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The use of mobile devices has become increasingly popular in almost every aspect of life. Whether it is for communication, education, or recreation, they are progressively being seen as complimenting – if not replacing – the age-old personal computer. However, mobile devices are not limited to the personal space. We have now seen their emerging use in healthcare, which comprises of diverse issues to solve clinical problems and surgical education. Expanding access to the latest medical research at the point-of-care to communicating with surgeons globally in real time, surgery is now practiced in a technological era. We found that 94 % of Indian laparoscopic surgery trainees own a smartphone, with 61 % owning an iPhone. 89 % of trainees questioned had downloaded medical apps and used them regularly during clinical activities.

As mobile communications and related apps thrive, it is essential for surgeons to remain well informed. The emerging use of apps and mobile technologies in the healthcare setting has the potential to improve patient safety and reduce the alarming trend of rising medical error rates. Sometimes, finding apps that are relevant and useful can be a challenge. However, with LapGuru app that’s now available on the app store, this hurdle has largely been overcome. LapGuru app is designed to assist in point-of-care decisions, medical education and surgical training for Laparoscopic surgeons. While years of medical school are intended to prepare doctors for the operating room, the benefits of shared information and insights from seniors and colleagues working in the real world can’t be ignored. LapGuru app helps surgeons leverage this shared knowledge in multiple ways. Updates occur daily to provide the latest and most relevant information to the users.

LapGuru app currently features more than 2500 live surgery videos. Surgeons and their residents can refresh their knowledge of operative anatomy when preparing for procedures. It puts instant updates at surgeons’ fingertips when reference books may not be practical. For example, if you want to learn lap chole, there are more than 300 videos that probably show you all the possible variations that you will typically encounter in a lap chole. It applies to hernia, bariatric or any other procedure as well. It offers opportunities for surgeons to support preoperative, intraoperative and postoperative care. For trainees, this app is vital to satisfy surgical training requirements and may assist surgeons with documentation for practice purposes. Surgeons can also comment and ask questions while a live surgery transmission. They can also watch CME conferences live via the app.

There is ample opportunity for technology to advance healthcare on multiple levels. Empowering surgeons with the right tools allows them to play a more proactive role in patient care as they can have access to wider medical knowledge. As the next generation of technology-oriented laparoscopic surgeons progress through training and begin practicing, it appears inevitable that LapGuru app popularity and desirability will only grow.  LapGuru app will help improve surgical performance and safety, thus increasing the quality of medical care.

 

 

 

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Digital Technology has surfaced as the real force behind the transformation of India, and interventions using technology have transformed several industries, including banking, telecom, transportation, taxation etc. but healthcare continues to lag behind other industries in using technology with patients and doctors. Today, discoveries in medical science, advances in medical technologies, and enhancements in clinical practices are occurring at an increasingly rapid rate. Yet because of a fragmented healthcare delivery system, many patients are unable to benefit from these developments. It’s time we use technology as a force to drive major improvements in healthcare. At Meditorch Technologies, we have designed a platform called LapGuru that can help in achieving the 3 As of healthcare: accessibility, affordability and availability in Laparoscopic surgery through education, training and practice.

Healthcare suffers from the unintended consequences of continued prevalence of medical laxity. What happens at times is that the very solutions that were implemented to solve specific issues become the basis for further unanticipated problems. For example, a laparoscopic surgeon has to upgrade his knowledge and skill on a regular basis. In order to achieve excellence in his profession, he is required to enroll in various professional courses which could also mean that he may have to leave practice for a while to travel to a certain place to do a certain course. And if he has to manage so many things before he could join a course, he would probably think not to join it at all. So, these courses will have less participation, which is detrimental to the medical education system. But with LapGuru, there is no such challenge. Laparoscopic doctors can get access to the latest developments in laparoscopic surgeries at the click of a button. The benefits of enhanced knowledge and skill are transferred to the patient through better outcomes.

There is enormous potential for digital technology to improve many aspects of how we look at healthcare training and outcome. Digital learning and training tools have a definite role to play in not just training more doctors and enhancing their skills, but also enable them to deliver superior care to their patients. Prospects for using mobile technology have improved significantly in the last few years with the increase in the number of smartphone and tablet users. LapGuru platform and app enables the doctors to use digital technology to research information online, share experiences and identify treatment options, anytime, anywhere.

