Telemedicine facilitates surgical training in placenta accreta spectrum

Albaro Jose Nieto-Calvache, Jose Miguel Palacios-Jaraquemada, Lorgio Rudy Aguilera, William Arriaga, Alejandro Colonia, Rozi Aditya Aryananda, Alejandro Solo Nieto-Calvache, Juliana Maya, Lina Maria Vergara-Galliadi, Adriana Messa Bryon

Research output: Contribution to journalArticlepeer-review

7 Citations (Scopus)

Abstract

Objective: The training of groups responsible for managing patients with placenta accreta spectrum (PAS) is complex because of the lack of hospitals with a high flow of patients and absence of formal educational programs. We report here the results of a virtual training program (VTP) that implemented one-step conservative surgery (OSCS). Methods: A prospective observation study of OSCS VTP between three expert groups and PAS reference hospitals without experience in OSCS was performed. Accessible or cost-efficient web meeting platforms were used to implement the VTP components: baseline observation of the participant's prior knowledge; instructions about essential PAS surgery topics; case selection and joint planning of surgery; expert group “telepresence” during surgery and postoperative debriefing. Results: One-step conservative surgery was performed successfully at six hospitals. All patients had increta/percreta with a median intraoperative bleeding of 1300 ml (IQR 825–2325) and surgical time of 184 min (IQR 113–240). All groups considered the VTP very useful (n = 33, 97%) or useful (n = 1, 3%), they would use it again (definitely: n = 27, 81.8%; or probably: n = 6, 18.2%), and they would recommend it to other colleagues. Conclusion: Tele education and telepresence during PAS surgery facilitates the implementation of OSCS in selected cases.

Original languageEnglish
Pages (from-to)137-144
Number of pages8
JournalInternational Journal of Gynecology and Obstetrics
Volume158
Issue number1
DOIs
Publication statusPublished - Jul 2022

Keywords

  • eHealth
  • mHealth
  • placenta accreta
  • telemedicine

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