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Ergonomics in laparoscopic surgery.

Eva Intagliata, Clarissa Vizzini, Rosario Vecchio

Annali Italiani Di Chirurgia

|September 27, 2021

Summary

Surgeons experience increased fatigue during complex laparoscopic surgery involving multiple abdominal quadrants. Improving operating room ergonomics is crucial for surgeon health and patient safety in these procedures.

Area of Science:

Minimally Invasive Surgery
Surgical Ergonomics
Occupational Health

Background:

Laparoscopic surgery offers benefits but presents significant ergonomic challenges in the operating room.
Poor ergonomics contribute to surgeon injuries and illnesses, impacting surgical performance.
Current ergonomic standards in operating theaters require improvement, especially for complex procedures.

Purpose of the Study:

To investigate the impact of increased surgeon fatigue during laparoscopic procedures on surgeon health.
To evaluate the correlation between perceived fatigue and the dimensions of the surgical operating field.
To identify ergonomic improvements needed for complex laparoscopic surgeries.

Main Methods:

A single laparoscopist's fatigue was assessed using the Borg CR 0-10 scale during 40 procedures.

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Procedures were divided into two groups: Group A (one quadrant) and Group B (at least two quadrants).

Statistical comparison of Borg scale values and intervention duration between the two groups.

Main Results:

A significant correlation was found between increased perceived exertion and intervention duration in both groups.
Surgeons reported significantly higher fatigue levels (Borg scale) in Group B (multi-quadrant procedures).
Extended operating times and larger operative fields in laparoscopic surgery correlate with increased surgeon fatigue.

Conclusions:

Complex laparoscopic procedures involving multiple abdominal quadrants and longer durations significantly increase surgeon fatigue.
There is a critical need for enhanced ergonomic solutions in operating rooms during complex laparoscopic surgeries.
Addressing ergonomic deficits is essential for mitigating surgeon health risks and improving surgical outcomes.