Objective To explore the application effects of the SHEL optimization management model in the management of laparoscopic surgical instruments for endometriosis.

Methods A retrospective analysis was conducted on the clinical data of 107 endometriosis patients treated with laparoscopic surgery from May 2021 to May 2024. The patients were grouped by time period. The conventional instrument management was implemented from May 2021 to December 2022, and the patients treated with surgery were set as the control group (n = 52). From January 2023 to May 2024, the SHEL optimized management model was implemented, and the patients treated with surgery were set as the observation group (n = 55). The quality of the operating rooms (operation duration, intraoperative blood loss, infection rate, instrument preparation time, instrument connection time), qualification of instrument management (instrument recovery, instrument cleaning, instrument packaging, instrument distribution), defect situation of instruments (improper placement, unregistered after use, untimely maintenance, unmatched components, incomplete preparation) and satisfaction of physicians with the instruments were compared between two groups.

Results The operation duration, instrument preparation time and instrument connection time in the observation group were all lower than those in the control group (P ＜ 0.05), while there was no statistically significant difference in intraoperative blood loss and infection rate between two groups (P ＞ 0.05). The incidence of unregistered and untimely maintenance after use in the observation group was lower than that in the control group (P ＜ 0.05). There was no statistically significant difference in the qualified rates of instrument recovery, instrument cleaning, instrument packaging, instrument distribution and incidence of improper placement, unmatched components, and incomplete preparation between two groups (P ＞ 0.05). The satisfaction of physicians in the observation group with the instruments was higher than that in the control group (P ＜ 0.05).

Conclusions The application of the SHEL optimization management model in the management of laparoscopic surgical instruments for endometriosis is conducive to the smooth progress of the surgery.