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Cerrahinin Yeni Boyutu: Telecerrahi ve Cerrahi Hemşireliği

Yıl 2024, Cilt: 15 Sayı: 2, 300 - 308, 28.08.2024
https://doi.org/10.22312/sdusbed.1423302

Öz

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

Kaynakça

  • [1] Cam, O., Kacmaz, E. 2018. Tele-health Practice and Use in Psychiatry Nursing. Turkiye Klinikleri Journal of Nursing Sciences, 10(4), 363-369. https://doi.org/10.5336/nurses.2018-59821
  • [2] Ozkan, S., Asar, A.S. 2022. Telehealth Applications in Surgical Nursing. Ege Universitesi Hemsirelik Fakultesi Dergisi, 38(1), 43-48. https://doi.org/10.53490/egehemsire.777580
  • [3] Sungur, C. 2020. Patient Satisfaction in Telemedicine Applications: A Systematic Review Study. Hacettepe Journal of Health Administration, 23(3), 505-522. e-ISSN: 2148-9041
  • [4] Bailo, P., Gibelli, F., Blandino, A., Piccinini, A., Ricci, G., Sirignano, A., Zoja, R. 2021. Telemedicine Applications in the Era of COVID-19: Telesurgery Issues. Int J Environ Res Public Health, 19(1), 323. https://doi.org/10.3390/ijerph19010323
  • [5] Korkmaz, S., Hosman, I. 2018. Telemedicine Applications in Health Sector: A Research in Volving Telemedicine Application Dimensions. International Journal of Health Management and Strategied Research, 4(3), 251-263. ISSN-2149-6161
  • [6] Pazar, B., Tastan, S., Iyigun, E. 2015. Roles of Nurses in Tele-health Services. Medical Journal of Bakırkoy, 11(1), 1-4. https://doi.org/10.5350/BTDMJB201511101
  • [7] Arpag, N., Kanan, N. 2019. Tele Intensive Care Nursing. Journal of Nursing Science, 2(1), 32–36.
  • [8] Neville, C.W. 2018. Telehealth: A Balanced Look at Incorporating This Technology Into Practice. SAGE Open Nurs, 23(4), 1-5. https://doi.org/10.1177/2377960818786504
  • [9] Yavuz Karamanoglu, A. 2022. Telesurgery and Responsibilities of the Nurses. EJONS International Journal on Mathematic, Engineering and Natural Sciences, 6(21), 328–338. https://doi.org/10.38063/ejons.629
  • [10] Kostekli, S., Celik, S., Karahan, E. 2020. The Importance of Nursing Care of the Surgical Patient with Tele-health Method after Discharge. Cerrahi Ameliyathane Sterilizasyon Enfeksiyon Kontrol Hemsireligi Dergisi, 1(1), 30-38. ISSN: 2717-8366
  • [11] Feizi, N., Tavakoli, M., Patel, R.V., Atashzar, F. 2021. Robotics and AI for Teleoperation, Tele-assessment, and Tele-training for Surgery in the Era of COVID-19: Existing Challenges, and Future Vision. Front Robot AI, 14(8), 1-9. https://doi.org/10.3389/frobt.2021.610677
