The New Dimension of Surgery: Telesurgery and Surgical Nursing

Abstract

In the recent COVID-19 pandemic, it has been observed that surgical patients have turned more towards telemedicine applications to meet their health care needs due to the fact that they cannot apply to hospitals unless they are mandatory and even the majority of non-urgent medical activities, including elective surgeries, are paused. Telesurgery, one of the telehealth concepts in the provision of health services, has emerged as a promising application known as remote surgery, which provides remote surgical care to patients. Today, telesurgical interventions performed away from patients using surgical robots, virtual reality applications, advanced computer and network technologies have become a rising trend in the field of surgery. It is obvious that telesurgery applications, which aim to provide high quality remote surgery with worldwide expertise, have some obstacles due to the fact that it is a very new technology. However, despite the obstacles, it is witnessed that telesurgical interventions are being successfully applied day by day thanks to different application methods. It is predicted that telesurgery, which is expected to reach and serve more patients in the future, will be more widely applied and developed with its high-speed advanced network connection, lower cost rates and reaching all over the world, even to space and the depths of the sea. When we look at the nursing practices in telesurgery, which is a new application area in the field of surgery, it is stated that positive results have been achieved, but the number of studies is still insufficient. Depending on the telesurgery technology, which is expected to develop rapidly in the coming years, it is thought that there will be a rapid increase in the number of studies on telesurgery in the field of surgical nursing. Therefore, in this review, it was aimed to clarify telesurgical interventions, which have been started to be applied by surgeons as a new trend in recent years and which is a very new and highly developed application area for nurses, and to examine the surgical nursing interventions applied in this field.

Keywords

• 5G
• robotic surgical procedure
• telesurgery
• technology

Cerrahinin Yeni Boyutu: Telecerrahi ve Cerrahi Hemşireliği

Abstract

Yakın geçmişte yaşanan COVID-19 pandemisinde cerrahi hastalarının, zorunlu olmadıkça hastanelere başvuramamaları ve hatta elektif ameliyatlar da dahil olmak üzere acil olmayan tıbbi faaliyetlerin büyük çoğunluğunun duraklatılması nedeniyle sağlık bakım ihtiyaçlarını karşılamada daha çok teletıp uygulamalarına yöneldikleri gözlenmiştir. Sağlık hizmetlerinin sunumunda telesağlık kavramlarından biri olan telecerrahi, uzaktan cerrahi olarak bilinen ve hastalara uzaktan cerrahi bakım sağlayan umut verici bir uygulama olarak ortaya çıkmıştır. Günüzde hastalardan uzakta cerrahi robotlar, sanal gerçeklik uygulamaları, gelişmiş bilgisayar ve ağ teknolojilerinin kullanılmasıyla gerçekleştirilen telecerrahi müdahaleler, cerrahi alanında yükselen bir trend haline gelmiştir. Dünya çapındaki uzmanlıkla yüksek kalitede uzaktan cerrahinin sağlamasını amaçlayan telecerrahi uygulamalarının çok yeni gelişen bir teknoloji olması nedeniyle bazı engelleri bünyesinde barındırdığı ortadadır. Ancak engellere rağmen telecerrahi müdahalelerin, farklı uygulama şekilleri sayesinde gün geçtikçe başarıyla uygulandığına şahit olunmaktadır. Gelecekte daha fazla hastaya ulaşılarak, hizmet vermesi beklenen telecerrahinin, yüksek hızlı gelişmiş ağ bağlantısı, daha düşük maliyet oranları ve dünyanın her yerine, hatta uzaya ve denizin derinliklerine kadar ulaşması ile daha yaygın bir şekilde uygulanacağı ve gelişeceği öngörülmektedir. Cerrahi alanında yeni bir uygulama alanı olan telecerrahide hemşirelik uygulamalarına bakıldığında ise olumlu sonuçlara ulaşıldığı ancak yapılan çalışmaların henüz sayıca yetersiz düzeyde olduğu belirtilmektedir. Gelecek yıllarda hızla gelişim göstermesi beklenen telecerrahi teknolojisine bağlı olarak, cerrahi hemşireliği alanındaki telecerrahi ile ilgili yapılacak olan çalışmaların sayısında da hızlı bir artış olacağı düşünülmektedir. Bu nedenle bu derlemede, son yıllarda cerrahlar tarafından yeni bir trend olarak uygulanmaya başlanan ve henüz hemşireler için çok yeni ve oldukça geliştirilmesi gereken bir uygulama alanı olan telecerrahi girişimlere açıklık getirilmesi ve bu alanda uygulanan cerrahi hemşireliği girişimlerinin incelenmesi amaçlanmıştır

Keywords

• 5G
• robotik cerrahi işlemler
• telecerrahi
• teknoloji

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