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Endoscopic (Closed) Method in
Heart Surgeries


  • The breastbone is not cut
  • The surgery is performed with the help of a high-resolution 3D camera
  • Small incision and limited tissue contact
  • Discharge in 3–4 days on average
  • A tiny incision of approximately 5 cm is made under the armpit

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Endoscopic (Closed) Heart Surgery

The goal in cardiac surgery is not only to perform a successful operation but to ensure that the patient goes through this process in the most comfortable and safe way. Endoscopic (closed) heart surgeries are among the modern surgical methods introduced with the development of this understanding. In this approach, instead of wide surgical fields to reach the heart, minimal incisions and camera-assisted systems are used. Thus, the surgical procedure is carried out without damaging the anatomy of the heart and by affecting the surrounding tissues as minimally as possible. Closed heart surgeries can currently be performed in a limited number of centers.

Less Trauma, More Comfort

Movement restriction is more limited

Pain control is provided more easily

The patient's adaptation to daily life accelerates

Accelerates tissue healing

Contributes to the reduction of infection risk

Leaves less visible scars aesthetically

Private Health Insurance (PHI) is Valid

Your Heart is in Safe Hands: Through the Eyes of a Master Artist
Dr. Faruk Gençoğlu
Artist Altan Erkekli visited our Heart Center to closely follow the surgical successes and the recovery processes of our patients at Hisar Hospital Intercontinental and to provide morale to our patients. He witnessed not just an operation, but the story of every step taken with confidence and health regained.

Heart Health Stories
From All Over The World

Our Smiling Patients


I would like to thank my doctor very much. Last month, I underwent bypass surgery. Thanks to the operation performed without opening my chest, I was able to return to my normal life in a short time. May God bless him

Author
B*** K***

I came to my doctor based on a recommendation and underwent closed heart surgery. I recovered quickly and regained my health. Thank you

Author
M**** Y***

I came to my doctor through a recommendation and underwent heart valve surgery. I am very satisfied, thank you so much. My problems are gone. I would recommend him to everyone as well

Author
D*** A***

We are very grateful to our doctor. My father had suffered from a heart murmur for years, and we had visited countless hospitals and cities without finding a solution. Thanks to our doctor, he finally found relief and healing. We are truly thankful to him.

Author
G*** S***

I would like to express my thanks to Dr. Ali. I had been suffering from a heart condition for many years, and two months ago I underwent bypass surgery performed by him. He helped me regain my health. I feel much better than before. May God bless him. I highly recommend him to everyone

Author
T**** Y***

I would like to sincerely thank Dr. Ali and his team for their efforts. A successful doctor with a highly professional team. Their approach and attitude are excellent, and his expertise is outstanding.

Author
N***B***

I would like to thank Dr. Ali very much. My heart valve was replaced through a small incision under my chest, and I regained my health. He has an approach that gives people confidence and comfort. I would also like to sincerely thank the nurses and staff in the intensive care unit — Büşra, Beytullah, Güneş, and Cihat — as well as the incredibly kind Ms. Süreyya, Ms. Ayşe, and Ms. Kübra in the ward. I also want to thank all the other staff members whose names I may have forgotten to mention here. If you are ill, do not hesitate at all — come here with peace of mind, just as comfortably as if you were at home.

Author
Y****** K*****

I would like to thank my doctor very much. May his hands never suffer. He brought me back to life again. Three of my veins were replaced, and my breathing and sleep quality have greatly improved.

Author
S****** M**

Who is Suitable for Endoscopic (Closed) Heart Surgery?

Endoscopic (closed) heart surgeries are not suitable for every patient.
Which method will be preferred is determined based on the type of disease, the patient's general condition, and the result of the surgical evaluation.

Surgeries Performed Closed (Endoscopically)

He Lived for 3 Months Without Realizing He Had a Major Vessel Tear Affecting Both the Heart and the Brain!

Regular health screenings allow heart diseases that progress silently without any symptoms to be noticed at an early stage and for successful treatment methods to be applied.

It is Possible to Perform Surgery in Heart Surgery via a Small Incision Under the Armpit!

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The Process After the Closed Bypass Surgery (Minimally Invasive)
Method

Because the incision site is small, the patient heals faster. The duration of stay in the intensive care unit and the hospital is shortened. Discharge can be possible 4-5 days after the surgery. From the patient's perspective, both psychologically and in terms of aesthetic appearance, they may feel as if they haven't had surgery at all after the operation.

