FUTURE SURGE RY iM Med - Advert - Clinical Services Journal - Third Page - iM CleanEST
Dr. Nadine Hachach-Haram FRCS (Plast), BEM – CEO and founder of Proximie, and consultant plastic surgeon and director of clinical innovation and strategic partnerships at GSTT, added: “Current challenges within healthcare risk our future workforce, training, and patient safety. Digitisation in health technology, layered on human interaction, can substantially help to solve these issues. Proximie was built to help address these challenges.”
Taking training on the road Other training opportunities were also offered at Future Surgery 2022. Ethicon, the surgical technologies company of Johnson & Johnson MedTech, took its hospital roadshow to the conference venue – providing hands-on training using the latest pioneering simulation technologies, including an immersive virtual reality experience to help theatre staff understand the role of biofilms in surgical site infections. The Ethicon roadshow has already visited 11 different regions, so far, and over 1,700 hospital staff have visited the bus. Parked in the exhibition hall, the double decker bus offered delegates an array of simulation opportunities – from laparoscopic surgery on 3D anatomical structures, to practising suturing skills on realistic ‘tissue’. CSJ’s editor took a tour of the training solutions onboard and spoke to Ethicon’s UK marketing director, Sandy Phillips, about the role industry can have in supporting training of the next generation of surgeons. He explained that post-pandemic there has been an increased demand for training. Ethicon wanted to support surgeons, across the country, through the use of bringing hands-on training to their door. At the same time, the company is seeking to raise awareness of how driving digital transformation is pivotal in supporting the NHS to provide better patient experiences and outcomes. “We have three simulators on the top deck. Historically, one of the ways of training laparoscopic techniques would be to use a live animal model. We have replaced this with a more sustainable and ethical approach, using realistic models (from Limbs & Things) that use synthetic fabrics. Surgeons can practise and advance their laparoscopic skills, and the models give a good representation of what it is like inside the abdomen,” he explained. During Future Surgery 2022, Ethicon had a consultant gynaecologist taking bookings from delegates to receive an hour of training – going through the steps of a procedure, obtaining advice and practising using the instruments. On the first day, over 20 trainees boarded the bus for these hands-on sessions. The training started by providing trainees with the opportunity to practise safe access
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to the abdomen using trocars, ensuring they are placed correctly. Delegates were then guided by the consultant on the anatomy, plotting a route for surgery, where to locate the incision and how to manipulate the tissue – receiving live feedback from the consultant, while they used the simulator on better approaches, the best instrument to use, and how long to use it for.
Sandy explained that training procedures can also be captured using digital technologies such as C-SATS, a video- based intelligent system. The technology is designed to help surgeons reduce outcomes variation through objective surgical analysis and individualised coaching. Using a combination of data, as well as analytics and human insights, the C-SATS platform provides crucial feedback to help surgeons improve surgical skills and techniques. “Machine learning also assesses the quality of the movements you are making with the instruments – are you weaving too much? Could you have greater efficiency in movement? “By observing thousands of procedures, it can automatically provide guidance on what you could do differently. It can even ‘prescribe’ specific training – like a personal trainer might offer a personalised ‘workout’ routine,” he explained. “A medical device is not going to solve the issues healthcare is facing, on its own. Patients expect on-demand care, clinicians are dealing with more complex disease, patients are presenting later, and the financial and time pressures facing healthcare providers are increasing – so, we need to evolve through the use of enabling technology that surrounds the theatre.” Other solutions demonstrated on
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Ethicon’s training zone included a digital, 3D model of a lung – offering surgeons enhanced visualisation and creating an ‘anatomical atlas’. “The ‘Visible Patient’ technology can take a flat CT scan and turn it into a 3D model of the patient’s anatomy and the tumour,” Sandy explained. “The surgeon can then map in advance and plan their surgical approach. Potentially, this could help the surgeon ‘step down’ the invasiveness of the procedure,” he explained. “The technology can also be used in discussions with the patient as a tool to help explain treatment options. However, eventually, this could even be used intraoperatively,” Sandy continued. Downstairs, on the bus, trainees had
the opportunity to practise their diathermy techniques, by removing segments of orange peel, while gaining a better understanding of the science behind this technology. “The technology is not as well understood as it could be,” Sand explained. “Users do not always understand the settings, why these
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