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Related Experiment Videos

Ergonomics in office-based surgery: a survey-guided observational study.

Adam C Esser1, James G Koshy, Henry W Randle

  • 1Department of Dermatology, Mayo Clinic, Jacksonville, Florida, USA.

Dermatologic Surgery : Official Publication for American Society for Dermatologic Surgery [Et Al.]
|October 26, 2007
PubMed
Summary

Musculoskeletal injuries are common in office-based surgery, with most surgeons experiencing symptoms. Improving ergonomics through adjustments to workstations and instruments can help prevent these work-related disorders.

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Area of Science:

  • Occupational health
  • Surgical ergonomics
  • Musculoskeletal disorders

Background:

  • Office-based surgery is increasingly prevalent across various medical specialties.
  • The rise in outpatient procedures necessitates an examination of surgeon well-being.

Purpose of the Study:

  • To investigate the role of ergonomics in office-based surgery.
  • To identify factors contributing to work-related musculoskeletal disorders (WMSDs) in surgeons.
  • To use Mohs surgery as a model for ergonomic assessment.

Main Methods:

  • A survey was distributed to all Mohs surgeons at Mayo Clinic and those trained there between 1990-2004.
  • Videotaping of selected surgeons during procedures allowed for ergonomic analysis.
  • Outcomes included survey responses and identification of ergonomic risk factors by an ergonomist.

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Main Results:

  • All 17 surveyed surgeons responded, reporting an average of 24 hours/week in surgery.
  • 16 surgeons (94%) reported symptoms exacerbated by surgery, with onset around age 35.
  • Common complaints included neck, shoulder, and lower back pain/stiffness, and headaches. Videotapes revealed issues with setup, posture, force, positioning, lighting, and duration.

Conclusions:

  • Musculoskeletal injury symptoms are frequent among surgeons and can emerge early in their careers.
  • Ergonomic interventions, including modifications to footwear, flooring, table height, posture, lighting, and instruments, are recommended.
  • Addressing ergonomic factors is crucial for mitigating WMSDs in office-based surgical settings.