Multidisciplinary Hybrid Operating Room

Multidisciplinary Hybrid Operating Room

HYGEIA Hospital is among the leaders in medical technology worldwide, with its Multidisciplinary Hybrid Operating Room, the first one of its kind in Greece and one of the most contemporary in Europe.

Why are Hybrid Operating Rooms necessary?

In recent years, due to advancements in medical technology, there is a growing number of complex endovascular procedures performed. On many occasions, the need arises for a combined endovascular and open procedure or for conversion of an endovascular to an open one (whenever the first one cannot be completed). This is why hybrid operating rooms were created. In a hybrid operating room, surgeons can perform endovascular and open procedures for the entire cardiovascular system at the same time, in the same place and on the same patient.

The Hybrid Operating Room at HYGEIA Hospital

The Hybrid Operating Room at HYGEIA Hospital is the first to operate in Greece and covers a surface area of 87sq.m. It is equipped with the latest imaging and medical devices for performing complicated surgical procedures under maximum safety, speed and reliability conditions.

Its innovative design and state-of-the-art multidisciplinary equipment allow surgeons to perform ALL open and minimally invasive surgical procedures for specialties such as: vascular surgery, interventional cardiology, cardiac surgery, neurosurgery, interventional radiology, orthopedics, general surgery, trauma surgery, urology and any other surgical specialty.

Press Release

A. Digital Cardiovascular Imaging System Allura Xper FD20 (by PHILIPS), which is considered a state of the art imaging system. It includes:

(1) Generator Velara CFD.

(2) Liquid metal x-ray TUBE MRC 200GS 0407.

(3) Digital reception and imaging using FLAT PANEL 30x40cm.

(4) Ceiling mounted suspension with three dimensional movement, offering all the projections needed in modern imaging of the peripheral, coronary and cerebral vessels.

(5) Digital system and all the necessary image processing softwares resulting in:

peripheral angiography, cerebral angiography, digital subtraction angiography, roadmapping, coronary angiography.
digital image enhancement using the following software: Spirit, Xres Vascular, FD Smart Mask, Refresh Light.
multiple peripheral, cerebral and cardiac measurements (Vascular Quantitative Package, Quantitative Coronary
analysis Package, Left Ventricular Quantification Analysis Package).
rotational peripheral, cerebral and coronary angiography.
three dimensional rotational peripheral, cerebral and coronary angiography (3DRA) with separate working station.
three dimensional roadmapping.
T like images (Xper CT) offering computed tomography imaging valuable for detection of bleeding and for three dimensional examination and treatment of soft tissue and bones.
real time needle guiding (Xper Guide) allowing real time, three dimensional guiding of biopsy needles and percutaneous radiofrequency treatment.
single mobile control station for both the imaging system and the hybrid operating room table.

B. Carbon Fiber Hybrid Operating Room Table Magnus (by MAQUET), suitable for vascular surgery, endovascular surgery, interventional cardiology, cardiac surgery, interventional radiology, neurosurgery, orthopedic surgery, general and trauma surgery. The characteristics of this state of the art hybrid operating room table are the following:

(1) Carbon fiber table top offering 360° radiotranslucency for the entire length of the human body.

(2) Motorised three dimensional movement.

(3) Electronic integration with the imaging system offering:

synchronised three dimensional movement of the imaging system and the operating table
complex two and three dimensional imaging of the entire cardiovascular system
combined control of the imaging system and the operating table from a single unit.

(4) Accessory adapters can be installed immediately and can accommodate any surgical retractor necessary for open procedures performed by vascular surgery, cardiac surgery, neurosurgery, orthopedic surgery, general and trauma surgery.

With MAGNUS Hybrid Operating Room Table any endovascular procedure is immediately converted to an open one without moving the patient at all. It is also possible to perform on the same patient multiple combined endovascular and open procedures. HYGEIA Hospital purchased three different table tops suitable for all complex procedures performed by all surgical and interventional specialties.

C. Monitors
There are six high definition monitors for two and three dimensional imaging in black and white or coloured.

D. Operating room led satellite lights by MAQUET
These are three last generation LED surgical lights with automatic illumination management. Furthermore, each one has a second light for endovascular procedures which does not reflect on the monitors.

E. Ceiling Mounted Suspension System, especially designed for hybrid operating rooms. (Satellite Operating Room Arms by MAQUET). A combination of eight (8) arms and two (2) mounting hubs creates a state of the art suspension system for independent movement of monitors, lights and radiation shields, which follow the physician in whatever part of the patient’s body he operates on (from head to toe), without interfering with the imaging system or the operating table.

F. Ceiling and table mounted radiation shields.

G. State-of-the-art Surgical Room Equipment suitable for the most complex operations of all surgical and interventional specialties.

H. Picture Archive And Communication System (PACS).

Utmost patient safety, because it allows the immediate conversion of an endovascular to an open procedure, if the first one cannot be completed or presents a complication.

Ability to perform complex endovascular procedures to a larger number of patients, especially those with multiple medical problems. This can be accomplished due to:

a) Superb digital image quality that enables the use of the most advanced endovascular devices.

b) Simultaneous multiple vascular access from different areas of the body (groins, upper limbs, foot, chest, abdomen).

Performance at the same time of multiple endovascular or open procedures in different parts of the cardiovascular system.
Reduced radiation for the patient and medical staff.
Reduced administration of contrast material to the patient (it is given in order to visualize the blood vessels).
Reduced risk of infection.