Fetal endoscopic telesurgery using an Internet Protocol connection: clinical and technical challenges.

F. Y. Chan, B. Soong, A. Taylor, P. Bornick, M. Allen, R. Cincotta, R. Quintero

Research output: Contribution to journalArticle

8 Scopus citations

Abstract

Until recently, fetoscopic laser surgery to seal the placental anastomoses that cause severe twin-to-twin transfusion syndrome has been available in only a few centres worldwide. The technique typically takes a long time to learn. We have used a dedicated Internet Protocol (IP) connection for tele-education to assist the introduction of fetoscopic laser surgery to Australia. During the implementation of the international telemedicine link, there were multiple clinical and technical problems, which were eventually overcome. The quality of images and of video-sequences was comparable to that supported by an ISDN connection. Pictures of live surgery performed by an expert in Florida, USA, were transmitted and viewed by a novice team in Brisbane, Australia. The Australian team has performed 19 fetoscopic laser operations to date. Preliminary results are comparable to those from centres that have performed over 100 procedures.

Original languageEnglish (US)
Pages (from-to)S12-14
JournalJournal of telemedicine and telecare
Volume9 Suppl 2
DOIs
StatePublished - 2003

ASJC Scopus subject areas

  • Health Informatics

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