Navigating Ergonomic Challenges in Pediatric Laparoscopy: Insights from Indian Surgeons

Area of Science:

• Surgical Practice
• Occupational Health
• Ergonomics in Medicine

Background:

• Laparoscopic surgery is prevalent in pediatric practice.
• Ergonomic challenges in laparoscopic surgery can lead to musculoskeletal disorders.
• Awareness and specific issues related to laparoscopic ergonomics among Indian pediatric surgeons are not well-documented.

Purpose of the Study:

• To assess the awareness of laparoscopic ergonomics among pediatric surgeons in India.
• To identify the specific ergonomic issues and musculoskeletal problems faced by these surgeons.
• To explore factors influencing the prevalence of these issues.

Main Methods:

• An online survey was distributed to pediatric surgical consultants and trainees in 2023.
• The questionnaire included 18 questions covering demographics, surgical experience, and ergonomic factors.
• Statistical analysis included Chi-square test, Pearson's correlation, and ANOVA.

Main Results:

• 152 surgeons participated; 36% reported musculoskeletal illnesses, more common in senior consultants, females, and those performing advanced procedures.
• Surgeons performing neonatal surgeries found them most challenging.
• 93% felt ergonomics were overlooked, and 56% lacked institutional support for ergonomic improvements.

Conclusions:

• A significant percentage of pediatric surgeons experience musculoskeletal disorders linked to laparoscopic surgery.
• Factors such as surgeon's height, female gender, and procedure complexity correlate with increased risk.
• There is a strong desire for ergonomic improvements, yet institutional support and awareness are lacking.