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首页> 外文期刊>European Journal of Obstetrics, Gynecology and Reproductive Biology: An International Journal >NEST (network enhanced surgical training): a PC-based system for telementoring in gynaecological surgery.
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NEST (network enhanced surgical training): a PC-based system for telementoring in gynaecological surgery.

机译：NEST（网络增强型外科手术培训）：用于妇科手术的远程指导的基于PC的系统。

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OBJECTIVES: To develop and describe NEST (network enhanced surgical training), an affordable and easily reproducible telementoring system. STUDY DESIGN: We have developed the system around two standard personal computers: a desktop computer for the surgeon in the operating room (OR), equipped with a digital video-capture system; and a laptop computer for a mentor outside the OR. In an attempt to reduce the costs, freeware software has been tested and chosen to allow visual and audio interaction between the two computers. No IT technicians were involved in the process at any stage. RESULTS: Following 6 months of hardware and software testing, we have successfully developed NEST (network enhanced surgical training), an affordable telementoring system based on two standard personal computers connected through an Ethernet cable. We tried NEST during the whole range of gynaecologic interventions performed in our unit, including abdominal, vaginal and laparoscopic surgery. We also successfully used NEST to provide visual access to the operative field to medical students and endoscopy workshop delegates. In addition, we also used NEST to simulate telementoring during pelvi-trainer sessions in our endoscopy skills laboratory. Surgeons' interaction through NEST seems reliable since the mentor's instructions, both vocal and visual (by pointing at landmarks), were always followed on time by the surgeon during our tests. CONCLUSIONS: We believe that surgical telementoring deserves attention and our NEST system could be an ideal tool for studies on telementoring in safe environments. In its simplest incarnation with the mentor "next-door", just outside the operating theatre, he/she could intervene at any stage if necessary. Moreover, NEST is affordable and reproducible as it is based solely on two standard personal computers, a video-capture system, an Ethernet cable, and two freeware computer programs.
机译：目的：开发和描述NEST（网络增强型外科手术培训），这是一种价格合理且易于复制的远程辅导系统。研究设计：我们围绕两个标准的个人计算机开发了该系统：一台用于手术室（OR）的外科医生的台式计算机，配有数字视频捕获系统;或在OR以外为指导者使用的膝上型计算机。为了降低成本，已经测试并选择了免费软件，以允许两台计算机之间进行视觉和音频交互。任何阶段都没有IT技术人员参与该过程。结果：经过6个月的硬件和软件测试，我们成功开发了NEST（网络增强型外科培训），这是一种经济实惠的远程辅导系统，其基于通过以太网电缆连接的两台标准个人计算机。在我们单位进行的所有妇科生态干预措施中，包括腹部，阴道和腹腔镜手术，我们尝试了NEST。我们还成功地使用NEST为医学生和内窥镜检查车间的代表提供了对手术区域的可视通道。此外，在我们的内窥镜技能实验室中，我们还使用NEST模拟骨盆教练训练期间的远程指导。外科医生通过NEST进行的互动似乎是可靠的，因为在我们的测试过程中，外科医生始终会按时遵循指导者的声音和视觉指示（通过指向地标）。结论：我们认为外科遥诊值得关注，我们的NEST系统可以成为在安全环境中进行遥诊研究的理想工具。在手术室外面，导师“隔壁”最简单的化身是，如有必要，他/她可以在任何阶段进行干预。而且，NEST仅基于两台标准个人计算机，一台视频捕获系统，一条以太网电缆和两个免费软件计算机程序，因此价格合理且可重复。

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