recovery periods, considerable postoperative pain, and a lengthy return to normal activities. Minimally Invasive Cardiac Surgery (MICS) is a technique for treating heart disease without opening the chest bone, reducing pain, resulting in a smaller scar, and allowing for quicker recovery.

MICS, often synonymous with Keyhole Surgery, involves using a select number of specialized instruments and a camera, which are inserted into the chest via small incisions comparable in size to keyholes. This revolutionary approach represents a paradigm shift in cardiac surgery, delivering exceptional outcomes while minimizing surgical trauma.

Dr. Singh's MICS Expertise: A Comprehensive Approach

Dr. Brajmohan Singh's mastery of MICS encompasses a comprehensive range of advanced cardiac procedures at HCG Hospitals:

Minimally Invasive Valve Surgery:  

• Mitral Valve Repair and Replacement
• Aortic Valve Repair and Replacement
• Tricuspid Valve Procedures
• Multiple valve surgeries through small incisions

Minimally Invasive Coronary Artery Bypass Grafting (CABG):   

• Off-pump procedures (OPCABG)
• Total arterial revascularization using BIMA (Bilateral Internal Mammary Artery)
• Single and multi-vessel bypass through limited incisions

Atrial Septal Defect (ASD) Closure: 

• Congenital heart defect repair through minimally invasive approaches

Atrial Myxoma Excision: 

• Removal of cardiac tumors with minimal surgical trauma
• Dr. Singh has made groundbreaking contributions in Atrial Myxoma procedures

Other Advanced MICS Procedures: 

• TAPVC (Total Anomalous Pulmonary Venous Connection) repair
• Pericardiectomy
• Cardiac tumor removal
• Hybrid procedures combining surgical and catheter-based techniques

The MICS Advantage: Transforming Patient Outcomes

The benefits of Minimally Invasive Cardiac Surgery are substantial and multifaceted, revolutionizing the patient experience:

Reduced Surgical Trauma:  

• Small incisions (typically 2-4 inches) instead of 8-10 inch sternotomy
• No splitting of the breastbone
• Minimal disruption to chest wall muscles and tissues
• Preserved chest wall integrity

Enhanced Recovery:  

• Significantly shorter hospital stays (often 3-5 days versus 7-10 days)
• Reduced intensive care unit time
• Faster return to normal activities and work
• Earlier resumption of exercise and physical activities

Superior Cosmetic Outcomes: 

• Minimal scarring, often hidden under the breast or armpit

• Better aesthetic results, especially important for younger patients

• Reduced psychological impact from visible surgical scars

Reduced Pain and Discomfort: 

• Less postoperative pain due to minimal tissue trauma
• Reduced need for pain medications
• Earlier mobilization and physical therapy
• Improved patient comfort during recovery

Lower Complication Rates: 

• Reduced risk of infection due to smaller incisions
• Less blood loss during surgery
• Lower risk of wound complications
• Decreased risk of sternal wound infections
• Reduced the likelihood of atrial fibrillation post-surgery

Improved Quality of Life: 

• Quicker return to daily activities
• Reduced the psychological impact of surgery
• Better preservation of respiratory function
• Enhanced patient satisfaction

The Technical Excellence Behind MICS

The success of Minimally Invasive Cardiac Surgery requires exceptional surgical skill, advanced technology, and meticulous planning. Dr. Singh's approach combines:

Advanced Visualization Technology: 

• High-definition 3D endoscopic systems
• Enhanced surgical field visualization
• Superior anatomical detail compared to traditional approaches

Specialized Surgical Instruments: 

• Long-shaft instruments designed specifically for MICS
• Articulating instruments for precise tissue manipulation
• Advanced energy devices for hemostasis

Expert Surgical Technique: 

• Mastery of complex procedures through limited access
• Precise tissue handling and suturing
• Comprehensive understanding of cardiac anatomy from unique perspectives

Comprehensive Planning:

• Detailed preoperative imaging and assessment
• Careful patient selection for optimal outcomes
• Customized surgical approach for each patient's anatomy

National Leadership in MICS Education: 

In July 2025, HCG Hospitals Bhavnagar hosted the city's first-ever National Workshop on Minimally Invasive Cardiac Surgery, bringing together cardiac specialists from across India for an intensive, hands-on learning experience that blended live surgical demonstrations with expert-led sessions. This landmark event, led by Dr. Singh, underscores his commitment to advancing MICS education and making these advanced techniques accessible across regional India.

