The Role of Augmented Reality in the Next Phase of Surgical Education

Overview

Journal Plast Reconstr Surg Glob Open

Specialty General Surgery

Date 2022 Nov 9

PMID 36348749

Authors

Mark S Shafarenko

Joseph Catapano

Stefan O P Hofer

Blake D Murphy

Affiliations

Soon will be listed here.

Abstract

Concomitant with such a shift toward competency-based curricula, there has been increasing adoption of surgical simulation coupled with virtual, mixed, and augmented reality. These technologies have become more commonplace across multiple surgical disciplines, in domains such as preoperative planning, surgical education, and intraoperative navigation. However, there is a relative paucity of literature pertaining to the application of this technology to plastic surgery education. This review outlines the advantages of mixed and augmented reality in the pursuit of an ideal simulation environment, their benefits for the education of plastic surgery trainees, and their role in standardized assessments. In addition, we offer practical solutions to commonly encountered problems with this technology. Augmented reality has tremendous untapped potential in the next phase of plastic surgery education, and we outline steps toward broader implementation to enhance the learning environment for our trainees and to improve patient outcomes.

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References

Botden S, Buzink S, Schijven M, Jakimowicz J . Augmented versus virtual reality laparoscopic simulation: what is the difference? A comparison of the ProMIS augmented reality laparoscopic simulator versus LapSim virtual reality laparoscopic simulator. World J Surg. 2007; 31(4):764-72. PMC: 1913183. DOI: 10.1007/s00268-006-0724-y. View

Janis J, Vedder N, Reid C, Gosman A, Mann K . Validated Assessment Tools and Maintenance of Certification in Plastic Surgery: Current Status, Challenges, and Future Possibilities. Plast Reconstr Surg. 2016; 137(4):1327-1333. DOI: 10.1097/PRS.0000000000002038. View

Casari F, Navab N, Hruby L, Kriechling P, Nakamura R, Tori R . Augmented Reality in Orthopedic Surgery Is Emerging from Proof of Concept Towards Clinical Studies: a Literature Review Explaining the Technology and Current State of the Art. Curr Rev Musculoskelet Med. 2021; 14(2):192-203. PMC: 7990993. DOI: 10.1007/s12178-021-09699-3. View

Agrawal N, Turner A, Grome L, Abu-Ghname A, Davis M, Reece E . Use of Simulation in Plastic Surgery Training. Plast Reconstr Surg Glob Open. 2020; 8(7):e2896. PMC: 7413819. DOI: 10.1097/GOX.0000000000002896. View

Kanevsky J, Safran T, Zammit D, Lin S, Gilardino M . Making Augmented and Virtual Reality Work for the Plastic Surgeon. Ann Plast Surg. 2018; 82(4):363-368. DOI: 10.1097/SAP.0000000000001594. View

Olsson P, Nysjo F, Rodriguez-Lorenzo A, Thor A, Hirsch J, Carlbom I . Haptics-assisted Virtual Planning of Bone, Soft Tissue, and Vessels in Fibula Osteocutaneous Free Flaps. Plast Reconstr Surg Glob Open. 2015; 3(8):e479. PMC: 4560212. DOI: 10.1097/GOX.0000000000000447. View

Zhu M, Liu F, Zhou C, Lin L, Zhang Y, Chai G . Does intraoperative navigation improve the accuracy of mandibular angle osteotomy: Comparison between augmented reality navigation, individualised templates and free-hand techniques. J Plast Reconstr Aesthet Surg. 2018; 71(8):1188-1195. DOI: 10.1016/j.bjps.2018.03.018. View

Ruikar D, Hegadi R, Santosh K . A Systematic Review on Orthopedic Simulators for Psycho-Motor Skill and Surgical Procedure Training. J Med Syst. 2018; 42(9):168. DOI: 10.1007/s10916-018-1019-1. View

McKnight R, Pean C, Buck J, Hwang J, Hsu J, Pierrie S . Virtual Reality and Augmented Reality-Translating Surgical Training into Surgical Technique. Curr Rev Musculoskelet Med. 2020; 13(6):663-674. PMC: 7661680. DOI: 10.1007/s12178-020-09667-3. View

10.

Leblanc F, Champagne B, Augestad K, Neary P, Senagore A, Ellis C . A comparison of human cadaver and augmented reality simulator models for straight laparoscopic colorectal skills acquisition training. J Am Coll Surg. 2010; 211(2):250-5. DOI: 10.1016/j.jamcollsurg.2010.04.002. View

11.

Kapp C, Akulian J, Yu D, Chen A, Cardenas-Garcia J, Molena D . Cognitive Load in Electromagnetic Navigational and Robotic Bronchoscopy for Pulmonary Nodules. ATS Sch. 2021; 2(1):97-107. PMC: 8043265. DOI: 10.34197/ats-scholar.2020-0033OC. View

12.

Chimenti P, Mitten D . Google Glass as an Alternative to Standard Fluoroscopic Visualization for Percutaneous Fixation of Hand Fractures: A Pilot Study. Plast Reconstr Surg. 2015; 136(2):328-330. DOI: 10.1097/PRS.0000000000001453. View

13.

Pietruski P, Majak M, Swiatek-Najwer E, Zuk M, Popek M, Jaworowski J . Supporting fibula free flap harvest with augmented reality: A proof-of-concept study. Laryngoscope. 2019; 130(5):1173-1179. DOI: 10.1002/lary.28090. View

14.

Vera A, Russo M, Mohsin A, Tsuda S . Augmented reality telementoring (ART) platform: a randomized controlled trial to assess the efficacy of a new surgical education technology. Surg Endosc. 2014; 28(12):3467-72. DOI: 10.1007/s00464-014-3625-4. View

15.

Logishetty K, Western L, Morgan R, Iranpour F, Cobb J, Auvinet E . Can an Augmented Reality Headset Improve Accuracy of Acetabular Cup Orientation in Simulated THA? A Randomized Trial. Clin Orthop Relat Res. 2018; 477(5):1190-1199. PMC: 6494316. DOI: 10.1097/CORR.0000000000000542. View

16.

Williams M, McVeigh J, Handa A, Lee R . Augmented reality in surgical training: a systematic review. Postgrad Med J. 2020; 96(1139):537-542. DOI: 10.1136/postgradmedj-2020-137600. View

17.

Flores R, Deluccia N, Oliker A, McCarthy J . Creating a virtual surgical atlas of craniofacial procedures: Part II. Surgical animations. Plast Reconstr Surg. 2010; 126(6):2093-2101. DOI: 10.1097/PRS.0b013e3181f5289f. View

18.

Thomson J, Poudrier G, Stranix J, Motosko C, Hazen A . Current status of simulation training in plastic surgery residency programs: A review. Arch Plast Surg. 2018; 45(5):395-402. PMC: 6177637. DOI: 10.5999/aps.2017.01585. View

19.

Khelemsky R, Hill B, Buchbinder D . Validation of a Novel Cognitive Simulator for Orbital Floor Reconstruction. J Oral Maxillofac Surg. 2016; 75(4):775-785. DOI: 10.1016/j.joms.2016.11.027. View

20.

Badiali G, Ferrari V, Cutolo F, Freschi C, Caramella D, Bianchi A . Augmented reality as an aid in maxillofacial surgery: validation of a wearable system allowing maxillary repositioning. J Craniomaxillofac Surg. 2014; 42(8):1970-6. DOI: 10.1016/j.jcms.2014.09.001. View