Zusammenfassung
Hintergrund
Im orthopädisch-unfallchirurgischen OP greifen zahlreiche Prozesse ineinander. Der technische Fortschritt insbesondere im Bereich der Digitalisierung verändert den operativen Alltag zunehmend.
Fragestellung
In diesem Beitrag sollen diesbezügliche Möglichkeiten, aber auch Limitationen aufgezeigt werden.
Material und Methoden
Dieser Beitrag gibt anhand der aktuellen Literatur Einblicke in Innovationen in den Bereichen Digitalisierung von OP-Geräten, Hybrid-OP, Machine-2-Machine-Vernetzung, Managementsysteme zur perioperativen Effizienzsteigerung, 3D-Druck-Technologie und Robotik.
Ergebnisse
Die technischen Möglichkeiten zum Einsatz digitaler Anwendungen im operativen Umfeld nehmen rasch zu. Hierbei spielt die enge Zusammenarbeit mit der Industrie eine Rolle. Techniken aus Automobil‑, Spiele- und Mobilfunkindustrie werden übernommen.
Schlussfolgerung
Durch digitale Technisierung im OP können Behandlungsqualität, Patienten- und Mitarbeitersicherheit sowie Kosteneffizienz verbessert werden. Limitationen sind jedoch weiterhin die Vernetzung von Geräten untereinander, die Implementierung von Innovationen in bestehende Strukturen sowie die teils hohen Anschaffungskosten.
Abstract
Background
Numerous processes are involved in the orthopedic and trauma surgery operating room (OR). Technical progress, particularly in the area of digitalization, is increasingly changing routine surgical procedures.
Objective
This article highlights the possibilities and also limitations regarding this matter.
Material and methods
Based on the current literature this article provides insights into innovations in the areas of digitalization of surgical devices, hybrid OR, machine-2-machine networking, management systems for perioperative efficiency improvement, 3D printing technology and robotics.
Results
The technical possibilities for the use of digital applications in the surgical environment are rapidly increasing. Close cooperation with industrial partners is important in this context. Technologies from the automotive, gaming and mobile phone industries are being adopted.
Conclusion
Digital technology in the OR can improve treatment quality, patient and staff safety and cost efficiency; however, the networking of devices, implementation of innovations in existing structures and the sometimes high acquisition costs are still limiting factors.
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B. Swartman, J. Franke, C. Schnurr, S. Märdian, C. Willy und D.A. Back geben an, dass kein Interessenkonflikt besteht.
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D.A. Back, Berlin
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Swartman, B., Franke, J., Schnurr, C. et al. Digitaler OP. Unfallchirurg 123, 849–855 (2020). https://doi.org/10.1007/s00113-020-00886-4
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DOI: https://doi.org/10.1007/s00113-020-00886-4