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Ergonomic deficits in robotic gynecologic oncology surgery: a need for intervention.
J Minim Invasive Gynecol. 2013 Sep-Oct; 20(5):648-55.JM

Abstract

STUDY OBJECTIVE

To evaluate surgeon strain using validated ergonomic assessment tools.

DESIGN

Observational study (Canadian Task Force classification III).

SETTING

Academic medical center.

PARTICIPANTS

Robotic surgeons performing gynecologic oncology surgical procedures.

INTERVENTIONS

Videotape footage of surgeons performing robotic gynecologic oncology procedures was obtained. A human factors engineer experienced with health care ergonomics analyzed the video recordings and performed ergonomic evaluations of the surgeons.

MEASUREMENTS AND MAIN RESULTS

An initial evaluation was conducted using the Rapid Upper Limb Assessment (RULA) survey, an ergonomic assessment and prioritization method for determining posture, force, and frequency concerns with focus on the upper limbs. A more detailed analysis followed using the Strain Index (SI) method, which uses multiplicative interactions to identify jobs that are potentially hazardous. Seventeen hours of video recordings were analyzed, and descriptive data based on RULA/SI analysis were collected. Ergonomic evaluation of surgeon activity resulted in a mean RULA score of 6.46 (maximum possible RULA score, 7), indicating a need for further investigation. The mean SI grand score was 24.34. SI scores >10 suggest a potential for hazard to the operator. Thus, the current use of the surgical robot is potentially dangerous with regards to ergonomic positioning and should be modified.

CONCLUSION

At a high-volume robotics center, there are ergonomics deficits that are hazardous to gynecologic surgeons and suggest the need for modification and intervention. A training strategy must be developed to address these ergonomic issues and knowledge deficiencies.

Authors+Show Affiliations

University of North Carolina School of Medicine, Chapel Hill, North Carolina.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

23747116

Citation

Craven, Renatta, et al. "Ergonomic Deficits in Robotic Gynecologic Oncology Surgery: a Need for Intervention." Journal of Minimally Invasive Gynecology, vol. 20, no. 5, 2013, pp. 648-55.
Craven R, Franasiak J, Mosaly P, et al. Ergonomic deficits in robotic gynecologic oncology surgery: a need for intervention. J Minim Invasive Gynecol. 2013;20(5):648-55.
Craven, R., Franasiak, J., Mosaly, P., & Gehrig, P. A. (2013). Ergonomic deficits in robotic gynecologic oncology surgery: a need for intervention. Journal of Minimally Invasive Gynecology, 20(5), 648-55. https://doi.org/10.1016/j.jmig.2013.04.008
Craven R, et al. Ergonomic Deficits in Robotic Gynecologic Oncology Surgery: a Need for Intervention. J Minim Invasive Gynecol. 2013 Sep-Oct;20(5):648-55. PubMed PMID: 23747116.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Ergonomic deficits in robotic gynecologic oncology surgery: a need for intervention. AU - Craven,Renatta, AU - Franasiak,Jason, AU - Mosaly,Prithima, AU - Gehrig,Paola A, Y1 - 2013/06/05/ PY - 2013/03/26/received PY - 2013/04/13/revised PY - 2013/04/15/accepted PY - 2013/6/11/entrez PY - 2013/6/12/pubmed PY - 2014/5/9/medline KW - Ergonomics KW - Occupational strain KW - Rapid upper limb assessment KW - Robotic surgery KW - Strain Index SP - 648 EP - 55 JF - Journal of minimally invasive gynecology JO - J Minim Invasive Gynecol VL - 20 IS - 5 N2 - STUDY OBJECTIVE: To evaluate surgeon strain using validated ergonomic assessment tools. DESIGN: Observational study (Canadian Task Force classification III). SETTING: Academic medical center. PARTICIPANTS: Robotic surgeons performing gynecologic oncology surgical procedures. INTERVENTIONS: Videotape footage of surgeons performing robotic gynecologic oncology procedures was obtained. A human factors engineer experienced with health care ergonomics analyzed the video recordings and performed ergonomic evaluations of the surgeons. MEASUREMENTS AND MAIN RESULTS: An initial evaluation was conducted using the Rapid Upper Limb Assessment (RULA) survey, an ergonomic assessment and prioritization method for determining posture, force, and frequency concerns with focus on the upper limbs. A more detailed analysis followed using the Strain Index (SI) method, which uses multiplicative interactions to identify jobs that are potentially hazardous. Seventeen hours of video recordings were analyzed, and descriptive data based on RULA/SI analysis were collected. Ergonomic evaluation of surgeon activity resulted in a mean RULA score of 6.46 (maximum possible RULA score, 7), indicating a need for further investigation. The mean SI grand score was 24.34. SI scores >10 suggest a potential for hazard to the operator. Thus, the current use of the surgical robot is potentially dangerous with regards to ergonomic positioning and should be modified. CONCLUSION: At a high-volume robotics center, there are ergonomics deficits that are hazardous to gynecologic surgeons and suggest the need for modification and intervention. A training strategy must be developed to address these ergonomic issues and knowledge deficiencies. SN - 1553-4669 UR - https://www.unboundmedicine.com/medline/citation/23747116/Ergonomic_deficits_in_robotic_gynecologic_oncology_surgery:_a_need_for_intervention_ DB - PRIME DP - Unbound Medicine ER -