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  • [20] Malik, M.H., Brinjikji, W. 2022. Feasibility of Telesurgery in the Modern Era. The Neuroradiology Journal, 35(4), 423-426. https://doi.org/10.1177/19714009221083141
  • [21] Lacy, A.M., Bravo, R., Otera-Pineiro, A.M., et al. 2019. 5G-assisted Telementored Surgery. The British Journal of Surgery, 106(12), 1576-1579. https://doi.org/10.1002/bjs.11364
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  • [23] Mcintyre, T.P., Monahan, T.S., Villegas, L., Doyle, J., Jones, D.B. 2018. Teleconferencing Surgery Enhances Effective Communication and Enriches Medical Education. Surgical Laparoscopy Endoscopy Percutaneous Techniques, 18(1), 45-48. https://doi.org/10.1097/SLE.0b013e31815746a8
  • [24] Stetson, W.B., Polinsky, S., Dilbeck, S., Chung, B.C. 2022. The Use of Telesurgery Mentoring and Augmented Reality to Teach Arthroscopy. Arthrosc Tech., 11(2), e203-e207. https://doi.org/ 10.1016/j.eats.2021.10.008
  • [25] Dekastle, R. 2009. Telesurgery: Providing Remote Surgical Observations for Students. AORN Journal, 90(1), 93-101. https://doi.org/ 10.1016/j.aorn.2009.03.020
  • [26] Heyes, R., Hachach-Haram, N., Luck, J.E., Billingsley, M.L., Greenfield, M.J. 2017. The Role of Augmented Reality Telesurgery in Promoting Equity in Global Surgery. Diversity and Equality in Health and Care, 14(3), 119-121. https://doi.org/10.21767/2049-5471.1000101
  • [27] Salibaa, V., Legido-Quigley, H., Hallikb, R., Aaviksoo, A., Car, J., McKee, M. 2012. Telemedicine across Borders: S systematic Review of Factors that Hinder or Support Implementation. International Journal of Medical Informatics, 81(12), 793-809. https://doi.org/10.1016/j.ijmedinf.2012.08.003
  • [28] Sood, S. 2006. Telesurgery. Wiley Encyclopedia of Biomedical Engineering. https://doi.org/10.1002/9780471740360.ebs1438
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  • [30] Choi, P.J., Oskouian, R.J., Tubbs, R. 2018. Telesurgery: Past, Present, and Future. Cureus, 10(5), e2716. https://doi.org/10.7759/cureus.2716
  • [31] Petropoulou, S.G., Bekakos, M.P. 2010. Current Medical Digital Applications-telesurgery. Health Informatics Laboratory, Department of Nursing, National and Capodistrian University of Athens, Hellas, pp 2-8.
  • [32] Roy, S., Evans, C. 2016. Overview of Robotic Colorectal Surgery: Current and Future Practical Developments. World Journal of Gastrointestinal Surgery, 8(2), 143-150. https://doi.org/10.4240/wjgs.v8.i2.143
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The New Dimension of Surgery: Telesurgery and Surgical Nursing

