Next Article in Journal
Atypical Presentation of a Maxillary Chondroblastic Osteosarcoma and Complex Management
Previous Article in Journal
Long-Term Weight-Loss Lifestyle Modification Programme in a Patient with Severe Lumbar Intervertebral Disc Degeneration and Obesity: A Case Report
Article Menu

Export Article

Open AccessTechnical Note

The Swansea Floating Endoscopic Assistant: A Surgical Handling Aid

General Surgical Department, Sheffield Teaching Hospitals NHS Foundation Trust, Herries Road, Sheffield S5 7AU, UK
ENT Head and Neck surgery department, Singleton Hospital, Swansea SA2 8QA, UK
Author to whom correspondence should be addressed.
Reports 2018, 1(3), 22;
Received: 11 October 2018 / Revised: 29 October 2018 / Accepted: 4 November 2018 / Published: 7 November 2018
PDF [2183 KB, uploaded 7 November 2018]


Endoscopic sinus surgery is a rapidly advancing area of Otolaryngology. Operations can be lengthy and are often performed by a single surgeon. Repetitive movements can also lead to muscular fatigue. To mitigate against this, we regularly deploy two retractable Flexi™ compact leads, one bigger than the other connected together and suspended from the theatre operating light arm using velcro ties. The leads are then wrapped around the endoscope using a cotton crepe bandage, in a double loop with a reef knot. The larger lead attaches to the focus/zoom adjustment part of the endoscopic camera, and the smaller lead attaches to the scope 20 cm from the tip allowing the scope to float when suspended, with a slight downward tilt towards the patient. The mechanical effect this produces allows an advantageous reduction in the scope’s weight from 404 g un-suspended, to 65 g with the setup described. This subsequently reduces stress on the elbows, shoulders neck and lumbar spine. The Swansea Floating Endoscopic Assistant adheres to basic ergonomic principles and has the potential for application in other areas of Otorhinolaryngology and Skull Base Surgery. View Full-Text
Keywords: surgical procedures; operative; nose; surgery surgical procedures; operative; nose; surgery

Figure 1

This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited (CC BY 4.0).

Share & Cite This Article

MDPI and ACS Style

George, J.; Farboud, A.; Elhassan, H.A.; Whittet, H.B. The Swansea Floating Endoscopic Assistant: A Surgical Handling Aid. Reports 2018, 1, 22.

Show more citation formats Show less citations formats

Note that from the first issue of 2016, MDPI journals use article numbers instead of page numbers. See further details here.

Article Metrics

Article Access Statistics



[Return to top]
Reports EISSN 2571-841X Published by MDPI AG, Basel, Switzerland RSS E-Mail Table of Contents Alert
Back to Top