The Silent Operation Theatre Optimisation System (SOTOS
Da vinci
Health risk
Noise pollution
Prostatectomy
Robotic surgery
Robotic-assisted laparoscopic prostatectomy (RALP)
SOTOS©
Journal
Journal of robotic surgery
ISSN: 1863-2491
Titre abrégé: J Robot Surg
Pays: England
ID NLM: 101300401
Informations de publication
Date de publication:
Aug 2021
Aug 2021
Historique:
received:
22
05
2020
accepted:
03
08
2020
pubmed:
11
8
2020
medline:
29
10
2021
entrez:
11
8
2020
Statut:
ppublish
Résumé
To reduce noise pollution and consequently stress during robot-assisted laparoscopic radical prostatectomy (RALP) the aim of our study was to evaluate the silent operation theatre optimisation system (SOTOS) in its effectiveness. In the operating room (OR) the noise level is between 80 and 85 decibel (dB). Noise corresponds to a major stress factor for surgical teams and especially surgeons. The use of the da Vinci surgical system entails an additional aspect of noise in the OR. The SOTOS surgical team used wired or wireless headphone/microphone combinations to communicate. We measured sound pressure levels in two different locations in the OR and the heart rate of every surgical team member as an indicator of the stress level. We further captured subjective acceptance of SOTOS as well as perioperative data such as surgical time. We prospectively randomised 32 RALP patients into two study arms. Sixteen surgeries were performed using SOTOS and 16 without (control). Overall, the mean sound pressure level in the SOTOS group was 3.6 dB lower compared to the control (p < 0.001). The highest sound pressure level measured was 96 dB in the control group. Mean heart rates were 81.3 beats/min for surgeons and 90.8 beats/min for circulating nurses. SOTOS had no statistically significant effect on mean heart rates of the operating team. Subjective acceptance of SOTO was high. Our prospective evaluation of SOTOS in RALP could show a significant noise reduction in the OR and a high acceptance by the surgical stuff.
Identifiants
pubmed: 32776286
doi: 10.1007/s11701-020-01135-x
pii: 10.1007/s11701-020-01135-x
pmc: PMC7416589
doi:
Types de publication
Journal Article
Randomized Controlled Trial
Langues
eng
Sous-ensembles de citation
IM
Pagination
519-527Informations de copyright
© 2020. Springer-Verlag London Ltd., part of Springer Nature.
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