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Center for Advanced Training & Simulation

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ABOUT DR. RAMAIAH

Dr. Ramaiah grew up on a farm twenty miles north of Bangalore in southern India. He was accepted by Bangalore Medical College and received a scholarship to complete his medical school training. He graduated from medical school in 1989 and finished a one year rotating internship at the BMC Hospitals. After that he worked with a busy general and pediatric surgeon for a year before joining the All India Institute of Medical Sciences where he began an internship in Neurosurgery. He began a six-year General Surgery Residency in July 1993 and completed training in June 1999. In September 2002 he joined the University of Kentucky as a post-doctoral scholar in Neurosurgery.

He next completed a two-year Cardiothoracic Surgery residency from New England Medical Center in Boston, Massachusetts. He returned to the University of Kentucky as an Assistant Professor of Surgery in the Division of Cardiothoracic Surgery. Several years ago he introduced endoscopic vein harvesting for Coronary Artery Bypass Grafting Surgery (CABG), which now has become the standard of care. Dr. Ramaiah started endoscopic radial artery harvesting for the first time in Lexington and his division entered the new era of minimally invasive cardiac surgery with the introduction of the da Vinci Robot for Internal Mammary Artery (IMA) procurement. Currently, the Division offers the Robotic Surgery for IMA procurement and performs Beating Heart Bypass Surgery with a small chest incision instead of splitting the sternum.

As the Director of Minimally Invasive Cardiac Surgery, Dr. Ramaiah is proud to be part of the University of Kentucky's Center for Advanced Training & Simulation. Plans for the near future include the introduction of Robotic Mitral Valve Surgery and Endoscopic Bypass Surgery using the Robot.

DR RAMAIAH PODCAST ON “DR GREG DAVIS ON MEDICINE” (WUKY RADIO) ABOUT ROBOTIC SURGERY : DECEMBER 16, 2010

MEDIA VIDEO ABOUT THE EFFECTIVENESS OF THE DA VINCI SURGICAL SYSTEM

ENDOSCOPIC VEIN HARVESTING

OLD METHOD
This was done by opening the leg from ankle to thigh. The long incision resulted in much pain and was frequently a source of infection.

Endoscopic vein harvesting - old method

NEW METHOD
Today we can procure the vein with a small two centimeter incision. The result is minimal discomfort, less scarring and less chance of infection.

ENDOSCOPIC RADIAL ARTERY HARVESTING

Radial Artery is gaining popularity as an alternative and a better conduit for bypass compared to vein.

OLD METHOD
Harvesting the Radial Artery was done with a long incision from the wrist to elbow.

endoscopic radial artery harvesting - old method

NEW METHOD
Today at the University of Kentucky we can harvest the Radial Artery with a 2 centimeter incision at the wrist, avoiding a long scar and damage to nerves. UK was the first hospital to offer this in the Lexington area and, at the time, was the only facility in Lexington to offer this technique.

ROBOTIC INTERNAL MAMMARY ARTERY HARVESTING

Internal Mammary Artery (IMA) is shown to be the best bypass graft for CABG. Almost all the patients undergoing CABG surgery will have an IMA used for bypass. Traditionally, IMA is harvested by splitting the sternum. At the University of Kentucky we are using the da Vinci Robot for the first time in the state to harvest IMA for bypass.

 

We have also gone a step further to perform beating heart bypass surgery with a small chest incision after harvesting the IMA with the Robot.

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Page last updated Monday, August 29, 2011