Demonstration of the Effectiveness of Augmented Reality Telesurgery in Complex Hand Reconstruction in Gaza

Greenfield, Max J; Luck, Joshua E; Billingsley, Michael L; Heyes, Richard; Smith, Oliver J.; Mosahebi, Afshin; Khoussa, Abu; Abu-Sittah, Ghassan; Hachach‐Haram, Nadine

doi:10.1097/gox.0000000000001708

Cited by 60 publications

(65 citation statements)

References 5 publications

(5 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Augmented reality has also been explored, allowing surgical trainers to scrub in with an operating LMIC team to teach and deliver surgical care. These technologies have been evaluated in a variety of global surgical training scenarios. Their wider use will be determined by infrastructure challenges, such as power supply and internet access, as well as a better understanding of how they might be incorporated into traditional training.…”

Section: Exemplarsmentioning

confidence: 99%

Disseminating technology in global surgery

Bolton

Aruparayil

Quyn

et al. 2019

British Journal of Surgery

View full text Add to dashboard Cite

Background Effective dissemination of technology in global surgery is vital to realize universal health coverage by 2030. Challenges include a lack of human resource, infrastructure and finance. Understanding these challenges, and exploring opportunities and solutions to overcome them, are essential to improve global surgical care. Methods This review focuses on technologies and medical devices aimed at improving surgical care and training in low‐ and middle‐income countries. The key considerations in the development of new technologies are described, along with strategies for evaluation and wider dissemination. Notable examples of where the dissemination of a new surgical technology has achieved impact are included. Results Employing the principles of frugal and responsible innovation, and aligning evaluation and development to high scientific standards help overcome some of the challenges in disseminating technology in global surgery. Exemplars of effective dissemination include low‐cost laparoscopes, gasless laparoscopic techniques and innovative training programmes for laparoscopic surgery; low‐cost and versatile external fixation devices for fractures; the LifeBox pulse oximeter project; and the use of immersive technologies in simulation, training and surgical care delivery. Conclusion Core strategies to facilitate technology dissemination in global surgery include leveraging international funding, interdisciplinary collaboration involving all key stakeholders, and frugal scientific design, development and evaluation.

show abstract

Section: Exemplarsmentioning

confidence: 99%

Disseminating technology in global surgery

Bolton

Aruparayil

Quyn

et al. 2019

British Journal of Surgery

View full text Add to dashboard Cite

show abstract

“…AR can also provide remote training experiences as well as new solutions for global surgery . Greenfield et al describe a remotely guided surgery using AR technology in Gaza, Palestine, for a complex traumatic hand injury.…”

Section: Applications In Orthopedic Surgerymentioning

confidence: 98%

“…Greenfield et al describe a remotely guided surgery using AR technology in Gaza, Palestine, for a complex traumatic hand injury. The remote surgeon in Beirut, Lebanon, utilized a combination of video teleconferencing technology and an AR system called Proximie, providing step‐wise guidance to the local surgeon through hand gestures, annotations, diagrams, and clinical imaging . This proof‐of‐concept case report demonstrates how innovative AR technologies, such as Proximie, may be utilized to address structural inequities in remote locations by providing a cost‐effective telesurgery platform.…”

Section: Applications In Orthopedic Surgerymentioning

confidence: 99%

Virtual, augmented, and mixed reality applications in orthopedic surgery

Verhey

Haglin

Verhey

et al. 2020

Robotics Computer Surgery

167

View full text Add to dashboard Cite

Background Innovation in computer‐assisted surgery (CAS) aims to increase operative accuracy and improve safety by decreasing procedure‐related complications. The application of reality technologies, to CAS has begun to revolutionize orthopedic training and practice. Methods For this review, relevant published reports were found via searches of Medline (PubMed) data base using the following medical subject headings (MeSH) terms: “virtual reality” or “augmented reality” or “mixed reality” with “orthopedics” or “orthopedic surgery” and all relevant reports we utilized. Results Trainees now have authentic and highly interactive operative simulations without the need for supervision. The practicing orthopedic surgeon is better able to pre‐operatively plan and intra‐operatively navigate without the use of fluoroscopy, gain access to three‐dimensional reconstructions of patient imaging, and remotely interact with colleagues located outside the operating room. Conclusion This review provides a current and comprehensive examination of the reality technologies and their applications in Orthopedic surgery.

show abstract

“…It may well be time to reform the medium of delivering surgical education. Use of tele‐technology as well as augmented reality, whereby students can witness live proctoring by surgeons and interact remotely for a more immersive experience, can revolutionize surgical training 5 . In the short term, this may be a useful solution but as the lockdown restrictions ease, this can be used to supplement student placements which should continue where possible, in accordance with public health policy.…”

mentioning

confidence: 99%