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Embracing innovation in the digitized operating room

Samuel R. Browd, MD, PhD
Tech
June 2, 2024
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In modern medicine, the operating room epitomizes precision, expertise, and innovation. While we’ve made incredible advancements in medical science and patient care in recent decades, operating rooms have faced their share of challenges, from inefficiencies to outdated technology. However, the OR is poised for transformation as health care embraces computational care and digitization, revolutionizing surgical practice and patient care.

The traditional challenges in operating rooms encompass various issues, such as technical challenges and outdated imaging equipment. These challenges are serving as the catalyst for a transition from analog to digital environments. Harnessing artificial intelligence, machine learning, and digitized surgical navigation shows great potential in vastly improving the quality and integration of technology within the surgical suite. The current operational approach, revolving around monitors and information dispersed around the OR, is physically taxing for surgeons, with considerable weight on their heads and the need to lean forward, causing discomfort. However, the integration of technology offers a pathway to create a more conducive environment for both patients and surgeons, ultimately enhancing the overall surgical experience.

Advancements in proprioception and usability

In a digitized operating room, advancements in proprioception, feedback tools, and usability are elements that can significantly enhance the quality of information surgeons receive about anatomical structures. Light field technology and sensors are helping to bridge the digital-physical gap, offering computational imaging, enhanced data quality, and radiation elimination. Along with machine learning, this combination of technologies has the potential to transform surgical practices and reach more patients to improve outcomes. These tools work together, giving surgeons an enhanced sense of the patient’s anatomy and providing them with a roadmap to reach their intended destination in an individual patient case.

Surgeon training in the digitized environment

This idea of the digitized operating room extends to surgeon training, providing realistic simulations, accelerated learning through digital tools, and democratized training experiences. Currently, surgeons-in-training are limited by their geographic proximity when it comes to learning and mentorship. But with a digitized surgical environment, surgeons can access virtual scenarios simulating real-life procedures, allowing them to refine their skills in a risk-free environment. Additionally, the archival capabilities of digitized data facilitate the capture and sharing of nuanced surgical knowledge in real-time, enabling remote mentorship and collaboration. This expands the potential for digitization to reshape how surgeons acquire and refine their skills, particularly in regions with limited access to expert training.

Meeting global surgical demand through digitization

The transition to digitized operating rooms can enhance surgical practices and address the global demand for surgery. With over five billion people worldwide lacking access to safe surgery, digitized operating rooms offer a pathway to expand surgical capabilities and improve health care delivery around the world. By leveraging technology to optimize surgical processes, streamline workflows, and enhance training opportunities, digitized operating rooms can help bridge the gap between surgical demand and availability, particularly in underserved regions.

A vision for the future

The shift from conventional analog operating rooms to digitalized environments is poised to transform surgical practices. By harnessing real-time imaging, automation, and seamless data integration, advanced surgical settings can tackle inefficiencies head-on. This evolution means enhanced precision and immediacy in medical imaging, streamlining procedures through automation, and redefining surgeon training with lifelike simulations that accelerate skill development. With advancements in proprioception, real-time feedback, and usability, surgeons are gaining deeper insights into anatomical structures, paving the way for safer and more efficient surgical procedures.

As we look towards the future, the digitized operating room represents the next generation of surgical care. By embracing innovation and leveraging technology, we can elevate the performance and competency of every surgeon, ultimately improving patient outcomes and reshaping health care delivery worldwide. The operating room of tomorrow is one of collaboration, exploration, and continuous improvement—one that promises to transform the practice of surgery for decades to come.

Samuel R. Browd is a neurosurgeon and physician executive.

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