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Generaldiscussionandfutureperspectives21112integratedintheclinicalworkflow20WhennewdevelopmentsandresearchcanrealizethistheDIEPapplicationexperiencewillbeofgreatvalueandcanbeusedforotherfreeflapsandusedinmanyclinics24ThisexampleshowshowARcanfacilitateashiftfromdiagnosticimagingtoimage-guidedsurgeryReason3-ReplacingsurgicalguidesAthirdreasonwhytheimplementationofARduringsurgeryisexpedientisbecauseitcanprovideguidanceduringsurgicalproceduresthatcannotbeprovidedbyothermethodsForexampleduringkey-holesurgeryorduringaproportionalhighcondylectomythesmallsurgicalfieldmakestheuseofsurgicalguidesimpossibleFortheseapplicationsARguidanceisaneffectivemethodtoassistthesurgeonInadditionARguidanceallowstheusertostayfocusedonthesurgicalfieldwhileattainingfeedbackfromtheplanandthesurgeonisnotforcedtoswitchhisorherviewtoanexternalmonitorwhereconventionalnavigationdataarenormallydisplayedDuringtheAR-guidedcondylectomyinChapter8apointerwasusedtoindicatetheplannedpositions ThenextstepshouldbetoequipthesurgicalhandpiecedirectlywithARguidanceInthatwaythepointerisnolongerrequiredwhichmakestheprocessevenmoreintuitiveandfreesupsomespacein thissmallsurgical fieldInadditionARwill facilitate theguidanceofthedirectionduringthedrillingFigure7Ahologramshowsthesurgeonthelocationandthecourseofarteriesintheabdomenandtheirrelationwithotherorganssuchasthemuscleandskin
