Wanees Andrew, Bhakar Ranj, Tamanna Rezuana, Jenny Nur, Abdelglil Momen, Ali Mohamed A, Pillai Gowri M, Amin Amina, Sundarraj Jeeva K, Abdelmasih Hany, Mithany Reda H
General Surgery, Ain Shams University Hospitals, Cairo, EGY.
Trauma and Orthopedics, Torbay Hospital, Torbay, GBR.
Cureus. 2024 Dec 20;16(12):e76099. doi: 10.7759/cureus.76099. eCollection 2024 Dec.
Telemedicine in surgical care has undergone rapid advancements in recent years, leveraging technologies such as telerobotics, artificial intelligence (AI) diagnostics, and wearable devices to facilitate remote evaluation and monitoring of patients. These innovations have improved access to care, reduced costs, and enhanced patient satisfaction. However, significant challenges remain, including technical barriers, limited tactile feedback in telesurgery, and inequities arising from digital literacy and infrastructure gaps. The rapid integration of telemedicine in surgical care necessitates a comprehensive understanding of its advancements, challenges, and implications. This review aims to consolidate existing knowledge, identify gaps, and highlight future research directions. The COVID-19 pandemic underscored telemedicine's potential, accelerating its adoption across healthcare systems worldwide. Despite these advancements, issues such as inconsistent reimbursement policies and challenges in integrating telemedicine into existing healthcare systems hinder its widespread adoption. Future research should prioritize the integration of AI, advancements in telepresence, and solutions to socioeconomic barriers to solidify telemedicine's role in global surgical care and enhance patient safety.
近年来，外科护理中的远程医疗取得了迅速进展，利用远程机器人技术、人工智能（AI）诊断和可穿戴设备等技术，以促进对患者的远程评估和监测。这些创新改善了医疗服务的可及性，降低了成本，并提高了患者满意度。然而，重大挑战依然存在，包括技术障碍、远程手术中有限的触觉反馈，以及数字素养和基础设施差距导致的不平等。远程医疗在外科护理中的迅速整合需要全面了解其进展、挑战和影响。本综述旨在巩固现有知识，识别差距，并突出未来的研究方向。COVID-19大流行凸显了远程医疗的潜力，加速了其在全球医疗系统中的采用。尽管有这些进展，但报销政策不一致以及将远程医疗整合到现有医疗系统中面临的挑战等问题阻碍了其广泛采用。未来的研究应优先考虑人工智能的整合、远程临场感的进展，以及解决社会经济障碍的方案，以巩固远程医疗在全球外科护理中的作用，并提高患者安全性。
