Operating Room Personnel

In: Clinical Perspectives in Obstetrics and Gynecology · 1996 · pp. 412–422 · doi:10.1007/978-1-4612-2330-6_28 · W775191458
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The development of video-assisted gynecologic endoscopy has significantly changed the role of operating room personnel, increasing their involvement and necessitating specialized "endoscopy teams."

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This chapter describes how operating room personnel roles in gynecologic surgery have changed with the development of gynecologic endoscopy, especially when video cameras are adapted for laparoscopic and hysteroscopic procedures. It argues that video-monitor visibility lets everyone present follow the procedure, anticipate surgical needs, and therefore necessitates a structured “endoscopy team,” with implications for equipment setup and team organization. A limitation is that the text is largely a clinical-operations perspective rather than reporting new systematic study outcomes. Relevance to endometriosis: the chapter cites multiple prior works on videolaparoscopic and videolaser treatment of endometriosis and related reproductive conditions, though its main focus is operating-room personnel and team organization for gynecologic endoscopy.

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Abstract

The role of the operating room personnel in gynecologic surgery has changed dramatically.1 This drastic change has resulted from the development of gynecologic endoscopy and, more importantly, the adaptation of the video camera to the laparoscope and hysteroscope.1–14 Video- scopic surgery enables everyone present to follow the procedure on the video monitor and appropriately anticipate the surgeon’s needs and so has created an entirely new involvement for operating room personnel. This situation has made the contribution by operating room personnel so important that many hospitals have recognized the need for an “endoscopy team” (Fig. 28.1).1,2,15 Preview Unable to display preview. Download preview PDF. Similar content being viewed by others

References

Winer WK: The role of the operating room staff in operative laparoscopy. J Am Assoc Gynecol Laparosc 1993; 1: 86. Winer WK, Lyons TL: Suggested set-up and layout of instruments and equipment for advanced operative laparoscopy. J Assoc Gynecol Laparos 1995; 2: 231. Gomel V: Operative laparoscopy: time for acceptance. Fertil Steril 1989; 52: 1. Nezhat C, Winer WK, Cooper JD, Et al: Endoscopic infertility surgery. J Reprod Med 1989; 34: 127. Gomel V: Salpingostomy by laparoscopy. J Reprod Med 1977; 18: 265. Yuzpe AA: Television in laparoscopy. In Laparoscopy, Phillips JM, Corson SL, Keith L, et al (eds). Baltimore, Williams & Wilkins, 1977, pp 306– 325. Semm K: Instruments and equipment for endoscopic abdominal surgery. In Operative Manual for Endoscopic Abdominal Surgery, Semm K (ed). Chicago, Year Book, 1987, pp 46 – 123. Nezhat C, Winer WK, Nezhat F: A comparison of the CO2, argon and KTP-532 lasers in the videolaseroscopic treatment of endometriosis. Colposc Gynecol Laser Surg 1988; 4: 41. Nezhat C, Winer WK, Crowgey S: Videolaseroscopy for treatment of endometriosis and other diseases of the reproductive organs. Obstet Gynecol Forum 1987; 1: 2. Nezhat F, Winer W, Nezhat C: Salpingectomy via laparoscopy: a new surgical approach. J Laparoendosc Surg 1991; 1: 91. Nezhat C, Winer WK, Nezhat F, Nezhat C: Videolaparoscopy and videolaseroscopy: alternatives to major surgery? Female Patient 1988; 13: 46. Nezhat C, Winer W, Nezhat F: Laparoscopic removal of dermoid cysts. Obstet Gynecol 1989; 73: 278. Nezhat C, Winer WK, Nezhat F: Is endoscopic treatment of endometriosis and endometrioma associated with better results than laparotomy? Am J Gynecol Health 1988; 2 (3): 10. Nezhat F, Winer WK, Nezhat C: Fimbrioscopy and salpingoscopy in patients with minimal to moderate pelvic endometriosis. Obstet Gynecol 1990; 75: 15. Winer WK: Gynaecology in Minimal Access Surgery for Operating Room Personnel. Radcliffe Medical Press, 1994, pp 149 – 165. Winer WK: A Comparison of the C02 laser and the harmonic scalpel. Minim Invasive Surg Nurs 1993; 7: 54. Daniell JF, Miller W, Tosh R: Initial evaluation of the use of the potassium-titanyl-phosphate (KTP- 532) laser in gynecologic laparoscopy. Fertil Steril 1986; 46: 373. Keye WR Jr, Hansen LW, Astin M, Et al: Argon laser therapy of endometriosis: a review of 92 consecutive patients. Fertil Steril 1987; 47: 208. Lyons T: Laparoscopic supracervical hysterectomy, a comparison of morbidity/mortality results with LAVH. J Reprod Med 1993; 38: 763. Lomano JM: Laparoscopic ablation of endometriosis with the YAG laser. Lasers Surg Med 1983; 3: 179. Lyons T: Laparoscopic supracervical hysterectomy. In Laparoscopic Hysterectomy, Garry R, Reich H (eds). Blackwell Scientific, 1993, pp 148 - 152. Lyons TL, Winer WK: The Nolan-Lyons modification of the Burch procedure. J Assoc Gynecol Laparos 1995; 2: 95. Winer WK: Nursing aspects of gynecologic endoscopy. In Endoscopic Surgery, B. McLucas (ed). 1995;3:109. Georg Thieme Verlag, Stuttgart, New York. Winer WK: New procedures for women that are being done endoscopically. Minim Invasive Surg Nurs 1995; 9: 87. Editor information Editors and Affiliations Rights and permissions Copyright information © 1996 Springer Science+Business Media New York About this chapter Cite this chapter Winer, W.K. (1996). Operating Room Personnel. In: Sanfilippo, J.S., Levine, R.L. (eds) Operative Gynecologic Endoscopy. Clinical Perspectives in Obstetrics and Gynecology. Springer, New York, NY. https://doi.org/10.1007/978-1-4612-2330-6_28 Download citation DOI: https://doi.org/10.1007/978-1-4612-2330-6_28 Publisher Name: Springer, New York, NY Print ISBN: 978-1-4612-7505-3 Online ISBN: 978-1-4612-2330-6 eBook Packages: Springer Book Archive

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