“…10 Use of a gel mat during laparoscopic urological procedures was evaluated and found to result in less need for breaks and stretching during the case; less discomfort of the back, knees, and feet; less overall discomfort; and a higher overall level of energy. 36 The surgeons in this study were questioned 24-hours later, and the gel mat still provided statistical improvements in foot discomfort, overall discomfort, and overall energy level. In addition, ergonomic surgeon supports have been developed for laparoscopy and have been shown to decrease posture-associated muscle use.…”
Section: Trunk and Lower Body Ergonomicsmentioning
Increasing surgeon awareness will allow for many basic ergonomic principles to be applied to endoscopic sinus and skull base surgery. Although many simple changes can be immediately made, there is a clear need for further study and abundant room for innovation.
“…10 Use of a gel mat during laparoscopic urological procedures was evaluated and found to result in less need for breaks and stretching during the case; less discomfort of the back, knees, and feet; less overall discomfort; and a higher overall level of energy. 36 The surgeons in this study were questioned 24-hours later, and the gel mat still provided statistical improvements in foot discomfort, overall discomfort, and overall energy level. In addition, ergonomic surgeon supports have been developed for laparoscopy and have been shown to decrease posture-associated muscle use.…”
Section: Trunk and Lower Body Ergonomicsmentioning
Increasing surgeon awareness will allow for many basic ergonomic principles to be applied to endoscopic sinus and skull base surgery. Although many simple changes can be immediately made, there is a clear need for further study and abundant room for innovation.
“…In a prospective randomized study, Haramis et al examined the comfort level of a surgical team during 100 consecutive laparoscopic renal procedures. The procedures were randomized so that 50 were performed with participants using a gel foot pad (ie, an antifatigue mat) and 50 were performed without the gel foot pads.…”
Section: Using Antifatigue Mats In the Ormentioning
confidence: 99%
“…When some team members are tall and others are short, it is challenging to find the ergonomically reasonable compromise for all team members . Optimal OR bed height will differ depending on the team member's role (eg, surgeon, assistant, scrub person) and the individual team member's height . The optimal OR bed height is generally at the level of the waist or elbow or 5 cm above the elbow but may vary depending on instrument length and design, the surgical procedure, and the technique .…”
Section: Maintaining An Ergonomically Correct or Bed Heightmentioning
“…2 Traditionally, surgeons wore clogs, footware that has a non-flexible sole, whereas more recently most surgeons prefer footware with a flexible sole. Indeed, Haramis et al 13 found that placement of a gel mat under the surgeon's feet resulted not only in less musculoskeletal pain in the back, knees and feet during surgery, but also in less fatigue and fewer errors. Despite this, many theatres do not issue surgeons with footwear or only allow certain approved types of footwear.…”
Laparoscopic surgery in gynaecology is mainstream and widely practised. While this brings many benefits to the patient, injury to the surgeon is often under-reported. Careful theatre layout and correct instruments minimise the risk to the surgeon. There is a lack of gynaecology-specific guidelines/training in optimal theatre layout and surgeon positioning. This article examines the current available evidence and suggests changes that clinicians can make in order to optimise their working environment.
Learning objectivesTo appreciate the many ways the operating theatre can be changed to facilitate optimal ergonomics. To be aware of the different equipment available to facilitate comfort when operating. To recognise the short-term and long-term repercussions of poor ergonomics.
Ethical issuesShould this form part of every surgeon's training? Despite obvious benefits for patients, should employers pay closer attention to the health of their staff?
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