The Swansea Floating Endoscopic Assistant: A Surgical Handling Aid

Reports

Elhassan, HassanA¹  Farboud, Amir²  George, Jayan³ 

[1] Author to whom correspondence should be addressed;ENT Head and Neck surgery department, Singleton Hospital, Swansea SA2 8QA, UK;General Surgical Department, Sheffield Teaching Hospitals NHS Foundation Trust, Herries Road, Sheffield S5 7AU, UK

关键词: surgical procedures;    operative;    nose;    surgery;   

DOI  :  10.3390/reports1030022

学科分类：医学（综合）

来源: mdpi

【 摘 要 】

Endoscopic sinus surgery is a rapidly advancing area of Otolaryngology. Operations can be lengthy and are often performed by a single surgeon. Repetitive movements can also lead to muscular fatigue. To mitigate against this, we regularly deploy two retractable Flexi™ compact leads, one bigger than the other connected together and suspended from the theatre operating light arm using velcro ties. The leads are then wrapped around the endoscope using a cotton crepe bandage, in a double loop with a reef knot. The larger lead attaches to the focus/zoom adjustment part of the endoscopic camera, and the smaller lead attaches to the scope 20 cm from the tip allowing the scope to float when suspended, with a slight downward tilt towards the patient. The mechanical effect this produces allows an advantageous reduction in the scope’s weight from 404 g un-suspended, to 65 g with the setup described. This subsequently reduces stress on the elbows, shoulders neck and lumbar spine. The Swansea Floating Endoscopic Assistant adheres to basic ergonomic principles and has the potential for application in other areas of Otorhinolaryngology and Skull Base Surgery.

【 授权许可】

CC BY