Prospective Randomized Evaluation of FOOT Gel Pads for Operating Room Staff COMFORT During Laparoscopic Renal Surgery

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

“…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.…”

Clinical Issues—November 2018

“…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.…”

“…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 .…”

Optimal laparoscopic ergonomics in gynaecology

“…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.…”