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Smartphone-Based Postoperative Wound Assessment Following Laparoscopic Surgery in a Resource-Limited Setting: A
Marryam Riaz Farooqui1, Hamza Waqar Bhatti2, Muhammad Umar Javed3
1Transplant and Renal Surgery, Guy's & St. Thomas NHS Foundation Trust, London SE1 9RT, UK.
Bioengineering (Basel, Switzerland)
|June 26, 2026
Summary
Smartphone wound assessment is feasible for remote postoperative care after laparoscopic surgery. This method achieved high patient satisfaction and managed most concerns without in-person visits in resource-limited settings.
Area of Science:
- Surgical Innovation
- Digital Health
- Patient Care
Background:
- Remote postoperative wound assessment can enhance surgical follow-up, especially in resource-limited environments.
- Laparoscopic surgery requires effective post-discharge monitoring to ensure patient recovery and detect complications early.
Purpose of the Study:
- To evaluate the feasibility and patient satisfaction of using smartphones for remote wound assessment after laparoscopic surgery.
- To determine the proportion of patients needing in-person follow-up and the types of remote interventions required.
Main Methods:
- A prospective cohort study involving 113 adult patients undergoing elective laparoscopic procedures.
- Patients submitted wound photos and queries via an encrypted platform within 14 days of discharge.
- Patient satisfaction was measured using the Patient Satisfaction Questionnaire Short Form (PSQ-18).
Main Results:
- 18.6% of patients required escalation to in-person review.
- Among remotely managed patients, 46.0% received reassurance, and 35.4% needed medication adjustments.
- The mean patient satisfaction score was 79.66 ± 11.24, with comparable satisfaction across procedure types.
Conclusions:
- Smartphone-based wound assessment is a feasible and acceptable method for postoperative care in resource-limited settings.
- The approach effectively managed most patient concerns remotely, indicating potential for improved surgical follow-up.
- Further research is recommended to assess safety, diagnostic accuracy, and cost-effectiveness.
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