■腹腔镜检查期间可使用多种血管密封装置。这项研究的目的是确定在妇科腹腔镜检查期间,外科医生级别和设备特性会影响先进能量设备的选择。
■这是一项通过社交媒体对妇科外科医生进行的全国性横断面研究,利用在线,公开可用,匿名调查。已完成住院医师培训的妇科医生被邀请参加调查。调查完成是自愿的,不涉及进一步的后续行动。基于网络的调查包括六个问题,如果时间允许,可以选择回答另外三个问题。机构审查委员会确定该研究符合豁免条件。
■有92名受访者参与了调查。其中,81人完成了调查,并被纳入分析。女性受访者更年轻,更频繁地报告手套尺寸为6.5或更小。外科医生级别的特征,包括性别,年龄,手套尺寸,案例体积,区域,和练习设置,与首选能源设备没有显著关联。手术室中的设备可用性是与首选能量设备相关的唯一特征(P值=.0076)。其他器件级特性,如最佳热扩散,羽流减少,易用性,设备可靠性,和可教学性与首选能量设备无统计学显著关联。
■妇科腹腔镜检查期间可使用多种先进的能量设备。这些设备具有不同的能量分布,热扩散,和设备尺寸。尽管存在这种多样性,只有手术室的器械可用性影响了外科医生的首选器械选择。
UNASSIGNED: Multiple vessel-sealing devices are available for use during laparoscopy. The objective of this study is to determine what surgeon-level and device characteristics influence the choice of advanced energy device during gynecologic laparoscopy.
UNASSIGNED: This is a national cross-sectional study of gynecologic surgeons conducted via social media, utilizing an online, publicly-available, anonymous survey. Gynecologic surgeons who had completed residency training were approached for participation in the survey. Survey completion was voluntary and involved no further follow-ups. The web-based survey consisted of six questions with the option to answer three additional questions if time permitted. The institutional review board determined that this study qualified for exemption.
UNASSIGNED: There were 92 respondents who participated in the survey. Of these, 81 completed the survey and were included in the analysis. Female respondents were younger and more frequently reported a glove size of 6.5 or less. Surgeon-level characteristics, including gender, age, glove size, case volume, region, and practice setting, were not significantly associated with preferred energy devices. Device availability in the operating room was the only characteristic associated with preferred energy devices (P-value = .0076). Other device-level characteristics such as optimal thermal spread, reduced plume, ease of use, device reliability, and teachability had no statistically significant association with preferred energy devices.
UNASSIGNED: Multiple advanced energy devices are available for use during gynecologic laparoscopy. These devices have varying energy profiles, thermal spread, and device size. Despite this diversity, only device availability in the operating room influenced the surgeon\'s preferred device selection.