Vaginal surgery: don't get bent out of shape.
Vaginal surgery: don't get bent out of shape.
- 2020
Vaginal hysterectomy rates in the United States are decreasing, despite it being the recommended hysterectomy route for benign hysterectomy by multiple societies. Visualization issues are a known barrier to a medical student learning in the operating room, and it is likely that this also extends to resident training. In addition, vaginal surgery can be taxing on both the surgeons and assistants, with high rates of musculoskeletal work disorders reported in vaginal surgeons. The use of a camera is integral to endoscopic surgery, and table-mounted retractor systems have been used for decades in open surgery. We bring these 2 features into vaginal surgery, that is, using a table-mounted camera system and a table-mounted vaginal retractor. When used together as demonstrated in this video, these tools can improve visualization and may improve ergonomics for the entire surgical team, including learners, during vaginal surgery. Copyright (c) 2020 Elsevier Inc. All rights reserved.
English
0002-9378
10.1016/j.ajog.2020.07.024 [doi] S0002-9378(20)30743-2 [pii]
*Ergonomics
*Hysterectomy, Vaginal/is [Instrumentation]
*Surgical Equipment
Computer Terminals
Female
Gynecologic Surgical Procedures/is [Instrumentation]
Gynecologic Surgical Procedures/mt [Methods]
Humans
Hysterectomy, Vaginal/mt [Methods]
Vagina/su [Surgery]
MedStar Washington Hospital Center
Obstetrics and Gynecology/Female Pelvic Medicine and Reconstructive Surgery
Journal Article
Vaginal hysterectomy rates in the United States are decreasing, despite it being the recommended hysterectomy route for benign hysterectomy by multiple societies. Visualization issues are a known barrier to a medical student learning in the operating room, and it is likely that this also extends to resident training. In addition, vaginal surgery can be taxing on both the surgeons and assistants, with high rates of musculoskeletal work disorders reported in vaginal surgeons. The use of a camera is integral to endoscopic surgery, and table-mounted retractor systems have been used for decades in open surgery. We bring these 2 features into vaginal surgery, that is, using a table-mounted camera system and a table-mounted vaginal retractor. When used together as demonstrated in this video, these tools can improve visualization and may improve ergonomics for the entire surgical team, including learners, during vaginal surgery. Copyright (c) 2020 Elsevier Inc. All rights reserved.
English
0002-9378
10.1016/j.ajog.2020.07.024 [doi] S0002-9378(20)30743-2 [pii]
*Ergonomics
*Hysterectomy, Vaginal/is [Instrumentation]
*Surgical Equipment
Computer Terminals
Female
Gynecologic Surgical Procedures/is [Instrumentation]
Gynecologic Surgical Procedures/mt [Methods]
Humans
Hysterectomy, Vaginal/mt [Methods]
Vagina/su [Surgery]
MedStar Washington Hospital Center
Obstetrics and Gynecology/Female Pelvic Medicine and Reconstructive Surgery
Journal Article