Seeing Surgery in a New Light

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The bright, in-depth views of 4K and 3D take surgical imaging to the next level.


You'll soon think of high-definition monitors like you do tube TVs — relics of a bygone era. "Ultra-high-def and 3D-HD laparoscopy provide better views, wider color range and a higher level of clarity," says Suraj S. Soudagar, MS, MBA, LEED, principal at IMEG Corp., an engineering and design firm in Rock Island, Ill. "You need to invest in leading imaging technology in order to provide the greatest possibility of best surgical results."

Now is the time to show your surgeons what it's like to operate in 4K and 3D because in the OR, seeing is believing.

HD on the big screen

Resolution is one of the key factors in the identification of fine details in laparoscopic images, says Ceana Nezhat, MD, FACS, FACOG, fellowship director at Nezhat Medical Center and director of minimally invasive surgery and robotics at Northside Hospital in Atlanta. He points out that ultra-high-def 4K imaging offers four times the resolution of standard HD systems.

The clearer pictures of 4K provide several advantages that improve the surgeon's precision as he moves instruments in and around critical anatomy, including the ability to magnify an image on the screen 10 to 30 times with virtually no pixilation and enhanced color profiles with more detail. Smaller 4K video scopes are available with an autofocus feature that keeps images sharp as surgeons move the camera in the surgical field through 3mm incisions.

Is it possible to get this type of picture quality on the video monitor you're currently using? Or do you need a larger monitor in order to properly display it? Full high-def has a 1920-by-1080 pixel matrix, compared with the 3840-by-2160 pixel ?matrix of 4K. Mr. Soudagar says 4K displays are therefore optimized on larger monitors. "The benefits are the clarity, sharpness and wider color gamut," he explains. "Those benefits are fully realized on monitors that let you see the entire picture."

By routing 4K images to large monitors, you'll view video with less pixilation, wider and deeper colors, and better depth perception. "When you use 4K to zoom in on a specific anatomy, the image will not lose its sharpness and clarity, unlike with standard definition, which will appear with more pixilation on bigger screens," says Mr. Soudagar. "Surgeons who operate with the increased clarity of 4K [on large monitors] can make better diagnostic decisions."

Buena Vista Regional Medical Center in Storm Lake, Iowa, recently added 4K imaging to its ORs so the facility's surgeons could operate with more confidence and precision. "The image is so clear that I am able to see down to the capillary level, which is important for improved dissection of tissue and evaluating the perfusion of the tissue," says Jason Dierking, MD, FACS, a general surgeon at Buena Vista.

He says the technology lets surgeons view surgery in greater anatomical detail, brightens deep surgical cavities and bleeding areas, and enhances reds and yellows, which lets surgeons better visualize fine tissue patterns and see anatomy in greater contrast.

Surgery in 3D

CLEAR ADVANTAGE Facilities that upgrade to the latest imaging equipment show surgeons they're committed to providing the best possible care.

The inherent challenge of performing laparoscopic surgery is having to maneuver in and around 3D anatomy displayed on a 2D screen. Three dimensional, high-definition laparoscopes address that issue. "I've found combining 3D-HD laparoscopes and integrated computer-enhanced imaging enables well-trained physicians to provide the least invasive and most advanced surgical care," says Dr. Nezhat. "These devices provide excellent visualization, depth perception, clarity and improved accuracy."

The added depth of vision provided by an articulating 3D-HD laparoscope lets surgeons differentiate various tissue planes and spatial views of anatomy, and offers them the ability to increase accuracy and reduce operating times by being able to perform complex maneuvering in a three-dimensional environment. More complex laparoscopic procedures demand surgeons to see around angles, one of the benefits of working with articulation.

Articulating 3D-HD laparoscopes let surgeons see anatomy in enhanced clarity and add to the precision of dissection and suturing. The technology also gives surgeons improved access to tight anatomical spaces, a factor that can make minimally invasive surgery even less invasive.

Three-dimensional, high-def articulating laparoscopes provide surgeons with the visualization advantages afforded by operating with a robotic platform — without the multi-million dollar price tag.

Looking ahead

Mr. Soudagar points out that younger surgeons are learning how to perform surgery in 4K and aren't accustomed to using lesser imaging technology. He also feels a facility's decision to upgrade its imaging equipment shows surgeons that management is motivated to provide better outcomes for their patients. "Surgeons want to be in control of providing the best care for their patients," says Mr. Soudagar. "If they have better imaging tools, they can make better decisions. The better picture clarity, sharpness, depth perception and quality they work with, the more confident they'll be in achieving better outcomes."

The latest imaging technology is more than just a camera. It's a platform for surgeons to provide the best results for their patients. As imaging technology progresses, surgeons minimize the invasiveness of surgery even further with miniature scopes and more enhanced picture modalities, which will improve the precision of their operations. As technology evolves, with the integration of imaging and fluorescent imaging systems, surgeons can plan and execute a roadmap to reach the exact location of pathology or targeted anatomy, and assess and decide on the type and size of the incision.

"Achieving optimal results is the main goal of every surgeon," says Dr. Nezhat. "In order to meet this goal, the clear display and visualization of crucial anatomical structures are paramount." OSM

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