The workshop represented a significant milestone in democratizing advanced cardiac surgical education, traditionally concentrated in metropolitan centers. By bringing world-class MICS training to Bhavnagar, Dr. Singh is helping build capacity for minimally invasive cardiac surgery throughout the country.

Patient Selection: Who Benefits from MICS?

While MICS offers significant advantages, careful patient selection is crucial for optimal outcomes. Ideal candidates include: 

• Patients with isolated valve disease requiring repair or replacement 
• Individuals with coronary artery disease are suitable for limited-access bypass
• Younger patients are concerned about cosmetic outcomes
• Patients seeking faster recovery and return to work
• Individuals with congenital heart defects like ASD
• Those with cardiac tumors requiring surgical removal
• Patients preferring less invasive surgical options

Dr. Singh conducts comprehensive evaluations to determine the most appropriate surgical approach for each patient, considering factors such as: 

• Overall health status
• Nature and severity of cardiac condition
• Cardiac anatomy and suitability for MICS
• Previous cardiac surgeries
• Patient preferences and expectations

The MICS Journey at HCG Hospitals

Patients undergoing MICS with Dr. Singh experience comprehensive, coordinated care:

Preoperative Phase: 

• Detailed medical evaluation and diagnostic testing
• Advanced cardiac imaging (echocardiography, CT, MRI)
• Comprehensive discussion of surgical options
• Education about the MICS procedure and recovery

Surgical Phase:

• General anesthesia with specialized cardiac monitoring
• Precision surgery through small incisions
• Advanced visualization and specialized instrumentation
• Meticulous attention to surgical detail

Postoperative Care:

• Initial recovery in a state-of-the-art ICU
• Close monitoring for complications
• Early mobilization and physical therapy
• Comprehensive pain management
• Regular medical evaluations

Long-term Follow-up: 

• Scheduled postoperative assessments
• Cardiac rehabilitation program participation
• Lifestyle counseling and medication management
• Long-term outcome monitoring

Beyond MICS: Comprehensive Cardiac Surgical Excellence

Dr. Singh's MICS expertise is part of his comprehensive cardiac surgery practice, which includes:

BIMA Bypass Surgery: Using bilateral internal mammary arteries for superior long-term graft patency exceeding 90% even after two decades

Off-Pump Coronary Bypass (OPCABG): Beating-heart surgery that eliminates the need for heart-lung machines, reducing complications

Total Arterial Revascularization: Expert in total arterial CABG (LIMA-RIMA Y), providing superior long-term outcomes

Complex Redo Cardiac Surgery: Expertise in performing revision procedures for patients requiring repeat cardiac operations

Congenital Heart Surgery: Specialized procedures for adults with congenital heart disease

State-of-the-Art Facilities

At HCG Hospitals in both Bhavnagar and Ahmedabad, Dr. Singh has access to cutting-edge technology and infrastructure supporting MICS excellence: 

• Advanced hybrid operating rooms
• High-definition 3D endoscopic systems
• Comprehensive cardiac catheterization laboratories
• State-of-the-art intensive care units
• Specialized MICS instruments and equipment
• Multidisciplinary cardiac care teams
• 24/7 emergency cardiac services

The Science Supporting MICS

Over the past two decades, minimally invasive cardiac surgery has gained significant place due to the emergence of innovative tools and improvements in surgical techniques, offering comparable efficacy and safety to traditional surgical approaches. Numerous studies have demonstrated that MICS achieves outcomes equivalent to traditional open-heart surgery while providing substantial benefits in terms of reduced trauma, faster recovery, and improved patient satisfaction.

