Vaginal surgery: don't get bent out of shape.

MedStar author(s):
Citation: American Journal of Obstetrics & Gynecology. 223(5):762-763, 2020 11.PMID: 32693094Institution: MedStar Washington Hospital CenterDepartment: Obstetrics and Gynecology/Female Pelvic Medicine and Reconstructive SurgeryForm of publication: Journal ArticleMedline article type(s): Journal ArticleSubject headings: *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]Year: 2020ISSN:
  • 0002-9378
Name of journal: American journal of obstetrics and gynecologyAbstract: 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.All authors: Kho RM, Woodburn KLOriginally published: American Journal of Obstetrics & Gynecology. 2020 Jul 18Fiscal year: FY2021Digital Object Identifier: Date added to catalog: 2020-09-02
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Journal Article MedStar Authors Catalog Article 32693094 Available 32693094

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.

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