Aboseif Christine, McEvoy Austin, Fogel Joshua, Fatehi Mary, Gambrill Madison, Onyeike Godwin
Department of Obstetrics and Gynecology, Nassau University Medical Center, East Meadow, NY, USA.
Department of Management, Marketing, and Entrepreneurship, Brooklyn College, Brooklyn, NY, USA.
Gynecol Minim Invasive Ther. 2024 Dec 19;14(2):165-169. doi: 10.4103/gmit.gmit_6_24. eCollection 2025 Apr-Jun.
Allowing surgeons the option of individually sized laparoscopic instruments can potentially improve the ergonomics of laparoscopic surgery. We investigate interest in individually sized laparoscopic instruments among minimally invasive trained surgeons.
Cross-sectional survey of 166 surgeons performing laparoscopic surgery in the disciplines of obstetrics/gynecology, general surgery, and urology. Items investigated surgeon knowledge, attitudes, potential usefulness, and interest regarding dissemination and implementation of individually sized laparoscopic instruments.
Overall mean knowledge of individually sized laparoscopic instruments ranged from strongly disagree to disagree and did not differ by glove size. Overall mean attitudes, dissemination, and implementation for individually sized laparoscopic instruments were between neutral and agree. Overall mean usefulness for individually sized laparoscopic instruments was neutral. There was a general pattern of small glove size having greater mean values than medium glove size for individually sized laparoscopic instruments for the topics of attitudes, usefulness, dissemination, and implementation.
We found that those with small glove sizes are interested in individually sized laparoscopic instruments. We recommend that as surgeon demographics continue to diversify, especially with a larger number of women typically with smaller glove sizes becoming surgeons, there is a potential benefit for individually sized laparoscopic instruments. Hospitals, surgical centers, and clinical practices should consider making such individually sized laparoscopic instruments available to surgeons. This can potentially address the ergonomic concerns of surgeons and also improve surgical practice.
为外科医生提供尺寸各异的腹腔镜器械,可能会改善腹腔镜手术的人体工程学。我们调查了接受过微创培训的外科医生对尺寸各异的腹腔镜器械的兴趣。
对166名从事妇产科、普通外科和泌尿外科腹腔镜手术的外科医生进行横断面调查。调查项目包括外科医生对尺寸各异的腹腔镜器械的知识、态度、潜在用途以及对其推广和应用的兴趣。
对尺寸各异的腹腔镜器械的总体平均了解程度从强烈反对到反对不等,且不受手套尺寸的影响。对尺寸各异的腹腔镜器械的总体平均态度、推广和应用处于中立到同意之间。对尺寸各异的腹腔镜器械的总体平均有用性为中立。对于尺寸各异的腹腔镜器械,在态度、有用性、推广和应用等方面,一般存在小手套尺寸的平均值大于中手套尺寸的平均值的模式。
我们发现手套尺寸小的人对尺寸各异的腹腔镜器械感兴趣。我们建议,随着外科医生人口结构的持续多样化,尤其是越来越多手套尺寸通常较小的女性成为外科医生,尺寸各异的腹腔镜器械可能会带来益处。医院、手术中心和临床机构应考虑向外科医生提供此类尺寸各异的腹腔镜器械。这可能会解决外科医生的人体工程学问题,也能改善手术操作。