Outpatient Surgery Magazine, providing current information on Surgical Services, Surgical Facility Administration, Outpatient Surgery News and Trends, OR Excellence and more.
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Managing Risk Making beer decisions in Surgical Workflows Getinge Surgical Workflows Volume 2 • Issue 4 • December 2019 Yuno II Mobile Operating Table supports ASC surgical trends Reducing complications for joint replacement surgeries Earlier this year, Infection Control Today (ICT) reported that Michael P. Ast, MD, hip and knee replacement surgeon at Hospital for Special Surgery in New York City, projected that the total hip and knee replacement surgeries performed on an ambulatory basis will grow from 5% to 50% in the next five years. Factors contributing to this anticipated increase include improvements in surgical techniques, implant devices, and pain control. Dr. Ast and his colleagues conducted a five-year study to com- pare patient outcomes and the costs for in-patient hip and knee replacement surgeries performed at a community-based ambulatory surgery center and a university medical center. The study revealed no increased 90-day complication or readmission rates for patients who were discharged the same day. By the year 2030, there will be an estimated 635,000 hip replace- ment and 1.28 million knee replacement surgeries performed each year — half of which will be scheduled in an ambulatory surgical center. This increased volume of hip/knee and other similarly complex procedures requires precise, safe and comfortable access to the surgical site. These factors are essential to ensuring efficient OR workflows and patient throughput as well as positive clinical outcomes in the ASC. The Yuno II Mobile Operating Table is designed to address these critical issues. Yuno II has demonstrated effectiveness in facilitating the minimally invasive Direct Anterior Approach (DAA) to hip joint replacement. This widely accepted and often preferred approach eliminates the need to detach or cut the patient's muscles to access the joint as required using conventional and lateral posterior techniques. Keeping the muscular structure intact minimizes the risk of hip dislocation while speeding recovery and rehabilitation time. The DAA requires a complex series of leg movements through- out the procedure that is facilitated by the table's ability to enable a combination of leg rotation, abduction, adduction, and height adjustments that enhance access to the surgical site. The table's easy-to-position traction bar accessory mimics the smooth multidirectional movement of the hip itself, and securely locks to prevent overextension. For many arthroscopic hip procedures, the femoral head must be pulled out of the acetabulum under maximum traction to gain proper access to the site. The Yuno II table is designed to enable optimal traction regardless of the patient's size while comfortably positioning members of the surgical team. In addition to these features, generous vertical adjustment allows clinical staff to lift the patient's leg to the desired angle that relieves the ventral capsule during maximum traction. Reference: No Increased Risk of Complications for Joint Replacement in Ambulatory Surgery Setting. Infection Control Today website: https:// www.infectioncontroltoday.com/ambulatory-care/no-increased-risk- complications-joint-replacement-ambulatory-surgery-setting. March 14, 2019.