The Use of Telemedicine in Surgical Care: a Systematic Review

Abdulmajid Asiri, Sara AlBishi, Wedad AlMadani, Ashraf ElMetwally, Mowafa Househ, Abdulmajid Asiri, Sara AlBishi, Wedad AlMadani, Ashraf ElMetwally, Mowafa Househ

Abstract

Introduction: Telemedicine describes a healthcare service where physicians communicate with patients remotely using telecommunication technologies. Telemedicine is being used to provide pre-/postoperative surgical consultation and monitoring as well as surgical education.

Aim: Our purpose was to investigate the broad range of telemedicine technologies used in surgical care.

Material and methods: MEDLINE, EMBASE, CINAHL, and Science Direct were searched for available literature from inception to March 30, 2018 with no language restrictions. The search terms included: cell phones, telemedicine, telecommunications, video, online, videoconferencing, remote consultation, surgery, preoperative, perioperative, postoperative, and surgical procedures. Studies were included if they used telemedicine in surgery for pre-, peri-, or post-surgery periods, and if they compared traditional surgical care with surgical telemedicine. We excluded case series, case reports, and conference abstracts from our review.

Results: A total of 24 studies were included in our review. The study found that the use of telemedicine in preoperative assessment and diagnosis, evaluation after surgery and follow-up visits to be beneficial. Patients reported benefits to using telemedicine such as avoiding unnecessary trips to hospitals, saving time and reducing the number of working days missed.

Conclusion: Telemedicine in surgical care can provide benefits to both patients and.

Keywords: Telemedicine; monitoring; satisfaction; surgical procedure.

