Help Lightning

Remote expertise through the power of merged reality

Access to this ground-breaking technology is included at no cost with an InterSurgeon clinician membership. Help Lightning allows experienced surgeons to guide and interactively assist others during operations in real-time, anywhere in the world.

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What are the benefits of Help Lightning for surgeons?

In light of the pandemic, and for the foreseeable future, the conventional ways of establishing collaborative partnerships through physical visits are not going to be possible. However, because Help Lightning allows surgeons to collaborate remotely, partnerships can still develop – and more easily than ever before. Help Lightning can be used as a tool for education, mentorship and instruction – as well as for intraoperative case management. It allows both surgical planning and real-time intraoperative advice.

How does it work?

Watch this video to learn how Help Lightning works. This shows use cases in other industries – it’s every bit as useful with surgical applications and can also be used hands-free. All you need to use Help Lightning is your smartphone and an internet connection, though it can also be used with tablets, desktop computers and smart surgical glasses.

Download a beginner’s guide to Help Lightning here: Help Lightning Basic Training

Virtual help in real-time

Help Lightning uses Merged Reality to blend two real-time video streams – e.g. that of a remote surgical expert and another surgeon that needs help – into a collaborative environment. This Merged Reality allows the expert to virtually reach out and direct real surgical procedures or training.

Help Lightning

Use your existing devices

Help Lightning runs on your existing mobile devices (iOS, Android) or a web-browser on laptop and desktop computers.

Surgeons can now provide remote assistance as though they’re working side-by-side. They can telestrate, freeze images, use hand gestures, and even add real objects into the merged reality environment.

Help Lightning Software

Be there instantly

Help Lightning is easy, fast and intuitive.

Once you’re in a merged reality call with a colleague or customer, simply tap the mode to change how you interact. Choose whether you’re giving or receiving help, and start collaborating in seconds. Help Lightning’s unique Merged Reality can add missing visual cues, gestures, and non-verbal communication methods to any session.

Help Lightning
Help Lightning

Using Help Lightning with smart surgical glasses

Take Help Lightning to the next level by pairing it with smart glasses. This innovation allows the wearer to benefit from the assistance of AI or a third-party while performing surgery. When used in conjunction with Help Lightning, smart glasses mean that another surgeon can see exactly what you are seeing and what you’re doing – and also have their hands superimposed over your field of view.

There are a number of models available from different manufacturers including VUZIX, Zebra, and RealWear.

The Advantage of Remote Expertise

Studies show that adding gestures and nonverbal clues substantially improves the speed of understanding. Furthermore, nonverbal cues are 430% more effective than verbal cues and nonverbal cues make Help Lightning’s combination of verbal and nonverbal communication up to 10 times more effective.

Sources: Journal of Nonverbal Behavior, British Journal of Clinical Psychology

Join InterSurgeon today and use Help Lightning for free

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Lauri Romanzi MD, MScPH, FACOG, FPMRS

Lauri Romanzi MD, MScPH, FACOG, FPMRS

Obs/Gyn Surgeon

Jefferson University Hospital, New York CIty, United States of America

Help Lightning Member What's this?


Location information


Jefferson University Hospital Philadelphia PA USA 1020 Walnut Street, Suite 518 New York CIty NY 19107 United States of America

Hospital type

University-affiliated Faith-based Public Private

Hospital description

Third-Level Hospital (Referral)

Hospital website

This is a teaching hospital


Dr. Romanzi is an academic ObGyn leader based in New York City, with decades of experience working and collaborating in over 20 countries outside of the USA, throughout Africa and South Asia, from Somaliland Rwanda, Ghana and the Democratic Republic of the Congo to Afghanistan, Pakistan, Bangladesh and Nepal. Her experience includes mentoring, clinical and public health research, clinical education, skills training, curriculum development, systematic needs assessments, strategic planning; public-private partnerships for health equity and quality; and advocacy coalition building.
In the United States, she is licensed to practice medicine and surgery in the State of New York, and holds dual certification from the American Board of Obstetrics and Gynecology; one for Obstetrics and Gynecology and another in the subspecialty of Female Pelvic Medicine & Reconstructive Surgery.
Whether local or global, Dr. Romanzi is dedicated to health education and health systems equity, breaking down of siloes, navigation across the humanitarian-development continuum, evidence-based quality assurance frameworks, and cross-sector dynamics that make real women's health, well-being and empowerment.
Details on current USA clinical work and academic affiliations are on hold due to the pandemic that impacted hiring at university facilities where I will be active in the subspecialty of Urogynaecology and as a faculty member supporting equitable, reciprocal global health education and training.
Primary areas of clinical work with colleagues outside of the USA has been around the evaluation and both non-surgical and surgical treatment of pelvic floor fistula, incontinence and pelvic organ prolapse (urogynaecology) as well as fistula prevention.

Member information


Lauri Romanzi

Member type

Clinical department with teaching programme


Obs/Gyn Surgeon


Languages spoken

  • English
  • French
  • Spanish

Social profiles

Current and past partnerships

Has current partners or past partnership experience in these countries

  • Afghanistan
  • Uganda
  • Somalia
  • Togo
  • Senegal
  • Rwanda
  • Pakistan
  • Nigeria
  • Nepal
  • Niger
  • Mozambique
  • Ghana
  • Guinea
  • Eritrea
  • Democratic Republic of the Congo
  • Bangladesh

I currently work with 2 hospitals - the PGSSC at Harvard Medical School - a non-clinical posting - and Thomas Jefferson University in Philadelphia, with the Division of Global Affairs, which will likely transition to a clinical posting after the pandemic. I have not been active in patient care since 2018 and currently work in research, quality assurance for maternal health and as a global health consultant for strategy, policy, curriculum and other activities. Prior to COVID, I have worked in over 15 African and Asian countries, with the greatest engagements in Somaliland Rwanda, Ghana and the Democratic Republic of the Congo, Afghanistan, Pakistan, Bangladesh and Nepal. For a few years, I was director of a global women's surgery (fistula) project funded by USAID, from which I stepped down just before the pandemic hit our shores.
If any young colleague would like support understanding quality assurance, standardization of training, translation of policy to protocol, designing research projects, or navigating the neo-colonial landscape of North-South training partnerships, I may be able to help.
Prior to 2015 I was leading repeat trips to work with colleagues in Somaliland and the Democratic Republic of the Congo and less frequent trips to Ghana and Mozambique and occasional trips to Pakistan and Nepal. However at this time, travel engagements are postponed.

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