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Deep Neuromuscular Blockade Leads to a Larger Intraabdominal Volume During Laparoscopy
Published on: June 25, 2013
Work-related musculoskeletal disorders when performing laparoscopic surgery.
Margareta Warrén Stomberg1, Svein-Erik Tronstad, Karin Hedberg
1University of Skövde, School of Life sciences, and Department of Obstetrics and Gynecology, Skaraborgs Hospital in Skövde, Skövde, Sweden.
Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
|February 23, 2010
Summary
Musculoskeletal disorders are prevalent among surgeons performing laparoscopic surgery, with over 70% experiencing symptoms like pain, fatigue, and stiffness, particularly in the back, neck, and shoulders. Factors like increased workload, age, and being female significantly correlate with higher disorder rates.
Area of Science:
- Surgical Medicine
- Occupational Health
- Musculoskeletal Disorders
Background:
- Laparoscopic surgery is increasingly common in gynecology and general surgery.
- The ergonomic demands of laparoscopic procedures may pose risks for musculoskeletal health.
Purpose of the Study:
- To investigate the prevalence and characteristics of musculoskeletal disorders (MSDs) among gynecologists and general surgeons who perform laparoscopic surgery.
- To identify risk factors associated with MSDs in this surgical population.
Main Methods:
- A cross-sectional survey was conducted using a questionnaire.
- The study included 558 gynecologists and general surgeons, with a response rate of 68% (378 participants).
- Descriptive data analysis and statistical calculations were employed.
Main Results:
- Over 70% of participating laparoscopists reported at least one musculoskeletal symptom.
- Pain was the most frequent symptom, followed by fatigue and stiffness, predominantly affecting the lower back, neck, and shoulders.
- Increased workload, older age, and female gender were significantly associated with a higher incidence of MSDs (P<0.01). Headache and visual discomfort were also noted.
Conclusions:
- A majority of surgeons performing laparoscopic procedures experience musculoskeletal disorders.
- The physically demanding and often static postures required during laparoscopy likely contribute to the high rates of MSDs observed in general surgeons and gynecologists.
