Abstract
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.
Highlights
Sino-nasal surgery has undergone many advances over the last hundred years with the introduction of the endoscope [1]
Musculoskeletal injury is 8.9 alsomillion prevalent in laparoscopic and related disorders in the 2009 ergonomic study showed that 86.9% of laparoscopic surgeons experienced physical discomfort
Methods/Surgical Technique study showed that 86.9% of laparoscopic surgeons experienced physical discomfort from operative
Summary
Sino-nasal surgery has undergone many advances over the last hundred years with the introduction of the endoscope [1]. 1, 22ESS operation can take up to two hours and one surgeon may perform multiple operations 2 of 6 in the course of a full day operating list [7] This repetitive stress predisposes a surgeon to musculoskeletal injury. 2. Methods/Surgical Technique study showed that 86.9% of laparoscopic surgeons experienced physical discomfort from operative. Methods/Surgical Technique study showed that 86.9% of laparoscopic surgeons experienced physical discomfort from operative This technique is used with the surgeon in the standing position. The larger lead attaches to the focus/zoom adjustment part of the endoscopic camera, and the smaller stand for ESS. A velcro tie is used to attach the larger Flexi retractor to the arm of the operating theatre light, different angled endoscopes to view all relevant sinuses without significant interruption.
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