Document Detail


Telementoring in endocrine surgery: preliminary Indian experience.
MedLine Citation:
PMID:  16478416     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Telemedicine is starting to play an important role in the health field in India. In this case report we describe the successful use of telementoring to remove a parathyroid tumor in a patient with residual hyperparathyroidism after two previous unsuccessful attempts in tumor excision. A 21-yr-old patient crippled with advanced hyperparathyroidism was taken up for third-time exploration at Amrita Institute of Medical Sciences (AIMS), Kochi, with guidance from the Sanjay Gandhi Postgraduate Institute of Medical Sciences (SGPGIMS), Lucknow, using telemedicine technology. These two centers are located 2,500 km apart, and telementoring from the more experienced endocrine surgeons at SGPGIMS resulted in successful tumor localization and removal. For this session both the institutions were provided with a dedicated 512 Kbps very small aperture terminal (VSAT) link and two-way video-audio connectivity. Even though two previous explorations were unsuccessful, with the help of telemedicine technology the same surgeon was successful in locating and removing the tumor. The video and audio quality was of good enough quality for the expert at SGPGIMS to guide the team at AIMS satisfactorily. The patient benefited since he did not have to travel to a far-off specialized center for surgery. This case report testifies to the usefulness of telemedicine in the field of surgery, especially in developing countries, which have few medical experts in certain specialized areas.
Authors:
P V Pradeep; S K Mishra; S Vaidyanathan; C Gopalakrishnan Nair; Krishnamoorthy Ramalingam; Rajesh Basnet
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Telemedicine journal and e-health : the official journal of the American Telemedicine Association     Volume:  12     ISSN:  1530-5627     ISO Abbreviation:  Telemed J E Health     Publication Date:  2006 Feb 
Date Detail:
Created Date:  2006-02-15     Completed Date:  2006-03-28     Revised Date:  2006-10-13    
Medline Journal Info:
Nlm Unique ID:  100959949     Medline TA:  Telemed J E Health     Country:  United States    
Other Details:
Languages:  eng     Pagination:  73-7     Citation Subset:  IM    
Affiliation:
Department of Endocrine Surgery, Sanjay Gandhi Postgraduate Institute of Medical Sciences (SGPGIMS), Lucknow, Uttar Pradesh, India.
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MeSH Terms
Descriptor/Qualifier:
Adult
Humans
Hyperparathyroidism / etiology
India
Male
Medically Underserved Area
Mentors*
Parathyroid Neoplasms / complications,  surgery*
Telemedicine*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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