Laparoscopic Ergonomics: Where Do We Stand?

BackgroundLaparoscopic surgery has become widely accepted in gynecological practice due to its clinical benefits for patients. However, it introduces significant ergonomic challenges for surgeons, often resulting in musculoskeletal discomfort and occupational injury.ObjectiveThis study aims to assess the level of knowledge on ergonomic principles among postgraduate trainees in obstetrics and gynecology, and to highlight the necessity of formal ergonomic training to prevent work-related injuries.MethodsA structured questionnaire was distributed among postgraduate trainees of post graduate institute of Medicine, Sri Lanka. Data on surgical experience, training background, ergonomic awareness, and prevalence of physical discomfort were collected and analyzed.Results40 post graduate trainees participated in the survey. A significant proportion of trainees demonstrated limited awareness of fundamental ergonomic concepts. The mean knowledge score was as low as 25.00 ± 21.36. The majority reported musculoskeletal symptoms during or after laparoscopic surgery. Knowlegde score was not significantly correlated with discomfort severity (Spearman's ρ = -0.212,P = 0.190), indicating that ergonomic knowledge alone may not mitigate musculoskeletal strain.ConclusionThe findings underscore the urgent need for formal ergonomic education and the implementation of ergonomic guidelines in surgical training to improve surgeon well-being and operating efficiency.