A pilot study of surgical telementoring for leg fasciotomy

Talbot, Max; Harvey, Edward J.; Berry, Greg; Reindl, Rudy; Tien, Homer; Stinner, Daniel J.; Slobogean, Gerard P.

doi:10.1136/jramc-2017-000817

Cited by 23 publications

(21 citation statements)

References 24 publications

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“…48–51 AR/VR technologies also have been used to realise the specialist’s presence in operations and to direct other specialists. 52–54 In one study, physicians used mobile and AR/VR technologies to deliver postoperative care to patients. This service can be considered as synchronous consultation.…”

Section: Discussionmentioning

confidence: 99%

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Tele-orthopaedics: A systematic mapping study

et al. 2020

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Introduction The use of telemedicine in orthopaedics can provide high-quality orthopaedic services to patients in remote areas. Tele-orthopaedics is widely acknowledged for decreasing travel, time and cost, increasing accessibility and quality of care. In the absence of a comprehensive review on tele-orthopaedics applications and services, here, we systematically identify and classify the tele-orthopaedic applications and services and provide an overview of the trends in the field. Methods In this study, a systematic mapping was conducted to answer six research questions, we searched the databases Scopus, PubMed, IEEE Digital Library and Web of Science up to 2019. Consequently, 77 papers were screened and selected on the basis of specific inclusion and exclusion criteria. Results We found that mobile-based teleconsultation was mostly asynchronous, while non-mobile teleconsultation was synchronous. The results showed that the physician–patient relationship was more common than other interactions, such as physician–physician and physician–robot interactions. In addition, more than half of the services provided by tele-orthopaedics have been used for orthopaedic diseases/traumas in which joint replacement and fracture reduction have been the most important orthopaedic procedures. It has been noted that more attention has been paid to tele-orthopaedics in developed countries such as the USA, Australia, Canada and Finland. Discussion Telemonitoring (teleconsultation and telemetry) and telesurgery (telerobotics and telementoring) were found to be the two major forms of tele-orthopaedics. Mobile phones were used asynchronously in most of the teleconsultations. The development of different applications may result in the use of multiple smartphones applications in real-time teleconsultation. The use of smartphones is expected to increase in the near future.

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Section: Discussionmentioning

confidence: 99%

“…56,57 On the other hand, mobile devices have been used in many tele-orthopaedic services, but only one study investigated mobile-based telesurgery. 52 So, there is still a long way to go to use AR/VR, mobile devices and robots in tele-orthopaedics.…”

Section: Discussionmentioning

confidence: 99%

Tele-orthopaedics: A systematic mapping study

et al. 2020

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“…To our knowledge, our study is the first to demonstrate the feasibility of learning ESG using the teleproctoring approach and its learning curve. There are some studies dealing with virtual environments for learning but in other surgical situations [25][26][27][28]. This is also the first time that Ecuador and Brazil develop a strategy to proctor safely and effectively through telemedicine.…”

Section: Discussionmentioning

confidence: 99%

Learning Process Effectiveness During the COVID-19 Pandemic: Teleproctoring Advanced Endoscopic Skills by Training Endoscopists in Endoscopic Sleeve Gastroplasty Procedure

Neto¹,

Jerez²,

Brunaldi

et al. 2021

OBES SURG

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Background and Aims The COVID‐19 pandemic has led health institutions to cancel many of the activities including training in different fields. Most practices and training programs have been encouraged to use teleproctoring as an alternative method to enhance physician’s ability and assure training. We aimed to evaluate remote training program for endoscopy sleeve gastroplasty (ESG). Methods Ten consecutive patients underwent an endoscopic sleeve gastroplasty procedure guided by a proctor expert using an online platform. A stepwise approach was created to assure skill acquisition. Results All cases were safely performed with no serious adverse events under teleproctoring. The average surgical and suturing times significantly decreased during the training model. From the first 5 cases to the last 5 ones, the endoscopic procedure time decreased from 120 to 93.4 min while suturing time from 92.8 to 68.4 min. The effect size was large in both cases, and the changes were meaningful according to the fitted learning curves. Conclusions The proposed teleproctoring program was effective to deliver advanced endoscopic skills such as endosuturing for ESG, despite the restrictions imposed by the COVID-19 pandemic. Graphical abstract

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“…This is therefore part of the training of the military surgeon referred to as the general practitioner by the authors,1–3 but who appears like a surgeon whose expertise has been expanded into emergency surgery. UK army has taken this need for training in general emergency surgery into account through the various training courses put in place 23–25…”

Section: Discussionmentioning

confidence: 99%

Evaluation of a fellowship abroad as part of the initial training of the French military surgeon

et al. 2020

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IntroductionMilitary surgery requires skills that in general cannot be easily learnt in civilian training. Participation in a fellowship abroad adapted to the particular operating conditions of the foreign deployment is one route that might secure the necessary supplementary training. We therefore assessed the relevance of such a fellowship in the preparedness of young military surgeons in their first deployment.MethodsThis study included all active military surgeons who had completed a fellowship abroad during their initial training from 2004 to 2017 in Tchad or Senegal or Djibouti. The collection of data was performed using a questionnaire. The main judgement criterion was the rate of positive answers awarded to the relevance of this fellowship in the preparedness of respondents’ first foreign deployment.ResultsSixty-nine of 73 surgeons answered. Sixty-one estimated the fellowship had allowed them to feel more operational during their first mission, with 83.61% rating this feeling as important. Also, 61 recommended the use of a fellowship for war surgery training. The grade assigned to the surgical benefit was 8.48/10.ConclusionA fellowship abroad permits one to become familiar with surgical practice under austere circumstances and the particularities of the surgical structures at the front. Current trainees’ feedback confirms its relevance.

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A pilot study of surgical telementoring for leg fasciotomy

Cited by 23 publications

References 24 publications

Tele-orthopaedics: A systematic mapping study

Tele-orthopaedics: A systematic mapping study

Learning Process Effectiveness During the COVID-19 Pandemic: Teleproctoring Advanced Endoscopic Skills by Training Endoscopists in Endoscopic Sleeve Gastroplasty Procedure

Evaluation of a fellowship abroad as part of the initial training of the French military surgeon

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