Video Technologies for Recording Open Surgery: A Systematic Review

Saun, Tomas J.; Zuo, Kevin J.; Grantcharov, Teodor P.

doi:10.1177/1553350619853099

Cited by 40 publications

(23 citation statements)

References 106 publications

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“…), selected initial propositions based on personal experience, video guidelines of major journals, and a literature review. 3,5,10,[12][13][14][15][17][18][19][20][21][22][23] A Delphi questionnaire was created, and the propositions were reviewed online by the entire consensus committee in three rounds. Blinded feedback was shared among respondents between each round, and the respondents were able to suggest new propositions at the end of round 1.…”

Section: Methodsmentioning

confidence: 99%

IVORY Guidelines (Instructional Videos in Otorhinolaryngology by YO‐IFOS): A Consensus on Surgical Videos in Ear, Nose, and Throat

et al. 2020

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Objectives/Hypothesis: Otolaryngology instructional videos available online are often of poor quality. The objective of this article was to establish international consensus recommendations for the production of educational surgical videos in otolaryngology. Study Design: DELPHI survey. Methods: Twenty-seven international respondents participated in this study from 12 countries. Consensus was reached after three rounds of questionnaires following the Delphi methodology. The proposals having reached the 80% agreement threshold in the third round were retained. Results: The main recommendations are as follows: 1) Ethics: patients must be anonymized and unrecognizable (apart from plastic surgery if necessary). A signed authorization must be obtained if the person is recognizable. 2) Technical aspects: videos should be edited and in high-definition (HD) quality if possible. Narration or subtitles and didactic illustrations are recommended. 3) Case presentation: name of pathology and procedure must be specified; the case should be presented with relevant workup. 4) Surgery: surgical procedures should be divided into several distinct stages and include tips and pitfalls. Pathology should be shown if relevant. Key points should be detailed at the end of the procedure. 5) Organ-specific: type of approach and bilateral audiometry should be specified in otology. Coronal plane computed tomography scans should be shown in endonasal surgery. It is recommended to show pre-and postoperative videos in voice surgery and preoperative drawings and photos of scars in plastic surgery, as well as the ventilation method in airway surgery.

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Section: Methodsmentioning

confidence: 99%

IVORY Guidelines (Instructional Videos in Otorhinolaryngology by YO‐IFOS): A Consensus on Surgical Videos in Ear, Nose, and Throat

et al. 2020

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“…Livestreaming of surgical procedures has previously been described in a variety of surgical fields. 1 , 8 Recently, remote surgical training has become a relevant solution to address the surgical training gaps that medical students and residents may have experienced as a result of the COVID-19 pandemic. 4 Articles have expressed concerns about the safety of livestreaming surgeries, 3 , 5 - 7 but studies have shown that patient safety and outcomes are not compromised.…”

Section: Introductionmentioning

confidence: 99%

“…To our knowledge, there are no reports in the literature that delineate steps in setting up a portable live-surgery streaming system in a Health Insurance Portability and Accountability Act (HIPAA)–compliant manner. 8 This involves the surgeon donning a headgear to wirelessly transmit the camera’s video feed to a computer without being tethered to a machine or to the institution’s infrastructure and audiovisual cost center. The livestream received on the computer can then be shared using a HIPAA-compliant teleconferencing platform.…”

Section: Introductionmentioning

confidence: 99%

Untethered and HIPAA-compliant Interactive Livestreaming of Surgery to Residents and Medical Students

