Master students needed for EHR access project
The majority of Norwegian hospitals have implemented electronic health records (EHR). The Interventional Centre (IVS) at Rikshospitalet has started a project to develop an automated translation service application to help patients understand the content of their EHR and thereby pave the way for better communication between health organizations and citizens. This is achieved by EHR text processing and cross mapping of medical terms to medical dictionary resources. The objective is to provide patients with electronic tools that automatically can display explanations of the medically complex EHR contents.
As part of the development of the automated translation service, our team at IVS is conducting studies to gather data concerning patient understanding of Electronic Health Record (EHR) medical documents. These studies look at the types of information provided to patients by healthcare professionals, how patients understand received information, as well as how they use information from their own EHR documentation. We are conducting our evaluation study with thoracic surgery patients at Rikshospitalet.
One of the world's first Single Port Laparoscopic Liver Surgery Cases
A surgical team lead by Bjørn Edwin MD, PhD, from the Interventional Centre and Bård Røsok MD, PhD from Department of Surgery Rikshospitalet performed a laparoscopic liver resection with the LESS device from Olympus this week, and became among the first in the world to use this approach on liver metastasis surgery. The tri-port system was used, and an image from the procedure can be seen to the right. The LESS device potentially leaves the patient with only one small and practically speaking invisible scar after surgery.
Another procedure that recently has been performed with Single Incision Laparoscopic Surgery (SILS from Covidien) technique is a cholcystectomy. This procedure was done by Elisabeth Hegstad MD, PhD, Bjørn Edwin and Arne Rosseland MD, PhD from the Interventional Centre earlier this spring. At the same time a similar procedure was performed for the first time in Denmark at Århus Hospital.
European endovascular aneurism repair (EVAR) Live Case Workshop
On May 11 and 12th 2009 European interventional radiologists and vascular surgeons took part in a EVAR live Case Workshop at Rikshospitalet. The workshop was hosted by Department of Thorasic Surgery, and was opened by head of department professor Odd Geiran. On the first day the vendor's technical aspects and clinical experiences were presented and discussed. Kirsten Krohg-Sørensen, MD PhD, presented the TAA experiences and material from Oslo. On the second day two live EVAR cases were transmitted from the hybrid surgery/angio OR at the Interventional Centre to an auditorium at the hospital. Discussions took place between the OR and the auditorium during both procedures. The participants came from Sweden, Spain, Denmark, Norway, and Germany.
Nordic Symposium in Laparoscopic Liver Surgery
The first Nordic Symposium in laparoscopic liver surgery was arranged at the Interventional Centre on April 28-29th 2009 in collaboration with the Norwegian Thoraco-Laparoscopic Assosciation and Covidien. The main objective of the symposium was to set the agenda for an increased knowledge base for laparoscopic liver surgery within the Nordic countries. The course was led by dr. Bjørn Edwin from the Interventional Centre. Dr. Edwin has a wide experience in laparoscopic liver surgery. The two day symposium was set as interactive sessions where live surgical cases were transmitted from an operating room to an auditorium with two way communication between the OR and the auditorium. Lectures in the auditorium included Liver anatomy, Getting started with LLS, Limits of LLS, Gasebolism, LLS Single Centre Material, Open versus laparoscopic resection, Present and future of Left and Right LLS, Treatment of cholanngiomas-laparoscopy an option?, Laparoscopic approach to hepatocellular carcinomas and finally Neoadjuvant and adjuvant chemotherapy- influence on the surgical technique. There were 40 participants in the symposium in total. The image shows the auditorium were the interactive sessions were moderated by dr. Arne Rosseland, with two cameras showing internal and external views from the live surgery.
2 live open heart surgery cases in Mitral Valve Surgery Symposium
The Norwegian Thorasic Surgery Association and Department of Thorasic Surgery at Rikshopitalet hosted a symposium on Mitral Valve-Preseving Surgery on April 17th at the annual spring meeting. Two live mitral valve-preserving cases were transmitted from the Interventional Centre to an auditorium at the hospital. The first mini-invasive case was performed by the French cardiac surgeon professor Obadia. The second live case was performed with conventional open surgical technique by professor Alfieri from Italy. Intra-operative echo cardiography status and hemodynamics were demonstrated during both operations by cardiologist dr. Kai Andersen (seen on illustration) from Rikshospitalet. Excellent results were shown in both cases. The Symposium programme also included presentations on; Mitral valve surgery and indications for concomitant treatment of atrial fibrillation- status and results overview, Indications for catheter ablation and surgery of atrial fibrillation, Echocardiography in mitral valve disease as a guide for cardiac surgeons, and finally the Benefits and pitfalls of mini-invasive mitral valve surgery.
