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Operating Room

Source: 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.]

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