INTEGRATED THEATRES
The art of hybrid theatre design
With the percutaneous devices used in interventional radiology departments becoming ever more complex, a new ‘breed’ of so-called ‘hybrid’ theatres has emerged, and is now a feature of many hospitals worldwide. Here Julian Grimaldi, senior business manager, Hybrid OR, for Getinge in Germany, examines some of the key considerations when designing, fitting out, and equipping such theatre spaces.
The hybrid room or hybrid operating theatre – an increasingly common phenomenon in 21st century hospitals – is a surgical room were percutaneous and surgical procedures can both take place thanks to the use of a C-arm imaging system integrated with a surgical table for complex patient positioning for hybrid procedures. The addition to a hospital of a hybrid operating room allows more innovative and efficient treatment and surgical procedures to be performed – resulting in better outcomes, shorter patient stays, and optimised workflows. Patient benefits include a speedier diagnosis to treatment process, access to innovative minimally invasive therapies that reduce recovery times, eventual elimination of corrective surgeries, and real-time availability of high quality imaging that helps surgeons preserve as much healthy tissue as possible. Among the benefits for hospitals are closer collaboration among specialists throughout the treatment chain, diagnostic advantages for new and innovative therapeutic techniques, the potential to enhance the hospital’s reputation, the ability to both increase patient satisfaction and boost revenues, and greater likelihood of attracting and retaining a high quality workforce.
Complexity of procedures increasing
Over time, the complexity of hybrid surgical applications has evolved, and there is now increasing multidisciplinary use of hybrid facilities within hospitals, by specialities including neurosurgery,
Getinge says addition to a hospital of a hybrid operating room allows ‘more innovative and efficient treatment and surgical procedures’ to be performed.
cardiovascular, orthopaedics, traumatology, thoracic surgery, oncology, and urology. Today’s hybrid ‘ORs’ are also associated with a growing range of imaging modalities, with C-arms, CT, and MRI scanning equipment often used in combination with the surgical table (multi-modality intraoperative advanced imaging). This type of set-up is seen both on a standalone basis, and combined in what is known as a ‘multi-modality hybrid OR’. The development of new methods of undertaking hybrid procedures has resulted in more complex workflows and, equally, radical new ways of designing surgical rooms.
Ensuring maximum workability To successfully design a complex and ‘futureproof’ multimodality operating
theatre with sufficient flexibility to adapt to changing surgical and clinical trends, it is essential to find the right technology partnership for both imaging technology and room design, and equipment supply and installation. Of course creating a well-equipped, versatile hybrid theatre requires a substantial investment of time, a significant project management burden, and considerable capital outlay, so why are hospitals willing to invest in such facilities?
The answer is that using an imaging system in combination with a surgical table gives the surgeon the best anatomical information possible in real time, and enables he or she to perform highly complex surgeries. A hybrid room or theatre of this kind is the only surgical environment within which patients can be diagnosed and
OPERATING THEATRE l JULY 2018 l 37
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