The evolution of MICS represents the convergence of several key developments: 

• Advanced imaging and visualization technologies
• Specialized surgical instruments designed for limited-access procedures
• Improved understanding of cardiac anatomy from minimally invasive perspectives
• Enhanced surgical training and expertise
• Better patient selection criteria

Patient Testimonials: Lives Transformed

Patients who have undergone MICS with Dr. Singh consistently report exceptional experiences:

"I was back to work in three weeks after my valve surgery. The small scar is barely visible, and I had much less pain than I expected. Dr. Singh's expertise gave me my life back." – Patient testimonial

"As a younger patient, the cosmetic outcome was important to me. Dr. Singh performed my bypass surgery through a small incision, and the results have been excellent. I'm grateful for his skill and compassion." – Patient testimonial

A Vision for the Future

Dr. Singh's commitment to MICS extends beyond individual patient care to advancing the field of cardiac surgery in regional India. His vision includes: 

• Expanding access to advanced MICS procedures throughout Gujarat
• Training the next generation of cardiac surgeons in minimally invasive techniques
• Researching to further improve MICS outcomes
• Developing protocols for complex MICS procedures
• Establishing centers of excellence for minimally invasive cardiac surgery

Why Choose Dr. Singh for MICS?

Patients selecting Dr. Brajmohan Singh for their cardiac surgery benefit from:

1. Extensive Experience: Over 3,500 successful cardiac procedures with specialized MICS expertise

2. Comprehensive Skill Set: Mastery of all major MICS procedures from valves to bypass surgery

3. Superior Outcomes: Track record of exceptional results with low complication rates

4. Advanced Technology: Access to cutting-edge equipment and facilities

5. Patient-Centered Approach: Individualized care tailored to each patient's needs

6. Educational Leadership: National recognition for advancing MICS education

7. Innovation Focus: Commitment to incorporating the latest advances in cardiac surgery

8. Compassionate Care: Dedication to patient well-being throughout the surgical journey

The Philosophy of Minimal Trauma

"I believe in combining surgical precision with minimal trauma," Dr. Singh emphasizes. "Every patient deserves the most advanced cardiac care with the least invasive approach for optimal recovery and long-term outcomes. MICS allows us to achieve both objectives – delivering excellent surgical results while minimizing the physical and psychological impact of surgery."

This philosophy drives every aspect of Dr. Singh's practice, from careful patient selection to meticulous surgical technique to comprehensive postoperative care. The goal is not simply to perform surgery but to restore patients to full, active lives with minimal disruption.

Accessibility and Availability

Dr. Singh maintains practices at both HCG Hospitals locations, ensuring accessibility for patients throughout Gujarat:

Comprehensive Services:  

• Initial consultations and evaluations
• Second opinion services
• Preoperative assessments
• Surgical procedures
• Postoperative follow-up care
• Long-term cardiac management

Making an Informed Decision

Choosing between traditional open-heart surgery and MICS is an important decision. Dr. Singh and his team provide comprehensive information to help patients make informed choices:  

• Detailed explanation of surgical options
• Discussion of risks and benefits for each approach
• Realistic expectations about outcomes and recovery
• Answers to all patient questions and concerns
• Support for family members throughout the process

A New Era in Cardiac Surgery

Minimally Invasive Cardiac Surgery represents a new era in treating heart disease – one where exceptional outcomes are achieved with minimal trauma, faster recovery, and improved quality of life. Dr. Brajmohan Singh's focus on MICS exemplifies his dedication to innovation and excellence in healthcare, bringing world-class cardiac surgical care to patients across Gujarat.

For patients facing cardiac surgery, the expertise and experience of Dr. Singh offer an opportunity to benefit from the most advanced surgical techniques available, delivered with compassion, precision, and commitment to optimal outcomes.

About Dr. Brajmohan Singh

Dr. Brajmohan Singh is a distinguished cardiothoracic and vascular surgeon with over 13 years of expertise and more than 3,500 successful cardiac surgeries since 2016. Specializing in Minimally Invasive Cardiac Surgery (MICS), BIMA bypass surgery, OPCABG, and complex cardiac procedures, Dr. Singh serves patients at HCG Hospitals in Bhavnagar and Ahmedabad. He is recognized nationally for his expertise in MICS and his commitment to advancing cardiac surgical education.

For consultations and more information:

• Website: www.bimabypass.com
• Locations: HCG Hospitals, Bhavnagar & Ahmedabad, Gujarat
• 24/7 Cardiac Emergency Services Available

Regular Consultations: Monday-Friday 9:00 AM - 6:00 PM, Saturday 9:00 AM - 2:00 PM