Ergonomics in Laparoscopy

Yeola, Meenakshi; Gode, Dilip; Bora, Akshay K; Singh, Pradeep K

doi:10.5005/jp-journals-10053-0051

Cited by 8 publications

(16 citation statements)

References 16 publications

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“…With regard to ergonomics, 41% said that laparoscopic surgery has poor ergonomics compared with open surgery, and there were some additional responses that it depended on the operating room setup. Yeola et al have shown that the layout of the operating room is important for surgeon comfort and have provided recommendations and guidelines to achieve ideal positioning. Improving ergonomics is frequently cited in the human literature as a key to reducing surgeon pain or discomfort .…”

Section: Discussionmentioning

confidence: 99%

“…Yeola et al have shown that the layout of the operating room is important for surgeon comfort and have provided recommendations and guidelines to achieve ideal positioning. Improving ergonomics is frequently cited in the human literature as a key to reducing surgeon pain or discomfort . When participants were asked whether laparoscopic surgery had poor ergonomics compared with open surgery, 41% of respondents answered “yes,” and 43% answered “no,” with some others responding that it was case dependent.…”

Section: Discussionmentioning

confidence: 99%

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A survey of work‐related musculoskeletal disorders associated with performing laparoscopic veterinary surgery

Jones

2020

Veterinary Surgery

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Objective To assess the prevalence of work‐related musculoskeletal disorders (WRMD) associated with laparoscopy in veterinary surgery. Study design Cross‐sectional survey. Sample population Veterinary surgeons who perform laparoscopy. Methods Responses were collected with data regarding laparoscopic activities and experience as well as whether the respondents experienced pain as a result of laparoscopy and, if so, additional information on this topic. Variables associated with the risk of experiencing pain were determined by using χ2 tests and odds ratios (OR). Results There were 149 respondents, an estimated 6% response proportion. Forty percent experienced pain that they attributed to the use of laparoscopic instruments during or after laparoscopic surgery. Surgeons who perform laparoscopic surgery frequently (at least monthly) were more likely to experience pain as a result of laparoscopic surgery compared with those who perform laparoscopic surgery infrequently (OR 2.25; 95% confidence interval 1.07‐4.75; P = .033). Pain during or after laparoscopic surgery was most often experienced in the neck (81%), back (77%), and shoulders (75%), with 90% of respondents reporting that surgery exacerbated their pain. Fifty‐four percent of respondents experienced the pain at home, 64% had taken painkillers for the pain, and 46% had sought other treatment for the pain such as physiotherapy, chiropractic treatment, or seeing a doctor. Conclusion Laparoscopic surgery was a potential source of pain in a proportion of surgeons. Surgeons who frequently perform laparoscopic surgery were more likely to experience a WRMD. Clinical significance Work‐related musculoskeletal disorders may occur as a result of performing laparoscopic surgery.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

A survey of work‐related musculoskeletal disorders associated with performing laparoscopic veterinary surgery

Jones

2020

Veterinary Surgery

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“…The assessment was done as per the proforma. This was prepared on the basis of current ergonomic guidelines [3,8,10,11]. Demographic details of the surgeons were recorded along with the monthly frequency of MIS procedures they performed and years of experience of the surgeon.…”

Section: Methodsmentioning

confidence: 99%

“…The role of ergonomics is to analyse problems brought forth in the operating room and subsequently frame guidelines for creating a work environment that promotes safety and comfort for its operators, at the same time ensuring effectiveness and efficiency of the procedure being performed [2]. The term "Ergonomics" was formally defined in 1949 [1,3].…”

Section: Introductionmentioning

confidence: 99%

Minimally Invasive Surgery: Are We Doing It Right?

Chohatakar¹,

Ramesh²,

Paramashivaiah³

et al. 2020

Indian J Surg

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Ergonomics is essential in surgical practice and especially in minimally invasive surgery (MIS) due to concerns with dexterity, loss of 3D view, fulcrum effect and longer duration. This paper aims to audit the ergonomic practice amongst minimally invasive surgeons in Bangalore, India. In this audit, personal assessments of surgeons were done while they were performing surgery based on accepted ergonomic practice guidelines, after taking their consent. The assessment data included demographics, surgeon's posture and operating room configurations. Of the 51 surgeons who were assessed, 17 (33%) of them reported history of musculoskeletal problems. Majority (more than 75%) of surgeons followed proper ergonomics when keeping themselves in line with target organ and monitor, maintaining proper angles at the elbow joint and forearm. More than 80% of operating rooms had appropriately functioning tables and instruments. Less than 50% of surgeons maintained proper head and neck posture. Monitor height was more than the operating MIS surgeon's height in 43% of operating rooms. Although many surgeons showed good ergonomic practice overall, it was found that there were a few areas for improvement with respect to the ideal posture. Our recommendations include adjusting height of the monitor with respect to the surgeon's height by use of foot stools or by updating operating rooms with ceiling suspended monitors, height adjustments of the operating table to facilitate maintenance of pelvic girdle symmetry with equal weight distribution while standing. Surgeons must also be advised to be aware of the prolonged and extreme degrees of joint movements and correct them accordingly.

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“…Poor posture is the main cause of pain during laparoscopic surgery [5]. Appropriate monitor height and position, table height, port placement, and design of handheld instruments can improve poor posture [6][7][8]. Correct ergonomics decreases musculoskeletal disorders, suturing time, and complications [9,10].…”

Section: Introductionmentioning

confidence: 99%

Awareness and practice of ergonomics by gynecological laparoscopists in Turkey

Tamburaci

Mulayim

2020

Ginekol Pol

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Objectives: Ergonomics in laparoscopy has been gaining increasing attention. The research literature on ergonomics is growing worldwide; however, there are no studies or data from Turkey. Our study provides information on the awareness and use of ergonomics in laparoscopic gynecology in Turkey. Material and methods:A questionnaire consisting of 25 questions was sent by email to 225 laparoscopists who are members of the Turkish Society of Gynecological Endoscopy. Results:In response, 45.7% of the questionnaires were returned. Six respondents (5.9%) had never experienced pain, and two respondents (1.9%) always experienced pain during or after laparoscopy. The shoulders, neck, and back were the most common sites where respondents experienced pain. Most of the respondents (64.1%) utilized one monitor during laparoscopic surgery, and only 2% of respondents utilized a monitor below eye level. Less than 50% of the respondents were aware of ergonomic guidelines.Conclusions: Even though less than half of the Turkish gynecological laparoscopist respondents were aware of ergonomic guidelines, more than half used appropriate visual systems, operating tables, hand instruments, and had large enough operating rooms. Only the number and level of monitors used by respondents were not in accordance with ergonomic guidelines.

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Ergonomics in Laparoscopy

Cited by 8 publications

References 16 publications

A survey of work‐related musculoskeletal disorders associated with performing laparoscopic veterinary surgery

A survey of work‐related musculoskeletal disorders associated with performing laparoscopic veterinary surgery

Minimally Invasive Surgery: Are We Doing It Right?

Awareness and practice of ergonomics by gynecological laparoscopists in Turkey

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