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Nov 14, 2013 (3 years and 8 months ago)

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Information Technology for the Health Professions, Third Edition

Lillian Burke and Barbara Weill


Copyright ©2009 by Pearson Education, Inc.

Upper Saddle River, New Jersey 07458

All rights reserved.

Chapter 7


Information Technology in
Surgery

The Cutting Edge


Information Technology for the Health Professions, Third Edition

Lillian Burke and Barbara Weill


Copyright ©2009 by Pearson Education, Inc.

Upper Saddle River, New Jersey 07458

All rights reserved.

Multimedia Directory

Slide 9

DaVinci Mitral Valve Surgery Video

Information Technology for the Health Professions, Third Edition

Lillian Burke and Barbara Weill


Copyright ©2009 by Pearson Education, Inc.

Upper Saddle River, New Jersey 07458

All rights reserved.

Computer
-
assisted Surgery



Surgical planning: Virtual reality;
virtual environments help teach and
plan surgeries


Minimally invasive surgery (MIS)


Information Technology for the Health Professions, Third Edition

Lillian Burke and Barbara Weill


Copyright ©2009 by Pearson Education, Inc.

Upper Saddle River, New Jersey 07458

All rights reserved.

Minimally Invasive Surgery (MIS)



Endoscope

Projects an image of
the surgical site onto
a monitor


MIS is performed
through small
incisions leading to
less pain and
shorter recovery
time

Image courtesy of Getty

Information Technology for the Health Professions, Third Edition

Lillian Burke and Barbara Weill


Copyright ©2009 by Pearson Education, Inc.

Upper Saddle River, New Jersey 07458

All rights reserved.

Minimally Invasive Surgery (MIS)
(cont)


Surgeon sees image on a monitor;
MIS is image
-
directed


Endoluminal surgery

Done
through natural orifices



Information Technology for the Health Professions, Third Edition

Lillian Burke and Barbara Weill


Copyright ©2009 by Pearson Education, Inc.

Upper Saddle River, New Jersey 07458

All rights reserved.

Robots


Used to hold endoscopes


To decide if tissue is normal


ROBODOC

hip replacements


AESOP

first FDA
-
cleared surgical robot,
holds endoscope


ZEUS

minimally invasive microsurgery


DaVinci

minimally invasive heart repair


Information Technology for the Health Professions, Third Edition

Lillian Burke and Barbara Weill


Copyright ©2009 by Pearson Education, Inc.

Upper Saddle River, New Jersey 07458

All rights reserved.

Computer
-
Aided Surgery (cont)


Minerva

stereotactic neurosurgery


HERMES

FDA
-
cleared system
software that connects operating
room hardware into a voice
-
controlled
network

Information Technology for the Health Professions, Third Edition

Lillian Burke and Barbara Weill


Copyright ©2009 by Pearson Education, Inc.

Upper Saddle River, New Jersey 07458

All rights reserved.

The 100th Mitral Valve Surgery
Using the daVinci System

Mitrial Valve repair Using the daVinci System Introduction Video of Patients

Courtesy of East Carolina University (photo by Cliff Hollis)

Information Technology for the Health Professions, Third Edition

Lillian Burke and Barbara Weill


Copyright ©2009 by Pearson Education, Inc.

Upper Saddle River, New Jersey 07458

All rights reserved.

DaVinci Mitral Valve Surgery

Click
here

to view a video on “DaVinci Mitral Valve Surgery”.

Information Technology for the Health Professions, Third Edition

Lillian Burke and Barbara Weill


Copyright ©2009 by Pearson Education, Inc.

Upper Saddle River, New Jersey 07458

All rights reserved.

Augmented Reality


Displaying radiological images of the
inside of the body on the outside of
the body provides surgeons with a
look inside

Information Technology for the Health Professions, Third Edition

Lillian Burke and Barbara Weill


Copyright ©2009 by Pearson Education, Inc.

Upper Saddle River, New Jersey 07458

All rights reserved.

CAVEman


4
-
dimensional computer image


3,000 body parts


Viewed with height, width, depth


Images can be displayed on body


Can help plan surgeries and educate
patients

Information Technology for the Health Professions, Third Edition

Lillian Burke and Barbara Weill


Copyright ©2009 by Pearson Education, Inc.

Upper Saddle River, New Jersey 07458

All rights reserved.

Telepresence Surgery


Distance surgery


Gall bladder (2001)


Prostate surgery (2002)


Correction of acid reflux (2003)

Information Technology for the Health Professions, Third Edition

Lillian Burke and Barbara Weill


Copyright ©2009 by Pearson Education, Inc.

Upper Saddle River, New Jersey 07458

All rights reserved.

NEEMO


NASA Extreme Environment Mission
Operation


NEEMO is a series of NASA
missions in which groups of scientists
live in Aquarius

Information Technology for the Health Professions, Third Edition

Lillian Burke and Barbara Weill


Copyright ©2009 by Pearson Education, Inc.

