title: Initial experience of a novel ergonomic surgical chair for laparoscopic pelvic surgery.
abstract: BACKGROUND
  We present the initial experience of a novel surgical chair for laparoscopic pelvic surgery, the ETHOS™ (Bridge City Surgical, Portland, OR).
  
  
  METHODS
  The ETHOS chair has an adjustable saddle height that ranges from 0.89 to 1.22 m high, an overall width of 0.89 m, and a depth of 0.97 m. The open straddle is 0.53 m and fits most OR tables. We performed 7 pelvic laparoscopy cases with the 1st generation ETHOS™ platform including 2 laparoscopic ureteral reimplantations, 5 laparoscopic pelvic lymphadenectomies for staging prostate cancer in which one case involved a laparoscopic radical retropubic prostatectomy, performed by 2 different surgeons.
  
  
  RESULTS
  All 7 pelvic laparoscopic procedures were successful with the ETHOS™ chair. No conversion to open surgery was necessary. Survey done by surgeons after the procedures revealed minimal stress on back or upper extremities by the surgeons from these operations even when surgery was longer than 120 minutes. Conversely, the surgical assistants still had issues with their positions since they were on either sides of the patient stressing their positions during the procedure.
  
  
  CONCLUSIONS
  The ETHOS chair system allows the surgeon to operate seated in comfortable position with ergonomic chest, arms, and back supports. These supports minimize surgeon fatigue and discomfort during pelvic laparoscopic procedures even when these procedures are longer than 120 minutes without consequence to the patient safety or detrimental effects to the surgical team.
authors: Division of Urology, Department of Surgery, Denver Health Medical Center, Denver, CO, USA.
authors: Fernando J
authors: FJ
authors: Kim
authors: David E
authors: DE
authors: Sehrt
authors: Wilson R
authors: WR
authors: Molina
authors: Jung-Sik
authors: JS
authors: Huh
authors: Jens
authors: J
authors: Rassweiler
authors: Craig
authors: C
authors: Turner
mesh_terms: D000368:Aged; D004867:Equipment Design; D006804:Ergonomics / Q000295:instrumentation*; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000295:instrumentation*; D008297:Male; D008875:Middle Aged; D010388:Pelvis / Q000601:surgery*; D013523:Surgical Equipment; D016896:Treatment Outcome; D013520:Urologic Surgical Procedures / Q000295:instrumentation*