One of only a few in the region, the Hybrid Operating Suite located at Doylestown Hospital has capabilities for both minimally-invasive and traditional open surgeries, offering patients several benefits.
"It has the best of both worlds," says Doylestown Health vascular surgeon Joshua Eisenberg, MD. "The hybrid OR allows for procedures typically done in a cardiac cath lab or interventional radiology suite as well as open procedures."
Keeping the Blood Flowing
Thanks to advances in bioengineering technology and equipment, complex procedures involving the arteries are increasingly being done using minimally invasive techniques alone or in combination with open surgical techniques. The majority of these arterial procedures serve to restore blood flow to blocked or narrowed arteries, or to treat dangerously enlarged blood vessels (called "aneurysms") that can be deadly if left untreated.
In addition to the arterial revascularization procedures, some minimally invasive vein procedures and a host of other types of procedures can be performed in this setting.
Benefits of Being Minimally Invasive
When performing minimally invasive endovascular procedures, vascular surgeons use small, flexible tubes called catheters directed through tiny incisions or poke-holes in the patient's groin to access the arteries. Open surgeries generally involve major incisions and extensive dissections that tend to result in prolonged recovery and healing. Minimally invasive and hybrid techniques reduce the patient's overall risk associated with traditional open surgeries, and can often dramatically shorten the length of stay in the hospital.
"Thanks to a host of hybrid techniques, we can be as minimally invasive as we need to be," says Doylestown Health vascular surgeon Atul Rao, MD.
The hybrid OR combines the resources of a traditional operating room with high-tech fixed X-ray imaging used in minimally invasive angiographic suites, where doctors can examine arteries and veins. As a result, patients who need multiple procedures benefit from having them done all in the same setting instead of during multiple hospital stays.
Endovascular Hybrid Operating Suite
The clinical team in the new Endovascular Operating Suite at Doylestown Hospital is comprised of vascular surgeons, vascular-specialized X-ray technologists and OR nurses. The Hybrid OR is equipped with a cutting-edge GE Discovery™ imaging system that provides amazingly detailed views of a patient's anatomy in real time. The system is equipped with software components that allow surgeons to see blood vessels in 3-D. This allows them to manage complex vascular problems that involve branch vessels using sophisticated devices and grafts.
"Imaging becomes a very important tool," says Dr. Rao."The high-level, high-quality imaging in the hybrid OR allows us to do work more precisely in complex cases."
Use of this imaging system in the hybrid OR means less radiation than other X-rays, a purported benefit to patients and the clinical team. "This is potentially safer for the patient and everyone in the room," says Dr. Rao.
A Wide Range of Procedures
Procedures that can be done in the hybrid OR include:
- Endovascular aneurysm repair (EVAR) to treat an aneurysm mainly in abdominal aorta, the body's largest artery.
- Thoracic endovascular aortic repair (TEVAR) to treat an aneurysm in the upper part of the aorta.
- Revascularization procedures that restore blood flow to various parts of the body where blocked arteries have cut off blood supply in patients with PAD (peripheral arterial disease).
- Stenting of the carotid arteries in the neck, using catheters to place small wire mesh tubes called stents to open the arteries and keep blood flowing to the brain.
- Repair of aortic dissections (a tear in the lining of the aorta).
The surgeons will do a wide range of vascular interventions, head to toe, from the basic to the more intricate. The hybrid OR will allow surgeons to do these more complex cases at Doylestown Hospital, keeping patients close to home.
"We will continue to do high-level work here," says Dr. Rao. "The hybrid OR allows us to do it in a safer way and expands the breadth of what we can do."
To learn more about plans for the new Center for Heart and Vascular Care or to support our efforts, please email Laura Wortman or call 215-345-2122.
About Vascular Surgery
Doylestown Health vascular surgeons offer advanced diagnosis and treatment of an array of vascular conditions. Vascular services include comprehensive diagnostic and therapeutic interventions for conditions of the arterial and venous systems. Doylestown Health’s highly experienced, fellowship-trained endovascular surgeons perform complex open surgeries and minimally-invasive endovascular treatments in Doylestown Hospital’s sophisticated hybrid operating room.
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