Upper Saddle River, New Jersey 07458

All rights reserved.

NEEMO (cont)


Aquarius is the only undersea lab in
the world


It is 13 feet wide and 45 feet long
with approximately 400 square feet of
space for living and laboratory
activities


NEEMO 7 and 9 included doctors,
but no surgeons

Information Technology for the Health Professions, Third Edition

Lillian Burke and Barbara Weill


Copyright ©2009 by Pearson Education, Inc.

Upper Saddle River, New Jersey 07458

All rights reserved.

NEEMO (cont)


The major purpose of these projects is to
enable astronauts to be operated on in space
from earth using wireless technology and
robotics


One of NEEMO 7’s goals was to see whether
doctors with no training in surgical techniques
could successfully perform surgery with the
help of telementoring and telerobotics

Information Technology for the Health Professions, Third Edition

Lillian Burke and Barbara Weill


Copyright ©2009 by Pearson Education, Inc.

Upper Saddle River, New Jersey 07458

All rights reserved.

NEEMO

(Courtesy: www.nasa.gov)

Information Technology for the Health Professions, Third Edition

Lillian Burke and Barbara Weill


Copyright ©2009 by Pearson Education, Inc.

Upper Saddle River, New Jersey 07458

All rights reserved.

NEEMO 9 and 12


NEEMO 9 succeeded in assembling
a surgical robot, and completed
surgeries controlled by a doctor in
Canada


NEEMO 12’s crew conducted
advanced medical experiments using
robotic telesurgery


Information Technology for the Health Professions, Third Edition

Lillian Burke and Barbara Weill


Copyright ©2009 by Pearson Education, Inc.

Upper Saddle River, New Jersey 07458

All rights reserved.

NEEMO 12: Training


Training for
NEEMO 12: An
astronaut or
aquanaut uses a
still camera to
photograph plants
in the undersea
habitat for the 12th
NEEMO mission

(Courtesy: www.nasa.gov)


Information Technology for the Health Professions, Third Edition

Lillian Burke and Barbara Weill


Copyright ©2009 by Pearson Education, Inc.

Upper Saddle River, New Jersey 07458

All rights reserved.

NEEMO: Raven


A two
-
armed
remotely controlled
surgical robot from
the University of
Washington known
as Raven is
photographed inside
the undersea habitat
for the 12th NEEMO
mission


Image courtesy of Corbis

Information Technology for the Health Professions, Third Edition

Lillian Burke and Barbara Weill


Copyright ©2009 by Pearson Education, Inc.

Upper Saddle River, New Jersey 07458

All rights reserved.

The Operating Room of the
Future


In the operating room of the future, images
from all sources will be available to
surgeons and other personnel


The display on four screens (called the
wall of knowledge) shows integrated
patient information in an easy
-
to
-
understand format, in one location

Information Technology for the Health Professions, Third Edition

Lillian Burke and Barbara Weill


Copyright ©2009 by Pearson Education, Inc.

Upper Saddle River, New Jersey 07458

All rights reserved.

Operating Room

of the Future (cont)


Information displayed includes a patient’s
vital statistics, allergies, and the
whereabouts of OR personnel


Personnel, including doctors, are identified
and tracked by RFID tags


The OR of the future makes three
-
dimensional real
-
time images available in
surgery linking PACS with the operating
room

Information Technology for the Health Professions, Third Edition

Lillian Burke and Barbara Weill


Copyright ©2009 by Pearson Education, Inc.

Upper Saddle River, New Jersey 07458

All rights reserved.

Lasers in Surgery


Light amplification by the stimulated
emission of radiation


Can cut, vaporize tumors, seal small
blood vessels


Beam can be narrowed to the size of
a few cells

Information Technology for the Health Professions, Third Edition

Lillian Burke and Barbara Weill


Copyright ©2009 by Pearson Education, Inc.

Upper Saddle River, New Jersey 07458

All rights reserved.

Uses of Lasers in Surgery


Used in:



Gynecology


Orthopedics


Urology


ENT


Cardiovascular


Gastroenterology


Image courtesy of Corbis

Information Technology for the Health Professions, Third Edition

Lillian Burke and Barbara Weill


Copyright ©2009 by Pearson Education, Inc.

Upper Saddle River, New Jersey 07458

All rights reserved.

LASIK


LASIK uses lasers to correct vision
by changing the shape of the cornea


Information Technology for the Health Professions, Third Edition

Lillian Burke and Barbara Weill


Copyright ©2009 by Pearson Education, Inc.

Upper Saddle River, New Jersey 07458

All rights reserved.

Conclusion


The use of augmented images to
teach surgeons and plan and guide
operations can reduce unnecessary
cutting and make operations more
precise and less invasive


MIS is less invasive and minimizes
hospital stays and recovery time