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Pediatric Surgery International

, Volume 30, Issue 4, pp 395–399 | Cite as

Work-related upper limb musculoskeletal disorders in pediatric minimally invasive surgery: a multicentric survey comparing laparoscopic and sils ergonomy

  • Ciro EspositoEmail author
  • Azad Najmaldin
  • Felix Schier
  • Atsuyuki Yamataka
  • Marcelo Ferro
  • Giovanna Riccipetitoni
  • Piotr Czauderna
  • Todd Ponsky
  • Holger Till
  • Maria Escolino
  • Marianna Iaquinto
  • Antonio Marte
  • Amulya Saxena
  • Alessandro Settimi
  • Steve Rothenberg
Original Article

Abstract

Purpose

Surgeons are at risk for developing work-related musculoskeletal symptoms (WMS). The present study aims to compare laparoscopy and SILS ergonomy among pediatric surgeons.

Methods

A questionnaire formed by 17 questions was mailed to 14 pediatric surgeons, seven with a large experience in laparoscopy and seven in SILS. All surgeons completed the survey. The questionnaires were focused on the type of laparoscopic or SILS activity, location and type of pain, need for drugs and its physical consequences. Results were analyzed using χ 2 test.

Results

Results indicated a similar incidence of WMS with shoulder symptoms (>75 %) in both groups. In laparoscopic group this pain is evident only after a long lasting procedure, while in SILS group the pain is present after each procedure performed. SILS surgeons used painkillers and other therapies statistically more frequently than laparoscopic group (χ 2 = 0.001).

Conclusions

This study confirms there is a strong association between WMS and MIS surgery. The incidence of pain is similar in both groups. Pain was present only after long lasting procedures in laparoscopic group, while SILS surgeons have pain after each procedure performed. In addition SILS surgeons use more frequently painkillers and other therapies compared to laparoscopic surgeons. In conclusion, it seems that SILS has a worse ergonomy compared to laparoscopy.

Keywords

Ergonomy Laparoscopy SILS MIS Children Painkillers 

Notes

Conflict of interest

All authors declare that they have no conflict of interests or financial ties to disclose.

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Copyright information

© Springer-Verlag Berlin Heidelberg 2013

Authors and Affiliations

  • Ciro Esposito
    • 1
    Email author
  • Azad Najmaldin
    • 2
  • Felix Schier
    • 3
  • Atsuyuki Yamataka
    • 4
  • Marcelo Ferro
    • 5
  • Giovanna Riccipetitoni
    • 6
  • Piotr Czauderna
    • 7
  • Todd Ponsky
    • 8
  • Holger Till
    • 9
  • Maria Escolino
    • 1
  • Marianna Iaquinto
    • 1
  • Antonio Marte
    • 10
  • Amulya Saxena
    • 11
  • Alessandro Settimi
    • 1
  • Steve Rothenberg
    • 12
  1. 1.“Federico II” University of NaplesNaplesItaly
  2. 2.Children Hospital NHS LeedsLeedsUK
  3. 3.University of MainzMainzGermany
  4. 4.Juntendo UniversityTokyoJapan
  5. 5.Buenos Aires UniversityBuenos AiresArgentina
  6. 6.Buzzi Children HospitalMilanItaly
  7. 7.Children HospitalGanskPoland
  8. 8.University Hospital of ClevelandClevelandUSA
  9. 9.University Hospital of LeipzigLeipzigGermany
  10. 10.Second University of NaplesNaplesItaly
  11. 11.Children HospitalGrazAustria
  12. 12.Children HospitalDenverUSA

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