Force application of laparoscopic surgeons under the impact of heavy personal protective equipment during COVID-19 pandemic

Q3 Medicine

Laparoscopic Endoscopic and Robotic Surgery Pub Date : 2022-09-01 DOI:10.1016/j.lers.2022.05.002

Yao Zhang, Shuyi (Kiana) Wang, Bin Zheng

{"title":"Force application of laparoscopic surgeons under the impact of heavy personal protective equipment during COVID-19 pandemic","authors":"Yao Zhang, Shuyi (Kiana) Wang, Bin Zheng","doi":"10.1016/j.lers.2022.05.002","DOIUrl":null,"url":null,"abstract":"<div><h3>Objective</h3><p>Surgeons are required to wear heavy personal protective equipment while delivering care to patients during the COVID-19 pandemic. We examined the impact of wearing double gloves on surgeons’ performance in laparoscopic surgery.</p></div><div><h3>Methods</h3><p>Eleven surgeons-in-training at the Surgical Simulation Research Lab of the University of Alberta were recruited to perform laparoscopic cutting tasks in simulation while wearing none, one pair, and two pairs of surgical gloves. Forces applied to laparoscopic instruments were measured.</p></div><div><h3>Results</h3><p>Wearing gloves prolonged task times (one pair of gloves: 301.6 ± 61.7 s; two pairs of gloves: 295.8 ± 65.3 s) compared with no gloves (241.7 ± 46.9 s; <em>p =</em> 0.043). Wearing double gloves increased cutting errors (20.4 ± 5.1 mm<sup>2</sup>) compared with wearing one pair of gloves (16.9 ± 5.5 mm<sup>2</sup>) and no gloves (14.4 ± 4.6 mm<sup>2</sup>; <em>p =</em> 0.030). Wearing gloves reduced the peak force (one pair of gloves: 2.4 ± 0.7 N; two pairs of gloves: 2.7 ± 0.6 N; no gloves: 3.4 ± 1.4 N; <em>p</em> = 0.049), and the total force (one pair of gloves: 10.1 ± 2.8 N; two pairs of gloves: 10.3 ± 2.6 N; no glove: 12.6 ± 1.9 N; <em>p</em> = 0.048) delivered onto laparoscopic scissors compared with wearing no glove.</p></div><div><h3>Conclusion</h3><p>The combined effects of wearing heavy gloves and using tools reduced the touching sensation, which limited the surgeons’ confidence in performing surgical tasks. Increasing practice in simulation is suggested to allow surgeons to overcome difficulties brought by personal protective equipment.</p></div>","PeriodicalId":32893,"journal":{"name":"Laparoscopic Endoscopic and Robotic Surgery","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2468900922000287/pdfft?md5=de774a524703cec989174e968cd4a23c&pid=1-s2.0-S2468900922000287-main.pdf","citationCount":"2","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Laparoscopic Endoscopic and Robotic Surgery","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2468900922000287","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"Medicine","Score":null,"Total":0}

引用次数: 2

Abstract

Objective

Surgeons are required to wear heavy personal protective equipment while delivering care to patients during the COVID-19 pandemic. We examined the impact of wearing double gloves on surgeons’ performance in laparoscopic surgery.

Methods

Eleven surgeons-in-training at the Surgical Simulation Research Lab of the University of Alberta were recruited to perform laparoscopic cutting tasks in simulation while wearing none, one pair, and two pairs of surgical gloves. Forces applied to laparoscopic instruments were measured.

Results

Wearing gloves prolonged task times (one pair of gloves: 301.6 ± 61.7 s; two pairs of gloves: 295.8 ± 65.3 s) compared with no gloves (241.7 ± 46.9 s; p = 0.043). Wearing double gloves increased cutting errors (20.4 ± 5.1 mm²) compared with wearing one pair of gloves (16.9 ± 5.5 mm²) and no gloves (14.4 ± 4.6 mm²; p = 0.030). Wearing gloves reduced the peak force (one pair of gloves: 2.4 ± 0.7 N; two pairs of gloves: 2.7 ± 0.6 N; no gloves: 3.4 ± 1.4 N; p = 0.049), and the total force (one pair of gloves: 10.1 ± 2.8 N; two pairs of gloves: 10.3 ± 2.6 N; no glove: 12.6 ± 1.9 N; p = 0.048) delivered onto laparoscopic scissors compared with wearing no glove.

Conclusion

The combined effects of wearing heavy gloves and using tools reduced the touching sensation, which limited the surgeons’ confidence in performing surgical tasks. Increasing practice in simulation is suggested to allow surgeons to overcome difficulties brought by personal protective equipment.

查看原文本刊更多论文

COVID-19大流行期间重型个人防护装备冲击下腹腔镜外科医生的强制应用

目的COVID-19大流行期间，外科医生在为患者提供护理时需要穿戴重型个人防护装备。我们研究了在腹腔镜手术中戴双手套对外科医生表现的影响。方法招募加拿大阿尔伯塔大学外科模拟研究实验室的11名实习外科医生，在不戴手术手套、一副手术手套和两副手术手套的情况下进行模拟腹腔镜切割任务。测量施加在腹腔镜器械上的力。结果:发誓手套延长工作时间(单副手套:301.6±61.7 s;两副手套:295.8±65.3秒)与不戴手套(241.7±46.9秒)相比;p = 0.043)。与单手套(16.9±5.5 mm2)和不戴手套(14.4±4.6 mm2)相比，戴双手套的切割误差增加(20.4±5.1 mm2);p = 0.030)。戴手套降低峰值力(一副手套:2.4±0.7 N;2副手套:2.7±0.6 N;无手套:3.4±1.4 N;p = 0.049)，总力(一双手套:10.1±2.8 N;两副手套:10.3±2.6 N;无手套:12.6±1.9 N;P = 0.048)。结论戴重手套和使用工具的双重作用降低了患者的触觉，限制了外科医生完成手术任务的信心。建议增加模拟练习，使外科医生能够克服个人防护装备带来的困难。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Laparoscopic Endoscopic and Robotic Surgery minimally invasive surgery-

CiteScore

1.40

自引率

0.00%

发文量

期刊介绍： Laparoscopic, Endoscopic and Robotic Surgery aims to provide an academic exchange platform for minimally invasive surgery at an international level. We seek out and publish the excellent original articles, reviews and editorials as well as exciting new techniques to promote the academic development. Topics of interests include, but are not limited to: ▪ Minimally invasive clinical research mainly in General Surgery, Thoracic Surgery, Urology, Neurosurgery, Gynecology & Obstetrics, Gastroenterology, Orthopedics, Colorectal Surgery, Otolaryngology, etc.; ▪ Basic research in minimally invasive surgery; ▪ Research of techniques and equipments in minimally invasive surgery, and application of laparoscopy, endoscopy, robot and medical imaging; ▪ Development of medical education in minimally invasive surgery.