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Ergonomics in the operating room.
Surg Endosc. 2017 06; 31(6):2457-2466.SE

Abstract

BACKGROUND

Since the introduction of minimally invasive surgery, surgeons appear to be experiencing more occupational musculoskeletal injuries. The aim of this study is to investigate the current frequency and effects of occupational musculoskeletal injuries on work absence.

METHODS

An online questionnaire was conducted among all surgeons affiliated to the Dutch Society for Endoscopic Surgery, Gastrointestinal Surgery, and Surgical Oncology. In addition, this survey was conducted among surgeons, gynaecologists, and urologists of one cluster of training hospitals in the Netherlands.

RESULTS

There were 127 respondents. Fifty-six surgeons currently suffer from musculoskeletal complaints, and 30 have previously suffered from musculoskeletal complaints with no current complaints. Frequently reported localizations were the neck (39.5 %), the erector spinae muscle (34.9 %), and the right deltoid muscle (18.6 %). Most of the musculoskeletal complaints were present while operating (41.8 %). Currently, 37.5 % uses medication and/or therapy to reduce complaints. Of surgeons with past complaints, 26.7 % required work leave and 40.0 % made intraoperative adjustments. More surgeons with a medical history of musculoskeletal complaints have current complaints (OR 6.1, 95 % CI 1.9-19.6). There were no significant differences between surgeons of different operating techniques in localizations and frequency of complaints, or work leave.

CONCLUSIONS

Despite previous various ergonomic recommendations in the operating room, the current study demonstrated that musculoskeletal complaints and subsequent work absence are still present among surgeons, especially among surgeons with a positive medical history for musculoskeletal complaints. Even sick leave was necessary to fully recover. There were no significant differences in reported complaints between surgeons of different operating techniques. Almost half of the respondents with complaints made intraoperative ergonomic adjustments to prevent future complaints. The latter would be interesting for future research.

Authors+Show Affiliations

Division of HPB and Transplant Surgery, Erasmus MC, Department of Surgery, University Medical Center, Room no. H-822k, 's-Gravendijkwal 230, 3015 CE, Rotterdam, The Netherlands.Division of HPB and Transplant Surgery, Erasmus MC, Department of Surgery, University Medical Center, Room no. H-822k, 's-Gravendijkwal 230, 3015 CE, Rotterdam, The Netherlands.Division of HPB and Transplant Surgery, Erasmus MC, Department of Surgery, University Medical Center, Room no. H-822k, 's-Gravendijkwal 230, 3015 CE, Rotterdam, The Netherlands.Division of HPB and Transplant Surgery, Erasmus MC, Department of Surgery, University Medical Center, Room no. H-822k, 's-Gravendijkwal 230, 3015 CE, Rotterdam, The Netherlands. t.tran@erasmusmc.nl.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

27752811

Citation

Janki, Shiromani, et al. "Ergonomics in the Operating Room." Surgical Endoscopy, vol. 31, no. 6, 2017, pp. 2457-2466.
Janki S, Mulder EEAP, IJzermans JNM, et al. Ergonomics in the operating room. Surg Endosc. 2017;31(6):2457-2466.
Janki, S., Mulder, E. E. A. P., IJzermans, J. N. M., & Tran, T. C. K. (2017). Ergonomics in the operating room. Surgical Endoscopy, 31(6), 2457-2466. https://doi.org/10.1007/s00464-016-5247-5
Janki S, et al. Ergonomics in the Operating Room. Surg Endosc. 2017;31(6):2457-2466. PubMed PMID: 27752811.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Ergonomics in the operating room. AU - Janki,Shiromani, AU - Mulder,Evalyn E A P, AU - IJzermans,Jan N M, AU - Tran,T C Khe, Y1 - 2016/10/17/ PY - 2016/04/11/received PY - 2016/09/12/accepted PY - 2016/10/19/pubmed PY - 2018/1/31/medline PY - 2016/10/19/entrez KW - Ergonomics KW - Musculoskeletal complaints KW - Surgeons KW - Therapy KW - Work absence SP - 2457 EP - 2466 JF - Surgical endoscopy JO - Surg Endosc VL - 31 IS - 6 N2 - BACKGROUND: Since the introduction of minimally invasive surgery, surgeons appear to be experiencing more occupational musculoskeletal injuries. The aim of this study is to investigate the current frequency and effects of occupational musculoskeletal injuries on work absence. METHODS: An online questionnaire was conducted among all surgeons affiliated to the Dutch Society for Endoscopic Surgery, Gastrointestinal Surgery, and Surgical Oncology. In addition, this survey was conducted among surgeons, gynaecologists, and urologists of one cluster of training hospitals in the Netherlands. RESULTS: There were 127 respondents. Fifty-six surgeons currently suffer from musculoskeletal complaints, and 30 have previously suffered from musculoskeletal complaints with no current complaints. Frequently reported localizations were the neck (39.5 %), the erector spinae muscle (34.9 %), and the right deltoid muscle (18.6 %). Most of the musculoskeletal complaints were present while operating (41.8 %). Currently, 37.5 % uses medication and/or therapy to reduce complaints. Of surgeons with past complaints, 26.7 % required work leave and 40.0 % made intraoperative adjustments. More surgeons with a medical history of musculoskeletal complaints have current complaints (OR 6.1, 95 % CI 1.9-19.6). There were no significant differences between surgeons of different operating techniques in localizations and frequency of complaints, or work leave. CONCLUSIONS: Despite previous various ergonomic recommendations in the operating room, the current study demonstrated that musculoskeletal complaints and subsequent work absence are still present among surgeons, especially among surgeons with a positive medical history for musculoskeletal complaints. Even sick leave was necessary to fully recover. There were no significant differences in reported complaints between surgeons of different operating techniques. Almost half of the respondents with complaints made intraoperative ergonomic adjustments to prevent future complaints. The latter would be interesting for future research. SN - 1432-2218 UR - https://www.unboundmedicine.com/medline/citation/27752811/Ergonomics_in_the_operating_room_ L2 - https://doi.org/10.1007/s00464-016-5247-5 DB - PRIME DP - Unbound Medicine ER -