Douglas J. Wirthlin, MD, Syam Buradagunta, BA, Roger A

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Presentation transcript:

Telemedicine in vascular surgery: Feasibility of digital imaging for remote management of wounds Douglas J. Wirthlin, MD, Syam Buradagunta, BA, Roger A. Edwards, ScD, David C. Brewster, MD, Richard P. Cambria, MD, Jonathan P. Gertler, MD, Glenn M. LaMuraglia, MD, Diane E. Jordan, BS, Joseph C. Kvedar, MD, William M. Abbott, MD Journal of Vascular Surgery Volume 27, Issue 6, Pages 1089-1100 (June 1998) DOI: 10.1016/S0741-5214(98)70011-4 Copyright © 1998 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 1 Study design. Using a standard questionnaire and bedside wound examination as the “gold standard,” the feasibility of digital imaging for remote wound management was measured by concordance between bedside and remote surgeons. Journal of Vascular Surgery 1998 27, 1089-1100DOI: (10.1016/S0741-5214(98)70011-4) Copyright © 1998 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 2 Example of images representing each wound category. A, Postoperative incision; B, amputation; C, gangrenous/necrotic toes; D, nonhealing ulcer. Wounds were photographed from vascular surgery inpatients with a Kodak DC50 digital camera during morning rounds. Journal of Vascular Surgery 1998 27, 1089-1100DOI: (10.1016/S0741-5214(98)70011-4) Copyright © 1998 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 3 Wound images transmitted from a patient's home to the attending vascular surgeon during a home care visit. Images were taken by home-care nurses and transmitted with a lap top computer and standard phone line. A, Time zero. B, One month later. Journal of Vascular Surgery 1998 27, 1089-1100DOI: (10.1016/S0741-5214(98)70011-4) Copyright © 1998 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions