Impact of Procedure Type, Case Duration, and Adjunctive Equipment on Surgeon Intraoperative Musculoskeletal Discomfort

Abstract

BACKGROUND: Surgeons are at high risk of developing musculoskeletal disorders. STUDY DESIGN: This study was designed to identify risk factors and assess intraoperative physical stressors using subjective and objective measures, including type of procedure and equipment used. Wearable sensors and pre-and postoperation surveys were analyzed. RESULTS: Data from 116 cases (34 male and 19 female surgeons) were collected across surgical specialties. Surgeons reported increased pain in the neck, upper, and lower back both during and after operations. High-stress intraoperative postures were also revealed by the real-time measurement in the neck and back. Surgical duration also impacted physical pain and fatigue. Open procedures had more stressful physical postures than laparoscopic procedures. Loupe usage negatively impacted neck postures. CONCLUSIONS: This study highlights the fact that musculoskeletal disorders are common in surgeons and characterizes surgeons' intraoperative posture as well as surgeon pain and fatigue across specialties. Defining intraoperative ergonomic risk factors is of paramount importance to protect the well-being of the surgical workforce.

Postural ergonomics and work-related musculoskeletal disorders in neurosurgery: lessons from an international survey

“…It has been previously reported that, although loupes offer several advantages such as portability and cost-effectiveness, procedures performed with them are associated with extreme neck angles and increased muscle workload [ 13 , 44 ]. On the other hand, operating with the use of a microscope allows surgeons to maintain a neutral head position and offers a better view of the surgical field [ 13 ].…”

Combined transabdominal and transperineal endoscopic pelvic exenteration for colorectal cancer: feasibility and safety of a two-team approach

“…From the results in this study, we speculate that a comprehensive 2-team approach would reduce stress on the surgeon. Objective data on surgeon stress need to be measured to clarify the influences of the approach on operator stress [ 25 26 ].…”

Scoping Review: Pengaruh Lama dan Jabatan Kerja Terhadap Keluhan Muskuloskeletal Pada Petugas Medis

“…Seratus enam belas ahli bedah melaporkan bahwa rasa sakit dan kelelahan fisik yang timbul disebabkan oleh lama durasi pembedahan. 4 Posisi yang sama dalam waktu yang lama dan bekerja dalam posisi yang canggung juga berkontribusi terhadap perkembangan gangguan muskuloskeletal. 5 Nyeri yang timbul di leher, punggung atas, dan punggung bawah selama dan setelah operasi pada ahli bedah dipengaruhi oleh postur fisik dan lama durasi saat melakukan operasi sehingga perlu diperhatikan kembali mengenai faktor ergonomis.…”

“…5 Nyeri yang timbul di leher, punggung atas, dan punggung bawah selama dan setelah operasi pada ahli bedah dipengaruhi oleh postur fisik dan lama durasi saat melakukan operasi sehingga perlu diperhatikan kembali mengenai faktor ergonomis. 4 Tujuan scoping review ini mengetahui pengaruh lama dan posisi kerja terhadap keluhan muskuloskeletal pada petugas medis.…”

“…Hasil scoping review pengaruh lama dan posisi kerja terhadap keluhan muskuloskeletal pada petugas medis dapat dilihat pada Tabel. [4][5][6][7][8][9][11][12][13][14][15][16][17] Hasil review artikel yang diperoleh dari negara di Benua Amerika didapatkan 4 artikel dari Amerika Serikat dan 1 artikel dari Brazil; untuk Benua Asia didapatkan 4 artikel dari India, 2 artikel dari Iran, dan 1 artikel dari Hong Kong; serta untuk Benua Afrika didapatkan 1 artikel dari Mesir. Ketiga belas artikel yang diperoleh semua menggunakan studi penelitian kualitatif.…”