Vara Alexander D, Wu John, Shin Alexander Y, Sobol Gregory, Wiater Brett
Department of Orthopaedic Surgery, Beaumont Health System, Royal Oak, MI.
Department of Orthopaedic Surgery, Mayo Clinic, Rochester, MN.
J Hand Surg Am. 2016 Oct;41(10):e383-e387. doi: 10.1016/j.jhsa.2016.07.103. Epub 2016 Aug 25.
Video recordings of surgical procedures are an excellent tool for presentations, analyzing self-performance, illustrating publications, and educating surgeons and patients. Recording the surgeon's perspective with high-resolution video in the operating room or clinic has become readily available and advances in software improve the ease of editing these videos. A GoPro HERO 4 Silver or Black was mounted on a head strap and worn over the surgical scrub cap, above the loupes of the operating surgeon. Five live surgical cases were recorded with the camera. The videos were uploaded to a computer and subsequently edited with iMovie or the GoPro software. The optimal settings for both the Silver and Black editions, when operating room lights are used, were determined to be a narrow view, 1080p, 60 frames per second (fps), spot meter on, protune on with auto white balance, exposure compensation at -0.5, and without a polarizing lens. When the operating room lights were not used, it was determined that the standard settings for a GoPro camera were ideal for positioning and editing (4K, 15 frames per second, spot meter and protune off). The GoPro HERO 4 provides high-quality, the surgeon perspective, and a cost-effective video recording of upper extremity surgical procedures. Challenges include finding the optimal settings for each surgical procedure and the length of recording due to battery life limitations.
手术过程的视频记录是用于演讲、分析自身表现、为出版物配图以及教育外科医生和患者的绝佳工具。在手术室或诊所使用高分辨率视频记录外科医生的视角已变得轻而易举，并且软件的进步提高了编辑这些视频的便捷性。将一台GoPro HERO 4银色版或黑色版安装在头带上，戴在手术医生的手术帽上，位于放大镜上方。用该摄像机记录了5例现场手术病例。视频被上传到电脑上，随后用iMovie或GoPro软件进行编辑。当使用手术室灯光时，银色版和黑色版的最佳设置被确定为窄视角、1080p、每秒60帧（fps）、点测光开启、Protune开启并设置自动白平衡、曝光补偿为-0.5且不使用偏光镜。当不使用手术室灯光时，确定GoPro相机的标准设置对于定位和编辑是理想的（4K、每秒15帧、点测光和Protune关闭）。GoPro HERO 4能提供高质量的、外科医生视角的以及性价比高的上肢手术过程视频记录。挑战包括为每个手术过程找到最佳设置以及由于电池寿命限制而确定记录时长。
