Work-related upper limb musculoskeletal disorders in paediatric laparoscopic surgery. A multicenter survey

Esposito, Ciro; El-Ghoneimi, Alaa; Yamataka, Atsuyuki; Rothenberg, Steve; Bailez, Marcela; Ferro, M.; Gamba, Piergiorgio; Castagnetti, Marco; Mattioli, Girolamo; Delagausie, P.; Antoniou, Dimitrios; Montupet, Philippe; Marte, Antonio; Saxena, Amulya K.; Bertozzi, Mirko; Philippe, Paul; Varlet, François; Lardy, H.; Caldamone, Antony; Settimi, Alessandro; Pelizzo, Gloria; Baudin, François; Escolino, Maria; Pascale, Teresa De; Najmaldin, Azad; Schier, Felix

doi:10.1016/j.jpedsurg.2013.01.054

Cited by 63 publications

(36 citation statements)

References 15 publications

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“…Robot‐assisted surgery offers valuable potential as a ‘great leveller’ by shortening learning curves and making minimally invasive surgery more widely accessible . Additionally, ergonomic comfort and efficiency for the surgeon is undeniably superior in RAP compared with LP or OP; however, the impact of this is difficult to quantify and therefore remains only supported by limited anecdotal and survey type evidence .…”

Section: Discussionmentioning

confidence: 99%

Meta‐analysis of robot‐assisted vs conventional laparoscopic and open pyeloplasty in children

et al. 2014

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ObjectiveTo critically analyse outcomes for robot-assisted pyeloplasty (RAP) vs conventional laparoscopic pyeloplasty (LP) or open pyeloplasty (OP) by systematic review and meta-analysis of published data. Patients and MethodsStudies published up to December 2013 were identified from multiple literature databases. Only comparative studies investigating RAP vs LP or OP in children were included. Meta-analysis was performed using random-effects modelling. Heterogeneity, subgroup analysis, and quality scoring were assessed. Effect sizes were estimated by pooled odds ratios and weighted mean differences. Primary outcomes investigated were operative success, re-operation, conversions, postoperative complications, and urinary leakage. Secondary outcome measures were estimated blood loss (EBL), length of hospital stay (LOS), operating time (OT), analgesia requirement, and cost. ResultsIn all, 12 observational studies met inclusion criteria, reporting outcomes of 384 RAP, 131 LP, and 164 OP procedures. No randomised controlled trials were identified. Pooled analyses determined no significant differences between RAP and LP or OP for all primary outcomes. Significant differences in favour of RAP were found for LOS (vs LP and OP). Borderline significant differences in favour of RAP were found for EBL (vs OP). OT was significantly longer for RAP vs OP. Limited evidence indicates lower opiate analgesia requirement for RAP (vs LP and OP), higher total costs for RAP vs OP, and comparable costs for RAP vs LP. ConclusionsExisting evidence shows largely comparable outcomes amongst surgical techniques available to treat pelvi-ureteric junction obstruction in children. RAP may offer shortened LOS, lower analgesia requirement (vs LP and OP), and lower EBL (vs OP); but compared with OP, these gains are at the expense of higher cost and longer OT. Higher quality evidence from prospective observational studies and clinical trials is required, as well as further cost-effectiveness analyses. Not all perceived benefits of RAP are easily amenable to quantitative assessment.

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Section: Discussionmentioning

confidence: 99%

Meta‐analysis of robot‐assisted vs conventional laparoscopic and open pyeloplasty in children

et al. 2014

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“…These include factory workers, farm labourers and those performing heavy manual loading on one hand and those engaged in repetitive work in a sedentary desk job on the other. Amongst health professionals, dentists 2,3 nurses 4,5 sonologists 6,7 and recently surgeons 8,9 have received substantial attention.…”

Section: Introductionmentioning

confidence: 99%

Prevalence of work-related musculoskeletal symptoms in surgeons performing minimally invasive surgery: a review of literature

2016

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“…In order to balance the upper body, increased muscle activity is required [14]. Surgeons suffering from musculoskeletal injuries seem to require more analgesics, including non-steroid anti-inflammatory drugs and muscle relaxants, and/or therapy, such as massage therapy or physical therapy [15–17]. The complaints can sometimes lead to sick leave or even temporary resign of surgical tasks [17, 18].…”

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confidence: 99%

Ergonomics in the operating room

et al. 2016

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BackgroundSince the introduction of minimally invasive surgery, surgeons appear to be experiencing more occupational musculoskeletal injuries. The aim of this study is to investigate the current frequency and effects of occupational musculoskeletal injuries on work absence.MethodsAn online questionnaire was conducted among all surgeons affiliated to the Dutch Society for Endoscopic Surgery, Gastrointestinal Surgery, and Surgical Oncology. In addition, this survey was conducted among surgeons, gynaecologists, and urologists of one cluster of training hospitals in the Netherlands.ResultsThere were 127 respondents. Fifty-six surgeons currently suffer from musculoskeletal complaints, and 30 have previously suffered from musculoskeletal complaints with no current complaints. Frequently reported localizations were the neck (39.5 %), the erector spinae muscle (34.9 %), and the right deltoid muscle (18.6 %). Most of the musculoskeletal complaints were present while operating (41.8 %). Currently, 37.5 % uses medication and/or therapy to reduce complaints. Of surgeons with past complaints, 26.7 % required work leave and 40.0 % made intraoperative adjustments. More surgeons with a medical history of musculoskeletal complaints have current complaints (OR 6.1, 95 % CI 1.9–19.6). There were no significant differences between surgeons of different operating techniques in localizations and frequency of complaints, or work leave.ConclusionsDespite previous various ergonomic recommendations in the operating room, the current study demonstrated that musculoskeletal complaints and subsequent work absence are still present among surgeons, especially among surgeons with a positive medical history for musculoskeletal complaints. Even sick leave was necessary to fully recover. There were no significant differences in reported complaints between surgeons of different operating techniques. Almost half of the respondents with complaints made intraoperative ergonomic adjustments to prevent future complaints. The latter would be interesting for future research.

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Work-related upper limb musculoskeletal disorders in paediatric laparoscopic surgery. A multicenter survey

Cited by 63 publications

References 15 publications

Meta‐analysis of robot‐assisted vs conventional laparoscopic and open pyeloplasty in children

Meta‐analysis of robot‐assisted vs conventional laparoscopic and open pyeloplasty in children

Prevalence of work-related musculoskeletal symptoms in surgeons performing minimally invasive surgery: a review of literature

Ergonomics in the operating room

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