Design and implementation of a web-based system for intraoperative consultation.

World Journal of Surgery
Francisco TamarizAzhar Rafiq

Abstract

With the use of electronic information distribution and telecommunication technologies, surgical teleconsultation is possible as a vehicle for consulting with experts remotely without their physical presence in the operating room (OR). This study evaluated real-time teleconsultation from the OR to remote consultants in the Russian Research Center of Surgery, Moscow, Russia and the Fundeni Clinical Hospital, Bucharest, Romania. We evaluated the effectiveness of teleconsultation using a secure website interface where consultants could navigate through multimedia-based electronic documentation of a surgical procedure and identify the anatomic landmarks underlying the need for consultation. Additionally, management of a remote camera view by consultants was evaluated. Fifteen thyroidectomies and parathyroidectomies were studied to confirm by teleconsultation the identity of 22 recurrent laryngeal nerves (RLNs). There was no Internet connectivity interruption or dropped signal, and the bandwidth was consistently greater than 1 Mbps. Consultants spent an average of 6 min to review an average of 35 min of surgical records to identify the 22 RLNs. This study validated a system for real-time teleconsultation using web-based surgical rec...Continue Reading

References

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Mar 17, 2004·Annals of Surgery·Azhar RafiqRonald C Merrell
Jun 27, 2006·Telemedicine Journal and E-health : the Official Journal of the American Telemedicine Association·Stephen W ConeRonald C Merrell

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Citations

Nov 3, 2012·Surgical Innovation·Knut Magne AugestadUNKNOWN Mobile Medical Mentor (M3) Project

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