An Alternative Method for Sterile Table Setup in Endoscopic Endoluminal Procedures

With the increasing complexity of endoscopic procedures, the problem of organizing long instruments (1.5-3 m) has emerged: they become tangled, fall off, sterility is compromised, and procedure time increases. A specialized sterile drape kit has been developed, consisting of a Mayo stand cover and six pockets with an adhesive layer and a flexible retainer. The kit ensures individual fixation of each instrument, prevents tangling and dropping, reduces operative time, saves consumables, and improves patient safety. It is recommended for implementation in endoscopy units. Results: The kit reduces operation time (quick access to instruments), prevents instrument dropping, saves consumables, maintains sterility, reduces anesthesia exposure for the patient, and optimizes the nurse’s workflow. Comparison with existing alternatives: Unlike conventional Russian universal kits (no pockets), international endoscopic packs (Niche Healthcare, McKesson), and accessory pouches (3M Steri-Drape), this kit offers individual pockets with flexible retainers - a unique advantage for handling long instruments. The closest analogue is the KОБО - “Agat” protective cover with 4-16 pockets, but without flexible retainers. Conclusion: The developed sterile drape kit occupies a unique niche, providing ergonomics, safety, cost efficiency, and improved patient outcomes. It is recommended for implementation in endoscopic operating rooms. Key features: Each instrument is placed in an individual pocket, preventing tangling and falling. The flexible retainer allows easy insertion and removal. The adhesive layer fixes pockets around the perimeter of the table