Improvement in home-staging three-dimensional virtual surgical planning via webinar during the COVID-19 pandemic

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LETTER TO THE EDITOR

Improvement in home‑staging three‑dimensional virtual surgical planning via webinar during the COVID‑19 pandemic Laurent Ganry1,2 · Michael Atlan1,3 · Quentin Qassemyar1,2 Received: 23 June 2020 / Accepted: 2 September 2020 © Springer Nature Singapore Pte Ltd. 2020

Dear Editor, The COVID-19 pandemic has resulted in the cancellation of the vast majority of non-emergency surgical procedures as a part of international postgraduate courses. With lockdowns being enforced in many countries and the enactment of social distancing requirements, alternative educational surgical training platforms, such as “Webinars”, have flourished in recent months on the internet [1]. This phenomenon was reinforced by the introduction of reliable free cloud meeting applications ­(Zoom® and ­Webmex®) and free social media services (Facebook l­ive®, ­Instagram®, and Y ­ ouTube®). These entities are a fast and effective response to the current surgical education need worldwide. The incorporation of webinars in our weekly training routine represents an innovative and indispensable educative tool during the COVID19 pandemic, allowing trainees to interact and ask questions in order to facilitate deep and meaningful learning. The senior author developed a home-staging there-dimensional (3D) surgical modeling protocol for reconstructive surgery using an open-source software program ­(Osirix®, ­Meshlab®, ­Netfabb®, and ­Blender®) [2, 3]. Surgeons can now design precise surgical models and guides by themselves at an extremely low cost for use in the operating theater. Since open-source software programs are neutral and free, they can be used by all surgeons with any surgical specialty and from any country. Furthermore, 3D training

* Laurent Ganry [email protected] 1



Faculty of Medicine, Sorbonne Université, 91 boulevard de l’hôpital, 75013 Paris, France

2



Department of Plastic and Reconstructive Surgery, University Hospital Armand-Trousseau, APHP, 26 avenue du Dr Arnold Netter, 75012 Paris, France

3

Department of Plastic and Reconstructive Surgery, University Hospital Tenon, APHP, 4 rue de la chine, 75020 Paris, France



with surgical modeling can be done from anywhere with computer access. However, one drawback of this technology has been its transmissibility, as it was described through author’s inperson seminars study [4]. Therefore, solutions to improve the transmissibility of this technology have been discussed, including ways to enhance the interface of the 3D modeling software program ­(Blender®) and make it more user friendly, create automatic functions, introduce the capability to draw or sculpt a surgical guide, and create tutorial videos for surgeons on a website. With the onset of the COVID-19 pandemic, elements necessary to improve the transmissibility at last became available. A better ergonomy of B ­ lender ® software is accessible in version 2.80 and more. Add-ons (such as ­Ortogonblender®) can create automatic designs of surgical cutting planes, guides and splints through simple drawing or