The Silent Operation Theatre Optimisation System (SOTOS©) to reduce noise pollution during da Vinci robot-assisted laparoscopic radical prostatectomy
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 decibe...
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description | 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 (
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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.</description><identifier>ISSN: 1863-2483</identifier><identifier>EISSN: 1863-2491</identifier><identifier>DOI: 10.1007/s11701-020-01135-x</identifier><identifier>PMID: 32776286</identifier><language>eng</language><publisher>London: Springer London</publisher><subject>Abdomen ; Abdominal surgery ; Acceptance ; Cardiovascular disease ; Communication ; Decibels ; Electrocardiography ; Headphones ; Heart rate ; Laparoscopy ; Length of stay ; Medicine ; Medicine & Public Health ; Minimally Invasive Surgery ; Music ; Noise levels ; Noise pollution ; Noise reduction ; Optimization ; Original ; Original Article ; Patients ; Prostate cancer ; Robots ; Sound pressure ; Standard deviation ; Stress ; Surgeons ; Surgery ; Teams ; Urological surgery ; Urology</subject><ispartof>Journal of robotic surgery, 2021-08, Vol.15 (4), p.519-527</ispartof><rights>Springer-Verlag London Ltd., part of Springer Nature 2020</rights><rights>Springer-Verlag London Ltd., part of Springer Nature 2020.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c451t-78a9d8a1e6badaaaf1afcbc6a372f4d63be54cdef3c6c5138de78837b94dcce23</citedby><cites>FETCH-LOGICAL-c451t-78a9d8a1e6badaaaf1afcbc6a372f4d63be54cdef3c6c5138de78837b94dcce23</cites><orcidid>0000-0001-5158-9706</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s11701-020-01135-x$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/2918715001?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>230,314,778,782,883,21371,21372,27907,27908,33513,33514,33727,33728,41471,42540,43642,43788,51302,64366,64368,64370,72220</link.rule.ids></links><search><creatorcontrib>Leitsmann, Conrad</creatorcontrib><creatorcontrib>Uhlig, Annemarie</creatorcontrib><creatorcontrib>Popeneciu, I. Valentin</creatorcontrib><creatorcontrib>Boos, Margarete</creatorcontrib><creatorcontrib>Ahyai, Sascha A.</creatorcontrib><creatorcontrib>Schmid, Marianne</creatorcontrib><creatorcontrib>Wachter, Rolf</creatorcontrib><creatorcontrib>Trojan, Lutz</creatorcontrib><creatorcontrib>Friedrich, Martin</creatorcontrib><title>The Silent Operation Theatre Optimisation System (SOTOS©) to reduce noise pollution during da Vinci robot-assisted laparoscopic radical prostatectomy</title><title>Journal of robotic surgery</title><addtitle>J Robotic Surg</addtitle><description>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.</description><subject>Abdomen</subject><subject>Abdominal surgery</subject><subject>Acceptance</subject><subject>Cardiovascular disease</subject><subject>Communication</subject><subject>Decibels</subject><subject>Electrocardiography</subject><subject>Headphones</subject><subject>Heart rate</subject><subject>Laparoscopy</subject><subject>Length of stay</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Minimally Invasive Surgery</subject><subject>Music</subject><subject>Noise levels</subject><subject>Noise pollution</subject><subject>Noise reduction</subject><subject>Optimization</subject><subject>Original</subject><subject>Original Article</subject><subject>Patients</subject><subject>Prostate cancer</subject><subject>Robots</subject><subject>Sound pressure</subject><subject>Standard deviation</subject><subject>Stress</subject><subject>Surgeons</subject><subject>Surgery</subject><subject>Teams</subject><subject>Urological surgery</subject><subject>Urology</subject><issn>1863-2483</issn><issn>1863-2491</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><recordid>eNp9Uctu1TAUjBAVLYUfYGWJTVmE-pHEzgYJVbykSndxL2ytE_ukdZXEwXaq3h_hH_gNvgy3qYrooqtzNJ4ZHc8UxRtG3zNK5WlkTFJWUk5Lypioy5tnxRFTjSh51bLnD7sSh8XLGK8orWUt2IviUHApG66ao-LX7hLJ1g04JbKZMUByfiIZhBQwI8mNLq7gdh8TjuRku9lttn9-vyPJk4B2MUgm7yKS2Q_Dcke1S3DTBbFAfrjJOBJ851MJMbpsYckAMwQfjZ-dIQGsMzCQOSMJEprkx_2r4qCHIeLr-3lcfP_8aXf2tTzffPl29vG8NFXNUikVtFYBw6YDCwA9g950pgEheV_ZRnRYV8ZiL0xjaiaURamUkF1bWWOQi-Piw-o7L92I1uQYAgx6Dm6EsNcenP7_ZXKX-sJfa1mxplZtNji5Nwj-54Ix6ZyXwWGACf0SNa8EV7XiVGXq20fUK7-EKX9P85YpyWpKWWbxlWVyHjFg_3AMo_q2dr3WrnPt-q52fZNFYhXF-TZ4DP-sn1D9BVdptUM</recordid><startdate>20210801</startdate><enddate>20210801</enddate><creator>Leitsmann, Conrad</creator><creator>Uhlig, Annemarie</creator><creator>Popeneciu, I. 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Valentin</creatorcontrib><creatorcontrib>Boos, Margarete</creatorcontrib><creatorcontrib>Ahyai, Sascha A.</creatorcontrib><creatorcontrib>Schmid, Marianne</creatorcontrib><creatorcontrib>Wachter, Rolf</creatorcontrib><creatorcontrib>Trojan, Lutz</creatorcontrib><creatorcontrib>Friedrich, Martin</creatorcontrib><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Technology Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Materials Science & Engineering Collection</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>Technology Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>ProQuest Engineering Collection</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Engineering Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>Engineering Collection</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of robotic surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Leitsmann, Conrad</au><au>Uhlig, Annemarie</au><au>Popeneciu, I. Valentin</au><au>Boos, Margarete</au><au>Ahyai, Sascha A.</au><au>Schmid, Marianne</au><au>Wachter, Rolf</au><au>Trojan, Lutz</au><au>Friedrich, Martin</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The Silent Operation Theatre Optimisation System (SOTOS©) to reduce noise pollution during da Vinci robot-assisted laparoscopic radical prostatectomy</atitle><jtitle>Journal of robotic surgery</jtitle><stitle>J Robotic Surg</stitle><date>2021-08-01</date><risdate>2021</risdate><volume>15</volume><issue>4</issue><spage>519</spage><epage>527</epage><pages>519-527</pages><issn>1863-2483</issn><eissn>1863-2491</eissn><abstract>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.</abstract><cop>London</cop><pub>Springer London</pub><pmid>32776286</pmid><doi>10.1007/s11701-020-01135-x</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0001-5158-9706</orcidid><oa>free_for_read</oa></addata></record> |
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subjects | Abdomen Abdominal surgery Acceptance Cardiovascular disease Communication Decibels Electrocardiography Headphones Heart rate Laparoscopy Length of stay Medicine Medicine & Public Health Minimally Invasive Surgery Music Noise levels Noise pollution Noise reduction Optimization Original Original Article Patients Prostate cancer Robots Sound pressure Standard deviation Stress Surgeons Surgery Teams Urological surgery Urology |
title | The Silent Operation Theatre Optimisation System (SOTOS©) to reduce noise pollution during da Vinci robot-assisted laparoscopic radical prostatectomy |
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