Surgeon satisfaction and outcomes of tele-proctoring for robotic gynecologic surgery

التفاصيل البيبلوغرافية
العنوان: Surgeon satisfaction and outcomes of tele-proctoring for robotic gynecologic surgery
المؤلفون: Umamaheswar Duvvuri, Michael J. Bonidie, Amanda M. Artsen, Linda S Burkett
المصدر: Journal of Robotic Surgery
بيانات النشر: Springer Science and Business Media LLC, 2021.
سنة النشر: 2021
مصطلحات موضوعية: medicine.medical_specialty, 2019-20 coronavirus outbreak, Coronavirus disease 2019 (COVID-19), Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), education, Pilot Projects, Health Informatics, Personal Satisfaction, Credentialing, Tele-mentoring, Gynecologic Surgical Procedures, Robotic Surgical Procedures, medicine, Humans, Robotic surgery, Surgeons, business.industry, COVID-19, Mean age, Middle Aged, Surgery, Tele-proctoring, Surgical innovation, Original Article, Female, business, Abdominal surgery, Healthcare system
الوصف: Surgical proctoring requires increasing resources in growing healthcare systems. In addition, travel has become less safe in the era of COVID-19. This study demonstrates surgeon satisfaction and safety with tele-proctoring in robotic gynecologic surgery. This pilot study assesses surgeon satisfaction and operative outcomes with a novel operative tele-proctoring system with a continuous two-way video-audio feed that allows the off-site surgeon to see the operating room, surgical field, and hands of the robotic surgeon. After thorough system testing, two experienced surgeons underwent tele-proctoring for hospital credentialing, completing 7 total cases. Each completed pre- and post-surveys developed from the Michigan Standard Simulation Experience Scale. Surgical characteristics were compared between tele-proctored cases and 59 historical cases proctored in-person over the last 8 years. Surgeons reported unanimous high satisfaction with tele-proctoring (5 ± 0). There were no major technologic issues. Five of the tele-proctored cases and 35 of controls were hysterectomies. Mean age was 48.2 ± 1.4 years, mean BMI was 29.6 ± 0.9 kg/m2, and mean uterine weight was 152 ± 112.3 g. Two-thirds had prior abdominal surgery (P > 0.1). Tele-proctored hysterectomies were 58 ± 6.5 min shorter than controls (P = 0.001). There were no differences in EBL or complication rates (P > 0.1). Tele-proctoring resulted in high surgeon satisfaction rates with no difference in EBL or complications. Tele-mentoring is a natural extension of tele-proctoring that could provide advanced surgical expertise far beyond where we can physically reach.
تدمد: 1863-2491
DOI: 10.1007/s11701-021-01280-x
URL الوصول: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::541a24511e5a70d5ed4853e61fea53cc
https://doi.org/10.1007/s11701-021-01280-x
Rights: OPEN
رقم الانضمام: edsair.doi.dedup.....541a24511e5a70d5ed4853e61fea53cc
قاعدة البيانات: OpenAIRE
الوصف
تدمد:18632491
DOI:10.1007/s11701-021-01280-x