Work-related Musculoskeletal Disorders When Performing Laparoscopic Surgery

Stomberg, Margareta Warrén; Tronstad, Svein Erik; Hedberg, Karin; Bengtsson, Jan; Jönsson, Peter; Johansen, Lars Søndergaard; Lindvall, Birgitta

doi:10.1097/sle.0b013e3181cded54

Cited by 80 publications

(69 citation statements)

References 18 publications

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“…Like Stomberg et al (2010), we found that females were much more likely to suffer musculoskeletal distress than their male colleagues [1]. This difference in prevalence between the sexes has been attributed to the fact that women have a lower muscle mass in the upper extremities when compared with men.…”

Section: Discussionmentioning

confidence: 66%

“…The degree of instruction and knowledge on the ergonomics of gynaecological endoscopic surgery 3. The prevalence/frequency 1 and sites of possible musculoskeletal distress suffered and the requirement for treatment of such injury…”

Section: Survey Designmentioning

confidence: 99%

“…Among surgeons, musculoskeletal symptoms have been reported to increase in prevalence with increasing age [1]. In addition, Szeko et al, (2009) noted that the likelihood of musculoskeletal pain was closely related to the number of years worked in laparoscopic surgery [2].…”

Section: Introductionmentioning

confidence: 99%

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The trainees’ pain with laparoscopic surgery: what do trainees really know about theatre set-up and how this impacts their health

Quinn

Moohan

2014

Gynecol Surg

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Although it is clear that laparoscopic surgery is beneficial to the patient, such surgery brings with it unique challenges and possible injury to the surgeon. Firstly, we sought to investigate the prevalence of musculoskeletal distress experienced by trainees. Secondly, we sought to ascertain if the trainees had received appropriate instruction to optimise their operative environment during laparoscopic surgery. An anonymised questionnaire survey was distributed to all 89 trainees in obstetrics and gynaecology within Northern Ireland. Forty-four (83 %) trainees reported to having received formal instruction in theatre layout and operating body position. However, only 8 (15 %) were aware of the ideal operating surface height, and 6 (11 %) knew the ideal monitor position, while 11 (20 %) and 7 (13 %) knew the correct angles for grasping and suturing tissue, respectively. Eightyfive percent of trainees suffered some form of musculoskeletal distress with back, shoulder and neck pain the most common areas affected. Eyestrain was reported by 1/3 of trainees. Although no trainees required sick leave, one in three required regular analgesia, physiotherapy or alternative therapies. It is clear that current training has not addressed operating ergonomics sufficiently, and this is having a significant impact on trainees' health.

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Section: Discussionmentioning

confidence: 66%

Section: Survey Designmentioning

confidence: 99%

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The trainees’ pain with laparoscopic surgery: what do trainees really know about theatre set-up and how this impacts their health

Quinn

Moohan

2014

Gynecol Surg

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“…From an "e-mail" study of 317 laparoscopic surgeons in North America reported by Park et al, 272 (86.9%) of those performing such surgery reported physical symptoms of discomfort. This compares to the 20% to 30% incidence rate of occupational MSDs reported while performing traditional open surgery [6][7][8].…”

Section: Introductionmentioning

confidence: 99%

Assessment of Obstetrician-Gynecologists Performing Laparoscopic Surgery: Study of Hand Size and Surgical Instruments

Huang¹,

McGlothlin²

2017

J Ergonomics

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“…MSDs are important occupational health problems, especially for medical and dental surgeons due to static posture, repetitive movements, forceful exertions and precise hand and wrist movement during surgery [8,9].…”

Section: Discussionmentioning

confidence: 99%

Work related musculoskeletal disorders among surgeons working in a tertiary care hospital in Kathmandu, Nepal

Vaidya¹,

Sainju

Joshi

2017

Int J Occup Safety & Health

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Background: Musculoskeletal disorders are common work-related health problems affecting professionals in many sectors. Surgeons are among the most vulnerable as they have to work for long hours in unfavorable posture. Objective: Aim of this study was to determine both prevalence of work related musculoskeletal disorders and types of ailments among surgeons of different sub-specialties in a tertiary care hospital in Kathmandu. Methods: In This cross sectional study was conducted in Bir Hospital, a tertiary care hospital in Kathmandu. A total of 50 surgeons of different sub-specialties were surveyed. Self-reported questionnaires included i) socio-demographic information, ii) Dutch Musculoskeletal Questionnaire on ergonomic hazards and iii) Nordic musculoskeletal disorders questionnaire on pain and discomfort. Data were analyzed using SPSS version 20. Result: Respondents were 40 male and 10 female surgeons with mean age of 38.9 years. Forty-four respondents (88%) reported that their job usually require them to stand for long hours, and41 (82%) also reported that they would work in the same posture for long period of time. In addition, 43 (86%) also reported that they would have to bend their trunk slightly during their job. Thirty-five respondents (70%) reported having at least one musculoskeletal disorder. Twenty-three (65.7%) surgeons had to miss their job at least once during last 12 month of which nineteen (54.3%) missed them in last 7 days.Conclusion: This survey showed that various musculoskeletal ailments were common among surgeons of all sub-specialties in our hospital which is likely one of the common and a serious occupational hazards in this population.

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Work-related Musculoskeletal Disorders When Performing Laparoscopic Surgery

Abstract: This study revealed musculoskeletal disorders in a majority of laparoscopists. The laparoscopic technique often requires static and tiring work positions, sometimes extreme, which can explain musculoskeletal disorders among general surgeons and gynecologist.

Cited by 80 publications

References 18 publications

The trainees’ pain with laparoscopic surgery: what do trainees really know about theatre set-up and how this impacts their health

The trainees’ pain with laparoscopic surgery: what do trainees really know about theatre set-up and how this impacts their health

Assessment of Obstetrician-Gynecologists Performing Laparoscopic Surgery: Study of Hand Size and Surgical Instruments

Work related musculoskeletal disorders among surgeons working in a tertiary care hospital in Kathmandu, Nepal

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