A few weeks ago we published an article about innovation in operating rooms and how the design of an operating room and its adjacent areas can improve the performance of the entire hospital. The design of surgical rooms in hospitals is one of the main factors determining the effectiveness of a hospital and therefore from Casa Solo Arquitectos, this week we have prepared an article dedicated to future innovations in the years to come, we invite you to discover how the future OR rooms will be.
The intermediate step: hibrid operating rooms
One of the main challenges in the design of operating rooms is the distribution and location of service areas related to medical images. The images allow the surgeon to clearly identify the intervention area, but nowadays, the images are taken in areas of scanning and image while the operation room is in a secluded area for this purpose. Therefore the next step in the design of operating rooms will be the implementation of high-tech image machinery in the same operating room. Thus the surgeon can see in real time all the process via hanging screens and thus perform a less invasive surgery.
Surgery images are transmitted via a closed circuit in the operating room, in order to provide accurate information to all the medical and nursing team who receive real-time visualization of the intervention to achieve a complete coordination. Minimally invasive surgery through catheters or endoscopes which reduces the intervention to small orifices results in a faster recovery of the patient and therefore greater efficiency in the whole hospital complex.
It is possible to perform various image guided procedures, via minimally invasive surgery such as cardiovascular, neurological and orthopedic interventions, decreasing the percentage of high-risk patients who have to be moved from one room to another.
3D Imaging composition obtained in real time using fixed C-arches, TC scanners and MRI scanners allow the formation of 3D images thanks to informatic algorithms, showing in detail even the smallest anatomical regions. These images are essential to guide the surgeon during surgery.
The design of an hibrid operating room
On this basis, we have selected the main items which should be included in the design of a hybrid operating room
1. A broad operating room area
Like in a conventional operating room, the hybrid OR has a separate intervention area. However, in the hybrid case, the surface should be at least 60-70 square meters, and it must have enough space for the installation of both conventional furniture, cardiovascular furnishings and additional imaging equipment.
2. Adjacent imaging software station
In an adjoining room, we locate the area to store and manage the information as well as the mechanical equipment to operate image processing (hardware and software).
3. Annex storage area
The hybrid operating room has also an annex warehouse, where all the equipment needed for the operation is kept available.
The next step: OR without surgeon
Although for many of us it may sound like science fiction, the reality is that no surgeon operating rooms, where the operation is conducted with the help of a modern surgical robot, are already being implemented in some countries.
The surgeon is present and directs the entire process, because the robot does not work automatically. However, contact between the surgeon and the patient is done virtually and is a mechanical arm which intervenes the patient following precise instructions of the surgeon to have a 3D view of the inside of the patient. The surgeon sits in front of a console (a kind of surround display) that provides a 3D image in high resolution, at the same time, the robot reproduces the movements of the surgeon with absolute precision.
This technology is already available, one of the main providers is the Da Vinci Surgery company, (http://www.davincisurgery.com/es/cirugia-da-vinci/sistema-quirurgico-da-vinci/). In Casa Solo Arquitectos Team, we will face in the coming years, together with our clients, the design of hybrid operating rooms and operating rooms design with Da Vinci technology, a challenge that will change the conception of the surgery and for sure will improve care of our patients.