The operation room as a hostile environment for surgeons: physical complaints during and after laparoscopy.

作者: Vicdan Sari , Theodoor E. Nieboer , Mark E. Vierhout , Dick F. Stegeman , Kirsten B. Kluivers

DOI: 10.3109/13645701003643972

关键词:

摘要: Due to suboptimal ergonomic conditions during laparoscopic procedures, surgeons are exposed physical strain on the upper extremity. The primary objective of this study was assess prevalence complaints among and factors that influence these complaints. A questionnaire distributed in a university hospital all who perform procedures. Participants were asked answer questions related experience, or after procedures possible causes their Fifty-five out 92 (60%) completed questionnaire. In group, 40 (73%) reported mainly involving neck, lower back, shoulders thumbs. Significantly more dominant extremity compared non-dominant side. Poor table height adjustment, bad monitor positioning design instrument handles as important Physical common surgeons, especially less experienced surgeons. appears be involved than More awareness implementation guidelines is needed.

参考文章(30)
Stefan Sauerland, Thomas Jaschinski, Edmund AM Neugebauer, Laparoscopic versus open surgery for suspected appendicitis Cochrane Database of Systematic Reviews. ,vol. 11, ,(2010) , 10.1002/14651858.CD001546.PUB3
M.A. van Veelen, J.J. Jakimowicz, G. Kazemier, Improved physical ergonomics of laparoscopic surgery Minimally Invasive Therapy & Allied Technologies. ,vol. 13, pp. 161- 166 ,(2004) , 10.1080/13645700410033193
Danielle M. Adams, Stephen J. Fenton, Bruce D. Schirmer, David M. Mahvi, Karen Horvath, Peter Nichol, One size does not fit all: current disposable laparoscopic devices do not fit the needs of female laparoscopic surgeons Surgical Endoscopy and Other Interventional Techniques. ,vol. 22, pp. 2310- 2313 ,(2008) , 10.1007/S00464-008-9986-9
R. Berguer, A. Hreljac, The relationship between hand size and difficulty using surgical instruments: A survey of 726 laparoscopic surgeons Surgical Endoscopy and Other Interventional Techniques. ,vol. 18, pp. 508- 512 ,(2004) , 10.1007/S00464-003-8824-3
M.A. van Veelen, G. Kazemier, J. Koopman, R.H.M. Goossens, D.W. Meijer, Assessment of the Ergonomically Optimal Operating Surface Height for Laparoscopic Surgery Journal of Laparoendoscopic & Advanced Surgical Techniques. ,vol. 12, pp. 47- 52 ,(2002) , 10.1089/109264202753486920
Johanna WM Aarts, Theodoor E Nieboer, Neil Johnson, Emma Tavender, Ray Garry, Ben Willem J Mol, Kirsten B Kluivers, None, Surgical approach to hysterectomy for benign gynaecological disease. Cochrane Database of Systematic Reviews. ,vol. 2015, pp. 1- 191 ,(2015) , 10.1002/14651858.CD003677.PUB5
U. Matern, Principles of ergonomic instrument handles Minimally Invasive Therapy & Allied Technologies. ,vol. 10, pp. 169- 173 ,(2001) , 10.1080/136457001753192295
M. J. van Det, W. J. H. J. Meijerink, C. Hoff, E. R. Totté, J. P. E. N. Pierie, Optimal ergonomics for laparoscopic surgery in minimally invasive surgery suites: a review and guidelines Surgical Endoscopy and Other Interventional Techniques. ,vol. 23, pp. 1279- 1285 ,(2009) , 10.1007/S00464-008-0148-X
Ninh T Nguyen, Hung S Ho, Warren D Smith, Constantine Philipps, Clare Lewis, Rodel M De Vera, Ramon Berguer, An ergonomic evaluation of surgeons' axial skeletal and upper extremity movements during laparoscopic and open surgery. American Journal of Surgery. ,vol. 182, pp. 720- 724 ,(2001) , 10.1016/S0002-9610(01)00801-7
A. E. Park, M. J. Mastrangelo, A. Gandsas, U. Chu, N. E. Quick, Laparoscopic Dissecting Instruments Seminars in Laparoscopic Surgery. ,vol. 8, pp. 42- 52 ,(2001) , 10.1177/155335060100800105