A minimalist surgery center in an attempt to reduce waiting times
In a thesis published in 2019 under the supervision of Dr Abdel-Rahman Lawendy, student Moaz Bin Yunus Chohan has demonstrated that operations performed in this high-efficiency surgical center cost up to 60% less than those performed in a traditional operating room.
Dr Abdel-Rahman Lawendy is the head of a public surgery center in London, which aims to unclog hospitals by taking care of a large number of less complex orthopedic operations.
Discouraged by seeing his patients wait weeks for orthopedic surgery, a London surgeon a few years ago set up a simplified operating room to deal with less complex cases more quickly. Its results are attracting attention in the health community.
Minor orthopedic operations do not require as much time or resources as many more urgent procedures.
< p class="e-p">However, they are usually performed in the same operating theaters, which require at least six medical professionals and a set of sterilized instruments and devices just to operate.
This is not the case at the Nazem Kadri Surgery Center, a public facility located directly across from Victoria Hospital in London, Ontario.
This center was created to treat patients who need an outpatient orthopedic operation, that is, an operation after which they can go home the same day. It has two minimalist operating rooms.
The resources and personnel required for each operation vary according to the needs of the patient.
By removing everything [the rest], we significantly reduce our costs and increase our efficiency, which which, in our system, doesn't necessarily mean that we save money but that we will treat more patients, explains the director of the ambulatory surgery center at the London Health Sciences Center (CHSC), Dr Abdel- Rahman Lawendy.
This public surgical center is managed by the CSSL, like the hospitals in the region. Wait times for minor surgery have increased dramatically during the pandemic across Ontario, says Dr. Lawendy.
The idea for this project was a bit scary at first because it was so innovative, says the center's clinical manager, Jilian Holbrough.
She believes, however, that the model has proven itself. Staff, she says, work at least 30% faster than in a traditional operating theatre: performing 10 to 15 operations every day.
In a thesis published in 2019 under the under the supervision of Dr. Lawendy, student Moaz Bin Yunus Chohan has demonstrated that operations performed at this high-efficiency surgical center cost up to 60% less than those performed in a traditional operating room.
Professor of clinical orthopedic surgery at the University of British Columbia, Dr. Danny Goel believes that Dr. Lawendy's approach has great potential.
Opportunities to invest in surgery centers should be strongly encouraged to ease the burden on traditional hospital settings, he commented in an email to CBC.
Dr. Ontario government has expressed interest in establishing other surgical centers based on its model to reduce wait times for operations.
We have people from all over Ontario who come to visit [the center] almost every week to see what our model looks like, says the doctor.
The CSSL has also submitted a request for funding to the government Ontario in order to be able to open four more operating rooms at the Nazem Kadri Center to have a total of six.
With information from Christine Birak, Marcy Cuttler and Amina Zafar