Yuen

Gonzalez

Osborn

2020

Plastic and Reconstructive Surgery - Global Open

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Summary: Traditional livestreaming of surgery to an audience requires stationary video broadcasting infrastructure, with viewers congregating in front of a screen, while audiovisual technicians provide support in the background. In recent years, livestreaming technologies from cameras to teleconference platforms have advanced dramatically, even to allow for compliance with the Health Insurance Portability and Accountability Act of 1996 with web-based encryption. The objective of this article is to show that livestreaming surgery in medical education is possible using portable devices, with the resident and medical students as audience at home interacting on their computer or smart devices. The surgeon utilizes a head-mounted camera transmitting video feed using a wireless transmitter broadcasting to a laptop computer, which is hosting a Health Insurance Portability and Accountability Act–compliant version of Zoom. The entire setup is portable, and the surgeon is tethered neither to a cord nor to the institution’s audiovisual enterprise. This prototype setup allows the surgeon to broadcast live surgery interactively at any time and from any operating room with remote medical students and surgical residents. We posit that our medical education industry would need to condense the devices into a turnkey livestreaming camera system with optimized frames per second reception.

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“…At present, video cameras remain in use to capture medical procedures for the purposes of quality improvement, training, and research [1,2]. A recent systematic review on video recording open surgeries included 110 articles that discussed camera use to capture open surgery with miniature cameras, such as GoPro (GoPro, Inc.) and GoogleGlass (Alphabet, Inc) [3]. Outside of surgical specialties, video recordings are widely used to correlate clinical findings with electroencephalogram findings in patients with suspected seizures [4-6] and may also be used to study team dynamics and technical skills in emergency cardiopulmonary resuscitation [7].…”

Section: Introductionmentioning

confidence: 99%

Medical Videography Using a Mobile App: Retrospective Analysis

Cambron

Wyatt

Lohse

et al. 2019

JMIR Mhealth Uhealth

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BackgroundAs mobile devices and apps grow in popularity, they are increasingly being used by health care providers to aid clinical care. At our institution, we developed and implemented a point-of-care clinical photography app that also permitted the capture of video recordings; however, the clinical findings it was used to capture and the outcomes that resulted following video recording were unclear.ObjectiveThe study aimed to assess the use of a mobile clinical video recording app at our institution and its impact on clinical care.MethodsA single reviewer retrospectively reviewed video recordings captured between April 2016 and July 2017, associated metadata, and patient records.ResultsWe identified 362 video recordings that were eligible for inclusion. Most video recordings (54.1%; 190/351) were captured by attending physicians. Specialties recording a high number of video recordings included orthopedic surgery (33.7%; 122/362), neurology (21.3%; 77/362), and ophthalmology (15.2%; 55/362). Consent was clearly documented in the medical record in less than one-third (31.8%; 115/362) of the records. People other than the patient were incidentally captured in 29.6% (107/362) of video recordings. Although video recordings were infrequently referenced in notes corresponding to the clinical encounter (12.2%; 44/362), 7.7% (22/286) of patients were video recorded in subsequent clinical encounters, with 82% (18/22) of these corresponding to the same finding seen in the index video. Store-and-forward telemedicine was documented in clinical notes in only 2 cases (0.5%; 2/362). Videos appeared to be of acceptable quality for clinical purposes.ConclusionsVideo recordings were captured in a variety of clinical settings. Documentation of consent was inconsistent, and other individuals were incidentally included in videos. Although clinical impact was not always clearly evident through retrospective review because of limited documentation, potential uses include documentation for future reference and store-and-forward telemedicine. Repeat video recordings of the same finding provide evidence of use to track the findings over time. Clinical video recordings have the potential to support clinical care; however, documentation of consent requires standardization.

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Video Technologies for Recording Open Surgery: A Systematic Review

Cited by 40 publications

References 106 publications

IVORY Guidelines (Instructional Videos in Otorhinolaryngology by YO‐IFOS): A Consensus on Surgical Videos in Ear, Nose, and Throat

IVORY Guidelines (Instructional Videos in Otorhinolaryngology by YO‐IFOS): A Consensus on Surgical Videos in Ear, Nose, and Throat

Untethered and HIPAA-compliant Interactive Livestreaming of Surgery to Residents and Medical Students

Medical Videography Using a Mobile App: Retrospective Analysis

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