A Cut ABOVE

En­gle­wood’s Health East Med­i­cal Cen­ter adds ro­bot­ics to its sur­gi­cal reper­toire

201 Health - - Robotics - WRIT­TEN BY BROOKE PERRY

“The da Vinci of­fers a level of sur­gi­cal pre­ci­sion and ac­cu­racy that makes it far su­pe­rior to any other tech­nique,”

DR. AN­SON M. MOISE, MED­I­CAL DI­REC­TOR, HEATH EAST MED­I­CAL CEN­TER

“Not so long ago, ev­ery sur­gi­cal pro­ce­dure was per­formed in ahos­pi­tal,” says Dr. An­son M. Moise, med­i­cal di­rec­tor of Heath East Med­i­cal Cen­ter, the new, state-of-the-art med­i­cal fa­cil­ity in En­gle­wood. Open just morethan twoyears, the 18,000-square-foot South Dean Street space pairs an am­bu­la­tory sur­gi­cal cen­ter with med­i­cal of­fice suites, of­fer­ing an at­trac­tive al­ter­na­tive for of­fice vis­its and com­plex, same-day pro­ce­dures rang­ing from ACL re­con­struc­tive surgery to prosta­te­c­tomy.

In to­tal, 37 area sur­geons –in­fields rang­ing from or­tho­pe­dics to urology to po­di­a­try –per­form pro­ce­dures at Heath East while main­tain­ing their af­fil­i­a­tions with tri-state hos­pi­tals in­clud­ing Hack­en­sack Univer­sity Med­i­cal Cen­ter, Beth Is­rael Med­i­cal Cen­ter,and En­gle­wood Hos­pi­tal and Med­i­cal Cen­ter.

In­creas­ingly, sur­geons are opt­ing for the more re­laxed, amenity-rich at­mos­phere of a mod­ern sur­gi­cal cen­ter.

“Hos­pi­tals can be daunt­ing places,” say Moise, a Cor­nell-ed­u­cated anes­the­si­ol­o­gist and pain man­age­ment spe­cial­ist, “and Health East of­fers a safe, con­ve­nient and of­ten more af­ford­able op­tion for lower-risk pro­ce­dures.”

In late 2012, Health East be­came the only sur­gi­cal cen­ter on the East Coast (and one of only two in the United States) to of­fer the da Vinci SI Sur­gi­cal Sys­tem, the break­through min­i­mally in­va­sive robotic tech­nol­ogy that is fast be­com­ing the pre­ferred al­ter­na­tive to open and la­paro­scopic surgery. Of the 2,585 mul­ti­mil­lion-dol­lar da Vinci sys­tems in use world­wide, only tw oare lo­cated within free­stand­ing sur­gi­cal cen­ters.

“The da Vinci of­fers a level of sur­gi­cal pre­ci­sion and ac­cu­racy that makes it far su­pe­rior to any other tech­nique,” Moise says. “Sur­geons are paid by the pro­ce­dure re­gard­less of the tech­nique used to per­form it [open, robotic or la­paro­scopic], so it came down to ask­ing our­selves what is go­ing to be best for the peo­ple of Ber­gen County.The dif­fer---------

ence be­tween be­ing can­cer free or not can be a mat­ter of mil­lime­ters, so the de­ci­sion was a fairly sim­ple one.”

In ad­di­tion to the da Vinci, Health East’s Am­bu­la­tory Sur­gi­cal Cen­ter is fully out­fit­ted with the most ad­vanced equip­ment and med­i­cal tech­nol­ogy, in­clud­ing lasers, fiber op­tics, arthroscopy and en­hanced en­do­scopic equip­ment. Spe­cial­ists in or­tho­pe­dics (in­clud­ing spine, joints and ex­trem­i­ties), pain man­age­ment, re­con­struc­tive plas­tic surgery, po­di­a­try, oral and max­illo­fa­cial surgery, and phys­i­cal medicine make use of Health East’s top-tier fa­cil­ity.

“We have a ded­i­cated staff of physi­cians, nurses and ad­min­is­tra­tors,” raves Moise. “I’m suc­cess­ful be­cause I have such tal­ented peo­ple work­ing with me!” Two de­part­ments, in par­tic­u­lar, are a source of pride. “The anes­the­si­ol­ogy depart­ment, led by Dr. Matthew Chalfin, is ex­pert at am­bu­la­tory anes­the­sia. They are par­tic­u­larly adept at var­i­ous tech­niques in re­gional anes­the­sia that im­prove pa­tient's post­op­er­a­tive pain and de­crease the need for pain med­i­ca­tion.” Like­wise, the Min­i­mal In­va­sive/Robotic Prot­sta­te­c­tomy pro­gram is suc­cess­ful be­cause we aligned our­selves with the pre­mier uro­logic group in the tri-state area, the New Jersey Cen­ter for Prostate Can­cer and Urology. The physi­cians in this group wrote the book on robotic surg­eries and teach physi­cians both na­tion­ally and in­ter­na­tion­ally on how to use the daVinci.”

The physi­cian-owned cen­ter han­dles ap­prox­i­mately 400 sur­gi­cal cases per month, draw­ing from through­out Ber­gen County and be­yond. In ad­di­tion to the Am­bu­la­tory Sur­gi­cal Cen­ter, Health East is home to sev­eral med­i­cal of­fices – a vir­tual “one stop shop” for pa­tients with ill­nesses or ail­ments that do not re­quire an overnight hos­pi­tal stay but do ne­ces­si­tate the lat­est, most ad­vanced tech­nol­ogy and equip­ment.

“We are fo­cused on pro­vid­ing ex­cep­tional pre­ven­ta­tive care and well­ness in a beau­ti­ful, state-of-the-art set­ting,” Moise says.

Like­wise, pa­tient ed­u­ca­tion is a top pri­or­ity. To that end, Moise and his col­leagues in­clude in­for­ma­tive videos and down­load­able brochures on top­ics such as platelet-rich plasma in­jec­tions (an emerg­ing treat­ment for pain man­age­ment) on the cen­ter’s web­site, health­east­med­i­cal.com. Pa­tients can also re­quest an ap­point­ment on­line and ac­cess req­ui­site med­i­cal forms and pri­vacy state­ments.

In its pur­suit of 21st-cen­tury tech­nol­ogy, how­ever, pa­tient com­fort hasn’t been over­looked. A staff concierge co­or­di­nates ser­vices and ameni­ties, in­clud­ing heated mas­sage chairs, iPad loan­ers for pa­tients in post-op re­cov­ery, flat-screen TVs and limou­sine ser­vices.

“We’re not com­pla­cent,” Moise says. “We won’t stop at the da Vinci. We’ll al­ways be look­ing for ways to do things bet­ter.”

“Hos­pi­tals can be daunt­ing places and Health East of­fers a safe, con­ve­nient and of­ten more af­ford­able op­tion for lower-risk pro­ce­dures.”

DR. AN­SON M. MOISE, MED­I­CAL DI­REC­TOR, HEATH EAST MED­I­CAL CEN­TER

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