In Training - Vol. 1, Issue 2

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INSIDE:

New Technologies

Expanding the Walls of Medicine F

rom surgeons tweeting short real-time updates about a procedure in the operating room (OR), to monitoring cases via teleconference across continents, new technologies are changing the face of surgery. These technologies vary widely, but they all have one key element in common: the ability to easily broadcast information to large groups of people in various locales. One of the first major advances was the advent of videoconferencing and telemedicine more than a decade ago. When it was first introduced, technologies like the OR1 made the OR a virtual stage, in which distant audiences could remotely watch surgeries as they happened. “The OR1 platform was amazing when it came out 10 years ago,” said Philip Glick, MD, MBA, vice chairman of surgery and professor of surgery, pediatrics,

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A discussion of the science behind surgical staplers, tissue compression, and how tissue thickness affects staple size choices.

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IN PRACTICE

and obstetrics/gynecology at the State University of New York in Buffalo. “It allowed our OR to touch the world and it allowed the world to look in on our OR.” Since that time, videoconferencing has evolved to include remote monitoring—in which audiences watch operations—and interactive telemedicine that provides real-time interactions among surgeons. see TELEMENTORING, page 4

Life After Gastric Band Surgery ne of the fundamental differences between bariatric surgery and more traditional general surgeries is that weight-loss operations follow a chronic disease model that requires a lifetime of follow-up care, such as access to clinical services or psychological and nutritional counseling through support groups. “When you place a band or perform another weight-loss operation, you’re committing the patient to a lifetime of

IN TECHNOLOGY

Anecdotes from surgeons’ first day running an OR team and their tips for success.

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IN PRACTICE Advice for effective patient handoffs and discussion on the different methods used in US hospitals to maintain continuity of care.

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follow-up with a bariatric physician,” said Daniel Leslie, MD, assistant professor of surgery at the University of Minnesota in Minneapolis. Among the common bariatric procedures, gastric banding holds a special place when it comes to follow-up. “Follow-up is extremely important for all [bariatric] procedures but particularly for the band, because the whole concept see GASTRIC SURGERY, page 7

www.intrainingsurgery.com


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