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Telesurgical Presence and Consultation for Open Surgery
Edgar B. Rodas, MD;
Rifat Latifi, MD;
Stephen Cone, MD;
Timothy J. Broderick, MD;
Charles R. Doarn, MBA;
Ronald C. Merrell, MD
Arch Surg. 2002;137:1360-1363.
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INTRODUCTION
Bilateral open inguinal herniorraphy was performed in Cuenca, Ecuador, and monitored via low-bandwidth (128 kilobits per second [Kbps]) satellite communication by consultants in Richmond, Va, for consensus regarding identification of standard surgical landmarks.
When telemedicine emerged in the late 1950s, the innovative and sophisticated technology used at the time was quite expensive.1 Historically, the use of telemedicine applications was limited to institutions that either had funding through government-sponsored grants or could afford the cost of the technologic tools. This hindered the broad use and expansion of telemedicine. Today, the use of this technologic method is still cost-dependent; however, the advent of the Internet as well as a broader expansion of telecommunication to remote areas make the concept of globalization more feasible.
In recent years, several groups have experimented . . . [Full Text of this Article]
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COMMENT
From the Medical Informatics and Technology Applications Consortium, Department of Surgery, Virginia Commonwealth University, Richmond.
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