LIVE SURGERY: THE NEW REALITY

(Surgical education)

The promise of technology is under-utilised in the medical profession but
that’s about time. Existing audiovisual equipment within hospitals is being
used to fill training gaps and reach people in remote parts.

The need of broadcasting live surgery


“from an operation theater to a remote location with Class full of medical
students or to multiple cities on special events” has existed for many years
but, until recently, it’s been largely restricted to uses such as add-ons to
conferences. Because they haven’t been done routinely, broadcasts tend to be expensive, time consuming, of variable quality and limited availability.

AV Live decided to provide Distance Learning Syste for the use of general and medical education to improve quality of education in Pakistan. Normally it was charged by audio visual vendors and satellite services providers for 6000 to 8000 US$ per day/event. But Video quality was limited and audio delay was highly noticeable/. Video archiving was also not possible with complete transcript.

AV Live slashed the cost from 6000$ to 2000 $ for 2 way live interactive audio video communication services that surprised many industry’s leaders

In 2011 AV Live merged different technologies (Live
production system, video Conference solution and internet services) to
established two way communication to broadcast a live procedure from operation
theater to a distance city. Result and response of video quality and live
interaction was overwhelming.

Education cannot wait for occasions:

The operating room cannot be open to 20 student to observe a surgery in
process. And it is not accessible to everyone who needs it for their surgical
education. For that purpose We also have developed system to provide solution within a building to accommodate more Medical student to have access live or on-demand.

General practitioners students, and nurses all require exposure to surgical
practice. Let’s say surgeons in a remote part of Pakistan needs to learn a new technique for a difficult surgery that they previously dealt with different approach. Live surgery solution or Video Archiving system is the best way to get them learn new techniques and polish their skills they need.


Archiving Critical Operations

In fact, it’s time that we as a profession considered making a record of all
our procedures for the purpose of quality control. After all, the “black box”
has been in aircraft for many years and is a very important part of helping to resolve unexpected events.

The system facilitates continuing education and is useful when surgeons encounter a rare condition or procedure. The videos are archived so if a surgeon in another part of the world finds himself in a similar situation, they can search for the relevant technique.

In recent years, there have been significant advances in internet-related technology. Video Archiving System is now available on fix monthly cost of 400$ per OT by AV Live. The system permits “virtual” access to the operating room archive. The system allows non-specialist surgeons in remote areas to access the expertise of more specialist surgeons to seek guidance.

The future

Could the videos be used as evidence against a surgeon in a court of law?
Quite possibly – but it’s much more likely to work in the surgeon’s favor.

Majority of patients are perfectly happy to consent to the broadcast for
medical procedures. Access to the archive is secure and identity is coded so
only people who are registered doctor can view the video Archive. Students have to create a profile and submit details about their affiliation to a medical school, ensuring authenticity.

This is important for patients because they need to feel reassured that only
health professionals will be seeing their operation. This is definitely not
going live on TV.

Surgeons involved in mainstream teaching should have reached a level of
experience and confidence that such a video would permit them to demonstrate to a jury how they safely deal with unexpected events.

The government has highlighted the need for doctors in remote areas to have the necessary technology that will allow their patients to have access to specialist consultations using tele-medicine. The technology already exists -all that’s required now is some enthusiasm.