Trans-Atlantic Telementoring with Pediatric Surgeons: Technical Considerations and Lessons Learned

Bruns, Nicholas E.; Irtan, Sabine; Rothenberg, Steven S.; Bogen, Etai M; Kotobi, H.; Ponsky, Todd A.

doi:10.1089/lap.2015.0131

Cited by 33 publications

(24 citation statements)

References 7 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The use of social media outlets and live streaming has provided the ability for surgeons to collaborate on difficult cases and provide coaching between surgical teams from different continents. [43,44] Although steps are being taken to ease the translation of new research into the clinic, it is always going to be easier to utilize a surgeon's current skill-set than to require training in a new technique.…”

Section: Translation Of Technology To Surgeonsmentioning

confidence: 99%

Flow behavior prior to crosslinking: The need for precursor rheology for placement of hydrogels in medical applications and for 3D bioprinting

Townsend

Beck

Gehrke

et al. 2019

Progress in Polymer Science

148

102

View full text Add to dashboard Cite

Hydrogels-water swollen cross-linked networks-have demonstrated considerable promise in tissue engineering and regenerative medicine applications. However, ambiguity over which rheological properties are needed to characterize these gels before crosslinking still exists. Most hydrogel research focuses on the performance of the hydrogel construct after implantation, but for clinical practice, and for related applications such as bioinks for 3D bioprinting, the behavior of the pre-gelled state is also critical. Therefore, the goal of this review is to emphasize the need for better rheological characterization of hydrogel precursor formulations, and standardized testing for surgical placement or 3D bioprinting. In particular, we consider engineering paste or putty precursor solutions (i.e., suspensions with a yield stress), and distinguish between these differences to ease the path to clinical translation. The connection between rheology and surgical application as well as how the use of paste and putty nomenclature can help to qualitatively identify material properties are explained. Quantitative rheological properties for defining materials as either pastes or putties are proposed to enable easier adoption to current methods. Specifically, the three-parameter Herschel-Bulkley model is proposed as a suitable model to correlate experimental data and provide a basis for meaningful comparison between different materials. This model combines a yield stress, the critical parameter distinguishing solutions from pastes (100-2000 Pa) and from putties (>2000 Pa), with power law fluid behavior once the yield stress is exceeded. Overall, successful implementation of paste or putty handling properties to the hydrogel precursor may minimize the surgeon-technology learning time and ultimately ease

show abstract

Section: Translation Of Technology To Surgeonsmentioning

confidence: 99%

Flow behavior prior to crosslinking: The need for precursor rheology for placement of hydrogels in medical applications and for 3D bioprinting

Townsend

Beck

Gehrke

et al. 2019

Progress in Polymer Science

148

102

View full text Add to dashboard Cite

show abstract

“…Preliminary studies conducted by Jarc et al (using the ghost tool platform with da Vinci surgical system) demonstrated effectiveness for both trainees and proctors during robot-assisted dry-lab training exercises, 7 and robot-assisted tissue dissection and suturing tasks on a live porcine model. 8 In both industry [9][10][11][12][13][14][15][16][17][18][19] and academia, [6][7][8][20][21][22][23][24][25][26][27] tele-mentoring solutions have been developed. These solutions facilitate transfer of information from a specialist surgeon to the operating surgeon via a communication channel and enables tele-mentoring during different types of surgeries.…”

mentioning

confidence: 99%

Towards development of a tele‐mentoring framework for minimally invasive surgeries

Shabir

Abdurahiman

Padhan

et al. 2021

Robotics Computer Surgery

View full text Add to dashboard Cite

Background: Tele-mentoring facilitates the transfer of surgical knowledge. The objective of this work is to develop a tele-mentoring framework that enables a specialist surgeon to mentor an operating surgeon by transferring information in a form of surgical instruments' motion required during a minimally invasive surgery. Method:A tele-mentoring framework is developed to transfer video stream of the surgical field, poses of the scope and port placement from the operating room to a remote location. From the remote location, the motion of virtual surgical instruments augmented onto the surgical field is sent to the operating room. Results:The proposed framework is suitable to be integrated with laparoscopic as well as robotic surgeries. It takes on average 1.56 s to send information from the operating room to the remote location and 0.089 s for vice versa over a local area network. Conclusions:The work demonstrates a tele-mentoring framework that enables a specialist surgeon to mentor an operating surgeon during a minimally invasive surgery. K E Y W O R D Saugmented reality, minimally invasive surgeries, tele-mentoring, telemedicine | INTRODUCTIONAs surgery has evolved from open to minimally invasive, the framework of tele-mentoring technologies has largely remained the same. [1][2][3] It still involves basic exchange of audio and annotated video messages, and lacks augmentation of information pertaining to surgical tool motion and tool-tissue interaction. 4,5 In an operating room setup of minimally invasive surgery (MIS), the surgeon operates on a patient using surgical instruments inserted through small incisions. These surgical instruments can either be manually operated (such as laparoscopic instruments) or robotically actuated.Along with instruments, a scope (camera) is also inserted inside the patient's body to visualise the interaction of surgical instruments' tooltips with the tissue. In the case of manual MIS, the surgeon This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.

show abstract

“…After removal of duplicates and screening of titles and abstracts, 157 full-text articles were assessed. A total of 66 studies were subsequently assessed as being suitable for inclusion 7-72 (Figure 1).…”

Section: Resultsmentioning

confidence: 99%

Telementoring of Surgeons: A Systematic Review

et al. 2018

View full text Add to dashboard Cite

Background. Telementoring is a technique that has shown potential as a surgical training aid. Previous studies have suggested that telementoring is a safe training modality. This review aimed to review both the technological capabilities of reported telementoring systems as well as its potential benefits as a mentoring modality. Methods. A systematic review of the literature, up to July 2017, was carried out in accordance with PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines. Study quality was assessed using the Oxford Levels of Evidence proforma. Data were extracted regarding technical capabilities, bandwidth, latency, and costs. Additionally, the primary aim and key results were extracted from each study and analyzed. Results. A total of 66 studies were identified for inclusion. In all, 48% of studies were conducted in general surgery; 22 (33%), 24 (36%), and 20 (30%) of studies reported telementoring that occurred within the same hospital, outside the hospital, and outside the country, respectively. Sixty-four (98%) of studies employed video and audio and 38 (58%) used telestration. Twelve separate studies directly compared telementoring against on-site mentoring. Seven (58%) showed no difference in outcomes between telementoring and on-site mentoring. No study found telementoring to result in poorer postoperative outcomes. Conclusions. The results of this review suggest that telementoring has a similar safety and efficacy profile as on-site mentoring. Future analysis to determine the potential benefits and pitfalls to surgical education through telementoring are required to determine the exact role it shall play in the future. Technological advances to improve remote connectivity would also aid the uptake of telementoring on a larger scale.

show abstract

Trans-Atlantic Telementoring with Pediatric Surgeons: Technical Considerations and Lessons Learned

Abstract: From this experience, several challenges were identified and addressed. Telementoring may be an effective means of improving adoption of new surgical techniques, ultimately improving patient care.

Cited by 33 publications

References 7 publications

Flow behavior prior to crosslinking: The need for precursor rheology for placement of hydrogels in medical applications and for 3D bioprinting

Flow behavior prior to crosslinking: The need for precursor rheology for placement of hydrogels in medical applications and for 3D bioprinting

Towards development of a tele‐mentoring framework for minimally invasive surgeries

Telementoring of Surgeons: A Systematic Review

Contact Info

Product

Resources

About