Use of selfie sticks and iPhones to record operative photos and videos in plastic surgery

Video Technologies for Recording Open Surgery: A Systematic Review

Video recording of surgical procedures is an important tool for surgical education, performance enhancement, and error analysis. Technology for video recording open surgery, however, is limited. The objective of this article is to provide an overview of the available literature regarding the various technologies used for intraoperative video recording of open surgery. A systematic review was conducted in accordance with the Preferred Reporting Items for Systematic Review and Meta-Analyses (PRISMA) guidelines using the MEDLINE, Cochrane Central, and EMBASE databases. Two authors independently screened the titles and abstracts of the retrieved articles, and those that satisfied the defined inclusion criteria were selected for a full-text review. A total of 2275 publications were initially identified, and 110 were included in the final review. The included articles were categorized based on type of article, surgical subspecialty, type and positioning of camera, and limitations identified with their use. The most common article type was primary-technical (29%), and the dominant specialties were general surgery (22%) and plastic surgery (18%). The most commonly cited camera used was the GoPro (30%) positioned in a head-mount configuration (60%). Commonly cited limitations included poor video quality, inadequate battery life, light overexposure, obstruction by surgical team members, and excessive motion. Open surgery remains the mainstay of many surgical specialties today, and technological innovation is absolutely critical to fulfill the unmet need for better video capture of open surgery. The findings of this article will be valuable for guiding future development of novel technology for this purpose.

High-definition point-of-view intraoperative recording using a smartphone: A hands-free approach

OBJECTIVES/HYPOTHESIS

Intraoperative recording devices are being increasingly used to provide video for contemporary surgical training. The objective of this study was to evaluate the use of a smartphone as a low-cost alternative to obtain high-resolution video from the surgeon's perspective.

STUDY DESIGN

A study evaluating the feasibility of using a head-mounted smartphone with a telephoto lens for point-of-view surgical videography.

METHODS

Video recordings of a rhinoplasty procedure were taken using a head-mounted smartphone and two handheld cameras, a Canon Powershot SD1400 IS and a Sony HandyCam HDR-CX160. Video clips were shown to 16 blinded otolaryngology residents (n = 10) and attending physicians (n = 6) for individual video evaluation using a Likert scale (1 being poor quality, 5 being excellent quality). In addition, the study participants were asked to select which video clip they preferred when presented to them side by side.

RESULTS

The iPhone 7 was given the highest overall mean video quality rating of 3.9 ± 0.57 and was preferred over the two handheld cameras by nearly all surveyed surgeons. The Canon Powershot SD1400 IS was given a mean rating of 3.3 ± 1.0 and preferred over the SonyHandyCam HDR-CX160 by all surgeons. The Sony HandyCam HDR-CX160 was given a mean rating of 1.5 ± 0.13.

CONCLUSIONS

A head-mounted smartphone equipped with a telephoto lens provides a novel method to intraoperative surgical recording. The design is simple, low cost, and allows the surgeon to capture fine anatomical detail from the desirable point-of-view perspective.

LEVEL OF EVIDENCE

NA Laryngoscope, 129:578-581, 2019.