New Cochlear Implant project
The Department of Ear, Nose and Throat (ENT) Surgery has started a project to evaluate cochlear implants (CI-video from YouTube) surgery at the Interventional Centre. Before the operations the patients are functioning as deaf with the diagnosis anacusis. CI surgery is performed in a highly specialized surgical procedure where tiny electrodes are placed in internal anatomical structures of the patients ear, the spiral-shaped cochlea, to stimulate the patient's hearing nerve directly. Parts of the CI device is also placed under the skin behind the patients ear. A surgical microscope is used during the procedure, and biomedical engineers verify the electrode placement by use of sophisticated software for measurements of nerve stimulation. The combined angio and surgery suite at the Interventional centre facilitates high quality CT-scans to verify optimal CI electrode position in the patients inner ear. The positioning of the electrode is critical for the patient's outcome, thus thoroughly investigated in the project. CI electodes from different vendors are scrutinized in the project, and the ENT team lead by dr Greg Jablonski is very exited about the advanced tecnological set-up in the OR at the Interventional Centre. On the picture to the right Dr. Jablonski can be seen using the surgical microscope, and the X-ray C-bow attached to an industrial robot is seen in the background. The ENT surgeons hope to be able to develop and use intraoperative image support to optimize electrode placement in the future.
Laparoscopy teleconference lecture from Oslo to Zarajevo
Today dr. Bjorn Edwin, senior abdominal surgeon at the Interventional Centre and the Department of Surgery at Rikshospitalet, gave a teleconference lecture on laparoscopic distal pancreas resection to the staff at Department of Abdominal Surgery at Zarajevo University Hospital in Bosnia and Hercegovina. Dr. Edwin has a patient material in distal laparoscopic pancreatic resection of more than 170 patients, some dating back to 1997. He described the patient population in general including follow-up results indicating a shift towards treating this patient group not as acute cases but cases with chronic disease and long time survival with laparoscopic treatment. Then he went on to describe surgical techniques and important issues related to dissection, anatomical landmarks and surgical instruments. Finally dr. Edwin presented a number of cases in a video. The session was ended with some comments and remarks from Zarajevo, and the conclusion was to establish a closer collaboration between the two surgical centres.
Symposium for Professor Halfdan Ihlen
A symposium with the title "Echocardiography- the new stethoscope" was held at Rikshospitalet on Mach 19th in conjunction with professor Halfdan Ihlen's retirement. Over many decades professor Ihlen has been one of the leading profiles within cardiology. He also is one of the true pioneers in the development of-, and clinial use of non-invasive echocardiography both at Rikshospitalet and internationally. He established per-operative echocardiography in cardiac surgery at Rikshospitalet, leading to a permanent collaboration between cardiologists and cardiac surgons. His impressing research merits includes 139 scientific papers, supervision of 9 PhD's, co-supervision of another 16 PhD's, and a large number of scientific presentations nationally and internationaly. Many of professor Ihlen's publications are published in top-rated journals, including Cardiology. Halfdan Ihlen held a professorate at the Interventional Centre, Faculty of Medicine, University of Oslo from 2002-2008. At the symposium the vital professor Ihlen summarised the development in echocardiography over the last three decades. The rest of the Symposium programme was on the level of any state-of-the-art conference in cardiology.
eHealth collaboration with Bosnia Hercegovina
The Interventional Centre and the IT Department at Rikshospitalet have started a collaboration with the authorities in Bosnia Hercegovina to establish a health portal in Bosnia Hercegovina. The project is funded by the Norwegian Ministry of Foreign Affairs to support peacemaking activities in the region. The Bosnian Minister of Foreign Affairs Sven Alkalaj, the Bosnian Ambassador Elma Kovacevic and the Norwegian Ambassador in Bosnia Jan Braathu participated in a reception at Rikshospitalet on March 6th. The hospital's CEO Morten Reymert and Jacob Bergsland from the Interventional Centre also participated together with the staff at the centre. The collaboration between Bosnia and Rikshospitalet dates back to the mid 90'ties when Norwegian physicians went to Bosnia after the war. Several surgeons, cardiologists, radiologists and nurses from the Cardiovascular Clinic in Tuzla have visited Rikshospitalet over the years, and videoconferencing has been used to facilitate collaboration and education. Bosnia and Hercegovina has a lot of skilled manpower resources, and the project contributes to fund an advanced electronic platform for use within the Bosnian health sector.
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The Interventional Centre receives donations to medical research. Questions related to donations can be sent to head of department professor Erik Fosse.
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Annual Report 2007
New book about the Interventional Centre
Author: Erik Fosse
Publisher: Det Medisinske Selskap 2007
Price: 180 kr
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