Surgical Telementoring in Knowledge Translation—Clinical Outcomes and Educational Benefits
| Autor: | Hiten Rh Patel, Andrius Budrionis, Rolv-Ole Lindsetmo, Taridzo Chomutare, Conor P. Delaney, Johan Gustav Bellika, Mobile Medical Mentor, Knut Magne Augestad |
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| Rok vydání: | 2012 |
| Předmět: |
medicine.medical_specialty
Iliac artery Telemedicine medicine.diagnostic_test business.industry Open surgery General surgery Mentors medicine.disease Laparoscopic colectomy Surgery Aortic aneurysm Port (medical) Surgical Procedures Operative Knowledge translation medicine Humans Laparoscopy business |
| Zdroj: | Surgical Innovation. 20:273-281 |
| ISSN: | 1553-3514 1553-3506 |
| DOI: | 10.1177/1553350612465793 |
| Popis: | Background. Surgical telementoring has been reported for decades. However, there exists limited evidence of clinical outcome and educational benefits. Objective. To perform a comprehensive review of surgical telementoring surveys published in the past 2 decades. Results. Of 624 primary identified articles, 34 articles were reviewed. A total of 433 surgical procedures were performed by 180 surgeons. Most common telementored procedures were laparoscopic cholecystectomy (57 cases, 13%), endovascular treatment of aortic aneurysm (48 cases, 11%), laparoscopic colectomy (32 cases, 7%), and nefrectomies (41 cases, 9%). In all, 167 (38%) cases had a laparoscopic approach, and 8 cases (5%) were converted to open surgery. Overall, 20 complications (5%) were reported (liver bleeding, trocar port bleeding, bile collection, postoperative ileus, wound infection, serosa tears, iliac artery rupture, conversion open surgery). Eight surveys (23%) have structured assessment of educational outcomes. Telementoring was combined with simulators (n = 2) and robotics (n = 3). Twelve surveys (35%) were intercontinental. Technology satisfaction was high among 83% of surgeons. Conclusion. Few surveys have a structured assessment of educational outcome. Telementoring has improved impact on surgical education. Reported complication rate was 5%. |
| Databáze: | OpenAIRE |
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