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Work-Related Musculoskeletal Discomfort and Injury in Microsurgeons.

Ashley L Howarth1, Susan Hallbeck2, Raman C Mahabir1

  • 1Division of Plastic and Reconstructive Surgery, Mayo Clinic, Phoenix, Arizona.

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Summary
This summary is machine-generated.

Microsurgeons experience significant work-related musculoskeletal discomfort, especially when using microscopes, impacting their well-being and surgical performance. Addressing surgical ergonomics is crucial for occupational health in microsurgery.

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Area of Science:

  • Microsurgery
  • Occupational Health
  • Surgical Ergonomics

Background:

  • Long surgical procedures, particularly with loupe magnification and microscopes, increase microsurgeons' risk of musculoskeletal discomfort.
  • Understanding the prevalence and impact of this discomfort is vital for developing preventive strategies.
  • These strategies aim to enhance well-being, job satisfaction, and career longevity for microsurgeons.

Purpose of the Study:

  • To evaluate the prevalence and impact of work-related musculoskeletal discomfort among microsurgeons.
  • To identify specific surgical tools and practices associated with increased discomfort.
  • To inform the development of targeted interventions for occupational health.

Main Methods:

  • An online survey comprising 29 questions was developed to assess work-related musculoskeletal discomfort.
  • The survey was electronically distributed to members of the American Society for Reconstructive Microsurgery via a private survey research center.

Main Results:

  • A total of 117 microsurgeons responded (16.7% response rate), with 80% being men and 69% aged 31-50.
  • Median discomfort scores were 2 (no aids), 4 (loupes), and 5 (microscope), with neck pain being most common.
  • Discomfort affected posture (72%), stamina (36%), sleep (29%), concentration (22%), and surgical speed (19%), with 8% experiencing tremor.

Conclusions:

  • Work-related musculoskeletal discomfort significantly impacts microsurgeons' lives and operative capabilities.
  • There is a need for increased focus on occupational health and surgical ergonomics within the microsurgical community.
  • Preventive measures and ergonomic improvements are essential for the sustained practice and well-being of microsurgeons.