Yıl 2024, Cilt: 15 Sayı: 2, 300 - 308, 28.08.2024
https://doi.org/10.22312/sdusbed.1423302

Öz

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.

Kaynakça

  • [1] Cam, O., Kacmaz, E. 2018. Tele-health Practice and Use in Psychiatry Nursing. Turkiye Klinikleri Journal of Nursing Sciences, 10(4), 363-369. https://doi.org/10.5336/nurses.2018-59821
  • [2] Ozkan, S., Asar, A.S. 2022. Telehealth Applications in Surgical Nursing. Ege Universitesi Hemsirelik Fakultesi Dergisi, 38(1), 43-48. https://doi.org/10.53490/egehemsire.777580
  • [3] Sungur, C. 2020. Patient Satisfaction in Telemedicine Applications: A Systematic Review Study. Hacettepe Journal of Health Administration, 23(3), 505-522. e-ISSN: 2148-9041
  • [4] Bailo, P., Gibelli, F., Blandino, A., Piccinini, A., Ricci, G., Sirignano, A., Zoja, R. 2021. Telemedicine Applications in the Era of COVID-19: Telesurgery Issues. Int J Environ Res Public Health, 19(1), 323. https://doi.org/10.3390/ijerph19010323
  • [5] Korkmaz, S., Hosman, I. 2018. Telemedicine Applications in Health Sector: A Research in Volving Telemedicine Application Dimensions. International Journal of Health Management and Strategied Research, 4(3), 251-263. ISSN-2149-6161
  • [6] Pazar, B., Tastan, S., Iyigun, E. 2015. Roles of Nurses in Tele-health Services. Medical Journal of Bakırkoy, 11(1), 1-4. https://doi.org/10.5350/BTDMJB201511101
  • [7] Arpag, N., Kanan, N. 2019. Tele Intensive Care Nursing. Journal of Nursing Science, 2(1), 32–36.
  • [8] Neville, C.W. 2018. Telehealth: A Balanced Look at Incorporating This Technology Into Practice. SAGE Open Nurs, 23(4), 1-5. https://doi.org/10.1177/2377960818786504
  • [9] Yavuz Karamanoglu, A. 2022. Telesurgery and Responsibilities of the Nurses. EJONS International Journal on Mathematic, Engineering and Natural Sciences, 6(21), 328–338. https://doi.org/10.38063/ejons.629
  • [10] Kostekli, S., Celik, S., Karahan, E. 2020. The Importance of Nursing Care of the Surgical Patient with Tele-health Method after Discharge. Cerrahi Ameliyathane Sterilizasyon Enfeksiyon Kontrol Hemsireligi Dergisi, 1(1), 30-38. ISSN: 2717-8366
  • [11] Feizi, N., Tavakoli, M., Patel, R.V., Atashzar, F. 2021. Robotics and AI for Teleoperation, Tele-assessment, and Tele-training for Surgery in the Era of COVID-19: Existing Challenges, and Future Vision. Front Robot AI, 14(8), 1-9. https://doi.org/10.3389/frobt.2021.610677
  • [12] Maleki, M., Masood Mousavi, S., Khosravizadeh, O., Heidari, M., Raadabadi, M., Jahanpour, M. 2018. Factors Affecting Use of Telemedicine and Telesurgery in Cancer Care (TTCC) among Specialist Physicians. Asian Pac J Cancer Prev, 19(11), 3123-3129. https://doi.org/10.31557/APJCP.2018.19.11.3123
  • [13] Ozman, O. 2020. 5G Uzaktan Cerrahi. In: Ozlu C (ed) Sağlıkta Yeni Nesil Teknolojiler, Akademisyen Yayın, Ankara, p. 119-124.
  • [14] Jin, M.L., Brown, M.M., Patwa, D., Nirmalan, A., Edwards, P.A. 2021. Telemedicine, Telementoring, and Telesurgery for Surgical Practices. Current Problems in Surgery, 58(12), 100986. https://doi.org/10.1016/j.cpsurg.2021.100986
  • [15] Singh, S.K., Sharma, J., Joshua, L.M., Huda, F., Kumar, N., Basu, S. 2022. Telesurgery and Robotics: Current Status and Future Perspectives. In: Wang TC (ed) Telehealth/telemedicine–the far-reaching Medicine for Everyone and Everywhere. IntechOpen. https://doi.org/10.5772/intechopen.100663
  • [16] Niu, H. 2023. Application and Prospect of Telesurgery: The Role of Artificial Intelligence. In: Stawicki, S.P. (ed) Artificial Intelligence in Medicine and Surgery - An Exploration of Current Trends, Potential Opportunities, and Evolving Threats, Volume 1. IntechOpen. https://doi.org/10.5772/intechopen.111494
