Читать книгу Small Animal Laparoscopy and Thoracoscopy онлайн

150 страница из 232

The room must accommodate at least two equipment towers (endoscopy and anesthesia), and space must allow for their free movement to either end of the surgical table. Also, adequate clearance from the patient is required to avoid breaks in sterile technique. Ideally, two to three monitors are positioned either on booms, the equipment towers, or separate wheeled carts [55–58].

ssss1 (A). State‐of‐the‐art integrated operating room with simultaneous multiimaging systems for veterinary image‐guided procedures – pictured ceiling rack mounted fluoroscopy and endoscopy systems. (B). The integrated OR single‐post control station near the border of the sterile area, which allows a single operator to coordinate, manipulate, manage, and access all information by a network and integration software displayed on one or multiple screens.

Source: Photo courtesy of Dr. Allyson Berent – AMC‐NY, USA.

Endoscopic surgery challenges the surgeon's natural view of the operating field. One basic ergonomic consideration—the correct position of the video display relative to the user's eyes—is often ignored in veterinary endoscopy. It has been shown that the preferred viewing angle for video displays is between 10 and 25° below the line of sight. Excessive height of monitors may cause neck and back pain for the surgeon. Ceiling booms and mobile stands allow the surgeon to place the monitor at the ideal position [54, 65, 66].