Endoscopic (Closed) Vessel Harvesting

Thanks to endoscopic surgical techniques, the vessels used in heart surgeries can be harvested in a millimetric and controlled manner. 3D endoscopic systems and robotic surgery technologies, which offer high image quality, allow the vessel structure to be clearly visualized and enable precise surgical application. Thus, a planned and careful harvesting process is ensured while preserving vessel integrity. In suitable cases, vessels can be harvested endoscopically from inside the chest or from the arm without making a bone incision. The arteries in these regions can offer more durable long-term results due to their structural characteristics. Carrying out vessel harvesting in the chest, heart, and leg regions using the closed method via limited incision areas ensures that surrounding tissues are less affected and the healing process progresses more steadily. During the post-operative period, this approach allows for:
  • Pain to be felt in a more controlled way
  • Contribution to the reduction of infection risk
  • Leaving fewer and less prominent marks on the skin.

This approach is part of a modern cardiac surgery understanding that considers not only the moment of surgery but also the post-operative process and long-term results.

What is Closed Aortic Valve Surgery?

Closed aortic valve surgery is an advanced cardiac surgery method performed without cutting the breastbone, using small incisions and endoscopic (camera-assisted) techniques. The goal of this method is to treat the problem in the aortic valve, which is the main exit door of the heart, with the least trauma to the patient and the highest surgical precision. While the breastbone is completely opened in classical open-heart surgeries, in the closed method, the surgery is generally performed by entering from the armpit or under the breast. Thus, significant advantages are provided in terms of both aesthetics and the healing process.

Endoscopic Mitral Valve Surgery

Endoscopic mitral valve surgery is a modern surgical method that allows for the treatment of stenosis or insufficiency in the mitral valve through small incisions made from the right side and with the help of a camera, without cutting the breastbone. Thanks to three-dimensional and high-resolution endoscopic imaging, mitral valve structures are evaluated in detail; the valve is repaired if possible, or replaced if necessary. In this method, the heart is reached from between the ribs, resulting in less tissue trauma, reduced post-operative pain and blood needs, an accelerated recovery process, and patients can return to their daily lives in a shorter time.

Endoscopic Tricuspid Valve Surgery

Endoscopic tricuspid valve surgery is a modern surgical method performed without cutting the breastbone, through a small 3–4 cm incision made from the right side and accompanied by a three-dimensional high-resolution camera system. At our hospital, advanced imaging systems are utilized in the surgical treatment of tricuspid valve diseases thanks to our up-to-date technological infrastructure. Three-dimensional endoscopic imaging reveals the structural disorders and leakage areas of the tricuspid valve in detail with depth perception. This high visual clarity allows surgical interventions for valve repair to be performed more precisely and controlled. Tricuspid valve surgeries performed with a minimally invasive approach provide the patient with the advantages of less surgical trauma, a faster recovery process, and an earlier return to daily life.

Endoscopic ASD (Heart Hole) Surgery

Among congenital heart holes, ASD (Atrial Septal Defect) can present symptoms in adulthood in some patients and lead to shortness of breath and palpitations over time. In cases where the hole cannot be closed with a device, surgical repair is required. Using the endoscopic method, the heart hole is closed with a patch through a small incision of approximately 3 cm made around the breast tissue. Thanks to three-dimensional imaging, the procedure is performed with high precision. This method provides faster recovery, a shorter hospital stay, and an earlier return to daily life.

Endoscopic Heart Tumor

Endoscopic heart tumor surgery is an advanced surgical method that allows for the removal of benign or selected malignant tumors located in the heart through small incisions and accompanied by high-resolution endoscopic imaging, without cutting the breastbone. Thanks to this technique, the surgeon evaluates the internal structures of the heart with enlarged and detailed images, precisely clearing the tumor without damaging the surrounding tissues. Offering less tissue trauma, a lower risk of infection, and a faster recovery process, the endoscopic approach provides significant advantages for patients in terms of both medicine and comfort.

Endoscopic Ascending Aortic Surgery

Endoscopic Ascending Aortic Surgery, asendan aortta gelişen genişleme, anevrizma veya yapısal hastalıkların; göğüs kemiği kesilmeden, küçük kesilerden ve yüksek çözünürlüklü endoskopik görüntüleme eşliğinde onarılmasını sağlayan ileri cerrahi bir yöntemdir.

Bu yaklaşımda cerrah, aortun kritik anatomisini büyütülmüş ve net görüntülerle değerlendirerek işlemi yüksek hassasiyetle gerçekleştirir.

Daha az doku travması, daha düşük enfeksiyon riski ve ameliyat sonrası daha hızlı iyileşme süreci sunan endoskopik yöntem, uygun hastalarda hem cerrahi güvenliği hem de hasta konforunu ön plana çıkarır.

