Optimization and effects of integrated control device for complex endoscopic operating table
10.3760/cma.j.cn115682-20191109-04082
- VernacularTitle:复杂腔镜手术台布控集成装置的优化及应用效果
- Author:
Xiaofen YU
1
;
Linlin YUAN
;
Jin JIANG
;
Xiaomin CHEN
Author Information
1. 浙江省人民医院 杭州医学院附属人民医院手术室，杭州 310014
- Keywords:
Endoscopic surgery;
Endoscopic instrument;
Contamination;
Damage;
Efficiency
- From:
Chinese Journal of Modern Nursing
2020;26(24):3373-3376
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To standardize the management of instruments, catheters, and wires around the operating field of complex endoscopic surgery, develop and optimize an integrated control device for complex endoscopic operating table, and explore its effects.Methods:By convenient sampling, totally 386 complex endoscopic surgeries performed in Zhejiang Provincial People's Hospital from October 2018 to July 2019 which met the inclusion criteria were selected into the observation group, while 382 complex endoscopic surgeries performed from December 2017 to September 2018 which met the inclusion criteria were selected into the control group. For the observation group, the optimized integrated control device for complex endoscopic operating table was used to fix catheters and pipelines around the surgical field and place operating instruments that were connected to the catheters and wires or used frequently and alternately during surgery. For the control group, tissue forceps and operating towels were used to fix catheters and pipelines around the surgical field and while operating instruments that were connected to the catheters and wires or used frequently and alternately during surgery were randomly placed around the surgical field. The number of contaminated endoscopic instruments by fall, the number of damaged endoscopic instruments during surgery, the time for fixing the catheters and wires around the surgical field, and the time required to replace one piece of operating instrument were compared between the two groups.Results:The number of contaminated endoscopic instruments by fall during surgery in the observation group was less than that in the control group, and the difference between the two groups was statistically significant ( P< 0.01) . The number of damaged endoscopic instruments by fall during surgery in the observation group was less than that in the control group, and the difference between the two groups was statistically significant ( P< 0.05) . The time for fixing the catheters and wires around the surgical field in the observation group was less than that in the control group, and the difference between the two groups was statistically significant ( P< 0.01) . The time required for the surgeon to replace one piece of operating instrument in the observation group was less than that in the control group, and the difference between the two groups was statistically significant ( P< 0.01) . Conclusions:The optimized integrated control device for complex endoscopic operating table standardizes the management of catheters, pipelines, and instruments that are frequently and alternately used during surgery of complex endoscopic fields, reduces the number of contaminated and damaged endoscopic instruments by fall, ensures the successful surgical process, and improves the efficiency of the operating room.
