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OPERATING THEATRES


4K Ultra High Definition (UHD) camera platform, which reportedly offers four times the resolution of High Definition (HD), ‘providing brighter, colour-rich images and enhanced depth’, and ‘transforming procedure clarity and creating a fully immersive operating experience’.


Pendant-mounted systems


The Visera control and processing equipment ‘stacks’ are mounted off the floor on Trilux ceiling pendants for improved ergonomics, and to keep the theatre floor cable and clutter-free. One of the Trilux light heads incorporates an HD camera. This, and the cameras in the lumen of the surgical devices, provide 4K resolution images (with no upscaling), which are processed by the Visera system and then displayed on four 55 inch Sony 4K monitors strategically positioned around the theatre. Surgeons, therefore, have an extremely ‘sharp’ view of tissue, bone, and organs during the operation. Prof Ali said the clarity of the 4K images significantly reduced surgeons’ eye strain and overall physical fatigue, especially during longer procedures, since they can see the surgical field in great detail, at a glance, with minimal movement of their head or neck. The new theatre also features Thunderbeat


Type S dissection and haemostasis instrument technology – reportedly the market’s only such system to integrate both advanced bipolar and ultrasonic energy. To enhance the working environment, multi- coloured, ‘energy-efficient’ mood lighting was incorporated to create a calming atmosphere. A new surgical scrub room, dirty facility, and ‘prep room’, also formed part of the project. Olympus Medical is now increasingly asked to supply ‘feature walls’ for new operating theatres to help create a more pleasant, conducive staff working environment within what is essentially a hi-tech clinical environment.


Francis White, director of Medical and Surgical Business at Olympus Medical (left), told guests: “The thinking behind such theatres is that you have one ‘brain’ controlling everything, ensuring a very slick and smooth experience for the surgical team.”


Live streaming of surgery


Alongside enabling the theatre team to work more quickly and efficiently, thanks to improved vision of the surgical field, the new Endoalpha theatre currently has a hard-wired link to enable instantaneous streaming of surgery to both the lecture theatre and education suite within the hospital’s MacDonald Education Centre. As guests viewed the new theatre,


Prof Ali explained that this new video/audio- streaming facility would be a boon for several reasons: “Prior to the theatre’s completion,” he said, “bringing in aspiring or existing surgeons to see ‘live’ surgery meant having sizeable groups in the room during procedures. Not only can this get in the way of surgery, but there are also potential patient privacy and infection control considerations. “The video streaming facilities we now have with the Endoalpha kit eliminated these issues, and, alongside transmitting surgical footage to training facilities here in Ayr,


we are already set up to stream to other hospitals worldwide, as and when we want to. Patients will be asked for their consent to their operation being videoed. “It is an exciting time for us. Our new integrated theatre has opened Ayrshire and Arran up to exceptional opportunities. It means we are more appropriately equipped as a centre for training in laparoscopic surgery. It also enables us to teach and share medical knowledge nationally and internationally, putting NHS Ayrshire & Arran on the map. In addition, it will significantly improve our ability to recruit and retain high quality surgeons, theatre staff, and trainees. All this means we are better able to benefit the health and wellbeing of the people of Ayrshire, Arran and beyond.” Susan Ward, a charge nurse at University Hospital Ayr, added: ‘It’s such a nice, bright and fresh working environment, which has enhanced staff morale. Having the glass feature wall means patients are more engaged and relaxed before surgery. The theatre is much more comfortable and ergonomic for the surgeons, and the image quality of the 4K surgical camera system is second to none.”


Boosting bariatric capacity


Susan Ward, a charge nurse at University Hospital Ayr, said: “The theatre is much more comfortable and ergonomic for the surgeons, and the image quality of the 4K surgical camera system is second to none.”


26 I WWW.CLINICALSERVICESJOURNAL.COM


Andy Marriott, regional sales manager for Olympus Medical North UK for Surgical Imaging and System Integration, said of the project: “This was a complete end-to-end strip-out and refurb of a small former general theatre. The new integrated theatre is fully equipped for general surgical procedures, but the major driver was to enable surgeons here to carry out more bariatric procedures. NHS Ayrshire & Arran is keen to attract tertiary referrals for bariatrics, and Professor Ali is one of the UK’s leading upper GI and bariatric surgeons, who, for example, teaches widely on the subject.” Bariatric procedures undertaken will include reduction of stomach size – such as via sleeve gastrectomy, while the seven surgeons expected to operate in the new


MAY 2019


©NHS Ayrshire & Arran


©NHS Ayrshire & Arran


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