Ergonomics and Musculoskeletal Health of the Surgeon

Schlussel, Andrew T.; Maykel, Justin A.

doi:10.1055/s-0039-1693026

Cited by 74 publications

(66 citation statements)

References 86 publications

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“…The ideal upright body position has the upper arms perpendicular to the floor and elbow flexion 90 e120 . Wrists should be extended and hands in a neutral position [27]. Foot pedals should be avoided, as they force the surgeon to balance on a single foot, creating asymmetry [28].…”

Section: Open Transabdominal Pelvic Surgerymentioning

confidence: 99%

Human factors in pelvic surgery

Keller¹

2022

European Journal of Surgical Oncology

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In the pelvis, anatomic complexity and difficulty in visualization and access make surgery a formidable task. Surgeons are prone to work-related musculoskeletal injuries from the frequently poor design and flow of their work environment. This is exacerbated by the strain of surgery in the pelvis. These injuries can result in alterations to a surgeons practice, inadvertent patient injury, and even early retirement. Human factors examines the relationships between the surgeon, their instruments and their environment. By bridging physiology, psychology, and ergonomics, human factors allows a better understanding of some of the challenges posed by pelvic surgery. The operative approach involved (open, laparoscopic, robotic, or perineal) plays an important role in the relevant human factors. Improved understanding of ergonomics can mitigate these risks to surgeons. Other human factors approaches such as standardization, use of checklists, and employing resiliency efforts can all improve patient safety in the operating theatre.

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Section: Open Transabdominal Pelvic Surgerymentioning

confidence: 99%

Human factors in pelvic surgery

Keller¹

2022

European Journal of Surgical Oncology

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“…This is related to the maintenance of constrained postural positions for many hours in the operating room, increasing their risk of the onset of musculoskeletal disorders [50]. Surgeons need to be trained on the safety of correct body postures to reduce strain on the neck and lower back, as well as on correct patient positioning, and on table height [51].…”

Section: Discussionmentioning

confidence: 99%

Assessing Risks Awareness in Operating Rooms among Post-Graduate Students: A Pilot Study

et al. 2021

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Background: In this study, we promote a global approach to occupational risk perception in order to improve occupational health and safety training programs. The study investigates the occupational risk perception of operating room healthcare workers using an Analytic Hierarchy Process approach. Methods: A pilot study was carried out through a cross-sectional survey in a university hospital in Southern Italy. An ad hoc questionnaire was administered to enrolled medical post-graduate students working in the operating room. Results: Fifty medical specialists from seven fields (anaesthetists, digestive system surgeons, general surgeons, maxillofacial surgeons, thoracic surgeons, urologists, and gynaecologists) were questioned about perceived occupational risk by themselves. Biological, ionizing radiation, and chemical risks were the most commonly perceived in order of priority (w = 0.300, 0.219, 0.210). Concerning the biological risk, gynaecologists unexpected perceived this risk as less critical (w = 0.2820) than anaesthesiologists (w = 0.3354), which have the lowest perception of the risk of ionizing radiation (w = 0.1657). Conclusions: Prioritization methods could improve risk perception in healthcare settings and help detect training needs and perform sustainable training programs.

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“…Many surgeons felt discouraged while others adopted this approach to perform complex surgical procedures and were forced into uncomfortable postures, placing unnecessary mechanical strain on their wrists, arms, and shoulders to compensate for the engineering limitations of this technology. Almost every aspect of the operation—table height, monitor position, and instrument grip—opens the surgeon up to the risk of musculoskeletal strain [ 7 ]. Park et al find that 86.9% of laparoscopic surgeons experience pain and discomfort attributable to their use of the laparoscopic approach [ 8 ].…”

Section: The Advent Of Robotic Surgery: a Mere Technological Innovation Or Something More?mentioning

confidence: 99%

Robotic Surgery: Rediscovering Human Anatomy

Gangemi

Chang

Bernante

et al. 2021

IJERPH

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Since its advent, robotic surgery has redefined the operating room experience. It directly addressed and resolved many of the shortcomings of laparoscopic methods while maintaining a minimally invasive approach that brought benefits in cosmesis and healing for patients but also benefits in ergonomics and precision for surgeons. This new platform has brought with it changes in surgical training and education, principally through the utilization of virtual reality. Accurate depictions of human anatomy seen through augmented reality allow the surgeon-in-training to learn, practice and perfect their skills before they operate on their first patient. However, the anatomical knowledge required for minimally invasive surgery (MIS) is distinct from current methods of dissection and prosection that inherently cater towards open surgery with large cuts and unobstructed field. It is integral that robotic surgeons are also equipped with accurate anatomical information, heralding a new era in which anatomists can work alongside those developing virtual reality technology to create anatomical training curricula for MIS. As the field of surgery and medicine in general moves to include more and more technology, it is only fitting that the building blocks of medical education follow suit and rediscover human anatomy in a modern context.

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Ergonomics and Musculoskeletal Health of the Surgeon

Cited by 74 publications

References 86 publications

Human factors in pelvic surgery

Human factors in pelvic surgery

Assessing Risks Awareness in Operating Rooms among Post-Graduate Students: A Pilot Study

Robotic Surgery: Rediscovering Human Anatomy

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