Coronary interventions often rely more on art than science as the decision to treat a patient tends to be based on what clinicians can see, a subjective interpretation of cardiac imaging. Two new techniques have emerged for cardiovascular diagnostics that are enabling software to help surgeons and cardiologists measure, and thereby better manage cardiac disease.
A small report in the press prompted examination of a much neglected topic. The report read ‘Heart Centre at University Hospital no longer carries out transplants’, and referred to the University Hospital Frankfurt, one of the 22 Heart Centres that perform these transplantations.
The Medtronic CoreValve Evolut R System received its CE Mark of approval this August to treat aortic stenosis in patients with an intermediate risk for undergoing conventional surgery for a valve replacement. This is a controversial indication for transcatheter aortic valve implantations (TAVI) – one that has been eagerly sought by some clinicians but resisted by others. Younger patients will…
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.
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…
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.
Dr Jean Nehme, a London-based trainee plastic surgeon, reflects on his own training – a decade spent attending lectures, revising textbooks, passing examinations − but did he actually practise a surgical operation?
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.
600,000 robot-assisted surgical interventions were performed in 2015 worldwide, most of them urological procedures, particularly radical prostatectomies.
Rectal cancer surgery - using a Da Vinci robot and conducted by Tas Qureshi, Consultant Surgeon and robotic lead at Poole Hospital NHS Foundation Trust - was beamed live from his operating theatre by satellite to an international conference of specialist doctors, student doctors and to a worldwide audience via multimedia platforms with live audio and twitter feedback.
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…
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…
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.
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…
‘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…
3-D print technology is expanding to cardiology surgery and interventional procedures. Research is scarce in Europe but a group of Spain-based cardiologists are currently developing 3-D print models to assess their value in the heart.
John Herman, European Marketing Manager of Sony Healthcare Solutions, explains the potential of 3-D and 4K technologies in medicine.
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,…
Wound infections after surgery are not uncommon and can be fatal. In Germany, postoperative wound infections are now the most common type of hospital acquired infection (HAI), with a proportion of 24%.
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.
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…
Previously known as a provider of high quality, high-end monitors, Eizo is developing into a systems solutions supplier.
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…
Sony Medical offers an end-to-end video processing chain for medical-grade 4K surgical visualisation. The conversion will not happen overnight, but 4K is a natural next step for improving visualisation during surgery, according to John Herman, the European Marketing Manager for Surgical Solutions at Sony Medical.
