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Lancaster General Hospital opens state-of-art Hybrid OR

8/27/2012 12:46:40 PM

Lancaster General Hospital's new Hybrid Operating Room combines the capabilities of a cardiac catheterization lab with a cardiac surgery operating room to treat patients with complex cardiovascular conditions. In photo from left:  Steven P. Woratyla, M.D., Chief,  Division of Vascular Surgery; Rupal Dumasia, M.D., Section Chief of Interventional Cardiology; Stephen Nichols, M.D., Director, Cardiothoracic Anesthesia; and Jeffrey T. Cope, M.D., Chief,  Cardiothoracic Surgery.

(LANCASTER, PA, July 2012) In Lancaster General Hospital's new state-of-the-art Hybrid Operating Room (OR), cardiologists, vascular surgeons, cardiac surgeons and anesthesiologists work side by side to perform procedures that require both surgical and interventional cardiology expertise.

Designed for vascular and cardiac patients, the Hybrid OR combines the capabilities of a cardiac catheterization lab with a cardiac surgery operating room, offering patients who need complex cardiovascular surgeries new options.

Traditionally, when an artery is blocked, blood flow is restored with heart bypass surgery (coronary artery bypass graft surgery) or intervention (stenting).

"Each of these procedures has its own unique advantages and disadvantages," explained Rupal Dumasia, M.D., LGH Section Chief of Interventional Cardiology. "Hybrid revascularization allows us to combine the advantages of surgery with the advantages of stenting in a single procedure, which helps patients to heal and recover faster."

Opened in July, the $4.5 million Hybrid OR is 1,200 square feet, 40 to 50 percent larger than a typical operating room. In addition to advanced surgical technology, advanced imaging technology, needed for minimally invasive techniques, provides clear and accurate visualization of small vessels, stents, catheters and guide wires during these complex procedures.

Steven P. Woratyla, M.D., Chief, Division of Vascular Surgery, describes the Hybrid OR as the new standard of care that combines the best of both worlds. The vascular surgeon performs thoracic and aortic stent graphing, balloon angioplasty to repair aneurysm and clear blockages in the arms and legs, and assists cardiologists in placing cardiac devices.

"The permanent, state-of-the-art imaging capabilities of the hybrid OR is a tremendous benefit to patients," Dr. Woratyla explained. "The resolution is higher and more precise and can better accommodate a wider range of patients than portable imaging used in the traditional operating room."

This setup also enables the use of da Vinci® robotic-assisted surgery for heart bypass surgery and the ability to transition from minimally invasive to open vascular or cardiac procedures without having to move the patient.

An integral part of the team, cardiac anesthesiologists are specially trained to address the unique needs of the complex cardiac patient. "The hybrid OR is a great benefit to  many patients who, due to age or other complications, are unable to undergo traditional open-heart surgery," said anesthesiologist Stephen Nichols, M.D., Director, Cardiothoracic Anesthesia.  

The hybrid OR also makes it possible for LGH to offer a new procedure for heart valve replacement, called TAVR, or transcatheter aortic valve replacement., that requires the advanced technology of a hybrid OR to visualize placement of the valve through a small chest wall or groin incision.   

Jeffrey T. Cope, M.D., Chief, Cardiothoracic Surgery, explained that before, open-heart surgery was too risky and options were limited for patients with aortic valve disease and severe medical conditions. "Now we evaluate patients in LG Health's Valve Clinic and TAVR provides new hope for them. In this venue, cardiologists and cardiac surgeons can collaborate to bring the best of what each specialty has to offer."


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