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Design and implementation of a web-based system for intraoperative consultation
Francisco Tamariz1, Ronald Merrell, Irinel Popescu
1Virginia Commonwealth University, Richmond, VA 23284, USA.
World Journal of Surgery
|January 6, 2009
Summary
This study validated real-time surgical teleconsultation using web-based records. Remote consultants effectively identified anatomical landmarks, confirming the system
Area of Science:
- Surgical technology
- Telemedicine
- Remote surgical consultation
Background:
- Surgical teleconsultation enables remote expert consultation via electronic information and telecommunication technologies.
- This study assessed real-time teleconsultation from operating rooms (OR) to remote consultants in Russia and Romania.
Purpose of the Study:
- To evaluate the effectiveness of real-time surgical teleconsultation.
- To assess the utility of a secure website interface for remote surgical guidance.
- To determine the feasibility of remote camera view management by consultants.
Main Methods:
- Utilized a secure website for teleconsultation, allowing remote navigation of multimedia surgical documentation.
- Evaluated the identification of anatomical landmarks by remote consultants.
- Assessed the consultants' ability to manage the remote camera view.
Main Results:
- Fifteen thyroidectomies and parathyroidectomies were reviewed, confirming 22 recurrent laryngeal nerves (RLNs) via teleconsultation.
- Consistent internet connectivity (>1 Mbps bandwidth) with no interruptions was maintained.
- Consultants averaged 6 minutes to review 35 minutes of surgical records for RLN identification.
Conclusions:
- Validated a system for real-time teleconsultation employing web-based surgical records.
- Confirmed the capability of remote consultants to manage camera views without disrupting surgery.
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