Surgeons’ Static Posture and Movement Repetitions in Open and Laparoscopic Surgery

Szeto, Grace P. Y.; Cheng, Stephen W.K.; Poon, Jensen T. C.; Ting, Acw; Tsang, Raymond C C; Ho, Pei

doi:10.1016/j.jss.2011.08.004

Cited by 104 publications

(76 citation statements)

References 28 publications

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“…Szeto et al compared surgeons' postures and identified significant differences in neck posture and left shoulder abduction between surgeons performing open and laparoscopic surgeries. In addition, while a static neck posture was held for a longer time during laparoscopic surgeries, movements had higher frequency during open procedures (17). In total, 67.8% of the subjects experienced shoulder pain in the present study.…”

Section: Discussionmentioning

confidence: 56%

“…Several biomechanical methods have also been adopted to measure physical workload during various laparoscopic tasks (16). It is thus essential for all experienced and novice laparoscopic surgeons to acquire adequate knowledge about the applications of ergonomics in laparoscopic procedures (17). Every job has its own dangers and health problems, and operating room staff and surgeons are no exception.…”

Section: Introductionmentioning

confidence: 99%

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Ergonomic Challenges Encountered by Laparoscopic Surgeons, Surgical First Assistants, and Operating Room Nurses Involved in Minimally Invasive Surgeries by Using RULA Method

Pazouki

Sadati

Zarei

et al. 2017

J Minim Invasive Surg Sci

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Background: Following the widespread approval of laparoscopic procedures, which impose certain restrictions on surgeons' movements and access to information, extensive research has been conducted on improving ergonomic conditions in this field. Ergonomic studies have indicated high levels of physical workload among laparoscopic surgeons. Objectives: The purpose of this study was to clarify the major ergonomic challenges faced by laparoscopic surgeon, their first assistants, and operating room nurses. Methods: This cross-sectional study recruited 62 volunteers with different levels of experience in minimally invasive surgeries between October 2014 and June 2015. Demographic data and the musculoskeletal disorder were collected by demographic questionnaire and the nordic musculoskeletal questionnaire (NMQ). Laparoscopic cholecystectomy procedures and surgical team members' position were recorded by camera then evaluated via the rapid upper limb assessment (RULA) method by ErgoIntelligence -UEA software. The data were analyzed using T-test, ANOVA Test, pearson and Kendall correlation coefficient by using Spss 16 software. Results: 60%of participates are male and 40%are female. The Mean age of male and female participates are 43.94 and37.62, respectively. There is a significant relationship between weight, height and work experience with musculoskeletal disorders and jobs and RULA score. The surgeons had the highest score in Rulla method. Pearson correlation coefficient also showed a significant relationship between age and RULA score. Conclusions: The majority of the participants complained of pain and discomfort after laparoscopy, therefore it is imperative to consider ergonomic issues during such procedures.

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Section: Discussionmentioning

confidence: 56%

Section: Introductionmentioning

confidence: 99%

Ergonomic Challenges Encountered by Laparoscopic Surgeons, Surgical First Assistants, and Operating Room Nurses Involved in Minimally Invasive Surgeries by Using RULA Method

Pazouki

Sadati

Zarei

et al. 2017

J Minim Invasive Surg Sci

View full text Add to dashboard Cite

show abstract

“…It mainly involves hand movement instead of upper trunk movement. Also, the neck posture is mostly neutral because of the overhead display (R Berguer, Rab, Abu-Ghaida, Alarcon, & Chung, 1997; Szeto et al, 2012).…”

Section: Discussionmentioning

confidence: 99%

Postural stress experienced by vaginal surgeons

Zhu

Yurteri-Kaplan

Gutman

et al. 2014

Proceedings of the Human Factors and Ergonomics Society Annual

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Increasing attention has been drawn to the prevalence of work-related musculoskeletal disorders (MSDs) among surgeons in various medical specialties; however, the risk of work-related MSDs among gynecologic surgeons has not received much attention. This study aimed to investigate the postural load among gynecologic surgeons for various surgical tasks during vaginal surgery. The frequency and percentage of duration of awkward upper body postures experienced by vaginal surgeons during eleven different vaginal surgical tasks observed during thirteen surgeries were collected using a new observational ergonomic job analysis tool, Ergonomic Posture Assessment in Real Time (ErgoPART). Results indicate that the postural loading is high for many surgical tasks but that the frequency and duration of awkward neck, shoulder, and trunk postures is variable across tasks. Surgeons' postural load was significantly higher for the transvaginal hysterectomy compared to others. This task, in particular, is a candidate for ergonomics interventions designed to reduce postural stress.

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“…Here the literature calls attention on LBP and much more frequent movements of back flexion than during laparoscopic surgery, in turn, in a lesser extent on a static loads of neck, shoulder and wrists (Nguyen et al, 2001). Nevertheless, in the research conducted by Szeto et al (2012) it is indicated that surgeons generally maintained a flexed neck posture during open surgery and a more extended neck posture during laparoscopic procedures. Other studies described in Soueid et al (2010) concerning the assessment of the load of surgical personnel of various specialties showed that nearly 80% of them described pains on a regular basis and the back and neck were the most common areas of pain.…”

Section: Introductionmentioning

confidence: 99%

Knowledge-based ergonomic assessment of working conditions in surgical ward – A case study

Bartnicka

2015

Safety Science

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Surgeons’ Static Posture and Movement Repetitions in Open and Laparoscopic Surgery

Cited by 104 publications

References 28 publications

Ergonomic Challenges Encountered by Laparoscopic Surgeons, Surgical First Assistants, and Operating Room Nurses Involved in Minimally Invasive Surgeries by Using RULA Method

Ergonomic Challenges Encountered by Laparoscopic Surgeons, Surgical First Assistants, and Operating Room Nurses Involved in Minimally Invasive Surgeries by Using RULA Method

Postural stress experienced by vaginal surgeons

Knowledge-based ergonomic assessment of working conditions in surgical ward – A case study

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