  • [17] Lane, T. 2018. A Short History of Robotic Surgery. The annals of the Royal College of Surgeons of England, 100(6 sup): 5-7. https://doi.org/10.1308/rcsann.supp1.5
  • [18] Arora, S., Allahbadia, G.N. 2007. Telesurgery: Windows of Opportunity. International Journal of Health Sciences (Qassim), 1(1), 81-88. PMCID: PMC3068656, PMID:21475455
  • [19] Marescaux, J., Leroy, J., Rubino, F., Smith, M., Vix, M., Simon, M., et al. 2002. Transcontinental Robot-assisted Remote Telesurgery: Feasibility and Potential Applications. Annals of Surgery, 235(4), 487-492. https://doi.org/10.1097/00000658-200204000-00005
  • [20] Malik, M.H., Brinjikji, W. 2022. Feasibility of Telesurgery in the Modern Era. The Neuroradiology Journal, 35(4), 423-426. https://doi.org/10.1177/19714009221083141
  • [21] Lacy, A.M., Bravo, R., Otera-Pineiro, A.M., et al. 2019. 5G-assisted Telementored Surgery. The British Journal of Surgery, 106(12), 1576-1579. https://doi.org/10.1002/bjs.11364
  • [22] Bogen, E.M., Augestad, K.M., Patel, H.R., Lindsetmo, R. 2014. Telementoring in Education of Laparoscopic Surgeons: An Emerging Technology. World J Gastrointest Endosc., 6(5), 148-155. https://doi.org/10.4253/wjge.v6.i5.148
  • [23] Mcintyre, T.P., Monahan, T.S., Villegas, L., Doyle, J., Jones, D.B. 2018. Teleconferencing Surgery Enhances Effective Communication and Enriches Medical Education. Surgical Laparoscopy Endoscopy Percutaneous Techniques, 18(1), 45-48. https://doi.org/10.1097/SLE.0b013e31815746a8
  • [24] Stetson, W.B., Polinsky, S., Dilbeck, S., Chung, B.C. 2022. The Use of Telesurgery Mentoring and Augmented Reality to Teach Arthroscopy. Arthrosc Tech., 11(2), e203-e207. https://doi.org/ 10.1016/j.eats.2021.10.008
  • [25] Dekastle, R. 2009. Telesurgery: Providing Remote Surgical Observations for Students. AORN Journal, 90(1), 93-101. https://doi.org/ 10.1016/j.aorn.2009.03.020
  • [26] Heyes, R., Hachach-Haram, N., Luck, J.E., Billingsley, M.L., Greenfield, M.J. 2017. The Role of Augmented Reality Telesurgery in Promoting Equity in Global Surgery. Diversity and Equality in Health and Care, 14(3), 119-121. https://doi.org/10.21767/2049-5471.1000101
  • [27] Salibaa, V., Legido-Quigley, H., Hallikb, R., Aaviksoo, A., Car, J., McKee, M. 2012. Telemedicine across Borders: S systematic Review of Factors that Hinder or Support Implementation. International Journal of Medical Informatics, 81(12), 793-809. https://doi.org/10.1016/j.ijmedinf.2012.08.003
  • [28] Sood, S. 2006. Telesurgery. Wiley Encyclopedia of Biomedical Engineering. https://doi.org/10.1002/9780471740360.ebs1438
  • [29] Mishra, S.K. 2005. Application of Telemedicine in Surgery. Telemedicine Manual, Bangalore: Indian Space Research Organization, pp 83-90.
  • [30] Choi, P.J., Oskouian, R.J., Tubbs, R. 2018. Telesurgery: Past, Present, and Future. Cureus, 10(5), e2716. https://doi.org/10.7759/cureus.2716
  • [31] Petropoulou, S.G., Bekakos, M.P. 2010. Current Medical Digital Applications-telesurgery. Health Informatics Laboratory, Department of Nursing, National and Capodistrian University of Athens, Hellas, pp 2-8.
  • [32] Roy, S., Evans, C. 2016. Overview of Robotic Colorectal Surgery: Current and Future Practical Developments. World Journal of Gastrointestinal Surgery, 8(2), 143-150. https://doi.org/10.4240/wjgs.v8.i2.143
