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The importance of pre-operative warm ups before laparoscopic surgeries
 

The importance of pre-operative warm ups before laparoscopic surgeries

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It is highly advised to warm up before engaging in any physical activity. There are several reasons why a person should warm up. Warming up elevates the body temperature and therefore reduces the potential for injuries to skeletal muscles and connective tissues. Other reasons includes increased blood flow to the heart and to the exercising muscles, better nerve impulse transmission, and prepares the skeletal muscles and the cardiovascular system for the upcoming exercise.
 
today.mims.com
 
29 Aug 2016 - General
 
I don't think there's anything wrong with doing this. It's just similar to surgical planning. When you plan your surgery, you run the steps in your head several times prior to cutting. Just in this case, an actual simulator can be used. Just as a caveat to this. This can only be applied in operative suites wherein the lap simulator is located within the same vicinity as the operating room. In our institution, there used to be a simulator within the operating room, until a formal cent...
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POWER includes laparoscopic suturing and knot tying in a pelvic box trainer. I guess this type of pre-operative warm up has not been tried out around Asia since it requires a virtual reality simulator which I would think wouldn't be part of a standard hospital budget. It would be interesting to see this action though. I have yet to see virtual reality simulator for surgery. That would be real neat! ...
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Kathleen Peralta I agree that it can be time consuming for the surgeon but I think the effort is worth spending time to. It can lead to faster and safer operating procedures and will benefit the patient. Most consultants will probably not oblige with performing a warm-up as they have an expert grasp of performing surgeries. You are right that surgery residents and even senior interns are the ones that can really ...
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Theekshana Abayawickrama Yes, that would really cause trouble if a patient was asked to warm up before surgery. You will get a questionable blood loss report for sure. I think there is cut-off for exercising prior to surgery. Is it 24 hours? As for POWER, it is not yet accessible even to Western countries. Conventional operating preparations are a general warm-up but this study promotes a specific-to-the procedure...
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Amit Parasnis Thank you for sharing this input. POWER is not yet accessible to most hospitals then. Planning is a mental warm-up and conditions the mind to focus on the procedure. Mental preparation is really helpful, especially for those in surgery training. I agree with you in having a post-operative cooldown too. Some just zoom away after a procedure but reality is surgeons must do work to keep their muscles l...
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As the routine takes, approximately 15-20 minutes and is done 1 hour before surgery, I would doubt that the Surgeons would happily do this prior to surgery as assessing patients and briefing would normally take their time already prior to doing the procedure. The resources in the article showed that it was dates way back 2012 so I wondered if there were Surgeons who actually practiced this? As from my own experience, I haven't seen any one doing so. Experienced surgeons may no longer find th...
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The title of this article got me thinking for a while. "Warm up before laparoscopic surgeries. What benifit would it give to the patient? Perhaps it increases blood supply to the organ and abdominal wall and improves healing. But wouldn't it then increase the chances of perioperative bleeding? ", Then only it occurred to me that what the article talks about is warm up for surgeons. NNone of the surgeons I have worked with, or done rotations as a medical student seem to have any typ...
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That was an interesting study. However, as of now, since we have no access to such simulators readily in the OT, no such warming up is possible. The warming up or getting in the zone for surgery is done by discussing important steps with your assistant and generally making sure that all eventualities are taken care of. I agree that this does not constitute warming up on the physical sense, but it proves to be adequate nonetheless. I regularly do some stretching as a part of post-op muscle spasm ...
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Mark Edmon Tan ya scrubbing is our warm up. haha Play some upbeat tunes in the OR along with it and we could get a full body work out. Yes I would like to hear from Surgeons from other countries as well. So aside from Theekshana Abayawickrama allow me to tag two other surgeons, ...
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Jennifer Winter I agree. It also prepares the surgeon mentally for the surgery to be performed. Benefits have been encouraging especially for residents according to the study. We certainly do not have POWER at this time. Our warm-up in surgery is through scrubbing our hands haha I think we should also ask Theekshana Abayawickrama i...
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There seems to be several studies that looked into the benefits of warming up prior to laparoscopic surgery. Like conditioning yourself before running a marathon we should condition ourselves as well pre-operatively. The idea of POWER is not merely to exercise the hands for the fine motor movements required for laparoscopic surgery but also the brain. Like doing a dry run before the big performance. I have not seen any warm ups before surgery so far but it would definitely be a good idea to add ...
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It is about time that warm-up prior to performance of operations and procedures are now discussed. Simple stretching by the surgeon is good prior to a procedure. Warming up with simulation of hand movement is greater for improving surgical time and performance. The hands are used for fine motor movement and requires good coordination with the eyes and brain. With the use of pre-operative warm-up exercise routine (POWER), surgery residents and even experienced laparascopic surgeons showed improve...
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