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Outpatient / Inpatient Surgery

Inova Fairfax Hospital opened a 12 OR Ambulatory Surgery Center (ASC) as part of its expansion into outpatient surgery. Two-thirds of our operative cases are same day or outpatient. The ASC is adjacent to the inpatient OR to maximize the efficiency of attending and resident staff and to centralize surgery in single geographic areas.

There are 14 major inpatient ORs and four cardiac ORs presently in use. The inpatient tower ORs include advanced laparoscopic suites capable of telesurgery communication to multiple conference areas in the hospital, including the Department of Surgery simulation lab. A trauma room is always available for emergencies, and on Saturday mornings an elective schedule is available to accommodate patients' and surgeons' needs. The 156-bed Inova Heart and Vascular Institute is adjacent to the institution. IHVI is a state-of-the-art facility for our internationally renowned cardiac surgical service and provides another five operating rooms to the existing 39 rooms. Presently the cardiac service is performing over 2,000 cases.

Inova Children's Hospital and Inova Women's Hospital have five ORs in which most of the gynecology and obstetrics procedures are performed. Pediatric cases are performed in the main OR and include pediatric neurosurgery and orthopedics as well as general pediatric surgery.

Full-time surgical intensivists staff a 12-bed adult surgical trauma unit. A separate Cardiac Surgical Unit, a Medical Surgical Unit, Neurosciences Unit and a 14-bed PICU also house surgical patients. A 16-bed Intermediate Care Unit is used to accommodate ventilator patients who are hemodynamically stable, while a Neuro-Observation Unit is staffed to handle patients with abnormal mental status following surgery or trauma.

Team structure

There are five inpatient services on general surgery. The trauma/critical care and acute care surgery team is made up entirely of trauma/critical care fellowship trained surgeons. With roughly 3,000 trauma admissions a year, residents on the service see the whole gamut of blunt and penetrating trauma. Four helicopters service the Inova Trauma Center. Patients from Northern Virginia, West Virginia and the District of Columbia are brought by air and ground to our faculty. Attending surgeons are in-house 24 hours a day.

The vascular team consists of four full-time vascular surgeons. Our vascular surgeons provide the complete spectrum of conventional and endovascular services in state-of the-art vascular suites.

The colorectal service includes seven full-time colorectal fellowship trained surgeons who perform several hundred major colon procedures annually. The service includes strong experience in both open and laparoscopic procedures, as well as robotic-assisted colectomy.

Two additional teams are staffed by general surgery core faculty and include all aspects of general surgery: alimentary tract, hepatobiliary, pancreatic, breast, endocrine, abdominal wall, bariatric, skin and soft tissue and advanced minimally invasive surgical procedures.

Additional rotations are also offered in pediatric surgery, multidisciplinary breast surgery, minimally invasive surgery, endocrine surgery, endoscopy, thoracic surgery, transplant surgery, plastic and reconstructive surgery, anesthesia and ICU. Offsite elective rotations are also permitted.