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Surgical telementoring-emerging technologies: Comparative Technology in...
With Dr. Todd Ponsky · hosted by Dr. Todd Ponsky
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Rectal Cancer 3 items
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What the experts said
Telestration reduces errors by more than 30% in surgical telementoring
Skype for Business is approved by Scandinavian authorities for medical use but not yet HIPAA compliant in the United States
Most remote desktop systems require a separate line for audio, which can be a challenge
The STAR platform can be used for open surgery but not yet for laparoscopic surgery
Telementoring is particularly valuable in geographically large areas like Norway, Africa, and the US where surgeons may not have enough experience with specific techniques
Telementoring is challenging time-wise because watching someone perform a 3-hour operation requires significant mentor availability unless structured as on-call consultation
Integrating telementoring into structured training programs may be one of the keys to successful implementation
When using laparoscopic video for telestration, if the camera holder moves the camera, the telestration lines move and no longer correspond to the anatomy
Educational experts outside surgery can help inform best practices for teaching over distance and using telementoring platforms
Surgical telementoring requires three elements: a known mentor-mentee relationship, an educational framework (not teleconsultation), and local surgical expertise to manage the disease process
A Houston-Melbourne collaboration successfully telementored 25 retroperitoneoscopic adrenalectomy cases using Skype, concluding it is a feasible platform
The first published study on remote desktop systems for surgical telementoring was by Gambadero and Marcus in London in 2007 for laparoscopic gynecological surgery
The OR Network platform has telementored 500 laparoscopic procedures from the United Kingdom to Tanzania
The STAR (System for Telementoring with Augmented Reality) platform allows participants to complete tasks with fewer placement errors and fewer focus shifts by overlaying transparent telestration directly on the surgical field
Indian colleagues created a surgical telementoring setup using a repurposed laparoscopic camera for video capture at a cost of only $400-500