Ministry of Health Certified “Heart Center

Low-Flow Anesthesia

Low-flow anesthesia is applied in our hospital. With this method, the patient receives as much anesthesia as they need; unnecessary anesthesia exposure is reduced, and the risk of anesthesia-related side effects decreases. Thanks to low anesthesia flow, both patient comfort and safety are increased, and by reducing the amount of residual anesthetic gas in the operating room environment, the exposure of healthcare workers is minimized. The anesthesia machines used in our hospital were completely renewed in 2019 to be suitable for low-flow anesthesia applications and integration has been ensured. Hisar Hospital Intercontinental provides an environmentally friendly healthcare service while prioritizing patient safety with low-flow anesthesia applications.

Cardiovascular Intensive Care

Our Cardiovascular Intensive Care Unit serves with a structure where each patient is followed in a separate room, in line with the most current approaches accepted worldwide. Thanks to the special nurse counters located in each room, patients are monitored 24 hours a day uninterruptedly and one-on-one; all vital functions of the heart are evaluated instantly with advanced monitoring systems, electronic pumps that provide precise speed control in medication applications, and advanced devices for respiratory and circulatory support. This process, carried out with a multidisciplinary team approach, ensures the provision of safe, controlled, and high-standard intensive care services for heart patients.

Technological Infrastructure

3D Endoscope (3D Camera Technology)

The 3D endoscope used in the heart allows the surgeon to see the structure of the heart in three dimensions and high resolution during closed (endoscopic) heart surgeries. Thanks to the up-to-date technological infrastructure in our hospital, this system enables millimetric and controlled surgery on heart valves and vessels, while also making it possible for vessels used in bypass surgeries (especially leg veins) to be harvested using the endoscopic method via small incisions and with less tissue damage. The advanced vision quality and minimally invasive approach increase surgical safety while contributing positively to the patient's recovery process after surgery.

Da Vinci Robot

The da Vinci surgical robot used in heart surgeries transmits the surgeon's hand movements to the operation area without vibration and with high precision, allowing for the advanced application of closed heart surgery. Thanks to the up-to-date technological infrastructure in our hospital, selected heart surgeries, especially valve surgeries, can be performed with the da Vinci robot through small incisions, accompanied by three-dimensional and enlarged images. This approach increases surgical precision while reducing tissue trauma and contributing positively to the patient's recovery process after surgery.

Ministry of Health Certified “Heart Center

International Health Certificate

Our hospital has taken its place among the important health organizations in the world with the JCI accreditation certificate for its compliance with internationally recognized standards and achieved a significant success worldwide by being accredited in its first year of establishment. With its compliance with the standards, it has once again proven how much its employees have internalized the quality of the service provided in the health field and reflected it in their practices.

What is JCI Accreditation?

JCI accreditation is considered the gold standard in global healthcare. The Joint Commission and its leading organization have dedicated themselves to improving the safety and quality of healthcare services for nearly 80 years. They audit approximately 20,000 healthcare programs worldwide through a voluntary accreditation process. JCI (Joint Commission International) is the international arm of JCAHO (The Joint Commission), which audits and accredits (gives equivalence to) more than 95% of hospitals in America. It is the only accreditation organization whose standards, developed to increase patient safety and care quality supported by the World Health Organization (WHO) worldwide, are recognized and valid.

Our Doctors

PROF. DR. ALİ FEDAKAR

In 2001, he took part in the establishment of the Cardiovascular Surgery clinic at SSK Süreyyapaşa Hospital and contributed to the establishment of Cardiac surgery. Additionally, the establishment and the first surgeries of Cardiovascular Surgery at Giresun State Hospital and Sinop State Hospital were performed by Prof. Dr. Ali Fedakar.

Between 2003 and 2005, he served as a senior surgeon at Private Swiss Hospital, and between 2005 and 2017, he served as a senior Adult Heart Surgeon at Koşuyolu Heart Hospital. During his tenure, he performed approximately 4,000 open-heart surgeries. He served in the heart transplant team at Kartal Koşuyolu High Specialty Training and Research Hospital between 2010 and 2015, performing the harvesting of hearts from donors for approximately 40 transplant patients and performing heart transplant surgeries as the Primary Surgeon for 8 patients.

