
North Mississippi Medical Center recently opened the first hybrid operating room in north Mississippi, transforming conventional surgery techniques and paving the way for new minimally invasive surgeries.
Located on the second floor of the hospital's East Tower, the hybrid OR combines operating room capabilities with the most advanced imaging systems available. This feature enables physicians to make a diagnosis and then quickly proceed with treatment, without moving the patient or scheduling separate times for procedures.
Being able to perform multiple procedures in the same location improves patient care and efficiency. Potential benefits include fewer required surgeries, less risk for infection, shorter hospital stays, safer procedures, faster recoveries and better outcomes.
"In the hybrid OR, we have both imaging capabilities and surgical capabilities," explained cardiothoracic surgeon Vishal Sachdev, M.D. "This new technology allows us to combine catheter-based procedures with traditional surgery and move toward more minimally-invasive surgeries.
"Because of enhanced imaging in the hybrid OR, we can perform more complex procedures," he said. "For example, during a thoracic and abdominal stenting procedure, the room's C-arm allows us to do a rapid CT scan at the time of surgery so we can see if there's a leak in the stent before we complete the procedure."
The hybrid OR is extremely valuable when emergency cardiopulmonary bypass is required, or when a doctor halts an endoscopic procedure and decides conventional surgery is required.
The key to a hybrid OR is versatility. "This is a state-of-the-art surgical suite that allows interventional cardiologists and surgeons to move seamlessly between minimally invasive and open or endovascular procedures without needing to move the patient," said interventional cardiologist Amit Gupta, M.D.
"Because the hybrid OR has full capabilities of a modern operating room and a cardiovascular catheterization lab, we can look forward to performing a combination of minimally invasive cardiac bypass surgery and coronary or carotid artery stenting in the same setting on certain high risk patients. The hybrid OR will change how we approach complex cardiovascular conditions."
The hybrid OR covers 1,300 square feet, including a control room, scrub area and supplies. Large monitors located throughout the room can connect to more than 20 advanced imaging sources, giving physicians access to countless past and real-time three-dimensional X-rays, CT scans and more. During a case, physicians can easily consult with specialists by sending real-time images via computer.
They hybrid OR will enable Danny Sanders, M.D., and other general surgeons to combine procedures for the patients' benefit. "Vascular surgery is becoming less and less invasive," Dr. Sanders said.
"Oftentimes, a patient's vascular disease will involve an inflow problem, which we like to treat with a stent in the cath lab, and also an outflow problem that we need to treat with an open bypass. In the past, we had to schedule two separate procedures in different locations, sometimes on different days, with the patient being sedated twice. With the hybrid OR, we will be able to sedate the patient once and do both procedures during the same case."
Surgeons will potentially use the hybrid OR for cases such as carotid, thoracic and abdominal stents; complex endovascular procedures; hybrid coronary artery bypass graft; minimally-invasive heart valve repair or replacement; and implanting ventricular assist devices for patients in cardiogenic shock. The facility also opens the door for other minimally-invasive procedures in cardiothoracic surgery, neurosurgery and orthopedics.