The application comprises of three aspects:

Surgical Staffs

Constraints to share knowledge and know-how of surgical teams, in real time, concerning a peculiar case are very heavy. This imposes the transmission of high quality live pictures with a definition, rendering of colours and animation identical to that which would have been obtained directly in the initial operating room. Only by these means will the "enhancement of chance" for the patient be more than anecdotal. This immediate transmission of still pictures (radiographs, scanners, NMR pictures, ultrasound pictures, histological slides) as well as dynamic pictures (external camera, laparoscopic camera) calls for simultaneous access during the staff.

Surgical Hot-line

Today, each hospital lives on its own, which is even more true for the admission of emergencies. Advice by phone is in the great majority of cases internal to every team on the topic of emergencies. But the opening to other ways of thinking and patient management is at the root of any possible evolution in therapeutic attitudes.

The surgeon in his emergency ward will use the same kind of tools as for the staff meetings regarding management of the video materials:

Another approach to this Hot-line concept is the regionalisation of hyper-specialised surgical advice, where a surgeon will offer his suggestions on highly specialised care in a specific field as well as on the necessity of transfer to a competence centre. One of the applications of this concept could include multidisciplinary on-line discussions of complicated cancer cases, with regional medical authorities giving advice on therapeutic strategies, another application could be on-line management of trauma cases before admission to specialised centres.

Teleteaching and Teletraining

Creation of several hypermedia surgical databases will optimise the initial teaching of the surgical speciality by introducing the video picture and commentary on demand, which will free the learning surgeon from the total dependence on his trainer. This will permit the trainee to deepen the topics he needs to develop. University hospitals will be asked to develop these databases in their general field of work as well as in the more specialised procedures of the specific clinical unit. This specialised database will then be made available to all the other partners.

Thus a European teaching program in teletraining for telesurgery will be in place, through international databases, allowing a standardisation of the surgical initial teaching and permanent training.

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Universitätsrechenzentrum Basel / Dieter Glatz