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The prevalence of musculoskeletal injuries in bariatric surgeons.
Surg Endosc. 2019 06; 33(6):1818-1827.SE

Abstract

OBJECTIVE

To investigate the prevalence of musculoskeletal (MSK) injuries in bariatric surgeons around the world.

BACKGROUND

As the popularity of bariatric surgery increases, efforts into improving its patient safety and decreasing its invasiveness have also been on the rise. However, with this shift towards minimal invasiveness, surgeon ergonomic constraints have been imposed, with a recent report showing a 73-88% prevalence of physical complaints in surgeons performing laparoscopic surgeries.

METHODS

A web-based survey was designed and sent out to bariatric surgeons around the world. Participants were queried about professional background, primary practice setting, and various issues related to bariatric surgeries and MSK injuries.

RESULTS

There were 113 responses returned from surgeons from 34 countries around the world. 68.5% of the surgeons have had more than 10 years of experience in laparoscopic surgery, 65.8% in open, and 0.9% in robotic surgery. 66% of participants reported that they have experienced some level of discomfort/pain attributed to surgical reasons, causing the case load to decrease in 27.2% of the surgeons. It was seen that the back was the most affected area in those performing open surgery, while shoulders and back were equally as affected in those performing laparoscopic, and the neck for those performing robotic, with 29.4% of the surgeons reporting that this pain has affected their task accuracy/surgical performance. A higher percentage of females than males reported pain in the neck, back, and shoulder area when performing laparoscopic procedures. Supine positioning of patients evoked more discomfort in the wrists, while the French position caused more discomfort in the back region. A higher percentage of surgeons who did not exercise experienced more issues in the neck and back region, while those that exercised more than 3 h a week experienced issues in their shoulders and wrists in both open and laparoscopic approaches. Only 57.7% sought medical treatment for their MSK problem, of which 6.35% had to undergo surgery for their issue, of which 55.6% of those felt that the treatment resolved their problem.

CONCLUSION

MSK injuries and pain are a common occurrence among the population of bariatric surgeons (66%), and has the ability to hinder performance at work. Therefore, it is of importance to investigate ways in which to improve ergonomics for these surgeons as to improve quality of life.

Authors+Show Affiliations

Al-Amiri Hospital, Kuwait, Kuwait. Salman.k.alsabah@gmail.com.Al-Amiri Hospital, Kuwait, Kuwait.Al-Amiri Hospital, Kuwait, Kuwait.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

30251136

Citation

AlSabah, Salman, et al. "The Prevalence of Musculoskeletal Injuries in Bariatric Surgeons." Surgical Endoscopy, vol. 33, no. 6, 2019, pp. 1818-1827.
AlSabah S, Al Haddad E, Khwaja H. The prevalence of musculoskeletal injuries in bariatric surgeons. Surg Endosc. 2019;33(6):1818-1827.
AlSabah, S., Al Haddad, E., & Khwaja, H. (2019). The prevalence of musculoskeletal injuries in bariatric surgeons. Surgical Endoscopy, 33(6), 1818-1827. https://doi.org/10.1007/s00464-018-6460-1
AlSabah S, Al Haddad E, Khwaja H. The Prevalence of Musculoskeletal Injuries in Bariatric Surgeons. Surg Endosc. 2019;33(6):1818-1827. PubMed PMID: 30251136.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The prevalence of musculoskeletal injuries in bariatric surgeons. AU - AlSabah,Salman, AU - Al Haddad,Eliana, AU - Khwaja,Haris, Y1 - 2018/09/24/ PY - 2018/01/12/received PY - 2018/09/18/accepted PY - 2018/9/27/pubmed PY - 2020/4/24/medline PY - 2018/9/26/entrez KW - Bariatrics KW - Ergonomics KW - Laparoscopic surgery KW - Survey SP - 1818 EP - 1827 JF - Surgical endoscopy JO - Surg Endosc VL - 33 IS - 6 N2 - OBJECTIVE: To investigate the prevalence of musculoskeletal (MSK) injuries in bariatric surgeons around the world. BACKGROUND: As the popularity of bariatric surgery increases, efforts into improving its patient safety and decreasing its invasiveness have also been on the rise. However, with this shift towards minimal invasiveness, surgeon ergonomic constraints have been imposed, with a recent report showing a 73-88% prevalence of physical complaints in surgeons performing laparoscopic surgeries. METHODS: A web-based survey was designed and sent out to bariatric surgeons around the world. Participants were queried about professional background, primary practice setting, and various issues related to bariatric surgeries and MSK injuries. RESULTS: There were 113 responses returned from surgeons from 34 countries around the world. 68.5% of the surgeons have had more than 10 years of experience in laparoscopic surgery, 65.8% in open, and 0.9% in robotic surgery. 66% of participants reported that they have experienced some level of discomfort/pain attributed to surgical reasons, causing the case load to decrease in 27.2% of the surgeons. It was seen that the back was the most affected area in those performing open surgery, while shoulders and back were equally as affected in those performing laparoscopic, and the neck for those performing robotic, with 29.4% of the surgeons reporting that this pain has affected their task accuracy/surgical performance. A higher percentage of females than males reported pain in the neck, back, and shoulder area when performing laparoscopic procedures. Supine positioning of patients evoked more discomfort in the wrists, while the French position caused more discomfort in the back region. A higher percentage of surgeons who did not exercise experienced more issues in the neck and back region, while those that exercised more than 3 h a week experienced issues in their shoulders and wrists in both open and laparoscopic approaches. Only 57.7% sought medical treatment for their MSK problem, of which 6.35% had to undergo surgery for their issue, of which 55.6% of those felt that the treatment resolved their problem. CONCLUSION: MSK injuries and pain are a common occurrence among the population of bariatric surgeons (66%), and has the ability to hinder performance at work. Therefore, it is of importance to investigate ways in which to improve ergonomics for these surgeons as to improve quality of life. SN - 1432-2218 UR - https://www.unboundmedicine.com/medline/citation/30251136/The_prevalence_of_musculoskeletal_injuries_in_bariatric_surgeons_ DB - PRIME DP - Unbound Medicine ER -