Hybrid operating room, maximum precision and safety in cardiac surgery
Cardiac Surgery Unit of the Ruber Internacional Hospital in Madrid has a
operating room State-of-the-art hybrid that allows maximum precision and safety in the practice of cardiac surgery. This innovative operating room consists of a
surgical room where high-quality diagnostic image acquisition devices are integrated in real time with the essential medical equipment and materials of an operating room.
In addition to adding an improvement in diagnosis and treatment during surgery, which brings greater precision and safety to any operation, the hybrid operating room allows minimally invasive techniques to be reconverted into traditional ones, without changing the patient’s operating room.
In conventional operating rooms, when surgical interventions are complex, it is sometimes necessary to transfer the patient to image processing rooms to check if the implant that has been made is in the exact place and if the path of the catheters used in different surgeries is the correct one.
However, when this type of intervention is performed in a hybrid operating room, as is the case at the Ruber Internacional Hospital in Madrid, “we find that the patient does not have to be transferred to another room to perform diagnostic and control tests,” he explains. the doctor
Jose Enrique Rodriguez Hernandez, head of the
Cardiac Surgery Unit of Hospital Ruber Internacional.
Dr. Rodríguez Hernández adds that a hybrid operating room “combines all the necessary equipment in a single room so that the precision of cardiac interventions is maximum, with minimally invasive techniques. This increases safety and reduces patient recovery time. With the addition that, in the event of any setback, we can convert minimally invasive techniques into traditional ones, without changing the patient from the operating room».
An example of the possibilities offered by this operating room can be well understood by going to the
surgery that actor and former California governor Arnold Schwarzenegger underwent in 2018. “Initially, it was about replacing a catheter valve using a minimally invasive procedure; however, complications arose that required open heart surgery. Only in a hybrid operating room can this change be made on the fly without moving the patient from the operating room, ”says the doctor.
Although at first glance it might seem that the hybrid operating room is the same as the conventional one, the first is equipped with screens where not only the preoperative tests are displayed, but also the tests that are performed on the patient in real time: «reconstructions 3D, images that are obtained during the intervention, the vital signs of the patient and much more information, such as their medical history, ”says the specialist.
In this way, the medical team, made up of surgeons, cardiologists and anesthesiologists, can clearly distinguish where the catheters and electrodes are advanced, as well as whether the patient remains stable during the operation.
As indicated by the head of the Cardiac Surgery Unit of Hospital Ruber InternacionalIn a hybrid operating room, the presence of cardiologists in the room is essential to check the implantation of the devices in situ.
International Ruber Cardiac Surgery Unit “We have a state-of-the-art hybrid operating room equipped with the most advanced technology in transesophageal echocardiography, which allows us to complement radiological images with the advantages of echocardiography, monitoring the contractile function of the heart, checking the result of valve replacement, performing 3D reconstructions of the heart and observing these reconstructions in real time 4D. In addition, it includes integration with the X-ray system, which can be moved throughout the operating room and thus obtain any radiological projection of the patient”.
Likewise, this cardiac surgeon points out, there are surgeries in which their performance in a hybrid operating room provides a greater benefit for the patient and the medical team. Among others, “for pacemaker and defibrillator implantation, percutaneous valve prosthesis implantation, closure of cardiac septal defects, hybrid treatment of aortic pathology, aortic aneurysms, diagnostic and therapeutic coronary angiography, coronary stent implantation or surgeries with a minimally invasive approach”, adds Dr. Rodríguez Hernández.