Surgery News - May 2008 - (Page 22)

22 PRACTICE TRENDS SURGERY NEWS • M AY 2 0 0 8 OR of the Future Already Here for Some Surgeons Else vier Global Medical Ne ws host of technological innovations in the operating theater will give surgeons faster access to more information, reduce the chance of errors, cut complication rates, and likely decrease malpractice insurance costs, according to one surgeon whose hospital has built two “futuristic” ORs and plans to build others. Advances in imaging displays, communication, lighting, and even the shape of the operating room have already enhanced facilities at several U.S. hospitals, including New York–Presbyterian Hospital/Cornell University, New York, where Dr. Jeffrey Milsom is chief of colon and rectal surgery. “They’re definitely going to improve efficiency, I think, as well as patient outcomes,” Dr. Milsom, an ACS Fellow, said in an interview about two such ORs at his institution. More than 100 procedures have been performed thus far in these innovative units, and four additional futuristic ORs (sometimes called smart ORs) are planned. Each unit includes six large high-defini- A CLASSIFIEDS A l s o a v a i l a b l e a t w w w. e l s e v i e r h e a l t h c a r e e r s . c o m CONTINUING EDUCATION CHARLES MANLEY/NEW YORK-PRESBYTERIAN HOSPITAL/WEILL CORNELL MEDICAL CENTER BY JOHN R. BELL tion monitors that display a patient’s vital signs and allergies, all laparoscopic camera views, any external camera views, the electronic anesthetic record, and the names of all people in the operating theater. The monitors allow the surgeon to instantly view images sent from another OR, and even those sent by a pathologist or a referring physician, and to discuss them with the sender via a Surgeons perform a hip resurfacing procedure in a Bluetooth headset. high-tech OR at New York–Presbyterian Hospital. Thus, for example, the surgeon can use a mouse and the high-defin- staff know instantly what comes next in an ition monitor to pinpoint the precise area unfamiliar procedure but also will photoof a lesion to biopsy. Radiologic scans graphically document each step for future will also be available, via a picture archiv- reference. “I’m planning photo documening and communications system, he said. tation for standard operations as part of The accompanying software will allow the operative record,” Dr. Milsom said. The system will also eliminate most pavideo from the procedure to be streamed on the Internet or used in a live telecon- perwork for the surgeon. “I think this will become mandatory” in the future, he said, ference with other surgical staff. The monitors also display checklists for given the utility of such evidence in maleach step in the procedure, with the op- practice defense. In turn, he expects maltion of an oral or written prompt for practice insurance costs will be reduced for each. This system not only will help OR institutions using such systems. Dr. Milsom acknowledged that some surgeons have remained resistant to the new technology but added that most of these have not actually used the system. “I’m pretty darn sure that if we design these things right people are going to fight to work in these rooms.” The visual-imaging benefits of the futuristic ORs are most useful for laparoscopic or minimally invasive procedures, but the other elements can benefit open surgery as well. Malfunctions—which have been rare thus far, he said—have occurred with the software, but hospital staff have been able to resolve the problems. Dr. Milsom said he has no financial relationship with any of the equipment manufacturers. Training can be accomplished in a few weeks of daily sessions, although the actual time required will be affected by new features still in development. He estimated that a surgeon would need 5-10 hours of training time to become comfortable with the current systems. The total cost to get a futuristic OR up and running is $200,000-$300,000 per room, Dr. Milsom estimated. WWW.COSMETICPHYSICIANS.ORG Have questions on classifieds? Call Danny Wang (212) 633-3158 for more information. American Academy of Cosmetic Physicians Cosmetic Surgery “Hands-On” Workshops Category 1 CME Accredited Maximum of 6 attendees per workshop to assure adequate hands-on opportunity for all attendees MAY May 9-10 May 16-17 May 16-17 May 17-18 May 17-18 May 22-23 May 31-Jun 1 JUNE Jun 6-7 Jun 6-7 Jun 13-14 Jun 20-21 JULY Jul 18-19 Jul 25-26 COURSES OFFERED: AWAKE Liposuction AWAKE Breast Augmentation AWAKE Abdominoplasty FACUL CULT FACULT Y: Advanced AWAKE Liposculpture and Lipo Abdominoplasty Advanced AWAKE Liposuction with Breast Augmentation with Fat Transfer Abdominoplasty with Advanced Liposculpture and Fat Transfer Cosmetic Procedures AWAKE Facelift Aesthetic Vaginal Surgery 2008 UPCOMING COURSES AWAKE Breast Augmentation AWAKE Liposuction AWAKE Liposuction Cosmetic Procedures AWAKE Liposuction Cosmetic Procedures Advanced AWAKE Liposculpture with Fat Transfer AWAKE Abdominoplasty AWAKE Liposuction AWAKE Breast Augmentation AWAKE Liposuction AWAKE Liposuction AWAKE Liposuction Robert L.True, MD, FACOG, AACS Neil Goodman, MD, PhD, FACOG, FAACS Harold Bafitis, DO, MPH, FACOS, FAACS Red M. Alinsod, MD, FACOG, ACGE Todd K. Malan, MD, FACOG Haneef Alibhai, MD, CM, CCFP Martin Hyman, MD Gregory Alouf, MD Anil Gandhi , MD Los Angeles, CA Los Angeles, CA Dallas, TX New York, NY Scottsdale, AZ Vancouver, Canada West Palm Beach, FL Los Angeles, CA New York, NY Los Angeles, CA Salem,VA Dallas, TX Salem,VA *Individual one-on-one training is available from faculty members For more information and to register for a workshop: visit www.cosmeticphysicians.org phone: 520.574.1050 | fax: 520.574.7944 email: info@cosmeticphysicians.org 3rd ANNUAL MEETING American Academy of Cosmetic Physicians November 19-23 ‘08 Mandalay Bay Hotel Las Vegas, NV call us for more info http://www.elsevierhealthcareers.com http://WWW.COSMETICPHYSICIANS.ORG http://www.diabetes.org http://www.diabetes.org http://www.cosmeticphysicians.org

Table of Contents Feed for the Digital Edition of Surgery News - May 2008

Surgery News - May 2008 Contents New Lung Approach Speeds Extubation Innovative GI Procedures May Improve Diabetes Quality Programs Differ on Risk Data Crystal Ball Medical Modeling Ventricular Valve Taking Stock

Surgery News - May 2008

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