Figures

Figure 1.. PRISMA flow diagram
Figure 1.. PRISMA flow diagram

References

    1. Dasgupta P, Challacombe B. Robotics in urology. BJU International. 2004;93(3):247–248.
    1. Challacombe B, Dasgupta P. Telemedicine - the future of surgery. The Journal of Surgery. 2003;1(1):15–17.
    1. Field MJ. National Academies Press; 1996. Telemedicine: A guide to assessing telecommunications for health care.
    1. Aziz SR, Ziccardi VB. Telemedicine using smartphones for oral and maxillofacial surgery consultation, communication, and treatment planning. Journal of Oral and Maxillofacial Surgery. 2009;67(11):2505–2509.
    1. Gosman AA, Fischer CA, Agha Z, Sigler A, Chao JJ, Dobke MK. Telemedicine and surgical education across borders: a case report. Journal of surgical education. 2009;66(2):102–105.
    1. Numanoglu A. Using telemedicine to teach paediatric surgery in resource - limited countries. Pediatric surgery international. 2017;33(4):471–474.
    1. Latifi R, Mora F, Bekteshi F, Rivera R. Preoperative telemedicine evaluation of surgical mission patients: should we use it routinely. Bull Am Coll Surg. 2014;99(1):17–23.
    1. Stypulkowski K, Uppaluri S, Waisbren S. Telemedicine for Postoperative Visits at the Minneapolis VA Medical Center. Minnesota medicine. 2015
    1. Robie DK, Naulty CM, Parry RL, Motta C, Darling B, Micheals M, et al. Early experience using telemedicine for neonatal surgical consultations. Journal of Pediatric Surgery. 1998;33(7):1172–1177.
    1. Bullard TB, Rosenberg MS, Ladde J, Razack N, Villalobos HJ, Papa L. Digital images taken with a mobile phone can assist in the triage of neurosurgical patients to a level 1 trauma centre. Journal of telemedicine and telecare. 2013;19(2):80–83.
    1. Costa MA, Yao CA, Gillenwater TJ, Taghva GH, Abrishami S, Green TA, et al. Telemedicine in cleft care: reliability and predictability in regional and international practice settings. Journal of Craniofacial Surgery. 2015;26(4):1116–1120.
    1. Urquhart AC, Antoniotti NM, Berg RL. Telemedicine - An efficient and cost-effective approach in parathyroid surgery. The Laryngoscope. 2011;121(7):1422–1425.
    1. Moher D, Liberati A, Tetzlaff J, Altman DG. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. Annals of Internal Medicine. 2009;151(4):264–269.
    1. Demartines N, Otto U, Mutter D, Labler L, von Weymarn A, Vix M, et al. An evaluation of telemedicine in surgery: telediagnosis compared with direct diagnosis. Archives of Surgery. 2000;135(7):849–853.
    1. Lee S, Broderick TJ, Haynes J, Bagwell C, Doarn CR, Merrell RC. The role of low-bandwidth telemedicine in surgical prescreening. Journal of Pediatric Surgery. 2003;38(9):1281–1283.
    1. Hands L, Jones R, Clarke M, Mahaffey W, Bangs I. The use of telemedicine in the management of vascular surgical referrals. Journal of Telemedicine and Telecare. 2004;10(1,suppl):38–40.
    1. Sudan R, Salter M, Lynch T, Jacobs DO. Bariatric surgery using a network and teleconferencing to serve remote patients in the Veterans Administration Health Care System: feasibility and results. The American Journal of Surgery. 2011;202(1):71–76.
    1. Scerri G, Vassallo D. Initial plastic surgery experience with the first telemedicine links for the British Forces. British Journal of Plastic Surgery. 1999;52(4):294–298.
    1. Wood EW, Strauss RA, Janus C, Carrico CK. Telemedicine consultations in oral and maxillofacial surgery: A follow-up study. Journal of Oral and Maxillofacial Surgery. 2016;74(2):262–268.
    1. Wallace D, Jones S, Milroy C, Pickford M. Telemedicine for acute plastic surgical trauma and burns. Journal of Plastic, Reconstructive & Aesthetic Surgery. 2008;61(1):31–36.
    1. Postuma R, Loewen L. Telepediatric surgery: capturing clinical outcomes. Journal of pediatric surgery. 2005;40(5):813–818.
    1. Schlachta CM, Kent SA, Lefebvre KL, McCune ML, Jayaraman S. A model for longitudinal mentoring and telementoring of laparoscopic colon surgery. Surgical endoscopy. 2009;23(7):1634–1638.
    1. Bednarski BK, Slack RS, Katz M, You YN, Papadopolous J, Rodriguez-Bigas MA, et al. Assessment of Ileostomy Output Using Telemedicine: A Feasibility Trial. Diseases of the Colon & Rectum. 2018;61(1):77–83.
    1. Willard A, Brown E, Masten M, Brant M, Pouppirt N, Moran K, et al. Complex Surgical Infants Benefit from Postdischarge Telemedicine Visits. Advances in Neonatal Care. 2018;18(1):22–30.
    1. Martínez-Ramos C, Cerdán MT, López RS. Mobile phone-based telemedicine system for the home follow-up of patients undergoing ambulatory surgery. Telemedicine and e-Health. 2009;15(6):531–537.
    1. Robaldo A, Rousas N, Pane B, Spinella G, Palombo D. Telemedicine in vascular surgery: clinical experience in a single centre. Journal of Telemedicine and Telecare. 2010;16(7):374–377.
    1. Wirthlin DJ, Buradagunta S, Edwards RA, Brewster DC, Cambria RP, Gertler JP, et al. Telemedicine in vascular surgery: feasibility of digital imaging for remote management of wounds. Journal of Vascular Surgery. 1998;27(6):1089–1100.
    1. Segura-Sampedro JJ, Rivero-Belenchón I, Pino-Díaz V, Sánchez MCR, Pareja-Ciuró F, Padillo-Ruiz J, et al. Feasibility and safety of surgical wound remote follow-up by smart phone in appendectomy: A pilot study. Annals of Medicine and Surgery. 2017;21:58–62.
    1. Ellison LM, Pinto PA, Kim F, Ong AM, Patriciu A, Stoianovici D, et al. Telerounding and patient satisfaction after surgery. Journal of the American College of Surgeons. 2004;199(4):523–530.
    1. Rao R, Shukla BM, Saint-Cyr M, Rao M, Teotia SS. Take two and text me in the morning: optimizing clinical time with a short messaging system. Plastic and reconstructive surgery. 2012;130(1):44–49.
    1. Canon S, Shera A, Patel A, Zamilpa I, Paddack J, Fisher PL, et al. A pilot study of telemedicine for post-operative urological care in children. Journal of telemedicine and telecare. 2014;20(8):427–430.
    1. McGillicuddy JW, Gregoski MJ, Weiland AK, Rock RA, Brunner-Jackson BM, Patel SK, et al. Mobile health medication adherence and blood pressure control in renal transplant recipients: a proof-of-concept randomized controlled trial. JMIR research protocols. 2013;2(2)
    1. Sharareh B, Schwarzkopf R. Effectiveness of telemedical applications in postoperative follow-up after total joint arthroplasty. The Journal of Arthroplasty. 2014;29(5):918–22. e1.
    1. Viers BR, Lightner DJ, Rivera ME, Tollefson MK, Boorjian SA, Karnes RJ, et al. Efficiency, satisfaction, and costs for remote video visits following radical prostatectomy: a randomized controlled trial. European urology. 2015;68(4):729–735.
    1. Sathiyakumar V, Apfeld JC, Obremskey WT, Thakore RV, Sethi MK. Prospective randomized controlled trial using telemedicine for follow-ups in an orthopedic trauma population: a pilot study. Journal of orthopaedic trauma. 2015;29(3):e139–e45.
    1. Mandzuka M, Begic E, Boskovic D, Begic Z, Masic I. Mobile Clinical Decision Support System for Acid-base Balance Diagnosis and Treatment Recommendation. Acta Inform Med. 2017 Jun;25(2):121–125. doi: 10.5455/aim.2017.25.121-125.
    1. Masic I, Begic E. Mobile Clinical Decision Support Systems in our Hands - Great Potential but also a Concern. Stud Health Technol Inform. 2016;226:63–66.
    1. Mašić I, Hadžiahmetović Z, Toromanović S, Kudumović M. Telemedicina, virtuelna realnost, teleoperacije - hirurški aspekti. Med Arh. 2003;57(3, supl. 1):48–49.
    1. Omerkić E, Mašić I, Hadžiahmetović Z. Telemedicina u urgentnoj medicini u BiH. Acta Inform Med. 2003;11(1-2):31–34.
    1. Hadžiahmetović Z, Aginčić A, Mašić I. Telematika u urgentnoj medicini i hirurgiji. Med Arh. 2003;57(3, supl. 1):49.
    1. Mašić I, Bilalović N, Karčić S, Hadžiahmetović Z. Korijeni telemedicine u Bosni i Hercegovini u postdejtonskom periodu. Mater Sociomed. 2002;14(3-4):107–110.
    1. Masic I, Bilalovic N, Karcic S, Kudumovic M, Pasic E. Telemedicine and Telematics in B&H in the war and after Post war Times. European Journal of Medical Research. 2002;7(supl.1):47.
    1. Whitten PS, Mair FS, Haycox A, May CR, Williams TL, Hellmich S. Systematic review of cost effectiveness studies of telemedicine interventions. BMJ. 2002;324(7351):1434–1437.

Source: PubMed

3
Subscribe