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Ergonomic Considerations in Urologic Surgery.
Curr Urol Rep. 2023 Mar; 24(3):143-155.CU

Abstract

PURPOSE OF REVIEW

This paper aims to discuss the various work-related musculoskeletal disorders (WRMDs) among urologists and provide an overview of the latest recommendations to improve awareness of ergonomic principles that can be applied in the operating room, with special consideration of challenges faced during pregnancy.

RECENT FINDINGS

Urologists suffer from a large burden of WRMDs. The main drivers of pain associated with the various surgical approaches include repetitive movements, static and awkward body positions, and the use of burdensome equipment. Pregnant surgeons are at an even greater risk of WRMDs and face high rates of pregnancy complications. Laparoscopy, endoscopy, robot-assisted surgeries, and open surgeries present unique ergonomic challenges for the practicing urologist. Proper posture and equipment use, optimal operating room setup, intraoperative stretching breaks, and an emphasis on teaching ergonomic principles can reduce the risk of WRMDs. Surgeons are also at increased risk of WRMDs during pregnancy but may continue to operate while taking measures to limit physical exertion and fatigue. Improving awareness of and incorporating ergonomic principles early in a urologist's career may reduce the risk of injury and improve operative performance and longevity.

Authors+Show Affiliations

Columbia University Vagelos College of Physicians & Surgeons, 630 W 168th St, New York, NY, 10032, USA.Department of Urology, Columbia University Irving Medical Center, 161 Fort Washington Ave, New York, NY, 10032, USA.Department of Urology, Columbia University Irving Medical Center, 161 Fort Washington Ave, New York, NY, 10032, USA. mm5320@cumc.columbia.edu.

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

36580226

Citation

Gillespie, Anton M., et al. "Ergonomic Considerations in Urologic Surgery." Current Urology Reports, vol. 24, no. 3, 2023, pp. 143-155.
Gillespie AM, Wang C, Movassaghi M. Ergonomic Considerations in Urologic Surgery. Curr Urol Rep. 2023;24(3):143-155.
Gillespie, A. M., Wang, C., & Movassaghi, M. (2023). Ergonomic Considerations in Urologic Surgery. Current Urology Reports, 24(3), 143-155. https://doi.org/10.1007/s11934-022-01142-5
Gillespie AM, Wang C, Movassaghi M. Ergonomic Considerations in Urologic Surgery. Curr Urol Rep. 2023;24(3):143-155. PubMed PMID: 36580226.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Ergonomic Considerations in Urologic Surgery. AU - Gillespie,Anton M, AU - Wang,Connie, AU - Movassaghi,Miyad, Y1 - 2022/12/29/ PY - 2022/11/23/accepted PY - 2022/12/30/pubmed PY - 2022/12/30/medline PY - 2022/12/29/entrez KW - Musculoskeletal disorders KW - Operating room KW - Pregnancy KW - Surgical ergonomics KW - Urologic surgery KW - Urology SP - 143 EP - 155 JF - Current urology reports JO - Curr Urol Rep VL - 24 IS - 3 N2 - PURPOSE OF REVIEW: This paper aims to discuss the various work-related musculoskeletal disorders (WRMDs) among urologists and provide an overview of the latest recommendations to improve awareness of ergonomic principles that can be applied in the operating room, with special consideration of challenges faced during pregnancy. RECENT FINDINGS: Urologists suffer from a large burden of WRMDs. The main drivers of pain associated with the various surgical approaches include repetitive movements, static and awkward body positions, and the use of burdensome equipment. Pregnant surgeons are at an even greater risk of WRMDs and face high rates of pregnancy complications. Laparoscopy, endoscopy, robot-assisted surgeries, and open surgeries present unique ergonomic challenges for the practicing urologist. Proper posture and equipment use, optimal operating room setup, intraoperative stretching breaks, and an emphasis on teaching ergonomic principles can reduce the risk of WRMDs. Surgeons are also at increased risk of WRMDs during pregnancy but may continue to operate while taking measures to limit physical exertion and fatigue. Improving awareness of and incorporating ergonomic principles early in a urologist's career may reduce the risk of injury and improve operative performance and longevity. SN - 1534-6285 UR - https://www.unboundmedicine.com/medline/citation/36580226/Ergonomic_Considerations_in_Urologic_Surgery_ DB - PRIME DP - Unbound Medicine ER -