  • [33] Carpenter, B.T., Sundaram, C.P. 2017. Training the Next Generation of Surgeons in Robotic Surgery. Robotic Surgery: Research and Reviews, pp 39-44. https://doi.org/10.2147/RSRR.S70552
  • [34] Xu, S., Perez, M., Yang, K., Perrenot, C., Felblinger, J., Hubert, J. 2014. Determination of the Latency Effects on Surgical Performance and Acceptable Latency Levels in Telesurgery Using the dVTrainer ((R)) Simulator. Surgical Endoscopy, 28, 2569-2576. https://doi.org/10.1007/s00464-014-3504-z
  • [35] Aksoy, G. 2017. Ameliyat Oncesi Hemsirelik Bakımı. In: Aksoy G, Kanan N, Akyolcu N (ed) Cerrahi Hemsireligi I. Nobel Tıp Yayın, Istanbul, pp 257-297. ISBN-9786053356561
  • [36] Kanan, N. 2017. Ameliyat Sırası Hemsirelik Bakımı. In: Aksoy G, Kanan N, Akyolcu N (ed) Cerrahi Hemsireliği I. Nobel Tıp Yayın, Istanbul, pp 301-331. ISBN-9786053356561
  • [37] Akyolcu, N. 2017. Ameliyat Sonrası Hemsirelik Bakımı. In: Aksoy G, Kanan N, Akyolcu N (ed) Cerrahi Hemsireligi I. Nobel Tıp Yayın, Istanbul, pp 335-364. ISBN-9786053356561
  • [38] Da Silva Schulz, R., Santana, R. F., Dos Santos, C. T. B., Faleiro, T. B., do Amaral Passarelles, D. M., Hercules, A. B. S., & do Carmo, T. G. 2020. Telephonic nursing intervention for laparoscopic cholecystectomy and hernia repair: A randomized controlled study. BMC nursing, 19, 1-9. https://doi.org/10.1186/s12912-020-00432-y
  • [39] Sandberg, C.E.J., Knight, S.R., Qureshi, A.U., Pathak, S. 2019. Using Telemedicine to Diagnose Surgical Site Infections in Low- and Middle-income Countries: Systematic Review. JMIR Mhealth Uhealth, 7(8), e13309. https://doi.org/10.2196/13309
  • [40] Pathak, A., Sharma, S., Mahadik, V.K. 2015. Feasibility of A Mobile Phone-based Surveillance for Surgical Site Infections in Rural India. Telemedicine Journal and e-Health, 21(11), 946-949. https://doi.org/10.1089/tmj.2014.0199
  • [41] Nandra, K., Koenig, G., DelMastro, A., Mishler, E.A., Hollander, J.E., Yeo, C.J. 2019. Telehealth Provides a Comprehensive Approach to the Surgical Patient. The American Journal of Surgery, 218(3), 476-479. https://doi.org/10.1016/j.amjsurg.2018.09.020
  • [42] Culligan, M., Friedberg, J., Black, L., Wimbush, S., Norton, C., Burrows, W. 2019. Tele Nursing: A Thorasic Surgery Nursing Initiative Aimed at Decreasing Hospital Readmissions and Increasing Patient Satisfaction. Journal of Thoraciconcology, 12(1), 1097‐1098.https://doi.org/10.1016/j.jtho.2016.11.1534
  • [43] Shahrokhi, A., Azimian, J., Amouzegar, A., Oveisi, S. 2018. The Effect of Telenursing on Referral Rates of Patients with Head Trauma and Their Family's Satisfaction after Discharge. Journal of Trauma Nursing, 25(4), 248-253. https://doi.org/10.1097/JTN.0000000000000382
  • [44] Langer, D. 2015. Rehabilitation in Patients before and after Lung Transplantation. Thematic Review Series, 89(5)3, 53-62. https://doi.org/10.1159/000430451
  • [45] Kahn, E., Marca, F., Mazzola, C.A. 2016. Neurosurgery and Telemedicine in the United States of America: Assessment of the Risks and Opportunities. World Neurosurgical, 89, 133-138. https://doi.org/10.1016/j.wneu.2016.01.075
Toplam 45 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Cerrahi Hastalıklar Hemşireliği
Bölüm Derlemeler
Yazarlar

Kıymet Öztepe Yeşilyurt 0000-0003-4106-8864

Yayımlanma Tarihi 28 Ağustos 2024
Gönderilme Tarihi 24 Ocak 2024
Kabul Tarihi 9 Haziran 2024
Yayımlandığı Sayı Yıl 2024 Cilt: 15 Sayı: 2

Kaynak Göster

Vancouver Öztepe Yeşilyurt K. The New Dimension of Surgery: Telesurgery and Surgical Nursing. Süleyman Demirel Üniversitesi Sağlık Bilimleri Dergisi. 2024;15(2):300-8.

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