The increase in capability and decrease in costs of the technology means that financial barriers are becoming less of a concern. For example, medical seminars and conferences are considered an important learning tool for doctors. Many doctors, especially in rural areas can’t attend them just because they can’t afford the high expenses, i.e. spend a lot of money on travel and accommodation beside the regular fees for attending the seminar or conference. This is especially true for the doctors in developing countries. But with live video conferencing, LapGuru has provided a perfect solution. Doctors can watch the conferences at their own convenience from anywhere.

‘Everything should be made as simple as possible, but not simpler,’ said Albert Einstein. Technology is the harbinger of both, tremendous forces for change and tremendous opportunities for transformation. At LapGuru, we have been fairly successful in making use of technology to bring about a change in how laparoscopic surgery education is imparted to bring a transformation in patient care.

 

Digital Learning for Laparoscopic Surgeons

As a Doctor, you are destined to lifelong learning because even what’s considered a “best practice” in the profession can change drastically in a short span of time. Continuous exposure is important if you want to keep up with medical progress. Up to date knowledge and skill can ensure a high quality of patient care. Online training is an effective and cost-efficient resource in any field, but in the hands of health professionals like you, it has the power to save lives and significantly improve quality of care.

It is often said that expansion of the Internet is comparable with the significance of Gutenberg’s discovery of printing technology. While printing accelerated manipulation of information stored by then in the form of hand-written texts, the Internet enormously accelerated information manipulation by applying the today’s electronic technology.

Welcome to LapGuru, an advanced, flexible training and learning platform that provides Laparoscopic training videos for surgeons in a highly engaging manner right on any desktop, laptop or device. Applying the latest information technologies to laparoscopic surgery education, LapGuru takes advantage of the increasing availability of Internet access (using optical fibres, Wi-Fi and 3G/4G mobile phone technology).

The delivery advantages of LapGuru as an online platform are easily recognized: low costs, widespread distribution, increased accessibility to information, frequent content updates, and personalized instruction in terms of content and pace of learning are some of the most cited benefits of LapGuru.

On Demand & Highly Accessible

Learn at your own pace and availability, at work, at home, on the train or anywhere with an internet connection

Ground-breaking Learning Packages

One small fee for a wealth of subject-specific videos to allow you to develop true depth in vital topics without worrying about the additional cost

Turn your Expertise into Learning for Others

Are you an expert laparoscopic surgeon? The LapGuru platform can help you share your expertise with hundreds of aspiring surgeons by transmitting your surgeries live.

Visual understanding is something especially important in the laparoscopic surgery field. Images and figures play an extremely important role (consider anatomy, organ structure, port positions, equipment handling, where visual understanding is absolutely necessary.

LapGuru has a video library of 2500+ laparoscopic surgery videos that can help you to improve your clinical and professional competencies. For example, if you want to learn lap chole, there are more than 300 videos that probably show you all the possible variations that you will typically encounter in a lap chole procedure. It applies to Hernia, Bariatric or any other procedure as well. The nuances of any surgical procedure can be learnt only when you watch more and more surgeries and variations in the pathology, LapGuru helps you achieve that.

Get ready for more effective, engaging, innovative learning experiences specifically for laparoscopic surgeons. Subscribe now!

Performing laparoscopic surgeries in rural areas with LapGuru

Teaching and training methods for Laparoscopic surgeries have evolved considerably since it was first introduced in late 1980’s and early 1990’s. Most of the learning in those days was limited to short-term courses that were largely centred in big cities, followed by quick implementation in the operation theatre. This unstructured approach sometimes resulted in major threats to patient safety and undesired outcomes for the surgical process undertaken. There was a huge lacuna that existed in training laparoscopic surgeons, more so in tier 2 and tier 3 cities.

For example:  In rural areas, due to limited resources available, women usually come very late to health care facility and desire a permanent cure for their disease. Till sometime ago, the newer and lesser radical treatment options for gynecological conditions like laparoscopic hysterectomy was not available in remote areas. A number of minimally invasive surgical options for hysterectomy do exist now and are promising like endometrial ablation, thermal balloon therapy and uterine artery embolization. However, there exists a need to train more and more surgeons on these procedures so that they can be widely used.

