[Hybrid operating room : Application in trauma surgery and orthopaedics].
Der Hybridoperationssaal : Anwendung in Unfallchirurgie und Orthopädie.
Hybrid surgery
Internal fixation
Intraoperative 3D imaging
Kyphoplasty
Minimally invasive spinal surgery
Journal
Der Unfallchirurg
ISSN: 1433-044X
Titre abrégé: Unfallchirurg
Pays: Germany
ID NLM: 8502736
Informations de publication
Date de publication:
Feb 2020
Feb 2020
Historique:
pubmed:
2
5
2019
medline:
11
2
2020
entrez:
2
5
2019
Statut:
ppublish
Résumé
For some years now, more and more hospitals in Germany have acquired so-called hybrid operating rooms. In these operating rooms it is possible to produce three-dimensional imaging during the operation. Originally developed for cardiovascular surgery, these rooms are increasingly being used for interdisciplinary purposes. Previous experiences in the use for trauma surgery and orthopedics has shown that three-dimensional imaging can have a positive effect on the success of surgery. Can minimally invasive operations on the spine benefit intraoperatively from three-dimensional imaging with respect to operating times and results? Minimally invasive operations on the spine performed at the UKSH Campus Kiel between 2015 and 2018 in the hybrid operating room were considered. These were compared to minimally invasive spinal surgery performed in conventional operating rooms. As is usual with the establishment of a new procedure, there are initially longer operating times. With regular use and appropriate training and experience of the personnel, the processes can be optimized. Due to the accuracy of the three-dimensional imaging, errors can be detected and eliminated at an early stage during the operation. Revisions are less frequent. In contrast, there is increased radiation exposure and sometimes longer operation and anesthesia times.
Sections du résumé
BACKGROUND
BACKGROUND
For some years now, more and more hospitals in Germany have acquired so-called hybrid operating rooms. In these operating rooms it is possible to produce three-dimensional imaging during the operation. Originally developed for cardiovascular surgery, these rooms are increasingly being used for interdisciplinary purposes. Previous experiences in the use for trauma surgery and orthopedics has shown that three-dimensional imaging can have a positive effect on the success of surgery.
OBJECTIVE
OBJECTIVE
Can minimally invasive operations on the spine benefit intraoperatively from three-dimensional imaging with respect to operating times and results?
METHODS
METHODS
Minimally invasive operations on the spine performed at the UKSH Campus Kiel between 2015 and 2018 in the hybrid operating room were considered. These were compared to minimally invasive spinal surgery performed in conventional operating rooms.
RESULTS
RESULTS
As is usual with the establishment of a new procedure, there are initially longer operating times. With regular use and appropriate training and experience of the personnel, the processes can be optimized.
CONCLUSION
CONCLUSIONS
Due to the accuracy of the three-dimensional imaging, errors can be detected and eliminated at an early stage during the operation. Revisions are less frequent. In contrast, there is increased radiation exposure and sometimes longer operation and anesthesia times.
Identifiants
pubmed: 31041476
doi: 10.1007/s00113-019-0657-1
pii: 10.1007/s00113-019-0657-1
doi:
Types de publication
Journal Article
Langues
ger
Sous-ensembles de citation
IM
Pagination
134-142Références
Int J Comput Assist Radiol Surg. 2011 Sep;6(5):685-92
pubmed: 21298490
Unfallchirurg. 2016 Oct;119(10):803-10
pubmed: 27599821
Unfallchirurg. 2016 Oct;119(10):835-42
pubmed: 27646699
Injury. 2016 Feb;47(2):402-7
pubmed: 26708797
Unfallchirurg. 2016 Oct;119(10):817-24
pubmed: 27646696
Unfallchirurg. 2001 Sep;104(9):827-33
pubmed: 11572124
Chirurg. 2013 Dec;84(12):1036-40
pubmed: 24220954
Orthop Traumatol Surg Res. 2015 Dec;101(8):913-7
pubmed: 26522382
Int Orthop. 2016 Jan;40(1):161-6
pubmed: 25994426
Injury. 2015 Oct;46 Suppl 4:S129-34
pubmed: 26542859
EFORT Open Rev. 2018 May 21;3(5):168-172
pubmed: 29951253
Unfallchirurg. 2016 Oct;119(10):811-6
pubmed: 27646697
Pediatr Radiol. 2006 Sep;36 Suppl 2:173-81
pubmed: 16862412
Clin Orthop Surg. 2015 Dec;7(4):483-9
pubmed: 26640632
Unfallchirurg. 2012 Mar;115(3):196-201
pubmed: 22367513
Unfallchirurg. 2007 Jan;110(1):14-21
pubmed: 17177043
Unfallchirurg. 2012 Feb;115(2):107-20
pubmed: 22331228
Circulation. 2002 Dec 10;106(24):3006-8
pubmed: 12473543