Logo Medical Science Monitor Basic Research

Call: 1.631.470.9640
Mon-Fri 10 am - 2 pm EST

Contact Us

Logo Medical Science Monitor Basic Research Logo Medical Science Monitor Basic Research Logo Medical Science Monitor Basic Research

22 June 2015 : Short communication  

An Improved Instrument Table for Use in Functional Endoscopic Sinus Surgery

Pia M. SchmitzCDEF, Iris GollnickA, Susanne ModemannB, Anja RotheB, Ralf NiegschB, Gero StraussAB

DOI: 10.12659/MSMBR.894265

Med Sci Monit Basic Res 2015; 21:131-134

Abstract

BACKGROUND
The clinical motivation for the current study was that various instrument tables are located far away from the patient’s head, and the only way for the surgeon to access an instrument is via a scrub nurse. Thus, the idea for this study was the development and evaluation of an improved and conveniently positioned instrument table.
MATERIAL AND METHODS
An improved instrument table (IT) was designed, built, and tested. We assessed its use in 150 surgeries from 1 October 2013 to 30 June 2014 (group A), and another 150 surgeries without use of the IT from 1 February 2013 to 31 October 2014 as a control group (group B).
RESULTS
With use of the improved IT during functional endoscopic sinus surgery (FESS), preparation-time was extended by 0.1 min and the SLOT-time was reduced by 19.6%. The number of different instruments (35.3%) used was reduced, as well as the number of manual interactions with instruments (7.8%) and the number of manual interactions with the scrub nurse (66.1%). In addition, the ergonomics with use of the IT improved by 40.0%. The only potential disadvantage was a reduction of working space and thereby a constraint of the scope. Compared to the benefits, this problem is minor.
CONCLUSIONS
Conclusively, the improved IT is of value for everyday use in surgery and offers a great benefit for FESS, and may be useful in other kinds of surgery (e.g., duraplasty).

Keywords: Equipment Design, Endoscopy - instrumentation, Ethmoid Sinus - surgery, Operating Tables, Oral Surgical Procedures - instrumentation, Surgical Instruments

0 Comments

Most Viewed Current Articles

05 Jan 2021 : Review article  

A Southeast Asian Perspective on the COVID-19 Pandemic: Hemoglobin E (HbE)-Trait Confers Resistance Against...

DOI :10.12659/MSMBR.929207

Med Sci Monit Basic Res 2021; 27:e929207

07 Jul 2022 : Laboratory Research  

Cytotoxicity, Apoptosis, Migration Inhibition, and Autophagy-Induced by Crude Ricin from Ricinus communis S...

DOI :10.12659/MSMBR.936683

Med Sci Monit Basic Res 2022; 28:e936683

05 May 2022 : Laboratory Research  

Calcitriol Inhibits Proliferation and Potentially Induces Apoptosis in B16-F10 Cells

DOI :10.12659/MSMBR.935139

Med Sci Monit Basic Res 2022; 28:e935139

09 Jun 2021 : Laboratory Research  

Vitamin D Inhibits Lipopolysaccharide (LPS)-Induced Inflammation in A549 Cells by Downregulating Inflammato...

DOI :10.12659/MSMBR.931481

Med Sci Monit Basic Res 2021; 27:e931481

Your Privacy

We use cookies to ensure the functionality of our website, to personalize content and advertising, to provide social media features, and to analyze our traffic. If you allow us to do so, we also inform our social media, advertising and analysis partners about your use of our website, You can decise for yourself which categories you you want to deny or allow. Please note that based on your settings not all functionalities of the site are available. View our privacy policy.

Medical Science Monitor Basic Research eISSN: 2325-4416
Medical Science Monitor Basic Research eISSN: 2325-4416