1090 PROSPECTIVE RANDOMIZED EVALUATION OF FOOT GEL PADS FOR OPERATING ROOM STAFF COMFORT DURING LAPAROSCOPIC RENAL SURGERY

Abstract

You have accessJournal of UrologyTechnology & Instruments: Robotics/Laparoscopy/Ureteroscopy III1 Apr 20101090 PROSPECTIVE RANDOMIZED EVALUATION OF FOOT GEL PADS FOR OPERATING ROOM STAFF COMFORT DURING LAPAROSCOPIC RENAL SURGERY Georgios Haramis, Juan Carlos Rosales, Zhamshid Okhunov, Adam C. Mues, Ketan Badani, Mantu Gupta, and Jaime Landman Georgios HaramisGeorgios Haramis More articles by this author , Juan Carlos RosalesJuan Carlos Rosales More articles by this author , Zhamshid OkhunovZhamshid Okhunov More articles by this author , Adam C. MuesAdam C. Mues More articles by this author , Ketan BadaniKetan Badani More articles by this author , Mantu GuptaMantu Gupta More articles by this author , and Jaime LandmanJaime Landman More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2010.02.2287AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES We evaluated the comfort level of surgical laparoscopy team during and after laparoscopic renal surgery, with or without the use of gel footpads. METHODS Between September 2008 and April 2009 we prospectively randomized 100 consecutive laparoscopic renal procedures to examine whether the use of a foot gel pad altered the surgical team ’s comfort level. A questionnaire was used to measure the discomfort in 18 different subjects before, during surgery and one day postoperatively. The procedures performed with or without the foot gel pads were compared. RESULTS One hundred minimally invasive procedures were randomized to being performed with and without gel pads. In 50 procedures, the foot gel pad was used. The mean age of the subjects was 36 years old (range 25-52). The mean surgical experience was 7 years. The characteristics of the participants in procedures with and without the gel-pad were similar. In the immediate post-operative period, there were significantly more breaks taken (p=0.001), number of stretches (p= 0.001), foot pain (p= 0.003), knee pain (p= 0.001), back discomfort (p= 0.001), overall discomfort (p= 0.001) and diminished level of energy (p= 0.049) in the group without the gel pad. At the 24-hour post-operative time point, evaluation significantly favored the gel pads regarding foot pain (p= 0.004), overall amount of discomfort (p= 0.001) and level of energy (p= 0.044). CONCLUSIONS The use of foot gel pad improves surgeon's comfort and ergonomics during minimally invasive procedures. The pads have been incorporated into our routine operating room set-up and may improve surgical performance by diminishing fatigue and discomfort. New York, NY© 2010 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 183Issue 4SApril 2010Page: e424 Advertisement Copyright & Permissions© 2010 by American Urological Association Education and Research, Inc.MetricsAuthor Information Georgios Haramis More articles by this author Juan Carlos Rosales More articles by this author Zhamshid Okhunov More articles by this author Adam C. Mues More articles by this author Ketan Badani More articles by this author Mantu Gupta More articles by this author Jaime Landman More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...