The ergonomics of women in surgery

Sutton, Erica; Irvin, Myra; Zeigler, Craig; Lee, Gyusung; Park, Adrian

doi:10.1007/s00464-013-3281-0

Cited by 124 publications

(98 citation statements)

References 14 publications

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“…In a smaller study of 55 laparoscopic surgeons, 73% reported physical complaints mainly involving neck, lower back, shoulders, and thumbs during or after CL procedures . A recent survey of 495 gynecological surgeons confirmed these findings and the risk of musculoskeletal symptoms seems to be significantly higher among female surgeons . Laparoscopic pelvic surgery is especially troublesome, because the surgeon is forced to work aside the working axis, resulting in unnatural strain of arms, shoulders, back and legs .…”

Section: Resultsmentioning

confidence: 97%

Robot‐assisted surgery in gynecological oncology: current status and controversies on patient benefits, cost and surgeon conditions – a systematic review

Kristensen

Mosgaard

Rosendahl

et al. 2017

Acta Obstet Gynecol Scand

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Introduction. Robot-assisted surgery has become more widespread in gynecological oncology. The purpose of this systematic review is to present current knowledge on robot-assisted surgery, and to clarify and discuss controversies that have arisen alongside the development and deployment. Material and methods. A database search in PubMed and EMBASE was performed up until 4 March 2016. The search strategy was developed in collaboration with an information specialist, and by application of the PRISMA guidelines. Human participants and English language were the only restrictive filters applied. Selection was performed by screening of titles and abstracts, and by full text scrutiny. From 2001 to 2016, a total of 76 references were included. Results. Robot-assisted surgery in gynecological oncology has increased, and current knowledge supports that the oncological safety is similar, compared with previous surgical methods. Controversies arise because current knowledge does not clearly document the benefit of robot-assisted surgery, on perioperative outcome compared with the increased costs of the acquisition and application. Conclusions. The rapid development in robot-assisted surgery calls for long-term detailed prospective cohorts or randomized controlled trials. The costs associated with acquisition, application, and maintenance have an unfavorable impact on cost-benefit evaluations, especially when compared with laparoscopy. Future developments in robot-assisted surgery will hopefully lead to competition in the market, which will decrease costs.

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Section: Resultsmentioning

confidence: 97%

Robot‐assisted surgery in gynecological oncology: current status and controversies on patient benefits, cost and surgeon conditions – a systematic review

Kristensen

Mosgaard

Rosendahl

et al. 2017

Acta Obstet Gynecol Scand

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“…Sutton et al reported that the handles of these devices are too big for a certain group of surgeons, particularly women, who have significantly smaller hands than men [19]. Therefore, two or more sizes should be considered to ascertain suitability for the whole range of end users.…”

Section: Discussionmentioning

confidence: 99%

“…Furthermore, almost all laparoscopic handles come with the adage “one size fits all” whereas small hand size is a known risk factor for experiencing physical discomfort and difficulties in the use of laparoscopic instruments [19–21]. Instrument handles are the most important physical interface for laparoscopic surgeons [22].…”

Section: Introductionmentioning

confidence: 99%

Ergonomics of laparoscopic graspers and the importance of haptic feedback: the surgeons’ perspective

Alleblas

Vleugels²,

Nieboer

2016

Gynecol Surg

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Haptic feedback is drastically reduced in laparoscopic surgery compared to open surgery. Introducing enhanced haptic feedback in laparoscopic instruments might well improve surgical safety and efficiency. In the design process of a laparoscopic grasper with enhanced haptic feedback, handle design should be addressed to strive for optimal usability and comfort. Additionally, the surgeons’ perspective on the potential benefits of haptic feedback should be assessed to ascertain the clinical interest of enhanced haptic feedback. A questionnaire was designed to determine surgeons’ use and preferences for laparoscopic instruments and expectations about enhanced haptic feedback. Surgeons were also asked whether they experience physical complaints related to laparoscopic instruments. The questionnaire was distributed to a group of laparoscopic surgeons based in Europe. From the 279 contacted subjects, 98 completed the questionnaire (response rate 35 %). Of all respondents, 77 % reported physical complaints directly attributable to the use of laparoscopic instruments. No evident similarity in the main preference for graspers was found, either with or without haptic feedback. According to respondents, the added value of haptic feedback could be of particular use in feeling differences in tissue consistencies, feeling the applied pressure, locating a tumor or enlarged lymph node, feeling arterial pulse, and limiting strain in the surgeon’s hand. This study stresses that the high prevalence of physical complaints directly related to laparoscopic instruments among laparoscopic surgeons is still relevant. Furthermore, the potential benefits of enhanced haptic feedback in laparoscopic surgery are recognized by laparoscopic specialists. Therefore, haptic feedback is considered an unmet need in laparoscopy.

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“…Existing ergonomic guidelines for the design of hand tools are not specific enough for the design of laparoscopic surgical instruments (Van Veelen and Meijer, 1999), but there have been some studies that have considered how the anthropometry of the hand can help in their optimal design DiMartino et al, 2004;Trejo et al, 2007;Sutton et al, 2013).…”

Section: Introductionmentioning

confidence: 99%

Optimisation of a laparoscopic tool handle dimension based on ergonomic analysis

González

Salgado

García-Moruno

2015

International Journal of Industrial Ergonomics

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The ergonomics of women in surgery

Abstract: Women surgeons are experiencing more discomfort and treatment in their hands than male surgeons. Redesign of laparoscopic instrument handles and improvements to table height comprise the most promising solutions to these ergonomic challenges.

Cited by 124 publications

References 14 publications

Robot‐assisted surgery in gynecological oncology: current status and controversies on patient benefits, cost and surgeon conditions – a systematic review

Robot‐assisted surgery in gynecological oncology: current status and controversies on patient benefits, cost and surgeon conditions – a systematic review

Ergonomics of laparoscopic graspers and the importance of haptic feedback: the surgeons’ perspective

Optimisation of a laparoscopic tool handle dimension based on ergonomic analysis

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