Surgery

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Article • Finances

Operating theatres efficiency impacts on quality care

Given mounting financial pressure, a hospital needs greater efficiency in medical service structures. Staff and materials for operating theatres (OTs) account for about a third of the overall expenditure. Working closely with all other hospital departments, OT efficiency can affect a hospital’s overall efficiency and costs.

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Interview • Management

Digitized OR: accessible data without media discontinuity

Defined processes and competencies are essential in the operating room along with the allocation of staff. Yet the OR-Barometer 2015 that is published every other year by the Frankfurt University of Applied Sciences, reveals that only 47 percent of the surveyed nursing staff in the fields of surgery and anesthesiology are satisfied with the level of organization in operating rooms. In this…

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News • Neurosurgery

Microscope imaging system integrates virtual reality technology

Joshua Bederson, MD, Professor and System Chair for the Department of Neurosurgery at Mount Sinai Health System, is the first neurosurgeon to use CaptiView – a microscope image injection system from Leica Microsystems that overlays critical virtual reality imaging directly onto the brain when viewed through the eyepiece, known as the ocular, during surgery.

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Article • Reconstructive Surgery

Robots hold a steadying role in microsurgery

Embracing robotic technology in the realms of microsurgery will have significant benefits for patients, clinicians and hospitals. Leading hand and peripheral nerve specialist Professor Philippe Liverneaux believes using robots will not only enhance patient outcomes and improve cosmetic appearance but also bring significant cost benefits to health systems.

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Article • Brahms or Beyonce?

Music in the operating theatre - the great debate

A debate has flared up across the United Kingdom over which genre of music should be played in the operating theatre during surgery. Amid claims that loud music can be distracting to some surgical personnel, questions have also been posed as to who should choose the music – the head surgeon or nurse? How loud it should be played, or should music is permissible in the operating theatre (OT) at…

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Interview • Touching

Robotic surgery - haptic feedback is a possibility

Robot-assisted surgery still meets with considerable skepticism even though Intuitive Surgical’s Da Vinci system has been around for more than a decade. However, few surgeons and researchers are seeking ways to expand the surgical toolbox. Not so the members of the working group ‘Surgical technology and training’ at the General, Visceral and Transplantation Surgery Department, University…

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Article • Neurosurgery

Their parts are simply too big

‘An autonomously working robot in the operating theatre will continue to be a vision of the future for a long time to come,’ according to Professor Uwe Spetzger, Clinical Director and Neurosurgery Specialist at Karlsruhe City Hospital. At the same time, he is calling for political support for the development and promotion of these innovative technologies and asking funding bodies to rethink…

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Article • Intervention

Hybrid ORs: not equally beneficial for all facilities

The hybrid operating room is one of the most innovative developments in the surgical sector. The combination of interventional and minimally invasive surgical procedures is exciting for many clinical disciplines. The room design, intraoperative imaging techniques as well as interdisciplinary collaboration play a pivotal role in this.

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Article • STAR

Robot outperforms standard surgery techniques

Intelligent robots supervised by surgeons could help remove human error from the operating room. Dr. Peter C. Kim, Vice President and Associate Surgeon-in-Chief at Sheikh Zayed Institute for Pediatric Surgical Innovation at Children's National Health System (CNSH) in Washington, D.C., and his colleagues designed and programmed “Smart Tissue Autonomous Robot”, or simply STAR, to successfully…

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Article • Hybrid OR

Thumbs up for new C-arm system

3D imaging is continuously improving, with devices simultaneously becoming more manageable and mobile. The new C-arm system Ziehm Vision RFD 3D is opening up a new dimension. The device was tested by Dr Jan-Sven Jarvers, orthopaedic and trauma surgery specialist at the University Hospital Leipzig, and was introduced last September during the Eurospine Congress in Copenhagen. ‘In the future,…

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News • video-assisted thoracoscopic

Revolutionary surgery for lung cancer

The University of Montreal Hospital Research Centre (CRCHUM) is launching a major international clinical trial to test a minimally invasive and safer surgical approach for patients with lung cancer: video-assisted thoracoscopic (VATS) lobectomy with ultrasonic pulmonary artery sealing.

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News • Tumor removal

3D printed kidney helps save woman's organ

Doctors and scientists at Intermountain Medical Center in Salt Lake City printed and used a 3D kidney to help save a patient's organ during a complicated tumor-removal procedural. The 3D-printed model allowed doctors to study the patient's kidney in 3D to determine how to best remove the tumor as it was located in a precarious location adjacent to vital arteries and veins. Thanks to the model of…

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Article • Crystal clear coloured

3D viewing benefits gastroenterology

During many and various 2015 medical congresses 3-D visualisation has been a key topic as the industry continues to introduce improved hardware and software in ever-shorter intervals. Interventional medicine is entering a new dimension, was a popular slogan. The crystal clear, coloured visualisation of body cavities previously only visible in cloudy black and white may be fascinating, but it does…

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The vascular bypass revolution

Coronary or peripheral bypasses are the most frequently performed vascular operations. Although one million patients per year and around the world, undergo this intervention, its failure rate reaches 50%, because of poor vessel healing, leading to vessel graft occlusion. To improve the outcome of bypasses, researchers from the University of Geneva (UNIGE) work together with medical doctors from…

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News • Micra TPS

The world’s smallest pacemaker

Jersey Shore University Medical Center, part of Meridian CardioVascular Network, is the first hospital in New Jersey to implant the Micra® Transcatheter Pacing System (TPS) – the world’s smallest pacemaker – since the device gained U.S. Food and Drug Administration (FDA) approval in April 2016.

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Article • Human Resources

Physicians will learn assertiveness

Most accidents result from ‘the human factor’ – long acknowledged in aviation. Thus all crew members receive regular safety training to help prevent errors on board and on the ground. Now experts at the German Society for Orthopaedics and Trauma (DGOU) with those from Lufthansa Flight Training have developed a similar training programme for physicians. This Interpersonal Competence Training…

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