Operating Room

Sources: A Manual Of Peroral Endoscopy And Laryngeal Surgery

All endoscopic procedures should be performed in a

somewhat darkened operating room where all the desired materials are

at hand. An endoscopic team consists of three persons: the operator,

the assistant who holds the head, and the instrument assistant.

Another person is required to hold the patient's arms and still

another for the changing of the operator's glasses when they become

spattered. The endoscopic team of three maintain surgical asepsis in

the matter of hands and gowns, etc. The battery, on a small table of

its own, is placed at the left hand of the operator. Beyond it is the

table for the mechanical aspirator, if one is used. All extra

instruments are placed on a sterile table, within reach, but not in

the way, while those instruments for use in the particular operation

are placed on a small instrument table back of the endoscopist. Only

those instruments likely to be wanted should be placed on the working

table, so that there shall be no confusion in their selection by the

instrument nurse when called for. Each moment of time should be

utilized when the endoscopic procedure has been started, no time

should be lost in the hunting or separating of instruments. To have

the respective tables always in the same position relative to the

operator prevents confusion and avoids delay.

[FIG 43.--The author's retrograde esophagoscope.]