When compared with open surgeries, laparoscopy is somewhat difficult to both, learn and train. For example, during open procedures the operating surgeon can teach a learner in a direct fashion whereas in a laparoscopic surgery the operating surgeon is simultaneously teaching while retracting a tissue or driving a camera. Surgeons need distinctive skills sets to perform laparoscopic surgery efficiently and accurately. It uses specialized equipment and the surgeons must be familiar with the workings of devices such as suction irrigators, clip appliers, staplers etc. While the cognitive skills can be accurately disseminated via traditional methods, learning the technical skills for laparoscopic surgeries requires a more structured approach.

In a first, LapGuru, an online surgical training platform for laparoscopic surgeons, has launched online live surgical videos to train rural doctors in small towns and far-flung areas to help augment their laparoscopic skills. The ideology behind the platform is that there are lakhs of doctors who may not have the time to attend physical conferences, continued medical education programs as they are busy working in rural or tier two cities. Distance, time and sometimes expenses become a major hindrance in pursuit of excellence for them. LapGuru can help save many precious lives and improve quality of life of many more by improving skills of the doctors attending to them.

Advanced medical care is often unavailable to patients in remote, rural areas. LapGuru has become an effective method of teaching the local doctors practical and cost-effective new methods in Laparoscopic surgeries. It broadcasts live surgeries for doctors in rural settings to learn from some of the world’s top laparoscopic experts.

“LapGuru is an excellent platform to view surgical videos in various disciplines. The high quality videos contain step-by-step procedures, checkpoints and are supplemented with the instrument list for each procedure. Watching the LapCole videos on LapGuru has helped me to come up with alternative approaches to complications encountered during surgery. I have also been able to save a lot of time as the videos have helped to cut down on unnecessary things during procedures. I am thoroughly impressed and fascinated by the value it provides to seasoned surgeons along with those who may be interested in pursuing a career in surgery.” Says Dr. Subhadeep Tripathy who is practicing laparoscopic surgeon in rural Maharashtra.

 Many medical facilities in rural areas are not equipped with the latest technologies to train staff on latest up to date advancements and medical information to run a more efficient healthcare practice. Having access to materials such as a library of live surgery videos that demonstrate the correct way to perform tasks and error avoidance strategies can be very helpful to bring world-class expertise into rural operating theatres.

 For example, in Satara one hundred eight patients have undergone laparoscopic cholecystectomy; there have been no deaths; 2 cases were converted to open procedures; no common bile duct injuries, postoperative complications, or long-term complications.

While there is a growing issue with a shortage of doctors, rural healthcare facilities can utilize programs and modern technologies to improve the care provided to patients. And leveraging LapGuru can help train the medical staff in real-time from leading experts across the globe. LapGuru has a library of over 2500+ live surgery broadcasts in which surgeons have performed various procedures like General, Bariatric, Colorectal, Urologic and Gynecologic surgery in real-time, and have taken questions over a video stream. Viewers only need a standard web browser on a computer, a laptop or mobile device to join in and watch. The surgeons can watch a re-run of the surgeries at their own convenience a number of times to master both the nuances of procedure as well as handling of the equipment used.

Accelerate access to better Markets with LapGuru

Laparoscopic surgery represents one of the largest medical segments with about 8 million surgeries performed annually worldwide. With all its advantages such as quicker recovery, shorter hospital stay and a far superior aesthetic results, the concept of minimally invasive approach, has been gaining more and more followers amongst the surgical community. The equipment and instruments for performing these minimally access procedures have, over the years, greatly improved. Following the surgeons’ demands, the increasing investment and research on better tools have provided more sophisticated and efficient equipment that offers lower risk and thus higher safety to patients opting for these procedures.

The type and quality of surgical instruments available play a part in ensuring the best potential outcomes of a procedure. Although the basic notions of cutting, coagulating and sewing remain, the variety of tools available to perform these tasks has increased significantly. Surgeries that once required a long incision and the opening up of a large surface area can now be completed with smaller incisions and the use of cameras.

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Laparoscopic surgery is one the most noteworthy advancement in the field of surgery in recent years. This minimal access approach has been widely accepted and adopted for many types of surgeries. The benefits include decreased post-operative pain, shorter lengths of in-patient hospitalization, increased patient acceptance, and a more rapid return to normal routine. Though this procedure is considered to be highly reliable, it is unlikely that no errors can occur throughout this process, even in the simplest of cases. One can definitely say that lesser incision length, less incision pain, less hospital stay may not actually translate into less risk. 

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