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Application of ergonomic guidelines during minimally invasive surgery: a questionnaire survey of 284 surgeons

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Abstract

Background

This study aimed to obtain an answer for the question: Are ergonomic guidelines applied in the operating room and what are the consequences?

Methods

A total of 1,292 questionnaires were sent by email or handed out to surgeons and residents. The subjects worked mainly in Europe, performing laparoscopic and/or thoracoscopic procedures within the digestive, thoracic, urologic, gynecologic, and pediatric disciplines.

Results

In response, 22% of the questionnaires were returned. Overall, the respondents reported discomfort in the neck, shoulders, and back (almost 80%). There was not one specific cause for the physical discomfort. In addition, 89% of the 284 respondents were unaware of ergonomic guidelines, although 100% stated that they find ergonomics important.

Conclusions

The lack of ergonomic guidelines awareness is a major problem that poses a tough position for ergonomics in the operating room.

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References

  1. Berguer R (1998) Surgical technology and the ergonomics of laparoscopic instruments. Surg Endosc 12: 458–462

    Article  PubMed  CAS  Google Scholar 

  2. Berguer R, Forkey DL, Smith WD (1999) Ergonomic problems associated with laparoscopic surgery. Surg Endosc 13: 466–468

    Article  PubMed  CAS  Google Scholar 

  3. Berguer R, Gerber S, Kilpatrick G, Beckley D (1998) An ergonomic comparison of in-line vs pistol-grip handle configuration in a laparoscopic grasper. Surg Endosc 12: 805–808

    Article  PubMed  CAS  Google Scholar 

  4. Berguer R, Smith WD, Davis S (2002) An ergonomic study of the optimum operating table height for laparoscopic surgery. Surg Endosc 16: 416–421

    Article  Google Scholar 

  5. Emam TA, Frank TG, Hanna GB, Cuschieri A (2001) Influence of handle design on the surgeon’s limb movements, muscle recruitment, and fatigue during endoscopic suturing. Surg Endosc 15: 667–672

    Article  PubMed  CAS  Google Scholar 

  6. Goossens RHM, Van Veelen MA (2001) Assessment of ergonomics in laparoscopic surgery. Min Invas Ther Allied Technol 10: 175–179

    Article  Google Scholar 

  7. Hanna GB, Shimi SM, Cuschieri A (1998) Task performance in endoscopic surgery is influenced by location of the image display. Ann Surg 227: 481–484

    Article  PubMed  CAS  Google Scholar 

  8. Matern U, Faist M, Giebmeyer C, Buess G (2005) Monitor position in laparoscopic surgery. Surg Endosc 19: 436–440

    Article  PubMed  CAS  Google Scholar 

  9. Matern U, Rückauer KD, Farthmann EH (2000) Die Arbeitshaltung des laparoskopisch tätigen Chirurgen: Ideal und Wirklichkeit. Zentralbl Chir 125: 698–701

    Article  PubMed  CAS  Google Scholar 

  10. Matern U, Waller P (1999) Instruments for minimally invasive surgery: principles of ergonomic handles. Surg Endosc 13: 174–182

    Article  PubMed  CAS  Google Scholar 

  11. Matern U, Waller P, Giebmeyer C, Rückauer KD, Farthmann EH (2001) Ergonomics: requirements for adjusting the height of laparoscopic operating tables. JSLS 5: 7–12

    PubMed  CAS  Google Scholar 

  12. Nguyen NT, Ho HS, Smith WD, Philipps C, Lewis C, De Vera RM, Berguer R (2001) An ergonomic evaluation of surgeons’ axial skeletal and upper extremity movements during laparoscopic and open surgery. Am J Surg. 182: 720–724

    Article  PubMed  CAS  Google Scholar 

  13. Omar AM, Wade NJ, Brown SI, Cuschieri A (2004) Assessing the benefits of “gaze-down” display location in complex tasks. Surg Endosc 19: 105–108

    Article  PubMed  Google Scholar 

  14. Schoofs J, Gossot D (2004) A neglected but frustrating ergonomic issue: the thoracoscopic trocar. Min Invas Ther Allied Technol 13: 133–137

    Article  CAS  Google Scholar 

  15. Uhrich ML, Underwood RA, Standeven JW, Soper NJ, Engsberg JR (2002) Assessment of fatigue, monitor placement, and surgical experience during simulated laparoscopic surgery. Surg Endosc 16: 635–639

    Article  PubMed  CAS  Google Scholar 

  16. Van Veelen MA (2003) Human–product interaction in minimally invasive surgery: a design vision for innovative products, TU Delft, Delft, The Netherlands

    Google Scholar 

  17. Van Veelen MA, Jakimowicz JJ, Goossens RHM, Meijer DM, Bussman JBJ (2002) Evaluation of the usability of two types of image display systems during laparoscopy. Surg Endosc 16: 674–678

    Article  PubMed  CAS  Google Scholar 

  18. Van Veelen MA, Kazemier G, Koopman J, Goossens RHM, Meijer DW (2002) Assessment of the ergonomically optimal surface height for laparoscopic surgery. J Laparoendosc Adv Surg Tech A 12: 47–52

    Article  PubMed  Google Scholar 

  19. Van Veelen MA, Nederlof EAL, Goossens RHM, Schot CJ, Jakimowicz JJ (2003) Ergonomic problems encountered by the medical team related to products used for minimally invasive surgery. Surg Endosc 17: 1077–1081

    Article  PubMed  Google Scholar 

  20. Van Veelen MA, Snijders CJ, Van Leeuwen E, Goossens RHM, Kazemier G (2003) Improvement of foot pedals used during surgery based on new ergonomic guidelines. Surg Endosc 17: 1086–1091

    Article  PubMed  Google Scholar 

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Correspondence to L. S. G. L. Wauben.

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Wauben, L.S.G.L., van Veelen, M.A., Gossot, D. et al. Application of ergonomic guidelines during minimally invasive surgery: a questionnaire survey of 284 surgeons. Surg Endosc 20, 1268–1274 (2006). https://doi.org/10.1007/s00464-005-0647-y

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  • DOI: https://doi.org/10.1007/s00464-005-0647-y

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