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Ergonomics of Laparoscopy

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Pediatric Endourology Techniques

Abstract

Laparoscopy is a surgical field that has been active for several decades, but many of the harmful, long-term effects of laparoscopy on surgeons are only now being realized. Ergonomics is a field of science applied to work environments with the aim of minimizing risk of injury. In the setting of laparoscopy, ergonomics studies have elucidated some of the current drawbacks of laparoscopy. This chapter evaluates the risk factors, available instruments, and operating room setup for laparoscopic surgery. Additionally, potential solutions and methods of decreasing the risk of injury are examined. By possessing knowledge of the drawbacks of laparoscopy, surgeons may be able to protect themselves and prevent injuries.

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References

  1. Berguer R. Surgery and ergonomics. Arch Surg. 1999;134:1011–6.

    Article  CAS  PubMed  Google Scholar 

  2. Nguyen NT, Ho HS, Smith WD, Philipps C, Lewis C, De Vera RM, et al. An ergonomic evaluation of surgeons’ axial skeletal and upper extremity movements during laparoscopic and open surgery. Am J Surg. 2001;182(6):720–4.

    Article  CAS  PubMed  Google Scholar 

  3. Berguer R, Rab GT, Abu-Ghaida H, Alarcon A, Chung J. A comparison of surgeons’ posture during laparoscopic and open surgical procedures. Surg Endosc. 1997;11:139–42.

    Article  CAS  PubMed  Google Scholar 

  4. Berguer R, Forkey DL, Smith WD. Ergonomic problems associated with laparoscopic surgery. Surg Endosc. 1999;13(5):466–8.

    Article  CAS  PubMed  Google Scholar 

  5. Gofrit ON, Mikahail AA, Zorn KC, Zagaja GP, Steinberg GD, Shalhav AL. Surgeons’ perceptions and injuries during and after urologic laparoscopic surgery. Urology. 2008;71(3):404–7.

    Article  PubMed  Google Scholar 

  6. Park A, Lee G, Seagull FJ, Meenaghan N, Dexter D. Patients benefit while surgeons suffer: an impending epidemic. J Am Coll Surg. 2010;210:306–13.

    Article  PubMed  Google Scholar 

  7. Franasiak J, Ko EM, Kidd J, Secord AA, Bell M, Boggess JF, Gehrig PA. Physical strain and urgent need for ergonomic training among gynecologic oncologists who perform minimally invasive surgery. Gynecol Oncol. 2012;126(3):437–42.

    Article  PubMed  Google Scholar 

  8. Rosen J, MacFarlane M, Richards C, Hannaford B, Sinanan M. Surgeon-tool force/torque signatures–evaluation of surgical skills in minimally invasive surgery. Stud Health Technol Inform. 1999;62:290–6.

    CAS  PubMed  Google Scholar 

  9. Hemal AK, Srinivas M, Charles AR. Ergonomic problems associated with laparoscopy. J Endourol. 2001;15(5):499–503.

    Article  CAS  PubMed  Google Scholar 

  10. Uhrich ML, Underwood RA, Standeven JW, et al. Assessment of fatigue, monitor placement, and surgical experience during simulated laparoscopic surgery. Surg Endosc. 2002;16:635–9.

    Article  CAS  PubMed  Google Scholar 

  11. Berguer R. Surgical technology and the ergonomics of laparoscopic instruments. Surg Endosc. 1998;12:458–62.

    Article  CAS  PubMed  Google Scholar 

  12. Horgan LF, O’Riordan DC, Doctor N, et al. Neuropraxia following laparoscopic procedures: an occupational injury. Minim Invasive Ther Allied Technol. 1997;6:33.

    Article  Google Scholar 

  13. Lawther RE, Kirk GR, Regan MC. Laparoscopic procedures are associated with a significant risk of digital nerve injury for general surgeons. Ann R Coll Surg Engl. 2002;84:443–4.

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  14. Van Veelen MA, Meijer DW. Ergonomics and design of laparoscopic instruments: results of a survey among laparoscopic surgeons. J Laparoendosc Adv Surg Tech A. 1999;9:481–9.

    Article  PubMed  Google Scholar 

  15. Van Veelen MA, Meijer DW, Goossens RHM, Snijders CJ. New ergonomic design criteria for handles of laparoscopic dissection forceps. J Laparoendosc Adv Surg Tech A. 2001;11: 17–26.

    Article  PubMed  Google Scholar 

  16. Berguer R, Hreljac A. The relationship between hand size and difficulty using surgical instruments: a survey of 726 laparoscopic surgeons. Surg Endosc. 2004;18(3):508–12.

    Article  CAS  PubMed  Google Scholar 

  17. Matern U, Eichenlaub M, Waller P, Rückauer K. MIS instruments. An experimental comparison of various ergonomic handles and their design. Surg Endosc. 1999;13(8):756–62.

    Article  CAS  PubMed  Google Scholar 

  18. Uchal M, Brogger J, Rukas R, Karlsen B, Bergamaschi R. In-line versus pistol-grip handles in a laparoscopic simulators. A randomized controlled crossover trial. Surg Endosc. 2002;16(12):1771–3.

    Article  CAS  PubMed  Google Scholar 

  19. Smith WD, Berguer R, Nguyen NT. Monitor height affects surgeons’ stress level and performance on minimally invasive surgery tasks. Stud Health Technol Inform. 2005;111:498–501.

    PubMed  Google Scholar 

  20. Van Veelen MA, Jakimowicz JJ, Kazemier G. Improved physical ergonomics of laparoscopic surgery. Minim Invasive Ther Allied Technol. 2004;13:161–6.

    Article  PubMed  Google Scholar 

  21. Hanna GB, Shimi SM, Cuschieri A. Task performance in endoscopic surgery is influenced by location of the image display. Ann Surg. 1998;227:481–4.

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  22. Gallagher AG, Al-Akash M, Seymour NE, Satava RM. An ergonomic analysis of the effects of camera rotation on laparoscopic performance. Surg Endosc. 2009;23(12):2684–91.

    Article  PubMed  Google Scholar 

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

    Article  PubMed  Google Scholar 

  24. Lenoir C, Steinbrecher H. Ergonomics, surgeon comfort, and theater checklists in pediatric laparoscopy. J Laparoendosc Adv Surg Tech A. 2010;20(3):281–91.

    Article  PubMed  Google Scholar 

  25. Galleano R, Carter F, Brown S, Frank T, Cuschieri A. Can armrests improve comfort and task performance in laparoscopic surgery? Ann Surg. 2006;243(3):329–33.

    Article  PubMed Central  PubMed  Google Scholar 

  26. Berguer R, Smith W. An ergonomic comparison of robotic and laparoscopic technique: the influence of surgeon experience and task complexity. J Surg Res. 2006;134:87–92.

    Article  PubMed  Google Scholar 

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Gridley, C.M., Nguyen, H.T. (2014). Ergonomics of Laparoscopy. In: Godbole, P., Koyle, M., Wilcox, D. (eds) Pediatric Endourology Techniques. Springer, London. https://doi.org/10.1007/978-1-4471-5394-8_2

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  • DOI: https://doi.org/10.1007/978-1-4471-5394-8_2

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  • Publisher Name: Springer, London

  • Print ISBN: 978-1-4471-5393-1

  • Online ISBN: 978-1-4471-5394-8

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