Fondazione Poliambulanza

Fondazione Poliambulanza Istituto Ospedaliero

Fondazione Poliambulanza is a multi-specialized private, non-profit hospital, which is highly specialised in oncological, cardiovascular and orthopaedic diseases. The hospital is based on a model that combines a high degree of specialisation, scientific research and organisation in order to provide state-of-the-art treatment to all patients. Accredited by the Joint Commission International (JCI) and the National Health Service, Poliambulanzais aims to focuse on innovation and investment, in order to strengthen its presence both nationally and internationally.

CARDIAC VALVE SURGERY

Poliambulanza’s Cardiac Surgery Operating Unit is a leading centre in AVR for suture-less prosthesis.

This procedure boasts important advantages:

• Suture-less prosthesis are made of self-expanding and shape memory materials which are able to stick to the seat of the original valve, thus shortening the duration of the operation and the period of cardiac arrest;
• It facilitates the mini-invasive approach, facilitating valves implant;
• It speeds up the recovery time for patients of all ages.

According to Agenas – an important authority dealing with the evaluation of national and regional health services – in Fondazione Poliambulanza the mortality rate after heart valve surgery is zero while in other Italian hospitals it reaches an average of 3%.

CARDIOVASCULAR AREA

In Fondazione Poliambulanza  one of the areas of excellence is the “Valve Center” for the multidisciplinary treatment of heart valve diseases.

Conventional, reparative and valve replacement surgery are also performed, even with minimally invasive accesses and transcatheter correction procedures (especially TAVI, clip for mitral and tricuspid valves).

In October 2019 the New Cardiovascular Block was inaugurated, which includes the hybrid operating theatre, the only one of its kind in Italy in terms of size and technology, equipped with a latest generation angiographic robot. In addition to the hybrid room the block includes 5 other rooms dedicated to cardiac surgery, vascular surgery, electrophysiology and haemodynamics, with cutting-edge technologies for both traditional and minimally invasive cardiovascular surgery. The new block concentrates all the surgical and interventional specialties of the cardiovascular area, thus creating a structure open to multidisciplinarity.

As for ischemic disease, in Poliambulanza most of the coronary bypass interventions are carried out without resorting to extracorporeal circulation (“beating heart” technique) with the resulting benefit, even in this field, of a reduced invasiveness.

According to Agenas – an important authority dealing with the evaluation of national and regional health services – the mortality rate, after replacement and reparative surgery of the heart valve, has been placing Poliambulanza at the top of the national  ranking for over 10 years.

HIP AND KNEE PROSTETIC SURGERY

Hip and knee arthroplasty procedures have a dedicated fast track route with perioperative support to limit negative stimuli for the patient (urinary catheter, joint aspiration). This allows for optimal pain control using LIA (Local Infiltration Analgesia) and enables immediate recovery, such as aided independent walking within 2-3 hours of returning to the ward.

This organisation process also allows the elimination of the use of transfusions. Prosthetic surgery on all joints is carried out using the latest robotic and computer navigation instruments to allow for increased customisation of the surgical procedure based on the physical and functional characteristics of the individual.

Poliambulanza uses the most up-to-date technologies for treatment:  the Rosa Knee System – a robotic navigation system that supports the surgeon in total knee prosthesis procedures allowing precise bone preparation, as well as assessing the state of the soft tissues – and  the Naviosystem, a robotic drill that assists the surgeon in single-compartmental knee prosthesis procedures. Both systems guarantee maximum accuracy, less invasiveness and greater benefits for the patient

GENERAL, LAPAROSCOPIC AND ROBOTIC SURGERY

Where possible, tumors in the abdomen are treated by using minimally invasive methods such as laparoscopy.

Such methods aim to guarantee the qualitative oncological standards of traditional open surgery, whilst limiting surgical trauma and post-surgery pain in order to enhance patient rehabilitation.

Thanks to the significant experience of the surgeons, in Poliambulanza the minimally invasive technique is implemented in more than 95% of patients suffering from colon, stomach, liver and pancreas cancer, and other benign and malignant abdominal pathologies.

Fondazione Poliambulanza is among the first hospitals in Italy with an operating theatre equipped with 4K Ultra HD technology that, combined with 3D technology, is a surgical innovation. Extremely high resolution achieves better contrast and broader colour range, restoring a sense of depth which allows the surgeon to view previously imperceptible anatomical details and carry out minimally invasive surgical procedures with increased efficiency and precision.

At the end of September 2020,  Da Vinci Xi Robot was installed, which, in addition to urology, is used for operations on the head and tail of the pancreas and liver, stomach, colon and biliary tracts. It provides maximum precision for the surgeon and the patient with less pain and faster recovery times

According to Agenas – an important body in charge of the assessment of national and regional treatments – in Fondazione Poliambulanza the mortality rate, as a result of surgical procedures for abdominal malignant tumors, is among the lowest in Italy.