Outpatient Surgery Magazine

Back To Work - June 2020 - Subscribe to Outpatient Surgery Magazine

Outpatient Surgery Magazine, providing current information on Surgical Services, Surgical Facility Administration, Outpatient Surgery News and Trends, OR Excellence and more.

Issue link: http://outpatientsurgery.uberflip.com/i/1259627

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Page 105 of 116

taken in the OR. Lack of adequate visualization is sometimes a techni- cal issue; the C-arm is simply not producing images that are clear enough to discern individual discs. Surgeons can't change a person's body habitus or the technical qual- ity of the C-arm they're using in the OR. They can, however, plan in advance of scheduled procedures to ensure they're working with the best possible image in the OR. If a patient is obese or has pathology that might create problems in getting a usable image, surgeons could request to use the best performing C-arm in their facility. They could also consider having a localized marker placed before surgery at the bone they're going to treat. This pre-operative localization is very helpful for procedures that are in particularly challenging anatomic areas. For example, my patients who are scheduled for thoracic spine procedures visit a radi- ologist to get a full-body X-ray or CAT scan. During the imaging ses- sion, the radiologist places a small coil into the disc that needs repair or removal, so I don't have to count to the correct spot in the OR. I simply capture an intraoperative image to locate the coil and there- fore the intended surgical site. 4. Invest in surgical navigation The superior image quality provided by surgical navigation technolo- gy can further reduce the likelihood of wrong-site errors occurring. The platforms are expensive and there's a learning curve to operating them proficiently, but the 3D views help to ensure your team is work- ing on the right disc. These imaging systems allow for another level of safety that eliminates the scenario of not being able to capture high-quality intraoperative images, even when operating on a patient with a suboptimal body habitus. I use 3D navigation for challenging posterior cervical spine surger- 1 0 6 • O U T P A T I E N T S U R G E R Y M A G A Z I N E • J U N E 2 0 2 0

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