hybrid_cerebrovascular_surgeon

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hybrid_cerebrovascular_surgeon [2022/08/16 12:18] administradorhybrid_cerebrovascular_surgeon [2022/08/16 12:19] – [Hybrid cerebrovascular surgeon] administrador
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 Since June 2013 a hybrid operation theatre is used interdisciplinary in the department for surgery of Ulm University. In this operation theatre a floor-based flat panel c-arm, which is mounted on a robotic arm that can be controlled by the surgeon in a sterile environment, is linked to the operating table. Furthermore for the first time it was possible to integrate a navigation system in this setting. The interdisciplinary utilization (trauma, neurosurgery, cardiac and vascular surgery) makes this hybrid operation theatre very time and cost effective. In the orthopedic trauma department this system is mainly used for traumatic and oncologic pelvic and spinal injuries. In these anatomical regions the excellent image quality and large field of view of the robotic flat panel detector based 3D imaging combined with an intraoperative navigation system is a huge advantage. The system can also be used for complex fractures of the extremities. In the future there will be an integration of further imaging modalities and referenced holding devices in this setting Since June 2013 a hybrid operation theatre is used interdisciplinary in the department for surgery of Ulm University. In this operation theatre a floor-based flat panel c-arm, which is mounted on a robotic arm that can be controlled by the surgeon in a sterile environment, is linked to the operating table. Furthermore for the first time it was possible to integrate a navigation system in this setting. The interdisciplinary utilization (trauma, neurosurgery, cardiac and vascular surgery) makes this hybrid operation theatre very time and cost effective. In the orthopedic trauma department this system is mainly used for traumatic and oncologic pelvic and spinal injuries. In these anatomical regions the excellent image quality and large field of view of the robotic flat panel detector based 3D imaging combined with an intraoperative navigation system is a huge advantage. The system can also be used for complex fractures of the extremities. In the future there will be an integration of further imaging modalities and referenced holding devices in this setting
 ((Richter PH, Gebhard F. [The interdisciplinary hybrid operation theatre. Current experience and future]. Chirurg. 2013 Dec;84(12):1036-40. doi:10.1007/s00104-013-2558-0. German. PubMed PMID: 24220954.)). ((Richter PH, Gebhard F. [The interdisciplinary hybrid operation theatre. Current experience and future]. Chirurg. 2013 Dec;84(12):1036-40. doi:10.1007/s00104-013-2558-0. German. PubMed PMID: 24220954.)).
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-In 9 months, 109 pelvic and spine cases were performed using a hybrid operating room. Radiation dose of the surgeon and the assisting nurse was recorded using real-time dosimeters. Lower radiation doses for the main surgeon in navigated dorsal instrumentations of the thoracic spine were recorded. Standing between the C-arm during screw placement increased the radiation dose sixfold. Lumbar dorsal instrumentation showed a similar radiation dose compared to the previous studies in traditional operating room settings. The use of a hybrid-operating room for dorsal spine instrumentation showed no increase in radiation dose compared to traditional settings. Intraoperative navigation can help to reduce the radiation dosage for the operating personnel +
-((Schuetze K, Eickhoff A, Dehner C, Schultheiss M, Gebhard F, Richter PH. +
-Radiation exposure for the surgical team in a hybrid-operating room. J Robot +
-Surg. 2019 Feb;13(1):91-98. doi: 10.1007/s11701-018-0821-6. Epub 2018 May 10. +
-PubMed PMID: 29748746. +
-)).+
  
 ===== Vascular surgery ===== ===== Vascular surgery =====
  • hybrid_cerebrovascular_surgeon.txt
  • Last modified: 2022/08/16 12:20
  • by administrador