We’re back with the fourth episode of our image guided surgery video series! In this episode we're discussing different pulmonary cases in hybrid OR with some of our Interventional Radiology and Pediatric Pulmonologist colleagues at Cincinnati Children’s Hospital. Our guests Drs. Chris Towe, Gregory Burg, Erik Hysinger, John Racadio are joined by Nicole Hilvert and Carolyn Wallace.

Hosts: Ellen Encisco, MD, Em Tombash, MD

0:00 Introduction

2:22 First Case

7:02 Second Case

15:36 Summary

With image guided surgery, surgeon uses real-time images of the inside of the body during an operation. These images are generally produced by a combination of X-rays, ultrasound, CT's etc.

Hybrid OR (operating room) at Cincinnati Children’s is a collaboration between Radiology’s Dr. John Racadio and Surgeon-in-Chief Dr. Daniel von Allmen. The hybrid OR offers imaging capabilities in a sterile operating room.

It creates an environment for surgeons and interventional radiologists to combine their individual skills and expertise in order to benefit patient care. The room is equipped with X-ray, fluoroscopy (live X-ray), ultrasound and C-arm Cone Beam computed tomography (CBCT). Surgeons work together in the hybrid OR with interventional radiologists, who specialize in using these imaging technologies.

Imaging can be performed just before the surgery to help plan the procedure, during the surgery to identify important anatomy or disease, and after the surgery to evaluate results in the hybrid OR. Any surgery requiring radiologic imaging including open and minimally invasive surgeries, may take place in the hybrid OR.

The hybrid OR at Cincinnati Children’s opened in 2018 and serves for general surgery, urology, orthopedic surgery, neurosurgery, pulmonology, and many more.