ASST. PROF. FARUK GENÇOĞLU
Completing his medical education at Samsun Ondokuz Mayıs University, Asst. Prof. Faruk Gençoğlu received his specialty training at Istanbul University Cerrahpaşa Cardiology Institute in 2020. Throughout his career, he has gained extensive clinical experience by taking an active role in more than 3,000 adult heart and vascular surgery cases. Specialization Areas and Key Achievements: Advanced Technology: He specializes in closed (minimally invasive), endoscopic, and robotic (Da Vinci) heart surgery and advanced endovascular vascular treatments. Pioneering Applications: He is one of the pioneers of endoscopic ascending aorta and closed aortic valve surgery, which can be performed by only a few physicians in Turkey.

Surgical Experience: He has advanced experience in coronary bypass on the beating heart, valve diseases (mitral, aortic, tricuspid), aortic, carotid, and peripheral vascular surgery, and EVAR/TEVAR procedures. Accepting patients at Hisar Hospital Intercontinental Heart and Vascular Surgery Clinic since 2023, Dr. Gençoğlu bases his work on a scientific approach, ethical values, and patient safety.

Frequently Asked Questions

What are the advantages of closed heart surgery compared to open surgery?

✅ The breastbone is not cut

✅ Lower risk of bleeding

✅ Lower risk of infection

✅ Less pain

✅ Smaller surgical scar

✅ Shorter duration in intensive care and hospital stay

✅ Faster return to daily life

However, the most accurate method for each patient is determined individually.

How does the pre-operative process proceed for Closed Surgery?

Before the surgery, patients are usually hospitalized 1 day in advance.

In this process:

  1. Blood tests are performed
  2. Chest X-ray and ECG are taken
  3. Anesthesia evaluation is made
  4. Used medications are reviewed
  5. The surgical plan is clarified
  6. If there is no obstacle to surgery, the operation is performed at the scheduled time.
How long does a closed heart surgery take?

The duration of surgery varies depending on the procedure to be performed, but it usually takes between 3 – 5 hours.


What is the post-operative intensive care process like?

After the surgery, patients are usually taken to the intensive care unit for 1 day.

In this process:

The patient may be connected to a ventilator. The patient is closely monitored and pain control is provided. For most patients, it is possible to be disconnected from the ventilator and move to the ward the next day.

What is the total duration of hospital stay?

In cases progressing without problems, on average:

1 day intensive care, 3–4 days in the ward; resulting in a total stay of 4–6 days in the hospital.

Is there pain after surgery?

In closed heart surgery, pain is significantly less compared to open surgery because the breastbone is not cut. The vast majority of patients may feel mild to moderate pain that can be controlled with painkillers in the first days.

When can one stand up and walk?

Patients are usually:

Seated 1 day after surgery, after leaving the intensive care unit. They are started on short walks. Early mobilization is a very important step that accelerates recovery.

How long does it take to return to daily life?

Average return times after closed surgery:

Driving: 2–3 weeks

Desk job: 2–4 weeks

Active sports: after doctor's check-up

(It is significantly faster compared to open surgery.)

What should be considered after surgery?

To ensure a smooth recovery:

  • Prescribed medications should be used regularly
  • Smoking and tobacco must be strictly avoided
  • Check-ups should not be missed
  • Heavy lifting should be avoided in the first weeks
  • Regular walking should be done
  • A healthy eating habit should be adopted especially after surgery
Will the surgical scar be large?

In closed heart surgery, the incision is usually around 3–6 cm and most of the time it is located in the:

  • Armpit
  • Under the breast
    area, so it is aesthetically much less visible.
Is closed heart surgery safe?

When performed with appropriate patient selection and an experienced team, closed heart surgeries are safe and comfortable for the patient.

The most important factors determining success are:

  • The surgeon's experience in closed procedures
  • The technological infrastructure of the center
  • Personal treatment planning by applying the right method to the right patient

Fill out the Form for Detailed Information About Heart Surgeries.

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Highlights About Our Hospital


20 Years of Experience

Our hospital holds JCI certification and is among the top 10 clinics in its field in Turkey

More than 100 Doctors

Our high-level doctor staff who have developed and proven themselves in their fields

More than 50 Departments

As Hisar Hospital, we are a multidisciplinary hospital with 53 departments, 212 beds, and 30 intensive care units.

Earned Trust

An experienced team with more than 10,000 angiograms performed

In order to be a heart center, mandatory criteria determined by the Ministry of Health must be fully met, such as a sufficient number of cardiovascular surgery and cardiology specialists, angiography infrastructure, heart surgery operating theaters, second and third-level intensive care beds, and a specific annual volume of heart surgery operations and interventional cardiology procedures. Hisar Hospital Intercontinental is one of the few heart centers certified by the Ministry of Health by fulfilling all the conditions defined in this legislation.
location

Yamanevler Mah. Site Yolu Cad. No: 7 34768 Ümraniye / Istanbul

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