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Feasibility and acceptance of a robotic surgery ergonomic training program
Jason Franasiak1, Renatta Craven2, Prithima Mosaly2
1Department of Obstetrics, Gynecology and Reproductive Science, Robert Wood Johnson Medical School, Rutgers University, New Brunswick, NJ. USA.
JSLS : Journal of the Society of Laparoendoscopic Surgeons
|December 10, 2014
Summary
Ergonomic training (ET) for robotic surgeons is feasible and well-received. Evidence-based ET decreased self-reported strain and improved surgical practices, suggesting it should be standard for robotic surgeons.
Area of Science:
- Robotic Surgery
- Surgical Ergonomics
- Occupational Health
Background:
- Ergonomic strain is a concern in robotic surgery, necessitating interventions.
- Limited data exist on the feasibility and acceptance of ergonomic training (ET) for robotic surgeons.
- This study evaluates an evidence-based ET module implementation.
Purpose of the Study:
- To assess the feasibility and acceptance of an evidence-based ergonomic training (ET) module for robotic surgeons.
- To evaluate the impact of ET on self-reported musculoskeletal strain and surgical practice.
- To determine the need for formal ET in robotic surgery.
Main Methods:
- A prospective, observational pilot study involving 67 robotic surgeons.
- Two-part survey using the Nordic Musculoskeletal Questionnaire (NMQ) to assess strain.
- Offered online or in-person ET based on OSHA guidelines and human factors engineering.
Main Results:
- 45% of surgeons experienced strain, with 26.3% reporting persistent strain.
- Only 16.6% had prior ET; 78% opted for in-person training.
- 88% changed practice post-training; 74% of those with strain reported decreased symptoms.
Conclusions:
- Evidence-based ET is easily implemented and well-received at high-volume centers.
- Formal ET should be considered standard for robotic surgeons.
- ET can decrease self-reported strain and positively influence surgical practice.
