Occupational hazards of endoscopic surgery

Little, Rachel; Deal, Allison M.; Zanation, Adam M.; McKinney, Kibwei A.; Senior, Brent A.; Ebert, Charles S.

doi:10.1002/alr.20108

Cited by 53 publications

(80 citation statements)

References 13 publications

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“…First, this study had a small sample size and was from a single institution, which may limit its generalizability. However, we had an excellent response rate of 68.6%, which compares very favorably to the literature . Additionally, assessment of the REBA score can be subjective, as most postural positions are scored based on both an angular and a time factor.…”

Section: Discussionsupporting

confidence: 68%

“…However, we had an excellent response rate of 68.6%, which compares very favorably to the literature. 1,[8][9][10]19,20,[22][23][24] Additionally, assessment of the REBA score can be subjective, as most postural positions are scored based on both an angular and a time factor. A static picture can be used to accurately measure an angle, but does not capture the length of time a position is maintained or how many repetitions per minute occurred.…”

Section: Discussionmentioning

confidence: 99%

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Ergonomic hazards in otolaryngology

et al. 2018

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Objectives/Hypothesis To evaluate the presence of postural‐related strain and musculoskeletal discomfort, along with the level of ergonomics training and the availability of ergonomic equipment among otolaryngology surgeons. Study Design Intraoperative observations and survey study. Methods Using the Rapid Entire Body Assessment score system to identify ergonomic hazards, we conducted intraoperative observations assessing operating room personnel during different otolaryngological subspecialty procedures. Based on these findings, otolaryngology surgeons at a single academic institution in the United States were sent a survey that evaluated ergonomic practice, environmental infrastructure, and prior ergonomic training or education. Results A response rate of 69% was obtained from 70 surgeons, with 72.9% of responding surgeons suffering from some level of back pain, with cervical spine pain being the most common. Interestingly, residents were equally affected when compared to more senior surgeons both in subjective survey reports and from observational risk analysis. Furthermore, 43.8% of surgeons reported suffering from the highest level of pain when standing, whereas only 12.5% experienced pain when sitting. Importantly, 10% stated that pain impacted their work. Only 24% of surgeons had any prior ergonomic training or education. Conclusions Our data suggest that pain and disability induced by poor ergonomics are widespread among the otolaryngology community and confirm that surgeons rarely receive ergonomic training in the surgical context. Additionally, intraoperative observational findings identified that the majority of observed surgeons display poor posture, particularly a poor cervical angle and use of ergonomic setups, both of which increase ergonomic risk hazard. These data provide guidance for future interventional studies. Level of Evidence NA Laryngoscope, 129:370–376, 2019

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Section: Discussionsupporting

confidence: 68%

Section: Discussionmentioning

confidence: 99%

Ergonomic hazards in otolaryngology

et al. 2018

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“…10,49 However, there are clearly consequences from ignoring these principles. Ergonomics are infrequently applied to laparoscopic surgery and endoscopic sinus surgery, most commonly because of lack of awareness.…”

Section: Discussionmentioning

confidence: 99%

Ergonomic Considerations in Endoscopic Sinus Surgery: Lessons Learned from Laparoscopic Surgeons

Ramakrishnan

Montero

2013

Am J Rhinol�Allergy

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“…When equipping the OR with video systems ergonomic aspects have to be taken into account – about ¾ of sinus surgeons complain about OP-related symptoms, especially in the shoulder and neck area about the length of time. These kind of problems occur especially after lengthy rhino-neurosurgeries [539]. …”

Section: Structural Qualitymentioning

confidence: 99%