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Ergonomics in Laparoscopic Surgery: An Appraisal of Evidence

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Recent Concepts in Minimal Access Surgery

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Abstract

Ergonomic considerations in laparoscopic surgery is different from open surgery as it requires increased physical and mental demands. The important arenas of consideration are as follows: (1) the laparoscopic vision which is primarily 2D as compared to 3D vision in open surgery and is an indirect viewing technique dependent on the assistant (2) uncommon body postures and prolonged static position in the postures leads to muscle fatigue and strains as also nerve compression and paresthesias (3) the lack of haptic feed back and inefficient designs in laparoscopic instruments coupled with limited degrees of freedom increases physical and mental strain. Certain critical adjustments in OT layout as also the designing and use of laparoscopic instruments can help in this regard and has been discussed in this article.

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  1. Department of Surgery, Lady Hardinge Medical College, New Delhi, India

    Priya Hazrah, Deborshi Sharma, Gautam Anand & Kayenaat Puran Singh Jassi

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  1. Department of Surgery, Lady Hardinge Medical College, New Delhi, India

    Deborshi Sharma

  2. Department of Surgery, Lady Hardinge Medical College, New Delhi, India

    Priya Hazrah

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Hazrah, P., Sharma, D., Anand, G., Jassi, K.P.S. (2022). Ergonomics in Laparoscopic Surgery: An Appraisal of Evidence. In: Sharma, D., Hazrah, P. (eds) Recent Concepts in Minimal Access Surgery. Springer, Singapore. https://doi.org/10.1007/978-981-16-5473-2_8

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