00:00Bonjour, aujourd'hui nous sommes à la Martigny clinique en Embroque spécialisée dans le
00:08prostate cancer treatment. Je suis avec Prof. Mathieu Durand,
00:11Chairman de l'Urologie à Denisse Academy Hospital et nous allons vous montrer comment
00:15l'implementation du système de care syntaxe improves patient safety, outcomes et training
00:22dans le prostate cancer treatment, grâce à la vidéo, la recording et l'analyse des
00:27surgical procedures. Come on in.
00:36Hi, nice to meet you, d'être le Flop of the Martigny Clinic.
00:39Prof. Jérôme, on va me meet you later at the operating room, right?
00:42Sure, see you.
00:43So, can you introduce to us the Martigny Clinic?
00:47Martigny Clinic was founded in 2005 as a specialized clinic
00:52only for the treatment and the diagnosis of patients with prostate cancer.
00:56We have the biggest group of active surveillance patients in Germany.
01:00We are worldwide the largest centre for radical prostatectomies.
01:05Here, the CareSantac system was implemented in August 2024
01:09in order to share the clinic's expertise to other hospitals.
01:13As a specialized clinic, we are able to deliver some knowledge and some knowledge about processes
01:20and so that can reduce risks for other hospitals that do the same surgeries,
01:28but not in this large number of cases.
01:33I think we can offer a role model for standardization.
01:37All three-party work for safer treatment strategies.
01:41And this is the most important thing in our collaboration.
01:45Would you recommend the CareSantac system to other
01:48establishments as the managing director?
01:51Yes, I would.
01:52Because even in this big university hospital complex, from my point of view,
01:58it's the only project where the IT department of the University Medical Center was satisfied,
02:09the MedTech part of our company was satisfied,
02:14and the vendor, CareSantac, was also satisfied.
02:17So we have three parties working together successfully.
02:22And I think the idea and what CareSantac has already in the pipeline,
02:30these are the most important things for the future.
02:35The future might be that the system tells you,
02:38well, I would not do the cut here, you should do it elsewhere.
02:44Or have you already checked for some allergies in the patient,
02:48because you forgot to set the flag there?
02:52So you have an artificial net that helps you to reduce the normal human error level a lot.
03:07So now we're going to the operating room in order to understand how the CareSantac system actually works.
03:14From here, it only looks like a brand new, sophisticated operating room, but there is a twist.
03:26Here, thanks to the CareSantac system, from the very beginning,
03:29meaning the entry of the patient in the operating room until it goes out,
03:33data and video are recorded.
03:36Here, or even here, they are collected and sent to the patient's medical record,
03:42which includes his medical history, biology and imaging.
03:46All the operating rooms are equipped with the CareSantac system.
03:49But how does it help surgeons in their daily practice?
03:51Professor Durand had the opportunity to discuss it with Professor Ays, urologist at the Martini Clinic.
03:57So this is something you use for training or for a path review?
04:02Well, first of all, as an archive, we use it to let everybody surgeon has his procedures available.
04:10If after a certain while, if a patient turns out very good in terms of continence or votancy,
04:15we can go back and see why it is like that.
04:18Another helpful tool is, of course, when we have complications, which of course occur,
04:23then we can try to see why a specific complication has occurred.
04:26Why does it happen that the patient was bleeding afterwards?
04:30And then go back and look at the video and see if we can spot the cause for this.
04:33Or, for example, this morning we had a procedure where actually a needle was broke.
04:38The surgeon did a stitch and the needle broke in the tissue and we couldn't spot it anymore.
04:44So we actually stopped the video recording and then went back to the recorded procedure itself
04:50and put it on slow motion.
04:51And then you could actually see where the needle was,
04:53so that we found it during the procedure, which was quite a relief.
04:57And for training, of course, you can pick selected places
05:01where it went very fine to teach somebody or use very specific cases
05:06where you say this is how you handle very large prostates or whatever.
05:10It was not necessarily a prostate.
05:12And then you can create a training pathway out of this.
05:15This is how it's doing.
05:17And then, of course, as many surgeons do not have that high volume as we have,
05:23it might be that they don't see certain special cases.
05:28Okay.
05:29So this is definitely the future.
05:31I'm sure.
05:31I'm sure it's going to be like that.
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