Evaluation of augmented reality technology in global urologic surgery - 30/08/23

Doi : 10.1016/j.amjsurg.2023.05.014

Georgina Dominique ^a,^b, Kevin Kunitsky ^c, Gilles Natchagande ^d, Mohamed Jalloh ^e, Abeselom Lemma Gebreamlak ^f, Isiaka Lawal ^g, Michel Michaël Agounkpe ^d, Fred D. Hodonou ^d, Dodji Magloire Ines Yevi ^d, Josué D.G. Avakoudjo ^d, Kurt McCammon ^h, Graham Watson ⁱ, Kymora B. Scotland ^b,^⁎
^a Charles R. Drew University of Medicine and Science, Los Angeles, CA, USA
^b David Geffen School of Medicine at University of California, Los Angeles, CA, USA
^c Kansas City University of Medicine and Bioscience, Kansas City, MO, USA
^d Universitaire Centre National Hospitalier Universitaire Hubert K. Maga de Cotonou, Benin
^e Hôpital Général Idrissa Pouye, Dakar, Senegal
^f Tikur Anbessa Hospital, Addis Ababa, Ethiopia
^g National Hospital, Abuja, Nigeria
^h Eastern Virginia Medical School, Norfolk, VA, USA
ⁱ East Sussex Healthcare NHS Trust, East Sussex, United Kingdom

^∗Corresponding author. University of California Los Angeles, 200 Medical Plaza Driveway, Suite 140, Los Angeles, CA, 90095, USA.University of California Los Angeles200 Medical Plaza DrivewaySuite 140Los AngelesCA90095USA

Abstract

Background

The COVID-19 pandemic drastically reduced opportunities for surgical skill sharing between high-income and low to middle-income countries. Augmented reality (AR) technology allows mentors in one country to virtually train a mentee in another country during surgical cases without international travel. We hypothesize that AR technology is an effective live surgical training and mentorship modality.

Methods

Three senior urologic surgeons in the US and UK worked with four urologic surgeon trainees across the continent of Africa using AR systems. Trainers and trainees individually completed post-operative questionnaires evaluating their experience.

Results

Trainees rated the quality of virtual training as equivalent to in-person training in 83% of cases (N = 5 of 6 responses). Trainers reported the technology's visual quality as “acceptable” in 67% of cases (N = 12 of 18 responses). The audiovisual capabilities of the technology had a “high” impact in the majority of the cases.

Conclusion

AR technology can effectively facilitate surgical training when in-person training is limited or unavailable.

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Highlights

•	The global pandemic exposed the need for alternatives to in-person surgical training.
•	Augmented reality technology facilitates remote global surgical skill sharing between established mentor and mentee teams.
•	Augmented reality technology is an effective supplement to in-person surgical training.

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Keywords : global surgery, Surgical training, Augmented reality, global surgical partnerships, Surgical technology

Plan

Introduction

Methods and materials

Results

Technology set-up and use

Virtual connection

Audiovisual capabilities

Surgical training utility

Discussion

Funding

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Vol 226 - N° 4

P. 471-476 - octobre 2023 Retour au numéro

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Evaluation of augmented reality technology in global urologic surgery - 30/08/23

Abstract

Background

Methods

Results

Conclusion

Highlights

Plan

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