Abstract：
PURPOSE:To evaluate instrumental usage in laparoscopic gynecological surgeries and to develop key timesets of a laparoscopic operation, which allows categorization of the operation time into different sections. METHODS:In this prospective clinical observational study, frequency of instrument usage, time for instrument switches, and instrument utilization time were recorded in a standardized manner for laparoscopic surgeries in 103 endoscopic surgeries. RESULTS:A standard equipment (including atraumatic grasping forceps, irrigation and suction device, bipolar clamp, and laparoscopic scissors) was used for nearly all interventions. Bipolar clamps and scissors were changed most frequently. The tool used for the longest amount of time was the atraumatic grasping forceps. Laparoscopic instruments were switched 51 times per surgery (range 2-250 times). One instrument switch lasted for a median of 0.13 min (0.08-1.2 min). Median time for instrument switch for a single surgery added up to 6.83 min. Instrument switches required 10.5% of the overall operation time. CONCLUSION:We analyzed the current instrument usage in laparoscopic gynecological surgeries. The results of our standardized investigation suggest ways to reduce the time required for surgery and provide starting points for the standardization of the work routine.
journal_name
Arch Gynecol Obstetjournal_title
Archives of gynecology and obstetricsauthors
Stotz L,Joukhadar R,Hamza A,Thangarajah F,Bardens D,Juhasz-Böss I,Solomayer EF,Radosa MP,Radosa JCdoi
10.1007/s00404-018-4867-5subject
Has Abstractpub_date
2018-10-01 00:00:00pages
773-779issue
4eissn
0932-0067issn
1432-0711pii
10.1007/s00404-018-4867-5journal_volume
298pub_type
杂志文章abstract：PURPOSE:To investigate the role of epigenetic inactivation of hMLH1 during the malignant transformation of ovarian endometriosis (EMs), and to explore the relationship between the epigenetic inactivation of hMLH1 in eutopic endometria and the malignant transformation of ovarian EMs. METHODS:The target tissue from 29 c...
journal_title：Archives of gynecology and obstetrics
pub_type： 杂志文章
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journal_title：Archives of gynecology and obstetrics
pub_type： 杂志文章
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journal_title：Archives of gynecology and obstetrics
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journal_title：Archives of gynecology and obstetrics
pub_type： 杂志文章
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journal_title：Archives of gynecology and obstetrics
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journal_title：Archives of gynecology and obstetrics
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doi：10.1007/s00404-006-0286-0
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journal_title：Archives of gynecology and obstetrics
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journal_title：Archives of gynecology and obstetrics
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journal_title：Archives of gynecology and obstetrics
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journal_title：Archives of gynecology and obstetrics
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pub_type： 杂志文章,评审
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journal_title：Archives of gynecology and obstetrics
pub_type： 杂志文章,评审
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journal_title：Archives of gynecology and obstetrics
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journal_title：Archives of gynecology and obstetrics
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journal_title：Archives of gynecology and obstetrics
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journal_title：Archives of gynecology and obstetrics
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journal_title：Archives of gynecology and obstetrics
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doi：10.1007/s00404-010-1765-x
更新日期：2011-10-01 00:00:00
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journal_title：Archives of gynecology and obstetrics
pub_type： 杂志文章,评审
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journal_title：Archives of gynecology and obstetrics
pub_type： 杂志文章,随机对照试验
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journal_title：Archives of gynecology and obstetrics
pub_type： 杂志文章,meta分析
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更新日期：2015-06-01 00:00:00
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journal_title：Archives of gynecology and obstetrics
pub_type： 杂志文章
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更新日期：2018-03-01 00:00:00
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journal_title：Archives of gynecology and obstetrics
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更新日期：2003-04-01 00:00:00
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journal_title：Archives of gynecology and obstetrics
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更新日期：2018-12-01 00:00:00
