Sacred Heart Among Top Hospitals
  
Innovative Minimally Invasive Surgeries Rank Sacred Heart Among Top Hospitals in State

The surgeons and staff at Sacred Heart Medical Center rank among the state’s best when it comes to groundbreaking surgical procedures, many of which are performed with state-of-the-art, minimally invasive techniques.

Laparoscopic surgery, for example, is performed with the help of a small endoscopic camera and several fine instruments inserted through natural body openings or small incisions. Laparoscopic procedures offer tremendous benefits to patients, including a shorter hospital stay, faster recoveries and a smaller cosmetic scar.

While a portion of minimally invasive surgeries performed at Sacred Heart are common applications of the video-guided technology, such as gall bladder removal, gastric bypass and exploratory operations, Sacred Heart physicians are also applying minimally invasive technology to more complex surgeries. Their work has widened the realm of treatment possibilities for patients and has ranked them among only a handful of physicians around the state who perform such complex, sophisticated surgeries.

The sheer volume of such surgeries performed at Sacred Heart translates to a high level of competency. The more a surgery is performed, the better the outcome for the patient.

The general surgeons at Sacred Heart have demonstrated their commitment to continuing to improve surgical outcomes through their membership in the National Surgical Quality Improvement Program (NSQIP), a program that measures and reports surgical outcomes among the top hospitals in the country. Data is collected on 133 surgical procedures.

Surgical Procedures in which Sacred Heart is Among the State’s Leaders:

Abdominal Aortic Aneurysm Repair
An abdominal aortic aneurysm is a weak area of the abdominal aorta that can burst or rupture when under pressure. Diagnosed early, this condition can be treated through a minimally invasive technique known as an aortic stent graft. This technique prevents potential aortic rupture, which is a life threatening condition that requires a lengthy hospital stay when treated. In contrast, patients who have an aortic stent graft mostly require just 24 hours’ hospitalization and return to normal life within a week. Surgeons at Sacred Heart led the region in performing successful aortic stent grafts in 2006.

Anti-Reflux Procedures
Anti-reflux procedures treat gastroesophageal reflux disease, or heartburn. Surgeons at Sacred Heart performed approximately 65 anti-reflux procedures over the past year, which parallels the number being done at best-practice hospitals in the state.

Whipple Surgery
One of the most complex surgeries, the Whipple procedure is used to treat pancreatic cancer. Through the expertise of surgeons and their surgical support teams, patients have a higher rate of survival, and outcomes are considered to be best-practice in the state.

Ileoanal Pouch Procedure
Used to treat inflammatory bowel disease, this procedure involves removal of the colon and reconstruction of the bowel, allowing patients to resume normal bowel function rather than carry the burden of an ileostomy bag. It is a highly complex procedure. On a national scale, it is limited in how frequently it is performed and the average of postoperative bowel incontinence is 15-35%. However, surgeons practicing at Sacred Heart performed more than 50 of these procedures in the past year and showed zero to minimal incontinence with their patients. These superior results are being enhanced as surgeons here explore the laparoscopic technique with this surgery.

Carotid Artery Plaque Removal
In 2006, vascular surgeons at Sacred Heart performed 225 carotid artery plaque removal surgeries – carotid endarterectomies – unclogging the main artery in the neck, and led the state in volume for this stroke prevention procedure. Importantly, Sacred Heart showed exceptional outcomes with a zero rate of post-surgical strokes.

Video-Assisted Thoracic Surgery
This is a minimally invasive procedure for lung cancer. Led by Robert Schauer, MD, surgeons at Sacred Heart have been performing minimally invasive thoracic procedures for 16 years, providing patients with shorter lengths of hospital stays and complication rates well below the national average.

Endoscopic Ultrasound
Endoscopic ultrasound (EUS) is used to visualize hard-to-find tumors of the gastrointestinal tract, combining conventional video endoscopy with sound waves to provide a more efficient staging of cancers than any other technology can obtain. Board-certified, fellowship-trained gastroenterologists on staff at Sacred Heart work in interdisciplinary teams to use this sophisticated technology and provide integrated delivery of care for patients.

Gynecological Oncology Surgery
Additionally, Sacred Heart is among the top centers in the state for oncology surgery. For example, a wide range of gynecological oncology procedures are performed here by board-certified, fellowship trained GYN oncologists.

“The big thing in GYN oncology surgery now is that the prognoses and outcomes for women with gynecological oncology problems is much better if they are treated by a specifically trained GYN oncologist,” says Deb Dotters, MD. “More and more women are learning these facts and demanding this now.”

Neurosurgery
Work is advancing on improving minimally invasive techniques for spine and brain surgery with the use of minimally invasive access systems, intraoperative EMG monitoring and improved fusion devices. Frameless image guidance for brain surgery has decreased the morbidity of brain surgery by decreasing the size of required incisions. Cervical and lumbar disc replacements are being investigated at Sacred Heart as the field is preparing itself for the introduction of these technologies.

 

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