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Surgical ergonomics for urologists: a practical guide.
Nat Rev Urol. 2021 03; 18(3):160-169.NR

Abstract

Poor ergonomics in the operating room can have detrimental effects on a surgeon's physical, psychological and economic well-being. This problem is of particular importance to urologists who are trained in nearly all operative approaches (open, laparoscopic, robotic-assisted, microscopic and endoscopic surgery), each with their own ergonomic considerations. The vast majority of urologists have experienced work-related musculoskeletal pain or injury at some point in their career, which can result in leaves of absence, medical and/or surgical treatment, burnout, changes of specialty and even early retirement. Surgical ergonomics in urology has been understudied and underemphasized. In this Review, we characterize the burden of musculoskeletal injury in urologists and focus on various ergonomic considerations relevant to the urology surgeon. Although the strength of evidence remains limited in this space, we highlight several practical recommendations stratified by operative approach that can be incorporated into practice without interrupting workflow whilst minimizing injury to the surgeon. These recommendations might also serve as the foundation for ergonomics training curricula in residency and continuing medical education programmes. With improved awareness of ergonomic principles and the sequelae of injury related to urological surgery, urologists can be more mindful of their operating room environment and identify ways of reducing their own symptoms and risk of injury.

Authors+Show Affiliations

The James Buchanan Brady Urological Institute and Department of Urology, Johns Hopkins University School of Medicine, Baltimore, MD, USA. atg@jhmi.edu.The James Buchanan Brady Urological Institute and Department of Urology, Johns Hopkins University School of Medicine, Baltimore, MD, USA.The James Buchanan Brady Urological Institute and Department of Urology, Johns Hopkins University School of Medicine, Baltimore, MD, USA.The James Buchanan Brady Urological Institute and Department of Urology, Johns Hopkins University School of Medicine, Baltimore, MD, USA.The James Buchanan Brady Urological Institute and Department of Urology, Johns Hopkins University School of Medicine, Baltimore, MD, USA.Department of Environmental Health and Engineering, Johns Hopkins Education and Research Center for Occupational Safety and Health, Baltimore, MD, USA.The James Buchanan Brady Urological Institute and Department of Urology, Johns Hopkins University School of Medicine, Baltimore, MD, USA.The James Buchanan Brady Urological Institute and Department of Urology, Johns Hopkins University School of Medicine, Baltimore, MD, USA.Glickman Urological and Kidney Institute, Cleveland Clinic, Cleveland, OH, USA.The James Buchanan Brady Urological Institute and Department of Urology, Johns Hopkins University School of Medicine, Baltimore, MD, USA. Glickman Urological and Kidney Institute, Cleveland Clinic, Cleveland, OH, USA.

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

33432182

Citation

Gabrielson, Andrew T., et al. "Surgical Ergonomics for Urologists: a Practical Guide." Nature Reviews. Urology, vol. 18, no. 3, 2021, pp. 160-169.
Gabrielson AT, Clifton MM, Pavlovich CP, et al. Surgical ergonomics for urologists: a practical guide. Nat Rev Urol. 2021;18(3):160-169.
Gabrielson, A. T., Clifton, M. M., Pavlovich, C. P., Biles, M. J., Huang, M., Agnew, J., Pierorazio, P. M., Matlaga, B. R., Bajic, P., & Schwen, Z. R. (2021). Surgical ergonomics for urologists: a practical guide. Nature Reviews. Urology, 18(3), 160-169. https://doi.org/10.1038/s41585-020-00414-4
Gabrielson AT, et al. Surgical Ergonomics for Urologists: a Practical Guide. Nat Rev Urol. 2021;18(3):160-169. PubMed PMID: 33432182.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Surgical ergonomics for urologists: a practical guide. AU - Gabrielson,Andrew T, AU - Clifton,Marisa M, AU - Pavlovich,Christian P, AU - Biles,Michael J, AU - Huang,Mitchell, AU - Agnew,Jacqueline, AU - Pierorazio,Phillip M, AU - Matlaga,Brian R, AU - Bajic,Petar, AU - Schwen,Zeyad R, Y1 - 2021/01/11/ PY - 2020/11/26/accepted PY - 2021/1/13/pubmed PY - 2021/8/27/medline PY - 2021/1/12/entrez SP - 160 EP - 169 JF - Nature reviews. Urology JO - Nat Rev Urol VL - 18 IS - 3 N2 - Poor ergonomics in the operating room can have detrimental effects on a surgeon's physical, psychological and economic well-being. This problem is of particular importance to urologists who are trained in nearly all operative approaches (open, laparoscopic, robotic-assisted, microscopic and endoscopic surgery), each with their own ergonomic considerations. The vast majority of urologists have experienced work-related musculoskeletal pain or injury at some point in their career, which can result in leaves of absence, medical and/or surgical treatment, burnout, changes of specialty and even early retirement. Surgical ergonomics in urology has been understudied and underemphasized. In this Review, we characterize the burden of musculoskeletal injury in urologists and focus on various ergonomic considerations relevant to the urology surgeon. Although the strength of evidence remains limited in this space, we highlight several practical recommendations stratified by operative approach that can be incorporated into practice without interrupting workflow whilst minimizing injury to the surgeon. These recommendations might also serve as the foundation for ergonomics training curricula in residency and continuing medical education programmes. With improved awareness of ergonomic principles and the sequelae of injury related to urological surgery, urologists can be more mindful of their operating room environment and identify ways of reducing their own symptoms and risk of injury. SN - 1759-4820 UR - https://www.unboundmedicine.com/medline/citation/33432182/Surgical_ergonomics_for_urologists:_a_practical_guide_ L2 - https://doi.org/10.1038/s41585-020-00414-4 DB - PRIME DP - Unbound Medicine ER -