Universität zu Köln

Stotz, Lisa, Joukhadar, Ralf, Hamza, Amr, Thangarajah, Fabinshy, Bardens, David, Juhasz-Boess, Ingolf, Solomayer, Erich-Franz, Radosa, Marc P. and Radosa, Julia C. (2018). Instrument usage in laparoscopic gynecologic surgery: a prospective clinical trial. Arch. Gynecol. Obstet., 298 (4). S. 773 - 780. HEIDELBERG: SPRINGER HEIDELBERG. ISSN 1432-0711

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Abstract

PurposeTo evaluate instrumental usage in laparoscopic gynecological surgeries and to develop key timesets of a laparoscopic operation, which allows categorization of the operation time into different sections.MethodsIn this prospective clinical observational study, frequency of instrument usage, time for instrument switches, and instrument utilization time were recorded in a standardized manner for laparoscopic surgeries in 103 endoscopic surgeries.ResultsA standard equipment (including atraumatic grasping forceps, irrigation and suction device, bipolar clamp, and laparoscopic scissors) was used for nearly all interventions. Bipolar clamps and scissors were changed most frequently. The tool used for the longest amount of time was the atraumatic grasping forceps. Laparoscopic instruments were switched 51 times per surgery (range 2-250 times). One instrument switch lasted for a median of 0.13min (0.08-1.2min). Median time for instrument switch for a single surgery added up to 6.83min. Instrument switches required 10.5% of the overall operation time.ConclusionWe analyzed the current instrument usage in laparoscopic gynecological surgeries. The results of our standardized investigation suggest ways to reduce the time required for surgery and provide starting points for the standardization of the work routine.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Stotz, Lisa UNSPECIFIED UNSPECIFIED UNSPECIFIED Joukhadar, Ralf UNSPECIFIED UNSPECIFIED UNSPECIFIED Hamza, Amr UNSPECIFIED UNSPECIFIED UNSPECIFIED Thangarajah, Fabinshy UNSPECIFIED UNSPECIFIED UNSPECIFIED Bardens, David UNSPECIFIED UNSPECIFIED UNSPECIFIED Juhasz-Boess, Ingolf UNSPECIFIED UNSPECIFIED UNSPECIFIED Solomayer, Erich-Franz UNSPECIFIED UNSPECIFIED UNSPECIFIED Radosa, Marc P. UNSPECIFIED UNSPECIFIED UNSPECIFIED Radosa, Julia C. UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-172073
DOI:	10.1007/s00404-018-4867-5
Journal or Publication Title:	Arch. Gynecol. Obstet.
Volume:	298
Number:	4
Page Range:	S. 773 - 780
Date:	2018
Publisher:	SPRINGER HEIDELBERG
Place of Publication:	HEIDELBERG
ISSN:	1432-0711
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language HYSTERECTOMY; TIME; COST Multiple languages Obstetrics & Gynecology Multiple languages
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/17207