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Technologies Used for Telementoring in Open Surgery: A Scoping Review
Hawa Hamza1, Abdulla Al-Ansari1, Nikhil V Navkar1
1Department of Surgery, Hamad Medical Corporation, Doha, Qatar.
Summary
Telementoring technologies enhance surgical training by providing remote guidance during open surgery. These tools show clinical viability, improving mentee performance and confidence, despite increased operative time.
Area of Science:
- Surgical Technology
- Medical Education
- Remote Healthcare
Background:
- Lack of surgical expertise and training opportunities in remote areas is a significant challenge.
- Telementoring offers a solution by enabling remote mentors to guide mentees in real-time during surgical procedures.
- This review focuses on telementoring technologies specifically for open surgery.
Purpose of the Study:
- To provide a comprehensive review of telementoring technologies used in open surgery.
- To categorize existing telementoring technologies based on surgical application, technology type, and assessment methods.
- To evaluate the current state and potential of telementoring in open surgical training.
Main Methods:
- A comprehensive scoping review of scientific literature was conducted.
- Databases searched included PubMed, ScienceDirect, ACM Digital Library, and IEEE Xplore.
- Articles were screened and categorized based on surgical specialty, procedure, technology, and assessment criteria.
Main Results:
- 43 articles on telementoring for open surgery were identified.
- Technologies primarily focused on trauma surgeries, utilizing mixed reality headsets for information transfer (telestrations, tools, gestures).
- Assessment was mainly performed on synthetic phantoms, with mixed results on mentee performance and confidence.
Conclusions:
- Telementoring technologies demonstrate clinical viability in open surgery, enhancing mentee performance and confidence.
- Immersive devices and annotations show promise for surgical guidance.
- Further clinical trials are necessary to fully evaluate the benefits and long-term impact of these technologies.
