Tags

Type your tag names separated by a space and hit enter

Ergonomic assessment of neck posture in the minimally invasive surgery suite during laparoscopic cholecystectomy.
Surg Endosc. 2008 Nov; 22(11):2421-7.SE

Abstract

BACKGROUND

With the expanding implementation of minimally invasive surgery, the operating team is confronted with challenges in the field of ergonomics. Visual feedback is derived from a monitor placed outside the operating field. This crossover trial was conducted to evaluate and compare neck posture in relation to monitor position in a dedicated minimally invasive surgery (MIS) suite and a conventional operating room.

METHODS

Assessment of the neck was conducted for 16 surgeons, assisting surgeons, and scrub nurses performing a laparoscopic cholecystectomy in both types of operating room. Flexion and rotation of the cervical spine were measured intraoperatively using a video analysis system. A two-question visual analog scale (VAS) questionnaire was used to evaluate posture in relation to the monitor position.

RESULTS

Neck rotation was significantly reduced in the MIS suite for the surgeon (p = 0.018) and the assisting surgeon (p < 0.001). Neck flexion was significantly improved in the MIS suite for the surgeon (p < 0.001) and the scrub nurse (p = 0.018). On the questionnaire, the operating room team scored their posture significantly higher in the MIS suite and also indicated fewer musculoskeletal complaints.

CONCLUSIONS

The ergonomic quality of the neck posture is significantly improved in the MIS suite for the entire operating room team.

Authors+Show Affiliations

Department of Surgery, Leeuwarden Medical Center, P.O. Box 888, 8901 BR, Leeuwarden, The Netherlands. marc.van.det@znb.nlNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Randomized Controlled Trial

Language

eng

PubMed ID

18622549

Citation

van Det, M J., et al. "Ergonomic Assessment of Neck Posture in the Minimally Invasive Surgery Suite During Laparoscopic Cholecystectomy." Surgical Endoscopy, vol. 22, no. 11, 2008, pp. 2421-7.
van Det MJ, Meijerink WJ, Hoff C, et al. Ergonomic assessment of neck posture in the minimally invasive surgery suite during laparoscopic cholecystectomy. Surg Endosc. 2008;22(11):2421-7.
van Det, M. J., Meijerink, W. J., Hoff, C., van Veelen, M. A., & Pierie, J. P. (2008). Ergonomic assessment of neck posture in the minimally invasive surgery suite during laparoscopic cholecystectomy. Surgical Endoscopy, 22(11), 2421-7. https://doi.org/10.1007/s00464-008-0042-6
van Det MJ, et al. Ergonomic Assessment of Neck Posture in the Minimally Invasive Surgery Suite During Laparoscopic Cholecystectomy. Surg Endosc. 2008;22(11):2421-7. PubMed PMID: 18622549.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Ergonomic assessment of neck posture in the minimally invasive surgery suite during laparoscopic cholecystectomy. AU - van Det,M J, AU - Meijerink,W J H J, AU - Hoff,C, AU - van Veelen,M A, AU - Pierie,J P E N, Y1 - 2008/07/12/ PY - 2007/11/21/received PY - 2008/06/04/accepted PY - 2008/05/15/revised PY - 2008/7/16/pubmed PY - 2009/1/14/medline PY - 2008/7/16/entrez SP - 2421 EP - 7 JF - Surgical endoscopy JO - Surg Endosc VL - 22 IS - 11 N2 - BACKGROUND: With the expanding implementation of minimally invasive surgery, the operating team is confronted with challenges in the field of ergonomics. Visual feedback is derived from a monitor placed outside the operating field. This crossover trial was conducted to evaluate and compare neck posture in relation to monitor position in a dedicated minimally invasive surgery (MIS) suite and a conventional operating room. METHODS: Assessment of the neck was conducted for 16 surgeons, assisting surgeons, and scrub nurses performing a laparoscopic cholecystectomy in both types of operating room. Flexion and rotation of the cervical spine were measured intraoperatively using a video analysis system. A two-question visual analog scale (VAS) questionnaire was used to evaluate posture in relation to the monitor position. RESULTS: Neck rotation was significantly reduced in the MIS suite for the surgeon (p = 0.018) and the assisting surgeon (p < 0.001). Neck flexion was significantly improved in the MIS suite for the surgeon (p < 0.001) and the scrub nurse (p = 0.018). On the questionnaire, the operating room team scored their posture significantly higher in the MIS suite and also indicated fewer musculoskeletal complaints. CONCLUSIONS: The ergonomic quality of the neck posture is significantly improved in the MIS suite for the entire operating room team. SN - 1432-2218 UR - https://www.unboundmedicine.com/medline/citation/18622549/Ergonomic_assessment_of_neck_posture_in_the_minimally_invasive_surgery_suite_during_laparoscopic_cholecystectomy_ L2 - https://doi.org/10.1007/s00464-008-0042-6 DB - PRIME DP - Unbound Medicine ER -